A real-time polymerase chain reaction (real-time PCR), also known as quantitative polymerase chain reaction (qPCR), is a laboratory technique of molecular biology based on the polymerase chain reaction (PCR). It monitors the amplification of a targeted DNA molecule during the PCR (i.e., in real time), not at its end, as in conventional PCR.
The reverse transcription - polymerase chain reaction (RT-PCR) is a sensitive technique for the quantification of steady-state mRNA levels, particularly in samples with limited quantities of extracted RNA, or for analysis of low level transcripts. The procedure amplifies defined mRNA transcripts by taking advantage of retroviral enzymes with reverse transcriptase (RT) activity, coupled to PCR.
We all know how COVID is affecting all our lives, we see people getting themselves tested for the infection, we merely know what is the procedure and what are the tests done.
We all know the noble Coronavirus replicates some of its functioning and symptoms to that of the SARS virus. However, the SARS-CoV-2 virus has an e-gene which makes it envelope around the viral shell making the enzyme RNA dependent RNA Polymerase. It takes almost 24-48 hrs to get the results if the test confirms the person is COVID positive or negative.
Covid19. In this presentation we covered What is COVID-19 virus?, CASE DEFINITION, Website, High Risk Population, TYPES OF CASES, COMMON SYMPTOMS, Laboratory diagnosis, General guidelines for sampling, FREQUENCY OF TESTING, PREVENTION OF COVID19. SYMPTOMATIC TREATMENT, Vaccine available in market.
We all know how COVID is affecting all our lives, we see people getting themselves tested for the infection, we merely know what is the procedure and what are the tests done.
We all know the noble Coronavirus replicates some of its functioning and symptoms to that of the SARS virus. However, the SARS-CoV-2 virus has an e-gene which makes it envelope around the viral shell making the enzyme RNA dependent RNA Polymerase. It takes almost 24-48 hrs to get the results if the test confirms the person is COVID positive or negative.
Covid19. In this presentation we covered What is COVID-19 virus?, CASE DEFINITION, Website, High Risk Population, TYPES OF CASES, COMMON SYMPTOMS, Laboratory diagnosis, General guidelines for sampling, FREQUENCY OF TESTING, PREVENTION OF COVID19. SYMPTOMATIC TREATMENT, Vaccine available in market.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)ChiagozieHenry1
This presentation gives a detailed summary of what we know so far about severe acute respiratory syndrome 2 coronavirus (SARS- CoV-2) previously known as novel coronavirus.
Transmission, signs and symptoms, treatment, prevention and control of coronavirus disease (CoVID-19) are also highlighted.
Taklimat berkenaan MERS-COV (Middle East Respiratory Syndrome-Corona Virus) berkenaan pengurusan sample yang diambil dari pesakit.
Virus ini mula tersebar di Arab Saudi, dan perhatian lebih perlu diberikan kepada jemaah-jemaah yang baru pulang dari Umrah di Makkah & Madinah, Arab Saudi.
Brief presentation about COVID19 diagnosis ,management and discharge criteria from isolation. Short Discussion about guideline given by Nepal medical council and TUTH for management.
Diagnosis of the novel coronavirus disease 2019 (covid 19)Makrani Shaharukh
COVID-19 is a disease caused by a new strain of coronavirus. ‘CO’ stands for corona, ‘VI’ for virus, and ‘D’ for disease. Formerly, this disease was referred to as ‘2019 novel coronavirus’ or ‘2019-nCoV.’The COVID-19 virus is a new virus linked to the same family of viruses as Severe Acute Respiratory Syndrome and some types of common cold. Diagnostic testing is possibly the only efficient way to monitor the spread of the SARS-CoV-2 in time and space.The WHO has appealed for global mass testing.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)ChiagozieHenry1
This presentation gives a detailed summary of what we know so far about severe acute respiratory syndrome 2 coronavirus (SARS- CoV-2) previously known as novel coronavirus.
Transmission, signs and symptoms, treatment, prevention and control of coronavirus disease (CoVID-19) are also highlighted.
Taklimat berkenaan MERS-COV (Middle East Respiratory Syndrome-Corona Virus) berkenaan pengurusan sample yang diambil dari pesakit.
