This is a small presentation on orthopedic problems in new borns and children. This presentation gives a brief idea about the conditions and treatment methods.
Congenital disorders are commonly screened by pediatricians and certain disorders like club foot needs early intervention to get satisfactory results .I have tried to present common disorders in neonates for early diagnosis.
Congenital disorders are commonly screened by pediatricians and certain disorders like club foot needs early intervention to get satisfactory results .I have tried to present common disorders in neonates for early diagnosis.
The hip joint is a pivotal joint of the lower extremity, and its functional demands require great stability coupled with a wide range of motion that allows poly axial motion, including flexion, extension, abduction, adduction, internal and external rotation and circumduction.
A short presentation on knee cap fractures its causes, diagnosis and management. This also gives brief idea about different methods of treatment for knee cap fractures.
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#best orthopedic doctor,
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#orthopedic doctor in Apollo hospital
This is a short presentation on gout and gouty arthritis. This also gives a brief idea about the causes of gout, its clinical features and investigations. This also provides basic information regarding management and prevention of gout and its associated complications
Dr.A.Mohan krishna
Consultant orthopedic surgeon
Apollo hospitals,
Hyderabad
Appointments: 9247258989
9441184590
www.drmohankrishna.com
www.bonesandjointsclinic.com
www.healthyjointclub.com
This is short presentation of most common fracture in hip joint. Femoral neck fractures are the most common type of fractures around the hip joint- more common in elderly in weak osteoporotic bone. This presentation gives a brief idea about these fractures, investigations, methods of management in different age groups.
This is a brief presentation of most common fracture around the wrist i.e Colles fracture. This presentation gives a brief information on anatomy, mechanism of injury, causes and treatment methods of colles fracture.
This is a short presentation on one of the most common entrapment neuropathy carpal tunnel syndrome. This presentation also provides information on its causes, epidemiology,diagnosis and management of carpal tunnel syndrome.
A short and descriptive presentation on total hip replacement surgery. This presentation gives brief idea about the causes of arthritis of hip and its management. This presentation also provides information on total hip replacement procedure.
Dr.A.Mohan krishna
Consultant orthopedic surgeon
Apollo hospitals,
Hyderabad
Appointments: 9247258989
9441184590
www.drmohankrishna.com
www.bonesandjointsclinic.com
www.healthyjointclub.com
A short presentation on total knee replacement surgical procedure. This short presentation gives brief idea of the procedure, preparation for the surgery and post surgery management.
Total knee replacement in India
Total knee replacement in hyderabad
Knee surgery in hyderabad
knee replacement in hyderabad
Knee specialist in hyderabad,
This is a short presentation on avascular necrosis of femoral head. This presentation gives brief description of causes of AVN, investigations and modes of treatment options available.
AVN TREATMENT IN HYDERABAD
Core decompression for AVN
Stem cell treatment for AVN
Surgery for AVN
Avascular necrosis treatment options
Hip replacement in hyderabad
Hip specialist in hyderabad
Hip surgery in hyderabad
Total hip replacement in hyderabad
cemented hip replacement
uncemented hip replacement in hyderabad
ceramic hip replacement
delta motion hip
ceramic on ceramic hip replacement
metal on poly hip replacement
affordable hip replacement in hyderabad
This is a short presentation on intraarticular knee injection. This presentation gives brief idea about hyaluronic acid injection used for management of osteoarthritic pain.
Hyaluronic acid is substance similar to the synovial fluid which is present in our knees. It is a viscosupplementation injection that lubricates and helps to cushion the joint. The mechanism of action of the injection is it stimulates the natural lining of the joint to produce natural joint fluid, reduces joint pain by coating the damaged joint lining and by its anti inflammatory action.
Surgical approaches in orthopaedics- General principlesDr.A.Mohan krishna
This is a short educational presentation fresh junior registrars in orthopaedics covering general principles of surgical approaches in orthopaedics.
