The document discusses micro birth planning, which structures events and actions related to pregnancy and delivery. It includes registering for the Janani Suraksha Yojana (JSY) program and filling out the JSY card, calculating the expected due date of delivery, informing dates for three essential checkups, identifying the health facility where delivery will take place, and identifying transportation means. Key aspects of micro birth planning are registration under JSY, calculating the due date, scheduling checkups, choosing a health facility for delivery, and arranging transportation to ensure safe delivery and access to care.
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
UNIT-X MIRCO BIRTH PLANNING B.Sc Nursing IV year CHN.pptxanjalatchi
Microbirth is a 60 minute documentary exploring the latest scientific research into the microscopic events that happen during childbirth. These events could have life-long consequences for the health of our children and potentially impact the future of mankind.
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
UNIT-X MIRCO BIRTH PLANNING B.Sc Nursing IV year CHN.pptxanjalatchi
Microbirth is a 60 minute documentary exploring the latest scientific research into the microscopic events that happen during childbirth. These events could have life-long consequences for the health of our children and potentially impact the future of mankind.
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Community Health Nursing II, Topic - Minimum Need's Programme, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 4th year in Florence College Of Nursing
Waste management in the center and clinicsKrupa Mathew
community health nursing - Role of community health nurse in waste management in the center and clinics --- for bsc nursing students --- hospital waste management ---biomedical waste management
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Community Health Nursing II, Topic - Minimum Need's Programme, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 4th year in Florence College Of Nursing
Waste management in the center and clinicsKrupa Mathew
community health nursing - Role of community health nurse in waste management in the center and clinics --- for bsc nursing students --- hospital waste management ---biomedical waste management
At the end of this session, you will be able to
1. Describe the delivery of family planning services at various levels of health care delivery
2. Define unmet need of contraception and enumerate it’s reasons
3. List the various evaluations done on family planning services
MATERNAL & CHILD HEALTH PROGRAMME IN COMMUNITY HEALTH NURSING
According to W.H.O. (1976) Maternal & child health services can be defined as “promoting, preventing, therapeutic or rehabilitation facility or care for the mother & child.” Thus maternal & child health services is an important & essential services related to mother & child’s overall development.
6. Reduce maternal, perinatal, infant & child mortality & morbidity rates. Child survival. Promoting reproductive health or safe motherhood. Ensure birth of healthy child.
7. Prevent malnutrition. Prevent communicable disease. Early diagnosis & treatment of the health problems. Health education & family planning services.
8. The MCH service are rendered through the infrastructure of P.H.C. & sub centers. It is proposed to set up one P.H.C. & sub-centers. It is proposed to set up one P.H.C. for every 30,0000 population, & one sub-centers for every 3000 to 5000 population. Each sub-centers are foundation of national health system. Each sub-sub-center is manned by a team of one male & female health worker. In addition there is a team of one trained Dai & one health guidein every village.
CORE Group Fall Meeting 2010. WHO/UNICEF - Joint Statement Service Delivery & Program Implications, - Winnie Mwebesa & Stella Abwao, Save the Children.
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, ChamarajanagarDr Girish B
RMNCH + A MCH Program Dr Girish .B Associate Professor, Department of Community Medicine, Chamarajanagar Institute of Medical Sciences (CIMS), Chamarajanagar
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. MICRO BIRTH PLAN
This is a tool basically to structure the events/actions related with pregnancy and
delivery (To be drawn up by ANM/ASHA). Essentially it consists of
Registration and filling up of JSY card
Calculation of EDD(Expected date of delivery)
Informing dates of three essential check ups
Identification of health facility where delivery will take place
Identification of means of transport
3. What is JSY
• Janani Suraksha Yojana (JSY) is a safe
motherhood intervention under the National
Health Mission. It is being implemented with
the objective of reducing maternal and
neonatal mortality by promoting institutional
delivery among poor pregnant women. The
scheme, launched on 12 April 2005 by the
Hon’ble Prime Minister
4. Registration and filling up of JSY card
Each village of 1000 population is expected to have one
ASHA or an equivalent worker registered with the sub-
centre and the PHC of that concerned village, who would
be working under the supervision of the ANM and in
tandem with the AWW. Under JSY, her main role would
be:
• To organize delivery care services for the registered
expectant mother,
• To assist in immunization of the new born and
• To act as a propagator/motivator of family planning
services.
