The document discusses surgical options for repairing anterior vaginal wall prolapse, including:
1. Plication which treats the bulge but damages tissue, creating new anatomy with only 40-50% success and high recurrence.
2. Vaginal paravaginal repair which has a high reported recurrence rate using native tissue alone.
3. Biomesh implants using surgically-derived porcine or human tissue which gradually degrades as the body rebuilds tissue support.
4. Synthetic mesh implants which aim to provide durable tissue support but carry risks of complications. The document evaluates success rates and risks of repeat surgery for the different options.
Sacrospinous colpopexy (Amreich-Richter technique) for vaginal vault prolapse...Jakub Sq
Summary of sacrospinous colpopexy, a technique used to treat vaginal vault prolapse. Also is called Americh-Richter technique, in honor to the surgeon that popularizes it in Europe.
Sacrospinous colpopexy (Amreich-Richter technique) for vaginal vault prolapse...Jakub Sq
Summary of sacrospinous colpopexy, a technique used to treat vaginal vault prolapse. Also is called Americh-Richter technique, in honor to the surgeon that popularizes it in Europe.
Ultrasound is used in many different fields. Ultrasonic devices are used to detect objects and measure distances. Ultrasound imaging or sonography is often used in medicine.
Practical Aspects about Urogenital Fistula Repair GrothuesmannDr Dirk Grothuesmann
Each year between 50 000 to 100 000 women worldwide are affected by obstetric fistula. I share here practical aspects of my personal experiences dealing with this complex issue mainly affecting the weak and the poor.
During the last two decades huge international interest towards this problem has been raised up in the global medical arena. One might think anyone equipped with abilities to adjust to resource poor settings, armed with comprehensive surgical skills fulfill essentials to learn how to repair fistulas. This is definitely not enough to be a part of the solution!
Regardless surgeons must understand both their own limitations as well as the limitations given by the environment in place as precondition to deal with this problem. Sharing my experiences I hope to contribute to make this understood.
HYSTEROSALPINGOGRAPHY - It is the radiological procedure in which the contrast is injected into the uterus to study the uterine tube and fallopian tube
Ultrasound is used in many different fields. Ultrasonic devices are used to detect objects and measure distances. Ultrasound imaging or sonography is often used in medicine.
Practical Aspects about Urogenital Fistula Repair GrothuesmannDr Dirk Grothuesmann
Each year between 50 000 to 100 000 women worldwide are affected by obstetric fistula. I share here practical aspects of my personal experiences dealing with this complex issue mainly affecting the weak and the poor.
During the last two decades huge international interest towards this problem has been raised up in the global medical arena. One might think anyone equipped with abilities to adjust to resource poor settings, armed with comprehensive surgical skills fulfill essentials to learn how to repair fistulas. This is definitely not enough to be a part of the solution!
Regardless surgeons must understand both their own limitations as well as the limitations given by the environment in place as precondition to deal with this problem. Sharing my experiences I hope to contribute to make this understood.
HYSTEROSALPINGOGRAPHY - It is the radiological procedure in which the contrast is injected into the uterus to study the uterine tube and fallopian tube
Slings versus POP meshes ICS Educational Course - S Paulo BrazilCassio Riccetto
This presentation is focused on the differences and similarities between mid-urethral slings and POP meshes. Issues regarding FDA warnings are also addressed.
OpenTuesday: Die Selenium-Toolfamilie und ihr Einsatz im Web- und Mobile-Auto...Digicomp Academy AG
Dieses OpenTuesday-Referat zeigt den Einsatz der Selenium-Toolfamilie in einem hochskalierbaren Web- und Mobile-Umfeld anhand von praktischen Beispielen. Ebenso werden die Vorteile von Open Source Tools in Bezug auf Konkurrenzfähigkeit und Innovationskraft von Unternehmen aufgezeigt.
Clarifying pelvic organ prolapse reality vs misconceptions to substantiate POP incidence, understand women’s pelvic health issues, evolve clinician best practices, and generate early detection.
Combined Tissue and Mesh repair for Midline Incisional HerniaKETAN VAGHOLKAR
Repair of incisional hernia continues to pose a challenge to the general surgeon. A combination technique best suited for mid line incisional hernias with loss of domain is presented.
Classification & conservative surgeries for prolapseIndraneel Jadhav
Stage 0
no prolapse
- Aa,Ba,Ap,Bp are all at -3
- C or D between tvl and < tvl -2
Stage I
most distal portion > 1cm above level of hymen
Stage II
<1cm proximal to or distal to the plane of hymen
Stage III
>1cm below the plane of the hymen
Stage IV
complete eversion, distal portion at least (tvl -2 cm)
Clinical case focusing on the topic of reproduction. The cases aim to highlight commonly presenting concerns and how the similar presenting complaints can represent very different disease processes. The cases are presented in a fashion so that they can be worked through in the same approach a working vet would. The level is intended for pre-veterinary students and veterinary students.
More at http://www.IWantToBecomeAVet.com
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
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.
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
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.
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
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!
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
9. B C D A VPVR VPVR (side specific repair) VPVR (sidespecific repair) Plication “ treating the bulge” Remove/ damage tissue New Anatomy Biomesh SSynthet Synthetic mesh “ Cured” Pelvic Organ Reconstruction Options
10. OptionA: Main aim is to remove the buldge into the vagina. Thus: 1. open vaginal wall over the buldge-stay medial between pubic rami 2. plicate the bladder/rectal wall onto itself 3. remove extra vaginal skin 4. close the vaginal skin defect
17. B C D A VPVR VPVR (side specific repair) VPVR (side specific repair) Plication “ treating the bulge” Remove/ damage tissue New Anatomy Biomesh SSynthet Synthetic mesh “ Cured” Pelvic Organ Reconstruction Options
20. bladder vagina Vaginal Paravaginal Repair (VPVR) 4.Suture vesico-vaginal fascia on to obturator membrane 5. Close vaginal skin
21. Problem with VPVR: High reported recurrence rate – same as one will find with any hernia repear using native tissue.
22. B C D A VPVR VPVR (side specific repair) VPVR (sidespecific repair) Plication “ treating the bulge” Remove/ damage tissue New Anatomy Biomesh SSynthet Synthetic mesh “ Cured” Pelvic Organ Reconstruction Options
27. Biomesh implants Following implantation, tissues adjacent to the SIS matrix begin to deliver cells and nutrients. The body’s tissue grows completely into the surgical site while SIS maintains the needed tissue support. SIS is gradually replaced as the body reinforces and rebuilds the weakened site. Cells rapidly invade the SIS matrix. Capillary growth follows allowing more nutrients and cells to enter the matrix. SurgiSIS, SymphaSIS Option C
31. B C D A VPVR VPVR (side specific repair) VPVR (sidespecific repair) Plication “ treating the bulge” Remove/ damage tissue New Anatomy Biomesh SSynthet Synthetic mesh “ Cured” Pelvic Organ Reconstruction Options Success rate Complication risks Repeat surgery routes
