The document defines Mudhagarbha as obstructed labor or prolonged labor caused by faults in the fetus, birth canal, or mother's ability to deliver. It can involve a macrosomic, malformed, or abnormal fetus. Types include presentations like breech or transverse lie. Diagnosis considers uterine contractions, dilation, and fetal position. Management includes techniques to change the fetal position like external and internal cephalic version. Destructive procedures like craniotomy or decapitation may be needed to remove a dead fetus and save the mother. The principles aim to remove the obstructing part of the fetus as quickly as possible. Postoperative care focuses on healing and nourishment over several days.
Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.
Ayurvedic approach to Bandhyatva (Infertility )Anjna Tak
This presentation explains various classical Ayurvedic references about female Infertility , its types, samprapti and explains the treatment principles and modalities.
Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.
Ayurvedic approach to Bandhyatva (Infertility )Anjna Tak
This presentation explains various classical Ayurvedic references about female Infertility , its types, samprapti and explains the treatment principles and modalities.
Prasuti Tantra & Stri roga syllabus PPT ( CCIM 2012 ) -- By Prof.Dr.R.R.Deshpande
• This PPT – Based on New Syllabus of CCIM ,implemented from 2012 .This is like ATP – Advanced Teaching programme of that particular subject .Very useful for Teachers & Students of Ayurved college .Student can recite this syllabus ,which can boost up their confidence to get success in that subject .Teachers & students can download this PPT in their smart phone ,to keep eye on their subject goal .
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
this is an ppt presentation by dr.b.arun kumar, who is working as a lecturer in MNR ayurvedic medical college, sangareddy, near hyderabad. in this presentation i given all details of virechana karma.
Instrumental Delivery- Decision is the Ultimate Power.pptxdrpadmashukla
Instrumental Delivery- Decision is the Ultimate Power:
Operative vaginal deliveries are safe in experienced hands.
Complications of operative vaginal delivery can be reduced to some extent by education of mother and preparation of staff.
Operative vaginal deliveries are safe in experienced hands.
Complications of operative vaginal delivery can be reduced to some extent by education of mother and preparation of staff.
Prasuti Tantra & Stri roga syllabus PPT ( CCIM 2012 ) -- By Prof.Dr.R.R.Deshpande
• This PPT – Based on New Syllabus of CCIM ,implemented from 2012 .This is like ATP – Advanced Teaching programme of that particular subject .Very useful for Teachers & Students of Ayurved college .Student can recite this syllabus ,which can boost up their confidence to get success in that subject .Teachers & students can download this PPT in their smart phone ,to keep eye on their subject goal .
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
this is an ppt presentation by dr.b.arun kumar, who is working as a lecturer in MNR ayurvedic medical college, sangareddy, near hyderabad. in this presentation i given all details of virechana karma.
Instrumental Delivery- Decision is the Ultimate Power.pptxdrpadmashukla
Instrumental Delivery- Decision is the Ultimate Power:
Operative vaginal deliveries are safe in experienced hands.
Complications of operative vaginal delivery can be reduced to some extent by education of mother and preparation of staff.
Operative vaginal deliveries are safe in experienced hands.
Complications of operative vaginal delivery can be reduced to some extent by education of mother and preparation of staff.
A termination of pregnancy via the intervetion of a physician through surgery or the use of RU 486 or some other medication.
To prevent injury to the physical or mental health of the woman.
The Role of Arbudahara Taila Uttarbasti in Tubal Blockage Infertilityijtsrd
Infertility is a main issue in today’s era. Many couples go for IVF, surrogacy and many more with very less benefits. Nearly 10 14 of individuals are belonging to the reproductive age group are affected by infertility. it’s rate is constantly increasing due to change in lifestyle, high pollution, socio economic causes and enormous amount of stress. The problem of infertility has been on a constant rise and affects people of various age group, fertility problems are prevalent in women, which restrict their ability to conceive. The most of the infertility problems, almost 35 are caused by tubal blockage. The tubal blockage causes due to, A. pelvic infections causing 1 Peritubal adhesions 2. Endosalpingeal damage, B. previous tubal surgery or sterilization, C. salpingitis isthemicamodosa, D. Tubal endometriosis and others, E. Polyps or mucous debris within the tubal lumen or tubal spasm. Laparoscopic chrompertubation had limited results in correcting blocks but most of cases refer for Artificial reproductive techniques. Uttarbasti is a special procedure found to act very nicely on tubal blockage if performed cautiously in a sterile environment. Arbudaharalepa told in Sahasrayogam was selected and formulated into Taila to observe the results on Tubal factors of Infertility. In present study, kaphavata hara, Lekhana, Chedana and Bhedana properties of drugs acted to clear the tubal block. Biradar Deepali | Dr. Satish Jalihal "The Role of Arbudahara Taila Uttarbasti in Tubal Blockage Infertility" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd52776.pdf Paper URL: https://www.ijtsrd.com/medicine/ayurvedic/52776/the-role-of-arbudahara-taila-uttarbasti-in-tubal-blockage-infertility/biradar-deepali
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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.
