This document discusses pica, an eating disorder characterized by craving and eating non-food items. Pica is common in pregnant women, affecting up to 68%, likely due to hormonal changes. While often harmless, pica can cause nutritional deficiencies, infections, bowel obstruction, and lead poisoning. Treatment focuses on identifying and addressing the underlying cause, managing cravings, and preventing ingestion of dangerous substances. Prognosis depends on the severity of symptoms and success of treatment.
Postpartum psychosis is a severe mental illness which develops acutely in the early postnatal period. It is a psychiatric emergency. Identifying women at risk allows development of care plans to allow early detection and treatment. Management requires specialist care. Health professionals must take into account the needs of the family and new baby, as well as the risks of medication whilst breast-feeding.
enuresis involves the inability to awaken from sleep in response to a voiding stimulus (i.e., a full bladder), coupled with excessive nighttime urine production or decreased functional capacity of the bladder
Postpartum psychosis is a severe mental illness which develops acutely in the early postnatal period. It is a psychiatric emergency. Identifying women at risk allows development of care plans to allow early detection and treatment. Management requires specialist care. Health professionals must take into account the needs of the family and new baby, as well as the risks of medication whilst breast-feeding.
enuresis involves the inability to awaken from sleep in response to a voiding stimulus (i.e., a full bladder), coupled with excessive nighttime urine production or decreased functional capacity of the bladder
Breastfeeding, also called nursing, is the process of feeding a mother's breast milk to her infant, either directly from the breast or by expressing (pumping out) the milk from the breast and bottle-feeding it to the infant
Breastfeeding, also called nursing, is the process of feeding a mother's breast milk to her infant, either directly from the breast or by expressing (pumping out) the milk from the breast and bottle-feeding it to the infant
ingestión de substancias no nutritivas que varían con la edad (desconchones de pintura, yeso, pelos, hojas, piedras, etc.) sin existir aversión por los alimentos.
A menina no pais das maravilhas (SÍNDROME DE TOURETTE)SimoneHelenDrumond
Educar é a arte de fazer pessoas, para projetar-se coesamente no contexto de sua vida. Durante o curso de Pedagogia tive o privilegio de estudar com muito educadores, que nos proporcionaram experiências acadêmicas fantásticas. É o professor Adolfo deixou essa marca positiva. Um bom filme para mediar um saber tão importante, quanto ao da Síndrome de Tourette com a história de Phoebe, uma menina de 9 anos, que no cotidiano de suas ações, revela-se diferente das demais crianças.
A Menina no País das Maravilhas (Phoebe in Wonderland). 2008. EUA. Direção e Roteiro: Daniel Barnz. Elenco: Elle Fanning (Phoebe Lichten), Felicity Huffman (Hillary Lichten), Bill Pullman (Peter Lichten), Patricia Clarkson (Miss Dodger), Campbell Scott (Diretor Davis), Ian Colletti (Jamie), +Cast. Gênero: Drama, Família, Fantasia. Duração: 96 minutos.
“Education is not the filling of a pot but the lighting of a fire.”
— W.B. Yeats
How many of us have seen other people chew and swallow items and found it odd? How many of us have seen the TV Series 'My Strange Addiction' and thought that eating nonedible items was indeed an addiction?
How about Pica - have you heard of this? Did you know that there's actually more to people's eating behavior than just being a 'strange addiction'?
This presentation is created for professionals, educators, parents, and students who wish to learn more about Pica Eating Disorder - its history, causes, treatment, and facts that debunk the myths and misconceptions surrounding the disorder.
Providing educational materials gears learners towards taking action for mental health awareness. By the end of the lesson, it will provide valuable knowledge to the learner and will equip them to know the importance of learning about Pica and what they can do to raise more awareness about the disorder.
Eating disorders are complex, bio-psycho-social conditions, with multiple causes. Eating disorders arise from a combination of established social, psychological, biological, and interpersonal factors. While they may begin with preoccupations with food and weight, they are most often about much more than food. It is important to understand that the factors that contribute to eating disorders are complex and multifaceted; they are not simply about weight and they are certainly not choices.
Diarrhea is a very common daily based issue with lots of contributing factors. The need is to determine the underlying causes, otherwise the consequences may get worsen.
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.
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.
- 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
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
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
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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.
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
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Pica
1. Pica
In
Pregnancy
• Dr Muhammad El Hennawy
• Ob/gyn Consultant
• 59 Street - Rass el barr –dumyat - egypt
• www. mmhennawy.co.nr
2. • Cravings are something that are commonly associated
with pregnancy.
• The old standard being pickles and ice cream.
• The truth is that as many as 68% of all pregnant women
will experience cravings, usually due to hormonal
changes.
• Throughout pregnancy, as the different hormones
fluctuate, women may find that they are sensitive to the
smells of certain foods, actually to the point of nausea
in some cases.
• Others may find that their once favorite food is no
longer tolerated, or that a food that was always a least
favorite is now top on the list.
