As an additional PHC , the services provided are Very minimal . The services provided were mainly OP services , rarly IP with around IO deliveries per month, minor emergencies only during working hours.
Kacee Camilleri provided excellent customer service to a passenger travelling on Queensland Rail services. The Chief Executive wrote to commend Kacee for her service and to pass on thanks from the satisfied customer. Kacee's conduct is an example for other staff to follow as Queensland Rail prioritizes improving customer focus. The customer expressed hopes to travel by train in Queensland again due to Kacee's service excellence.
The document provides information on various methods of emergency and terminal contraception. It defines emergency contraception as methods that can be used within a few days after unprotected intercourse to prevent pregnancy. The main methods discussed are emergency contraceptive pills containing levonorgestrel or the Yuzpe regimen, and copper IUDs. It also describes terminal contraceptive methods like vasectomy and tubal ligation that provide permanent sterilization. The presentation aims to educate about the objectives, indications, effectiveness, advantages and disadvantages of different emergency and terminal contraceptive options.
This document provides information about female sterilization procedures. It discusses:
1. The anatomy of the fallopian tubes and their physiological functions.
2. The criteria for patient selection including age, number of children, prior sterilization history, and mental capacity.
3. Details of the counseling process and common surgical techniques like Pomeroy's and Uchida methods.
4. Post-operative care and potential complications. Hysteroscopic methods like Essure coils are also summarized.
Logistics management information system(lmis)Roshan Thapa
The document discusses Logistics Management and Information System (LMIS) in Nepal. It provides background on logistics and LMIS in Nepal, describing how LMIS was established in 1994 to systematically manage logistics. It collects quarterly data from over 4,000 health facilities to forecast needs, monitor the pipeline, and ensure availability of health commodities. The LMIS helps decision making and is now web-based, linking district inventory to improve reporting accuracy and timeliness.
The document provides information about male and female reproductive systems and various contraception methods. It describes the key organs in the male system including the penis, scrotum, vas deferens, and accessory glands. It then discusses the female system including the vagina, cervix, uterus, fallopian tubes, and ovaries. The rest of the document summarizes various contraception methods like oral contraceptives, IUDs, tubectomy, vasectomy, and natural family planning. It provides details on how each method works and potential side effects or disadvantages.
The document discusses various methods of family planning, including natural and artificial methods. Natural family planning relies on abstinence from sex during the most fertile times in a woman's cycle, which can be determined through basal body temperature tracking, cervical mucus monitoring, or calendar-based cycle tracking. Artificial methods prevent pregnancy through contraceptives like birth control pills, IUDs, condoms, diaphragms, spermicides, sterilization procedures (vasectomy for men or tubal ligation for women), or hormonal injections. Withdrawal is also mentioned as a method where the man removes his penis from the vagina before ejaculation.
This document discusses various methods of family planning. It describes natural family planning methods like withdrawal and calendar-based methods. It then discusses barrier methods like condoms, diaphragms, and spermicides. Intrauterine devices that contain copper or hormones are explained next. The document also covers hormonal contraceptives like oral contraceptive pills containing estrogen and progestin, and progestin-only pills, implants, and injectables. Advantages and disadvantages are provided for many of the methods.
The document summarizes the Kayakalp initiative launched by the Indian government to promote cleanliness and hygiene in public health facilities. The initiative recognizes and rewards facilities that achieve high scores on criteria assessing cleanliness, sanitation, waste management, and infection control. Facilities are evaluated through internal and peer assessments as well as external assessments by trained teams. Cash awards are given to the top performing facilities at the state and national level to invest in improving amenities and services. The document outlines the goals of Kayakalp and provides details on the assessment process, criteria, and cash prizes awarded to winning facilities in 2015-2016, 2016-2017.
Kacee Camilleri provided excellent customer service to a passenger travelling on Queensland Rail services. The Chief Executive wrote to commend Kacee for her service and to pass on thanks from the satisfied customer. Kacee's conduct is an example for other staff to follow as Queensland Rail prioritizes improving customer focus. The customer expressed hopes to travel by train in Queensland again due to Kacee's service excellence.