The presentation gives brief idea of surgical principles to be followed while preparing for general orthopedic surgeries.
This is a short educational presentation on osteoporosis and its causes. This presentation also gives brief idea of management and prevention of osteoporosis.
This is a small presentation on causes of foot and heel pain. This gives brief description of conditions like plantar fasictis, retrocalcaneal bursitis, calcaneal spur etc. This presentation provides information on causes, symptoms and management of foot and heel pain problems.
This is a short patient education presention on Arthroscopy or Key hole surgery. It gives brief outline of the procedure.
Arhroscopy or key hole surgery is surgical procedure in which joints like knee, shoulder , elbow, ankle, hip joints could be examined for diagnosis and some times as used to provide definitive treatment. This surgical pocedure can be carried out as outpatient or inpatient basis. The main advantage of this procedure is it is minimally invasive, faster recovery, small scars.
This is a short presentation on common causes of shoulder pain, its clinical features,diagnostic methods and treatment modalities. This presentation would be helpful for general paractioners, orthopedic juniour registrars.
This is a short patient education and awarness presentation on tail bone pain (coccydynia). This presentation delivers a brief information on causes, diagnosis, investigations and treatment of tail bone pain,
Disclaimer:
This presentation is solely for educational purpose.
This is a patient education presentation. It gives a brief a description of causes of back pain during pregnancy. It also give tips for avoiding and managing back pain during pregnancy.
Search terms for the article:
Back pain in pregnancy, Lumbar pain, labour pain, back bone problems, pregnancy and back pain
Dr.A.Mohan krishna
M.s.Ortho., MCh Ortho(U.K)
Consultant Orthopedic surgeon,
Apollo Hospitals.
Vcare Multispeciality Hospital,
Apollo Clinic SR nagar,
This presentation gives idea of managing osteoporotic fractures. This presentation also describes different surgical options in treating osteoporotic fractures.
Dr.A.Mohan krishna,
M.S.Ortho., MCh Ortho(U.K),
Consultant orthopedic surgeon
Apollo Hospitals,
V Care hospitals,
Fehmi care hospital,
Apollo clinic SR nagar
This is a short presentation on shoulder instability, biomechanics, pathology, diagnostic modalities, clinical picture and treatment methods available.
General and simple presentation of tuberculosis of spine on incidence, pathology, complications, management. This presentation is suitable for PGs, Ugs.
spinal tuberculosis, potts spine, tb spine, caries spine,
spine infection, kyphosis
- 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
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
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
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
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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
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
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
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.
3. FLAIL EXTREMITY
Orthopedic consultation in
NICU after delivery:
Failure to move the limb or
limbs
- Fractures
- Infection
- Brachial plexus palsy in
upper limb
- Pseudoparalysis : fracture or
infection
5. FRACTURES
Diagnosis:
- Flail extremity after delivery
- Deformity in case of long bone fractures
- Irritable during feeds
Radiographs: by the time radiographs are
ordered callus formation is seen in neonates
Management:
Fractures heal rapidly in neonates and
outcome is good if proper splinting is done
- Neonatal fractures require
immobilization for 2 weeks
- Femur fractures : pavilik harness, or
spica cast
- Humerus fractures : sling or splint
immobilization
7. INFECTION
Most commonly involves joints
