The document discusses the normal flora of the human body, including resident and transient flora. It notes that the largest population of normal flora bacteria is found in the colon, with over 400 identified species including Bacteroides fragilis as the most common. The document outlines both beneficial and harmful effects of normal flora, and discusses probiotics which can support normal flora when it is suppressed.
Air Microbiology. Aerobiology is defined as the study of life present in the air. Aeromicrobiology relates to the study of environmentally relevant microorganisms. ... In dry whether the microbial load of air is high while in wet weather the rain washes the microorganisms from the air.
The presentation summarises important methods and protocols of Clinical Microbiology. It may be useful to learners of Clinical microbiology at the undergraduate label. The presentation describes the procedures for collecting clinical samples, transport, and testing. It also describes the different methods of antimicrobial susceptibility testing and standards.
COLLECTION AND TRANSPORTATION OF CLINICAL SAMPLESNCRIMS, Meerut
Principles of Sample Collection:
Aseptic precautions to minimize chances of
contamination.
Appropriate anatomic sites
Adequate volume
Adequate no. of samples
Appropriate time
Appropriate container with proper labelling
Before initiation of anti-microbials
Adequate information in request form
Air Microbiology. Aerobiology is defined as the study of life present in the air. Aeromicrobiology relates to the study of environmentally relevant microorganisms. ... In dry whether the microbial load of air is high while in wet weather the rain washes the microorganisms from the air.
The presentation summarises important methods and protocols of Clinical Microbiology. It may be useful to learners of Clinical microbiology at the undergraduate label. The presentation describes the procedures for collecting clinical samples, transport, and testing. It also describes the different methods of antimicrobial susceptibility testing and standards.
COLLECTION AND TRANSPORTATION OF CLINICAL SAMPLESNCRIMS, Meerut
Principles of Sample Collection:
Aseptic precautions to minimize chances of
contamination.
Appropriate anatomic sites
Adequate volume
Adequate no. of samples
Appropriate time
Appropriate container with proper labelling
Before initiation of anti-microbials
Adequate information in request form
The human microbiome is the aggregate of all microbiota that reside on or within human tissues and biofluids along with the corresponding anatomical sites in which they reside, including the skin, mammary glands, placenta, seminal fluid, uterus, ovarian follicles, lung, saliva, oral mucosa, conjunctiva, biliary tract, etc
Normal flora is the term used to describe the various bacteria and fungi that are permanent residents of certain
body sites, especially the skin, oropharynx, colon, and
vagina (Tables 6–1 and 6–2). Viruses and parasites (protozoa
and helminths), which are the other major groups of
microorganisms, are usually not considered members of
the normal flora, although they can be present in asymptomatic individuals. The normal flora organisms are often
referred to as commensals. Commensals are organisms
that derive benefit from another host but do not damage
that host. The term human microbiome is often used to
describe the normal flora.
The members of the normal flora play a role both in the
maintenance of health and in the causation of disease in
three significant ways:
(1) They can cause disease, especially in immunocompromised and debilitated individuals. Although these
organisms are nonpathogens in their usual anatomic location, they can be pathogens in other parts of the body.
(2) They constitute a protective host defense mechanism.
The nonpathogenic resident bacteria occupy attachment
sites on the skin and mucosa that can interfere with colonization by pathogenic bacteria. The ability of members of the
normal flora to limit the growth of pathogens is called colonization resistance. If the normal flora is suppressed, pathogens may grow and cause disease. For example, antibiotics
can reduce the normal colonic flora that allows Clostridium
difficile, which is resistant to the antibiotics, to overgrow and
cause pseudomembranous colitis.
(3) They may serve a nutritional function. The intestinal bacteria produce several B vitamins and vitamin K.
Poorly nourished people who are treated with oral antibiotics can have vitamin deficiencies as a result of the reduction in the normal flora. However, since germ-free animals
are well-nourished, the normal flora is not essential for
proper nutrition.
THE HUMAN MICROBIOME
The human microbiome is the term used to describe the
thousands of microbes (“microbiota”) located on the skin,
on mucosal surfaces, and within the lumen of the
TABLE 6–2 Medically Important Members of the Normal Flora
Location Important Organisms1 Less Important Organisms2
Skin Staphylococcus epidermidis Staphylococcus aureus, Corynebacterium (diphtheroids), various streptococci,
Pseudomonas aeruginosa, anaerobes (e.g., Propionibacterium), yeasts (e.g.,
Candida albicans)
Nose S. aureus3 S. epidermidis, Corynebacterium (diphtheroids), various streptococci
Mouth Viridans streptococci Various streptococci, Eikenella corrodens
Dental plaque Streptococcus mutans Prevotella intermedia, Porphyromonas gingivalis
Gingival crevices Various anaerobes (e.g.,
Bacteroides, Fusobacterium,
streptococci, Actinomyces)
Throat Viridans streptococci Various streptococci (including Streptococcus pyogenes and Streptococcus
pneumoniae), Neisseria species, Haemophilus influenzae, S. epidermidis
Colon Bacteroides fragilis, Escherichia
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.
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
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.
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.
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
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
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.