Virus ini mula tersebar di Arab Saudi, dan perhatian lebih perlu diberikan kepada jemaah-jemaah yang baru pulang dari Umrah di Makkah & Madinah, Arab Saudi.
Brief presentation about COVID19 diagnosis ,management and discharge criteria from isolation. Short Discussion about guideline given by Nepal medical council and TUTH for management.
Diagnosis of the novel coronavirus disease 2019 (covid 19)Makrani Shaharukh
COVID-19 is a disease caused by a new strain of coronavirus. ‘CO’ stands for corona, ‘VI’ for virus, and ‘D’ for disease. Formerly, this disease was referred to as ‘2019 novel coronavirus’ or ‘2019-nCoV.’The COVID-19 virus is a new virus linked to the same family of viruses as Severe Acute Respiratory Syndrome and some types of common cold. Diagnostic testing is possibly the only efficient way to monitor the spread of the SARS-CoV-2 in time and space.The WHO has appealed for global mass testing.
Background- Multidrug-resistant tuberculosis (MDR-TB) is caused by strain of Mycobacterium tuberculosis, it is transmitted through air droplets from infected person and Close contacts of MDR-TB patients have a high potential to developing TB. This study aims to determine the profile of TB/multidrug-resistant TB (MDR-TB) among household contacts of MDR-TB patients. Material and Methods- The cases were recruited from the King George’s Medical University, Lucknow, India. In this cross-sectional study, Close contacts of MDR-TB patients were screened for tuberculosis. clinical, radiological and bacteriological experiments were performed to find out the evidence of TB/MDR-TB. Results- The cases were enrolled Between December 2015 to December 2016, a total of 100 index MDR-TB patients were recruited which initiated on MDR-TB treatment. A total of 428 contacts who could be studied, 11 (2.57%) were diagnosed with MDR-TB and 4 (0.93%) had TB. The most frequent symptoms observed in patients were cough, chest pain and fever. Conclusions- Tracing symptomatic contacts of MDR-TB cases could be a high yield strategy for early detection and treatment of MDR-TB cases to contribute to reduced morbidity, mortality and to cut the chain of transmission of infection in the community. The approach should be bringing about for wider implementation and dissemination. Key-words- TB, MDR-TB, Symptomatic, Household, Transmission
Severe acute respiratory syndrome coronavirus 2, previously known by the provisional name 2019 novel coronavirus, is a positive-sense single-stranded RNA virus.
Bio Whepon and COVID 19 - Is Corona Virus a Bio Weapon?Ravi Kumudesh
Is Corona Virus a Bio Weapon?
The Internet was brimming with conspiracies about the coronavirus, and, perhaps, one of the most prominent ones was that the virus could be a bioweapon.
According to an ET Prime report, a group of Chinese scientists in Canada were accused of spying and were stripped of their access to Canada’s National Microbiology Lab (NML) which is known to work on some of the most deadly pathogens.The alleged ‘policy breach’, highlighted the bioweapon program of other countries including China. Dr Francis Boyle, the creator of Bio Weapons Act, also claims that ‘the coronavirus is an offensive biological warfare weapon with DNA-genetic engineering’.Again, the claims about coronavirus being a biological weapon are unsubstantiated.
Novel Coronavirus thought to have transferred to Human from the seafood market in Wuhan, China become a one of the most dangerous viruses in the subfamily Orthocoronavirinae. According to the literature, the genome size of RNA of this viruses are greater than 20 kilobases.
Genetic engineers has committed to change the genes of some organisms to create new features of them, and this can be applied for the Coronavirus as well.
Laboratory quality towards patient centered careRavi Kumudesh
“Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions, It includes listening to, informing and involving patients in their care”
Total quality management for medical labs ravi kumudeshRavi Kumudesh
Ensuring establishment of QMS
Implementation and Maintain QMS
Maintain Quality policy
Assist to documentation of Quality Objective
Assist to establishment of Quality Objective
Crate awareness of users in the lab
Assist preparation, administration, dissemination and regular review of quality Manual
Assist to maintaining document Control System,
Maintain Technical Records
Assist to control clinical material
Participate to Management Review
Total Quality Management for Medical Labs - Ravi KumudeshRavi Kumudesh
Duties of Qualty Manager
Ensuring establishment of QMS
Implementation and Maintain QMS
Maintain Quality policy
Assist to documentation of Quality Objective
Assist to establishment of Quality Objective
Crate awareness of users in the lab
Assist preparation, administration, dissemination and regular review of quality Manual
Assist to maintaining document Control System,
Maintain Technical Records
Assist to control clinical material
Participate to Management Review
Accuracy of Laboratory Parameters in Management of CKD.Ravi Kumudesh
New model for Health care delivery is suggesting to replace traditional health care organisational structure in Sri Lanka. This type of innovation is essential for "Non Patient" type healthcare receivers, such as "Healthy healthcare receivers" and "Risk Groups".