Causes:
- Immunocompromised
- Premature delivery
- Multiple IV lines or central lines
Diagnosis:
- Clinically flail limb
- Irritable child
- Signs of inflammation around
joint
8. INFECTION
Investigations:
Blood tests:
- Leukopenia (<5000cells/ml)
(Normal:WBC : 9000 to 30000)
- ESR/CRP supportive
Blood culture
Aspirate culture
X-rays: widened joint space
USG
Organisms:
- Staph.aureus
- Group B Streptococci
- Recent trend towards Gram-ve
infections
9. INFECTION
Investigations:
X-rays :
- Septic arthritis: widened joint space, destruction of epiphysis in long
standing cases
- Osteomyelitis: destruction, seqestrum formation in long standing cases
Ultrasound :
- Detect fluid collection and also aids in aspiration
10. BRACHIAL PLEXUS PALSY
Cause for flail limb
- Incidence 0.13 to 3.6 per 1000
live births
Causes / Risk factors:
- Forceps delivery
- Shoulder dystocia
- Fracture clavicle, Humerus
- Prolonged vaginal delivery
- High birth weight
11. BRACHIAL PLEXUS PALSY
Diagnosis: Clinical
- Flail upper limb
Upper brachial plexus palsy:
(C5-C6) Erb’s palsy : Waiter’s tip
deformity
Internal rotation of shoulder
Extension of elbow
Forearm pronation and wrist
flexion
Total plexus palsy:
- Completely flaccid limb
- Horner’s syndrome-
Ptosis,Miosis,enopthalmos
- Ipsilateral diaphragmatic palsy
Investigations:
- X-rays to rule out fractures
- MRI to asses the level of injury
12. CONGENITAL DISLOCATION OF HIP
DEVELOPMENTAL DYSPLASIA OF HIP
Frank dislocation 1 in 1000 births
Subluxation with dysplasia of
acetabulum : 10 in 1000
Risk factors:
- Breech presentation
- Oligohydramnios
- Neuromuscular problems
- Female
- 1st child
Clinical examination:
- Limited abduction of hip
- Asymmetric knee heights
(Galeazzi sign)
- Barlow’s and Ortolani tests
16. High resolution Ultrasound
(HRUS):
- Preferred modality in newborn:
- Help to identify mild subluxation
and acetabular dysplasia.
- Progression of treatment
18. Treatment:
- Pavlik harness
- Adductor tenotomy
- Hip Spica
- Open reduction and hip
Spica
- Corrective osteotomies in
later child hood
CONGENITAL DISLOCATION OF HIP
DEVELOPMENTAL DYSPLASIA OF HIP
20. CONGENITAL KNEE DISLOCATION
Knee is hyperextended at birth
Causes:
- Contracture of quadriceps.
- Associated deformities- club foot,
arthrogryposis,myelodysplasia
Diagnosis:
Clinical:
- Knee is hyperextended
- Childs foot can touch the face.
- In complete dislocations knee
cannot be flexed
Investigations:
- X-rays: position of tibia in relation
to femur and grading of dislocation
21. CONGENITAL KNEE DISLOCATION
Management:
Non-operative treatment: gentle
reduction and serial casting in
progressive flexion
-Concomitant DDH Knee
dislocation should be reduced first
and child later put on Pavlik
harness.
Surgery:
- Not responding to conservative
management
- 6 months of age
- Open reduction and quadriceps
lengthening
25. CALCANEOVALGUS FOOT
Hind foot externally rotates and dorsiflexes.
Clinically: dorsum of foot comes in contact
with anterior tibia.
Treatment:
Gentle stretching of foot into plantar flexion
and inversion can be helpful.
Most deformities resolve by age of 3 to 6
months.
26. METATARSUS ADDUCTUS
- Medial deviation Metatarsotarsal joint
- Mild degree: resolve with growth
- Severe degree: Serial plasters in
corrected position.
27. CONGENITAL MUSCULAR TORTICOLLIS
Deformity of neck caused by contracture of sternocleidomastoid
Cause: Intrauterine compartment syndrome causing fibrosis of
sternocleidomastoid.
Risk factors: Breech position
Associated with DDH, metatarsus adductus
Clinical features:
- Head tilted towards involved muscle.
- Chin pointing towards opposite shoulder.
- Palpable mass in sternocleidomastoid muscle.
28. CONGENITAL MUSCULAR TORTICOLLIS
Investigations:
- X-rays: rule out klippel feil
syndrome, cervical spine
problems
Treatment:
- Gentle stretching initially up to 6
months.
- Surgery: 5 years of age- release
of Sternocleidomastoid muscle