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
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
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
- 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
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
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5. The descriptions of Mudhagarbha denotes obstructed labour
/ prolonged labour due to faults in power, passage or
passenger.
Alive or dead fetus
after attaining development of all body parts,
after seventh month of pregnancy,
presenting abnormally, and or in abnormal passage
associated with abnormal uterine contractions
due to vitiation of Apana vayu is called Mudhagarbha
10. Uterine inertia
Diminished intensity
Shortened duration
Good relaxation in between two contractions
Increased intervals
P/A-Less hard uterus
P/V-poor dilatation of cervix
-association of CPD, malpositions or mal
presentations
11. Anekadha pratipannnam
Four bhedas of mudha garbha
Astagathi of mudha garbha
Trividha sanga
Avaakmukha and jatarodaya of harita
Asankhya gati
ALL TYPES OF MALPRESENTATIONS AND COMPOUND
PRESENTATIONS
39. Version
Procedure designed to change the lie to being the
comparatively favourable pole to the lower pole of the
uterus
External Cephalic
Internal Podalic
Bipolar
40. External version
Indications : Breech, Transverse lie
Success rate – 70=80%
Time – 32 -34 weeks with tocolytics
Contraindications – Pre eclampsia, placenta praevia, post
casarean, malformed uterus, contracted pelvis,
hydrocephalus, dead fetus, multiple pregnancy
47. Internal version is always podalic version and it is
completed with extraction of fetus
Indication – transverse lie second baby of twin
Conditions – cx must be fully dilated, liquor sufficient,
fetus live
Contraindications – obstructed labour, contracted pelvis
48. Achetana Mudhagarbha Chikitsa
siddhanta
The main principle in dead fetus is that whichever anga
(part) is causing obstruction should be cut and
extracted to save the mother.
49. One should not wait or neglect condition of woman to
detoriate, hence the fetus should be extracted
immediately.
51. SASTRA USED TO EXTRACT THE
MUDHAGARBHA:
a. Mandalagra (circular knife or round
head knife, decapitating knife)
b. Angulisastra (finger knife)
c. Sanku (hook)
d. Ardhachandra (curved knife)
52. Destructive operations
Designed to diminish the bulk of the fetus so as to
facilitate easy delivery through the birth canal.
Not practiced because of severe injuries.
In unorganized sector may have to perform
54. Craniotomy
Indication – cephalic presesntation with obstructed labour
– dead fetus
Hydrocephalus in live fetus
Interlocking head of twins – dead
Contraindications – severe contracted pelvis
Rupture of uterus
Instrument used – oldham’s perforator / Mayo’s scissors
55.
56.
57. Decapitation
Indication – neglected shoulder presentation where neck
is accessible
Instrument used – decapitation hook / knife
Evisceration – Removal of thoracic and or abdominal
contents
Indications – shoulder presentation where neck is not
accessible , fetal ascitis, monsters
58. Cleidotomy – division of one or both clavicle
Indication – shoulder dystocia where clavicles are
accessible
Instrument – embryotomy scissor
59. Post operative care
Pippali, Pippali mula, Sunthi, ela, hingu, bharangi,
vacha, ativisha chavya – kalka / kwath / churna – with or
without ghee for 3, 5 or 7 days
Snehapana
Asava / Arishta at night
Swedana and abhyanga
Milk processed with vatahara dravyas for 10 days
Brimhana – Mamsa rasa for 10 days
Pathya ahara
60. Operation with dead mother and live fetus
Just like the killed goat, a woman dies during labour, with
quivering still persisting, immediately laprotomy should
be done to extract live fetus