This topic is inspired by Secretary, CMLS.SL at the Annual Academic Sessions of DiASL on April 22, 2017.
CMLS.SL - College of Medical Laboratory Science, Sri Lanka
DiASL - Dietetic Association of Sri Lanka
Accuracy of Laboratory Parameters in Management of CKD and NCDRavi Kumudesh
New model for Health care delivery is suggesting to replace traditional health care organisational structure in Sri Lanka. This type of innovation is essential for "Non Patient" type healthcare receivers, such as "Healthy healthcare receivers" and "Risk Groups".
This topic is inspired by Secretary, CMLS.SL at the Annual Academic Sessions of DiASL on April 22, 2017.
CMLS.SL - College of Medical Laboratory Science, Sri Lanka
DiASL - Dietetic Association of Sri Lanka
This seems to fit in with a campaign explicitly aimed at linking trade unionists with terrorist insurgents. Key trade union activists who participated in the Fort Railway Station protest on 6 February are now being publicly accused of being covert terrorist operatives. Since 8 February, posters depicting trade union leaders as traitors and terrorists have begun to appear in many parts of the country, calling for their arrest. Anton Marcus of the Free Trade Zone and General Services Employees' Union (FTZGSEU), which is affiliated to the International Textile, Garment and Leather Workers' Federation (ITGLWF), Sman Ratnapriya and Ravi Kumudesh of the Health Sector Trade Union Alliance (HSTUA), Sampath Rajitha and Raja Kannangara of the Joint Railway Trade Union Alliance (JRTUA), and Joseph Stalin of the Ceylon Teachers' Union (CTU) are among the targeted trade unionists.
Administration Regulations - Management Hierarchy for Ministry of HealthRavi Kumudesh
Administration Regulations - Management Hierarchy for Ministry of Health
The three levels of management typically found in an organization are low-level management, middle-level management, and top-level management. Top-level managers are responsible for controlling and overseeing the entire organization.
Administration Regulations Chapter xxxii - Political RightsRavi Kumudesh
Administration Regulations Chapter xxxii - Political Rights
Civil and political rights are a class of rights that protect individuals' freedom from infringement by governments, social organizations, and private individuals. They ensure one's ability to participate in the civil and political life of the society and state without discrimination or repression.
Administration Regulations Chapter xxiv - Loans
A loan is a debt provided by an entity (organization or individual) to another entity at an interest rate, and evidenced by a promissory note which specifies, among other things, the principal amount of money borrowed, the interest rate the lender is charging, and date of repayment.
Administration Regulations Chapter xlviii - Disciplinary Action
Staff Employee Disciplinary Action: When and How to Take It. Disciplining employees is a difficult part of supervision and management. It is important that you address performance issues as they arise and pursue a progressive approach to discipline.
Healthcare Management for Change
Lecture By Ravi kumudesh,
President, College of Medical Laboratory Science
for Allied Health Science Graduates
On December 09, 2016
at National Institute of Health Science, Sri Lanka
“Management is the art of “knowing what you want to do” and then seeing that it is done in the best and cheapest way. ……F.W.Taylor
Strategist Management
"The Art and Science of Formulating, Implementing, and Evaluating Cross-Functional Decisions That Enable an Organization to Achieve It’s Objectives"
Management as a process “consisting of planning, organizing, actuating and controlling, performed to determine and accomplish the objective by the use of people and resources.”
……George R. Terry
Guide to Professional Success by Ravi KumudeshRavi Kumudesh
"Guide to Professional Success"
Management training for Allied Health Science internship
Lecture By, Ravi Kumudesh
President - Sri Lanka Society for Medical Laboratory Science
December 2, 2016 (1st Group)
December 9, 2016 (2nd group)
National Institute of Health Science (NIHS)
Kaluthara, Sri Lanka
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
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
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/
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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.