5.
6.
7. Calculation of EDD(Expected date of
delivery
One simple and common method for calculating your delivery date is as follows:
• Mark down the date when your last period started.
• Add seven days.
• Count back three months.
• Add a whole year.
For example, if the first day of your last period was April 9, 2020, adding seven
days will make the date April 16, 2020. Counting back three months results in the
date of January 16. Finally, adding a year yields an estimated delivery date of
January 16, 2021...
Resources that help me to estimate due date.
There are many due date calculators available to help you estimate your due date.
These tools allow you to enter the date of the first day of your last period and then
hit the calculate button. The tool will then tell you an estimated due date for your
baby. Several of these tools include:
1. American Pregnancy Association, ~Pregnancy Calculator.
2. March of Dimes, ~Due Date Calculator.
8. Prenatal care
• The ideal initial prenatal care visit occurs
before conception with a pre-conceptive
visit.
• A pre-conceptive visit allows modification
of behavioral choice, medication and
optimizing medical concerns before
conception.
9. Antenatal check up
• Planed examination and observation for the women
from conception till the birth.
Schedule for antenatal visit
• Timing of the first visit/registration - The first visit or
registration of a pregnant woman for ANC should take
place as soon as the pregnancy is suspected.
• The first visit should take place within 12 weeks.
• Second visit - Between 14 and 26 weeks
• Third visit - Between 28 and 34 weeks
• Fourth visit - Between 36 weeks and term.
10. Importance of prenatal and antenatal
care
• Reduce the risk of pregnancy complications.
• Reduce the fetus's and infant's risk for
complications.
• Help ensure the medications women take are
safe.
• Decrease the risk of certain birth defect.
• Diagnosis and testing pregnancy complication.
11.
12. Informing dates of three essential
check ups
Most pregnant women can follow a schedule
like this:
• Weeks 4 to 28 of pregnancy. Go for one
checkup every 4 weeks (once a month).
• Weeks 28 to 36 of pregnancy. Go for one
checkup every 2 weeks (twice a month).
• Weeks 36 to 41 of pregnancy. Go for one
checkup every week (once a week).
13. Identification of health facility where
delivery will take place
• Delivery in health facilities has been promoted to improve
maternal and child health care. A free delivery policy was
introduced at designated health care facilities (HCF) in 2013.
• It should be a proper hygiene and well managed place.
• Proper take care and full support provide by health facility center.
• Antenatal checkup services would be provided by OBGY
specialists/Radiologist/physicians with support from private sector
doctors to supplement the efforts of the government sector.
Importance of facility based delivery
• Increasing the proportion of women who deliver in a health facility
can be an important means in reducing maternal mortality in low-
income settings. ... Deliveries in health facilities can ensure that
women are attended by skilled personnel and also link women to
the referral system in the case of any complications.
14.
15. Identification of means of transport
• Transport of pregnant women emergencies in India : an
analysis of the 108 ambulance service system data.
• The transport of pregnant women to an appropriate
health facility plays a pivotal role in preventing
maternal deaths. In India, state-run call-centre based
ambulance systems (‘108’ and ‘102’), along with
district-level
• Janani Express and local community-based innovations,
provide transport services for pregnant women. We
studied the role of ‘108’ ambulance services in
transporting pregnant women routinely and obstetric
emergencies in India.
16.
17. Conclusion
• Micro birth planning is a very good
intervention of NRHM as it covers all the
detailing.
• Reducing maternal and neo-natal mortality by
promoting institutional delivery among the
poor pregnant women.
• It inform expected date of delivery.
• Monitor and feedback machenism.
• It provide health facility for save delivery.