In this presentation we will discuss
First trimester US especially TVS is an integral part for confirmation of intrauterine pregnancy and to rule out ectopic pregnancy.
First trimester US helps us in suggesting conceptus viability.
First trimester US especially TVS is very efficient in approaching and evaluating the cause of vaginal bleeding.
In this presentation we will discuss
First trimester US especially TVS is an integral part for confirmation of intrauterine pregnancy and to rule out ectopic pregnancy.
First trimester US helps us in suggesting conceptus viability.
First trimester US especially TVS is very efficient in approaching and evaluating the cause of vaginal bleeding.
Obstetrical Ultrasound• Introduced in the late 1950’s ultrasonography is a safe, non- invasive, accurate and cost-effective means to investigate the fetus• Computer generated system that uses sound waves integrated through real time scanners placed in contact with a gel medium to the maternal abdomen• The information from different reflections are reconstructed to provide a continuous picture of the moving fetus on the monitor screen
ultrasonography in obstetrics, usg in obstetrics, ultrasound in obstetrics, doppler in obstetrics, usg doppler in obstetrics, signs in ultrasound, anomaly scan, pregnancy scan, ultrasound in pregnancy,
Nuchal translucency
It is a sonographic pre natal screening scan to detect cardiovascular abnormality in a fetus.
NT can also detect altered extra cellular matrix composition and limited lymphatic drainage
Obstetrical Ultrasound• Introduced in the late 1950’s ultrasonography is a safe, non- invasive, accurate and cost-effective means to investigate the fetus• Computer generated system that uses sound waves integrated through real time scanners placed in contact with a gel medium to the maternal abdomen• The information from different reflections are reconstructed to provide a continuous picture of the moving fetus on the monitor screen
ultrasonography in obstetrics, usg in obstetrics, ultrasound in obstetrics, doppler in obstetrics, usg doppler in obstetrics, signs in ultrasound, anomaly scan, pregnancy scan, ultrasound in pregnancy,
Nuchal translucency
It is a sonographic pre natal screening scan to detect cardiovascular abnormality in a fetus.
NT can also detect altered extra cellular matrix composition and limited lymphatic drainage
Obstetric ultrasound uses sound waves to produce pictures of a baby (embryo or fetus) within a pregnant woman, as well as the mother's uterus and ovaries. It does not use ionizing radiation, has no known harmful effects, and is the preferred method for monitoring pregnant women and their unborn babies.
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
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.
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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.
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.
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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
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.
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.
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.
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2. Types of USG in O& G
Transabdominal USG for obstetric purposes 3-5 MHz
Trans vaginal USG for obstetric puposes 5-7.5 MHz
Transabdominal Transvaginal
Bladder should be full for transabdominal
scan as it creates good echo
Bladder should be empty
TONY SCARIA 2010 KMC
3. Timing of USG
First scan 7 weeks of gestation • Confirm pregnancy
• Exclude cardiac or molar
pregnancies
• Cardiac pulsation
• Measure CRL
Second scan (anomaly scan) 18-20 weeks • Look for congenital anomalies
Third scan 32 weeks or later • To assess fetal growth & fetal size
TONY SCARIA 2010 KMC
4. Diagnosis & confirmation of pregnancy by
USG
Gestational sac 4^1/2 weeks of gestation
Yolksac 5 weeks
Cardiac activity 6 weeks
TONY SCARIA 2010 KMC
5. Site of pregnancy
• Trans vaginal USG IOC for unruptured ectopic pregnancies
• Absence of gestational sac in uterus
• Fluid in POD
• Extraovarial complex adnexal mass most sensitive & specific
• Pseudosac in uterus
• Tubal ring or echogenic ring doughnut sign
TONY SCARIA 2010 KMC
8. Double decidual sign
• Normal USG appearance of
IU gestational sac
• Seen as 2 concentric
echogenic rings separated by
hyperechoic space
TONY SCARIA 2010 KMC
12. Fallopian tube in ectopic pregnancy
• d/t hypervascularity
TONY SCARIA 2010 KMC
13. Tubal ring or echogenic ring
• Non ovarian hypoechoic ring ring like mass
• Surrounded by fluid
TONY SCARIA 2010 KMC
14. Bagel sign in ectopic pregnancy
• Ultra sonographic sign of ectopic pregnancy
• Gestational sac in the adnexa with hyperechoic ring
TONY SCARIA 2010 KMC
15. Vaginal bleeding in early pregnancy
Viability can be assessed by cardiac activity
• Visible heart beat by pulsed Doppler @ around 6 weeks
• Clearly depicted by 7 weeks
TONY SCARIA 2010 KMC
16. Molar pregnancies
• Best diagnosed by USG
• Snow storm appearance
• Complete mole appears like
echogenic with numwerous
anechoic cyst like spaces
TONY SCARIA 2010 KMC
17. Snow storm appearance
• In hydatidiform mole
• Snow storm appearance in chest
• Mets from thyroid
TONY SCARIA 2010 KMC
18. Bunch of grapes sign in molar pregnancy
TONY SCARIA 2010 KMC
19. Diagnosis of fetal malformation
• Anomaly scan done @18-20 weeks
• Earliest anomaly which can be detected is anencephaly
• Detected@ 10-11 weeks
Signs in spina bifida
Lemon sign Compression or flattening of the
posterior cerebellar surface
making a crescentic appearance
Banana sign Concave deformity of the frontal
bones
TONY SCARIA 2010 KMC
24. Gestational age assessment
1st trimester Crown Rump length (CRL)
2nd trimester Corrected biparietal diameter (cBPD) or head
circumference (HC)
3rd trimester Head circumference and femur length
• Crown rump length is the best
• Transcerebellar diameter (TCD) is an accurate predictor
of gestational age when measured between 14 and 28
weeks.
TONY SCARIA 2010 KMC
25. Fetal growth assessment
• Best indicator of fetal growth - Abdominal circumference
• best USG parameter to detect IUGR is Abdominal circumference
• best USG parameter to detect Macrosomia is Abdominal circumference
TONY SCARIA 2010 KMC
26. Butterfly sign
• Normal feature
• Normal appearance of choroid plexus on axial
imaging of fetal brain
• Absence of butterfly sign holoprosencephaly
TONY SCARIA 2010 KMC
27. TVS
• It is more informative in first trimester.
• In TVS images are of enhanced quality (5–7.5 MHz transducer).
• Full bladder is not required.
• It is superior to transabdominal USG in placenta previa.
TONY SCARIA 2010 KMC
28. • Use of transvaginal probe can detect the following events by one
week earlier then transabdominal.
• 1. Gestational ring - 5th week
• 2. Fetal poles - 6th week
• 3. Yolk sac - 6th week
• 4. Cardiac pulsation - 7th week
• 5. Embryonic movement - 8th week
TONY SCARIA 2010 KMC
29. T sign in monochorionic monoamniotic
TONY SCARIA 2010 KMC
34. Signs of IUD
Spalding sign Overlapping of sutural bines
Roberts sign Air in great vessels
Ball sign Crumpled up spine of fetus
TONY SCARIA 2010 KMC
42. Umbilical A Doppler
Systolic / diastolic ratio
< 2.5 Normal
>3.0 IUGR Decreased absent or reversal of
diastolic flow impending fetal
demise
>3.5 in last trimester Terminate pregnancy
TONY SCARIA 2010 KMC