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
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. New words from the COVID-19 Pandemic
Ravi Kumudesh
MSc (SMgt) / BMLS / BSC (Mgt) /HND (MLT)
College of Medical Laboratory Science,Sri Lanka (CMLS.SL)
2. Corona Vocabulary
Because the COVID-19 crisis has developed at
such a rapid pace and some of the words and
ideas associated with the crisis are themselves
new, we have made an unscheduled update for
words connectedwith the disease and responses
to it.
Some of these terms are new to the dictionary,
others have revised definitions. Some words are
newly prominent in the language, qualifying for
entry in record time, while others had previously
been scheduled for entry in the near future.
3. COVID 19
• COVID-19 is a new name for a new disease,
coined as an abbreviated form of Corona
Virus Disease 2019
• Coronavirus is the broader name for the
family of viruses that includes COVID-19,
and its entry has been revised to show that
relationship. A new example has been
added to the entry for novel (“new”).
4. SARS, MERS and Coronavirus
• SARS
Severe acute Respiratory Syndrome
• MERS
Middle East Respiratory Syndrome
• SARS-CoV-2
• MERS-CoV.
• nCoV.
novel coronavirus
5. Social distancing
• Social distancing is a new term for most of
us, but has become ubiquitous in coverage
of safe practices for preventing the spread
of the disease. A new definition has been
added to social distance and the
verb socially distance has also been added.
6. Self-quarantine
• Self-quarantine means to refrain from any
contact with other individuals for a period
of time (such as two weeks) during the
outbreak of a contagious disease usually by
remaining in one's home and limiting
contact with family members.
7. Diagnosis
• Index case is defined as the first documented case of an infectious disease or
genetically transmitted condition or mutation in a population, region, or family.
• Index patient is defined as an individual affected with the first known case of an
infectious disease or genetically transmitted condition or mutation in a population,
region, or family.
• Patient zero is defined as a person identified as the first to become infected with an
illness or disease in an outbreak.
• Contact tracing means the practice of identifying and monitoring individuals who
may have had contact with an infectious person as a means of controlling the spread
of a communicable disease.
• Community spread refers to the spread of a contagious disease to individuals in a
particular geographic location who have no known contact with other infected
individuals or who have not recently traveled to an area where the disease has any
documented cases.
• Super-spreader and its related noun super-spreading refer to an individual who is
highly contagious and capable of transmitting a communicable disease to an
unusually large number of uninfected individuals.
8. Community Spread
Sometimes a person can
trace how they got the virus
because they will know they
have been in contact with
someone who is sick. In
other cases, the cause is
unknown. Community
spread is when someone
gets the virus without any
known contactwith a sick
person.
9. Capacity Threshold
• Capacity Threshold means the capacity to serve a
minimum percentage of Apple Health.
• Service level management defines and regulates other
required capacity and performance management
processes. Service level management is a proven
methodology that helps with resource issues by defining
a deliverable and creating two-way accountability for a
service tied to that deliverable.
• There is Level of agreement between number of
admitted patients and the hospitals capacity including
HR, Infrastructure, equipments and other supplies to
maintain minimum service quality.
10. Real Time Reverse Transcriptase
Polymerase Chain Reaction(RT RT PCR)
• A real-time polymerase chain reaction (real-time PCR), also
known as quantitative polymerase chain reaction (qPCR), is
a laboratory technique of molecular biology based on
the polymerase chain reaction (PCR). It monitors the
amplification of a targeted DNA molecule during the PCR (i.e.,
in real time), not at its end, as in conventional PCR.
• The reverse transcription - polymerase chain reaction (RT-
PCR) is a sensitive technique for the quantification of steady-
state mRNA levels, particularly in samples with limited
quantities of extracted RNA, or for analysis of low level
transcripts. The procedure amplifies defined mRNA
transcripts by taking advantageof retroviral enzymes with
reverse transcriptase (RT) activity, coupled to PCR.
11. College of Medical Laboratory Science, Sri Lanka (CMLS.SL)
No. 25/2, Norris Avenue, Colombo 10, SriLanka
www.cmlssl.org / kumudeshr@gmail.com / +94773077717