The document provides information on various methods of emergency and terminal contraception. It defines emergency contraception as methods that can be used within a few days after unprotected intercourse to prevent pregnancy. The main methods discussed are emergency contraceptive pills containing levonorgestrel or the Yuzpe regimen, and copper IUDs. It also describes terminal contraceptive methods like vasectomy and tubal ligation that provide permanent sterilization. The presentation aims to educate about the objectives, indications, effectiveness, advantages and disadvantages of different emergency and terminal contraceptive options.
This document provides information about female sterilization procedures. It discusses:
1. The anatomy of the fallopian tubes and their physiological functions.
2. The criteria for patient selection including age, number of children, prior sterilization history, and mental capacity.
3. Details of the counseling process and common surgical techniques like Pomeroy's and Uchida methods.
4. Post-operative care and potential complications. Hysteroscopic methods like Essure coils are also summarized.
Logistics management information system(lmis)Roshan Thapa
The document discusses Logistics Management and Information System (LMIS) in Nepal. It provides background on logistics and LMIS in Nepal, describing how LMIS was established in 1994 to systematically manage logistics. It collects quarterly data from over 4,000 health facilities to forecast needs, monitor the pipeline, and ensure availability of health commodities. The LMIS helps decision making and is now web-based, linking district inventory to improve reporting accuracy and timeliness.
The document provides information about male and female reproductive systems and various contraception methods. It describes the key organs in the male system including the penis, scrotum, vas deferens, and accessory glands. It then discusses the female system including the vagina, cervix, uterus, fallopian tubes, and ovaries. The rest of the document summarizes various contraception methods like oral contraceptives, IUDs, tubectomy, vasectomy, and natural family planning. It provides details on how each method works and potential side effects or disadvantages.
The document discusses various methods of family planning, including natural and artificial methods. Natural family planning relies on abstinence from sex during the most fertile times in a woman's cycle, which can be determined through basal body temperature tracking, cervical mucus monitoring, or calendar-based cycle tracking. Artificial methods prevent pregnancy through contraceptives like birth control pills, IUDs, condoms, diaphragms, spermicides, sterilization procedures (vasectomy for men or tubal ligation for women), or hormonal injections. Withdrawal is also mentioned as a method where the man removes his penis from the vagina before ejaculation.
This document discusses various methods of family planning. It describes natural family planning methods like withdrawal and calendar-based methods. It then discusses barrier methods like condoms, diaphragms, and spermicides. Intrauterine devices that contain copper or hormones are explained next. The document also covers hormonal contraceptives like oral contraceptive pills containing estrogen and progestin, and progestin-only pills, implants, and injectables. Advantages and disadvantages are provided for many of the methods.
The document summarizes the Kayakalp initiative launched by the Indian government to promote cleanliness and hygiene in public health facilities. The initiative recognizes and rewards facilities that achieve high scores on criteria assessing cleanliness, sanitation, waste management, and infection control. Facilities are evaluated through internal and peer assessments as well as external assessments by trained teams. Cash awards are given to the top performing facilities at the state and national level to invest in improving amenities and services. The document outlines the goals of Kayakalp and provides details on the assessment process, criteria, and cash prizes awarded to winning facilities in 2015-2016, 2016-2017.
Richard conducted field activities in the North West region of Uganda from July 24-28, 2014. He held meetings with boda boda (motorcycle taxi) riders in Gulu and Bweyale town. The meetings were attended by hundreds of riders, as well as traffic officers, boda leader associations, and local government officials. Richard demonstrated Hero brand motorcycles and discussed the Post Bank loan scheme for riders to purchase bikes. He also addressed issues like proper bike maintenance, use of genuine spare parts, and following traffic laws. The goal of the meetings was to promote Hero motorcycles and safe riding practices to the boda boda communities in the region.
The document proposes a campaign by HUL's Pure It brand to install water purifiers in villages across India. It would begin by installing purifiers in 70 spots across 35 districts in Maharashtra, with 10 purifiers installed per spot. This would cost approximately Rs. 7.3 lakh. Over 28 states, the total estimated cost would be around Rs. 2.05 crore over several years. Video tracking of selected villages before and after purifier installation would demonstrate the health benefits of purified water. The goal is to generate goodwill, visibility and rural market penetration for Pure It while increasing HUL's credibility.
