Based on the current NACO guidelines for prevention of parent to child transmission of HIV in India. Also describes the medication, testing and followup of children born to HIV positive mothers.
This is the program started to benefit the labour room and maternity cases in govt sector of health care. Quality of care is import in health sectors. Providing Safe birth to the pregnent aldy even at the pheripheral level is the main intenstion of the program
This is the program started to benefit the labour room and maternity cases in govt sector of health care. Quality of care is import in health sectors. Providing Safe birth to the pregnent aldy even at the pheripheral level is the main intenstion of the program
Vertical transmission is major contributor- HIV among children
No intervention – as high as 45%
With interventions – as low as less than 5%
Minimal manipulation
NVD vs. C-section
Anti retroviral prophylaxis vs. anti retroviral therapy
Exclusive breastfeeding vs. exclusive replacement feeding
Follow-up and care.
In settings with limited access to health care, misoprostol is an important intervention that could reduce maternal deaths both directly and through the more cost-effective use of health services. Misoprostol is, however, a powerful drug that needs to be used with care. Evidence-based information about the safest regimens should be widely disseminated so as to prevent its inappropriate use
Dr. Laura Guay, the Foundation’s Vice President of Research, also conducted a journalist training today sponsored by the National Press Foundation, teaching reporters about some of the most misunderstood issues concerning HIV and children
Vertical transmission is major contributor- HIV among children
No intervention – as high as 45%
With interventions – as low as less than 5%
Minimal manipulation
NVD vs. C-section
Anti retroviral prophylaxis vs. anti retroviral therapy
Exclusive breastfeeding vs. exclusive replacement feeding
Follow-up and care.
In settings with limited access to health care, misoprostol is an important intervention that could reduce maternal deaths both directly and through the more cost-effective use of health services. Misoprostol is, however, a powerful drug that needs to be used with care. Evidence-based information about the safest regimens should be widely disseminated so as to prevent its inappropriate use
Dr. Laura Guay, the Foundation’s Vice President of Research, also conducted a journalist training today sponsored by the National Press Foundation, teaching reporters about some of the most misunderstood issues concerning HIV and children
This is a lecture given to medical students of Cebu Institute of Medicine under the reproductive module. It contains a discussion of principles of HIV infection screening, diagnosis, staging and management, especially during pregnancy.
This aims to increase awareness on the Philippine HIV Epidemic, how it affects pregnancy and how it can be managed for prevention of mother to child transmission of HIV.
Scale up of Prevention of Mother to Child HIV Transmission Programme in Delhi...Anil Gupta
We are still using SD NVP prophylaxis even though there is enough evidence that multi-drug regimens are much better. NACO, MoHFW, Govt of India is implementing new PMTCT strategy in Delhi in 2013-14 which will eliminate Pediatric HIV infections in the coming years.The presentation highlights key features of the New PMTCT Strategy of the country.
This workshop was facilitated by Dr. Glenda Clare. As a result of attending this workshop participants were be able to:
List factors resulting in foster care placement
Identify factors which place foster care youth at high risk for HIV
Identify strategies to provide HIV prevention and treatment services to youth in foster care
Identify resources for future work with youth in foster care
Prevention of Mother to Child Transmission of HIV 2018Helen Madamba
Babies of pregnant women living with HIV can be born free of HIV infection. HIV counselling and testing is the gateway to diagnosis, treatment, care and support. Healthcare services need to provide enabling environments to support and empower women living with HIV and their children, to increase HIV knowledge and reduce stigma and discrimination.
Prevention of Mother to Child Transmission of HIV 2017Helen Madamba
This is a lecture delivered during the Integrated Orientation on HIV/AIDS and TBHIV Collaboration by the Department of Health Region 7 at Bohol Tropics Resort, Tagbilaran City, Bohol
The commonly used oxygen delivery systems available for use in children/adults are described with pictures. Indications and side effects of oxygen therapy are also outlined.