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Normal microbial flora
1. By
Dr. Sameer S Faujdar
Assistant Professor
Department of Medical Microbiology
M M Medical College & Hospital,
Solan (HP)
2. • 1. Resident flora and transient flora
• 2. Harmful effects of the normal flora
• 3. Beneficial effects of the normal flora
• 4. Probiotics
3. • Normal flora is the term used to describe the
various bacteria and fungi that are permanent
residents of certain body sites, especially the skin,
oropharynx, colon, and vagina.
• Viruses and parasites, which are the other major
groups of microorganisms, are usually not
considered members of the normal flora.
• Other names: commensals, human microbiome,
indigenous microbiota.
• The members of the normal flora vary in both
number and kind from one site to another.
4. • The skin and mucous membranes always harbor a
variety of microorganisms that can be arranged
into two groups:
1. Resident microbiota: It consists of relatively
fixed types of microorganisms regularly found in a
given area at a given age; if disturbed, it promptly
reestablishes itself for example E. coli in intestine.
2. Transient microbiota: It consists of
nonpathogenic or potentially pathogenic
microorganisms that inhabit the skin or mucous
membranes for hours, days, or weeks for example
MRSA in nose and skin, MDR GNBs such as
Klebsiella, E. coli, Pseudomonas, Acinetobacter in
respiratory tract.
5. • ln contrast to resident flora, they can be easily
eliminated from the body surface by following proper
hand hygiene and other infection control practices.
6. • Humans acquire the normal flora soon after the birth
and continue to harbour until death.
• It has been estimated that humans have approximately
1013cells in their body and about 1014 bacteria are
associated with them.
• The majority of bacteria are present in the large bowel,
which constitutes the normal flora.
• Overall, anaerobic bacteria dominates over aerobic
bacteria.
• GIT is the predominant site, where over 400 species of
different bacteria have been counted till date.
• The most common normal flora in humans is
Bacteroides fragilis; however among aerobes, it is
Escherichia coli; both are a part of intestinal flora.
7. • Normal flora depends upon various
factors:
1. Temperature
2. Moisture
3. pH
4. Environment (community or hospital)
5. Immune status
6. Anatomical sites Skin or mucosa
(gastrointeslinal, respiratory or urogenital)
7. O2
8.
9. • Beneficial effects:
1. Prevent colonization of pathogenic bacteria by
competing for attachment sites and nutrients.
2. Synthesize vitamins (B, K) which are absorbed as
nutrient.
3. Inhibits the growth of pathogenic bacteria by
secreting waste substances (fatty acids,
peroxidase, lactic acid, bacteriocin etc).
4. Immune stimulation
5. Prevent allergic diseases (Hygiene hypothesis)
6. Complement activation by endotoxin of normal
flora
10.
11. • Harmful effects
1. Agent of disease
2. Transfer to susceptible host
3. Bacterial synergism
4. Contribute in spared of drug resistance
5. Competition for host’s nutrients
12. • Probiotics are live, nonpathogenic bacteria (or yeasts)
that may be effective in the treatment or prevention of
certain human diseases.
• They are useful in the condition where the normal
intestinal flora is suppressed.
• Examples: Bacillus coagulans, Bifidobacterium longum,
Lactobacillus acidophilus, Saccharomyces boulardii.
13.
14. • In contrast to probiotics, prebiotics are the dietary non-
digestible fibres which when administered, stimulated the
growth and activity of normal flora.
15. Q1. The colon is the site of the largest number
of normal flora bacteria. Which one of the
following bacteria is found in the greatest
number in the colon?
(A) Bacteroides fragilis
(B) Clostridium perfringens
(C) Enterococcus faecalis
(D) Escherichia coli
(E) Lactobacillus species
16. Q2: Certain microorganisms are never
considered to be members of the normal flora.
They are always considered to be pathogens.
Which one of the following organisms fits into
that category?
(A) Streptococcus pneumoniae
(B) Escherichia coli
(C) Mycobacterium tuberculosis
(D) Staphylococcus aureus
(E) Neisseria meningitidis
17. Q3: Your patient is a 30-year-old woman with a
previous history of rheumatic fever who has
had fever for the past 2 weeks. On
examination, you find a new heart murmur. You
suspect endocarditis and do a blood culture,
which grows a viridans group streptococcus
later identified as S. sanguinis. Using your
knowledge of normal flora, what is the most
likely source of this organism?
(A) Duodenum
(B) Skin
(C) Throat
(D) Urethra
(E) Vagina
18. Q4: A 76-year-old woman with a prosthetic (artificial)
hip comes to you complaining of fever and pain in that
joint. You are concerned about an infection by S.
epidermidis. Using your knowledge of normal flora,
what is the most likely source of this organism?
(A) Dental plaque
(B) Mouth
(C) Skin
(D) Stomach
(E) Vagina
19. Q5: Antimicrobial therapy can decrease the
amount of susceptible bowel flora and allow
proliferation of relatively resistant colonic
bacteria. Which one of the following species
can proliferate and produce a toxin that causes
diarrhoea?
(A) Enterococcus species
(B) S epidermidis
(C) Pseudomonas aeruginosa
(D) Clostridium difficile
(E) B fragilis