The document discusses developing the Local Transport Plan 3 (LTP3) and Birchwood Area Travel Plan. Key points include:
- LTP3 is a statutory requirement setting out policies and plans to improve transport through 2011 and beyond, with reduced funding levels requiring prioritization.
- Stakeholders to be consulted in developing LTP3 include various transportation, environmental, and community organizations.
- The Birchwood Area Travel Plan aims to encourage more sustainable travel through initiatives like surveys, maps, timetables, and partnership funding for new services.
1) The document outlines the slide content for an event titled "Ride for Nature" taking place on July 28th at 6am in Eco-Tourism Park, Rajarhat.
2) The event aims to promote green awareness, eco-friendly lifestyles, and raise funds for bio-toilets in underprivileged schools.
3) Activities include various cycling rides for different age groups, speeches, a prize ceremony and musical entertainment. Around 2000 participants are expected to take part in the event.
The document provides information about the NMTBSA (Navi Mumbai Tiffin Box Suppliers Association) organization, also known as the Mumbai dabbawalas. It discusses that the dabbawalas have been delivering home-cooked lunches to office workers in Mumbai since 1890 using a unique color-coded system. Over 5,000 dabbawalas make over 200,000 deliveries per day with an error rate of just 1 in 16 million transactions. The dabbawalas rely on the Mumbai local train system and bicycles/handcarts for transportation and have a six sigma level of performance despite technological limitations.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- 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
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Richard conducted field activities in the North West region of Uganda from July 24-28, 2014. He held meetings with boda boda (motorcycle taxi) riders in Gulu and Bweyale town. The meetings were attended by hundreds of riders, as well as traffic officers, boda leader associations, and local government officials. Richard demonstrated Hero brand motorcycles and discussed the Post Bank loan scheme for riders to purchase bikes. He also addressed issues like proper bike maintenance, use of genuine spare parts, and following traffic laws. The goal of the meetings was to promote Hero motorcycles and safe riding practices to the boda boda communities in the region.
The document proposes a campaign by HUL's Pure It brand to install water purifiers in villages across India. It would begin by installing purifiers in 70 spots across 35 districts in Maharashtra, with 10 purifiers installed per spot. This would cost approximately Rs. 7.3 lakh. Over 28 states, the total estimated cost would be around Rs. 2.05 crore over several years. Video tracking of selected villages before and after purifier installation would demonstrate the health benefits of purified water. The goal is to generate goodwill, visibility and rural market penetration for Pure It while increasing HUL's credibility.
The document discusses developing the Local Transport Plan 3 (LTP3) and Birchwood Area Travel Plan. Key points include:
- LTP3 is a statutory requirement setting out policies and plans to improve transport through 2011 and beyond, with reduced funding levels requiring prioritization.
- Stakeholders to be consulted in developing LTP3 include various transportation, environmental, and community organizations.
- The Birchwood Area Travel Plan aims to encourage more sustainable travel through initiatives like surveys, maps, timetables, and partnership funding for new services.
1) The document outlines the slide content for an event titled "Ride for Nature" taking place on July 28th at 6am in Eco-Tourism Park, Rajarhat.
2) The event aims to promote green awareness, eco-friendly lifestyles, and raise funds for bio-toilets in underprivileged schools.
3) Activities include various cycling rides for different age groups, speeches, a prize ceremony and musical entertainment. Around 2000 participants are expected to take part in the event.
The document provides information about the NMTBSA (Navi Mumbai Tiffin Box Suppliers Association) organization, also known as the Mumbai dabbawalas. It discusses that the dabbawalas have been delivering home-cooked lunches to office workers in Mumbai since 1890 using a unique color-coded system. Over 5,000 dabbawalas make over 200,000 deliveries per day with an error rate of just 1 in 16 million transactions. The dabbawalas rely on the Mumbai local train system and bicycles/handcarts for transportation and have a six sigma level of performance despite technological limitations.
Similar to Phc morappur march upload part 4 .ppt (6)
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- 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
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
4. Bio Medical Waste
Management Posters
are displayed in various
places of the PHC .
Segregation ,
Collection & Disposal
are done as per the
BMW Guidelines
9. α Morappur PHC is an ISO 9001: 2008
certified PHC.
α Block Medical officers, Medical
Officers and health officials of various
districts and different states have visited the
PHC.