Acute respiratory infection in children, etiology, clinical features, diagnosis, treatment. Common infections in children including common cold, tonsillitis, LTB, Croup, Epiglottitis etc.
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
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
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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
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
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
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
Perinatal HIV- Prevention of Parent to child transmission (PPTCT)
1. Perinatal HIV &
Prevention of Parent to Child
Transmission (PPTCT) in India
DR. Yusuf Imran
MD
J.N Medical College, AMU
Aligarh, India
2. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
In the absence of any intervention the risk of perinatal transmission is 15-30% in non-breastfeeding
populations.
Breastfeeding by an infected mother increases the risk by 5-20% to a total of 20-45%.
Transmission can be reduced to under 2% by interventions (ARV prophylaxis to mother and neonate-elective
cesarian-complete avoidance of breastfeeding).
However, in view of emerging evidence national guidelines recommend cesarian section only for obstetric
indications.
All instrumentation (forceps/vaccum/episiotomy/artificial rupture of membranes/PV etc.) should be avoided
during labor and suctioning is done only for meconium stained babies.
3. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
ARV regime for pregnant women
o All pregnant women detected positive for HIV during any trimester of pregnancy or lactation should be
started on lifelong ART irrespective of disease stage or CD4 counts.
o Preferred regimen- Tenofovir 300mg + Lamivudine 300mg + Efavirenz 600mg
o Alternate regimens- Azathioprine+lamivudine+Efavirenz, Azathioprine+Lamivudine+Nevirapine,
Tenofovir+lamivudine+Nevirapine.
o Pregnant women already on ART should continue lifelong on whatever regimen they are stabilised on.
4. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
ARV regime for infants born to HIV+ mothers
o If mother received ART adequately in the antenatal period- Daily Nevirapine prophylaxis for 6 weeks.
o If mother has not received ART or Received ART for less than 24 weeks- Daily Nevirapine prophylaxis for 12
weeks.
5. Dose and duration of Nevirapine prophylaxis (HIV-1 infection)
* Give first dose of NVP within 6-12 hours of delivery
6.
7. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
Breastfeeding
o Factors that increase likelihood of transmission include detectable levels of HIV in breast milk, mastitis, low
maternal CD4 count.
o Start mother on ART (if not started earlier), as this reduces chances of transmission through breastfeeding.
o According to updated PPTCT guidelines (NACO) in India, infants should be given exclusive breastfeeding for
the first 6 months followed by complementary feeding.
o Support breastfeeding for a minimum of 6 months and continue breast feeding in addition to complementary
feeds for 1 year. At 1 yr stop breastfeeding gradually within 1 month.
8. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
Breastfeeding cont…
o Exclusive replacement feeds may be started if mother has died or has terminal illness or decides not to
breastfeed despite adequate counselling.
o In such case commercial formula milk is given when AFASS (Affordable, Feasible, Sustainable and Safe) criteria
is met.
o Mixed feeding (breastfeeding + replacement feeds) should not be given in the first 6 months.
12. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
Cotrimoxazole prophylaxis
o It is recommended for all HIV exposed children under age 18 months starting at 4-6 weeks of age and
continued until HIV infection can be excluded.
o Cotrimox prophylaxis is also recommended for breastfeeding child of any age until HIV infection can be
excluded (by testing after >6 weeks of stopping breastfeeding).
o In children of less than 6 months dose is 2.5 ml once a day (Syrup trimethoprim 40 mg and
sulphamethoxazole 200mg/5ml).
13. Treatment
Perinatal HIV (NACO Guidelines- Dec 2013
Immunization
o HIV exposed or infected but asymptomatic children should receive all standard vaccines as per national
schedule.
o HIV infected children with immune suppression or symptoms should receive all standard vaccines except BCG,
OPV and Varicella vaccines.
o Consider HiB and Pneumococcal vaccines in all HIV exposed children irrespective of symptoms or CD4 count.