The morning report summarizes information on two patients admitted to the hospital. The first patient is a 62-year-old man admitted for congestive heart failure, coronary artery disease, and diabetes. He has a history of hypertension and smoking. Exams and tests show reduced heart function and enlargement. The second patient is a 68-year-old man admitted for heart failure, severe aortic regurgitation, kidney injury, and low blood sugar. He has a history of hypertension and exams show enlarged heart and normal function. Both patients are given IV fluids and medications to manage their conditions.
Hypoglycemia and ulcus and ck dduty report 13 jan 2016Soroy Lardo
Hypoglycemia on antidiabetic treatment with ulcus diabetic and CKD showed importance of comprehensive approach diabetes with infection and severity condition
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Hypoglycemia and ulcus and ck dduty report 13 jan 2016Soroy Lardo
Hypoglycemia on antidiabetic treatment with ulcus diabetic and CKD showed importance of comprehensive approach diabetes with infection and severity condition
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
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.
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.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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1. Morning Report
Sunday, 23th October 2022
Fathlina
Mardhiyah
Winona
Archie
Mia
Ilzy
Jordy
Jauhar
Endang (interna)
2. 2
No Identity Diagnosis
1. Mr. MSN/ 06-08-1960/ 62 years
old/ RM 938518
• Congestive Heart Failure NYHA III
• Coronary Artery Disease 3 Vessel Disease
• Diabetic Mellitus type 2
2. Mr. M/ 31-12-1954/ 68 years
old/ RM 978762
• Congestive Heart Failure NYHA III
• Severe Aortic Regurgitation
• Elevated Liver Enzyme
• Acute Kidney Injury DD/ Acute on CKD
• Hypoglycemia (65)
3. 1st Patient Identity
Name : Mr. MSN
Age : 62 years old
Date of Birth : 06-08-1960
Address : Makassar
MR : 938518
Date of Admission : October 23th 2022
DPJP : dr. Muh. Asrul Apris, Sp.JP (K)
4. History Taking
Chief complaint : Shortness of breath
• SoB was felt since 1 month ago, intermittently, worsening 3 days prior to admission.
DOE (+), PND (+), Orthopneu (+). History of shortness of breath (+).
• Chest pain (-). History of intermittent chest pain (+), relieved during rest.
• Palpitation (-), history of palpitation (-)
• Patient had history of cardiac catheterization in 2018 at Gatot Subroto Hospital,
Jakarta, and was advised for bypass surgery but he refused. He didn’t bring the
result.
• The patient routinely controlled at Cardiac Centre Policlinic and get Ramipril 2.5 mg,
Clopidogrel 75 mg, Spironolactone 25 mg, Bisoprolol 2.5 mg, Atorvastatin 20 mg,
furosemide 40 mg, Lantus 16 IU, Novarapid 8 IU
Coronary risk factors :
• History of hypertension (+), since 5 years ago, take Ramipril 2.5 mg routinely
• History of Diabetes Mellitus (+), since 7 years ago, routinely took Insulin
(Novorapid 3x8 IU, Lantus 16 IU)
• History of smoking (+) for 20 years, 1 pack/day, stopped 3 years ago
• No family history of Cardiovascular disease.
20. PLAN
• Monitoring vital sign and hemodynamic
• Monitoring urine output and fluid balance
• Swab Antigen
• Transfer to ward if swab is negative
• Consult to Endocrine Metabolic
23. 2nd Patient Identity
Name : Mr. M
Age : 68 years old
Date of Birth : 31-12-1954
Address : Makassar
MR : 978762
Date of Admission : October 23th 2022
DPJP : dr. Muh. Asrul Apris, Sp.JP(K)
24. History Taking
Chief complain : Shortness of breath
• Experienced since a week ago, worsening 1 day prior to admission. DOE (+), PND
(+), Orthopneu (+). History of shortness of breath (+) intermittently since 6 months
ago.
• Chest pain (-), no history of chest pain.
• Palpitation (-), no history of palpitation.
• Patient also felt bloated, nausea, and vomit twice food- contained, before came to
the ER.
• Patient routinely controlled at Cardiac Centre Policlinic with Severe Aortic
regurgitation and regularly took Ramipril 5 mg, bisoprolol 2.5 mg, and furosemide
40 mg.
Coronary risk factors :
• History of hypertension (+), since 6 months ago, regularly take medication,
• No history of Diabetes Mellitus,
• No history of smoking,
• No family history of Cardiovascular disease.
40. PLAN
• Monitoring vital sign and hemodynamic
• Monitoring urine output and fluid balance
• Swab Antigen
• Transfer to ward if swab is negative
• Consult to GEH and GH Divisions