3. What do pregnant women crave?
• Almost 40 per cent 'something sweet'.
• Slightly fewer (33 per cent) opted for salty snacks.
• Fans of spicy food came in third (17 per cent).
• Trailing behind (at 10 per cent) were those who craved
citrus fruit, green apples and other lip-puckering tart or
sour foods.
4. • PICA is eating disorder
• It is abnormal and very misunderstood problem
• PICA is defined as persistent compulsive
Bizarre Craving (abnormal appetite ) of ,
Mouthing of or
Eating (ingesting ) of
Non-food (clay, dirt, sand, stones, pebbles, hair, feces, lead, vinyl gloves, plastic, pencil
erasers, fingernails, plaster, wax, paper, paint chips, coal, chalk, wood, light bulbs, needles,
string, cigarette butts, wire, burnt matches and ashes) ,
Or Non-nutritive items (some things that may be considered foods, such as
food ingredients (e.g., flour, raw potato, starch , cornstarch, laundry starch, dry milk of
magnesia, paraffin, coffee grounds or ice)
for a period of at least 1 month
5. How long ?
• In order for these actions to
be considered pica, they
must persist for more than
one month
6. • The word pica comes from the
Latin word magpie which is a
bird that will eat anything on
whatever it finds or comes
across.
7. Types of Pica
• Amylophagia (consumption of starch and paste)
• Coprophagia (consumption of excrement)
• Geophagy (consumption of soil, clay, or chalk)
Consumption of dust or sand has been reported among
iron deficient patients.
• Hematophagy (ingestion of blood)
• Hyalophagia (consumption of glass)
• Pagophagia (pathological consumption of ice)
• Self-cannibalism (rare condition where body parts may be
consumed
• Trichophagia (consumption of hair or wool)
• Urophagia (consumption of urine)
• Xylophagia (consumption of wood)
• Cautopyreiophagia (ingestion of burnt match heads).
8. Commonly
• Pica commonly occurs in pregnant women
who are:
- experiencing their first pregnancy
- have a history of pica in their family
- under the age of 20
- have suffered from pica as a child
9. Causes
• While the exact cause for pica is still uncertain,
• Nutritional Deficiency One of the theories for the cause of pica
in pregnant women is they have a mineral deficiency and their
bodies crave substances that contain that mineral. There is no
research that supports this theory, Still, the link between what
body needs and what crave seems weak.
• Cultural Factors: Cultural factors do play a role in some cases
of pica. Pica is accepted in some cultures as a way of
increasing spirituality or treating certain physical illnesses, like
morning sickness.
• Psychological Reasons: Mental illness or psychological trauma
can trigger pica in some people. Pica is often a hallmark of
extreme stress, fear, or abuse
• Factors such as emotional deprivation, poverty, poor nutrition,
anemia, neglect, lack of parental supervision, or developmental
delay increase the risk for a person developing this eating
disorder
11. Associated With
• pica practices are associated with
significantly lower maternal hemoglobin
levels at delivery but are not associated
with pregnancy outcomes. Dietitians
should ask pregnant women with anemia
about pica and should counsel women
who report pica regarding the health risks
associated with it.
12. Lab Studies
No specific laboratory studies are indicated in the evaluation
of pica.
• Laboratory studies may be indicated to assess the
consequences of pica, depending on the characteristics
and nature of the ingested materials and the resultant
medical sequelae
• Various imaging studies may be used to identify ingested
materials and aid in the management of GI tract
complications of pica. These may include the following:
• Abdominal radiographs
• Upper and lower GI barium examinations
• Repeated imaging at regular intervals to track changes in
location of ingested materials
• Upper GI endoscopy to diagnosis bezoar formation, identify
associated lesions, or both
13. Dangers of Pica
• Though pica is common and often harmless, it can be very dangerous.
• The nature and amount of the ingested substance determine the medical
sequelae.
• Pica can cause a number of serious conditions including iron-deficiency
anaemia
• Pica has been shown to be a predisposing factor in accidental ingestion of
poisons, particularly in lead poisoning.
• The ingestion of bizarre or unusual substances also has resulted in other
potentially life-threatening toxicities, such as hyperkalemia following
cautopyreiophagia (ingestion of burnt match heads).
• Exposure to infectious agents via ingestion of contaminated substances is
another potential health hazard associated with pica, the nature of which
varies with the content of the ingested material. In particular, geophagia (soil
or clay ingestion) has been associated with soil-borne parasitic infections,
such as toxoplasmosis and toxocariasis.
• Gastrointestinal (GI) tract complications, including mechanical bowel
problems, constipation, ulcerations, perforations, and intestinal obstructions,
have resulted from pica.
• Eating non-food items can actually prevent body from absorbing the proper
minerals and nutrients. This could mean that baby is not receiving the proper
nutrition, increasing the risk for a variety of complications, including low birth
weight, preterm labor, and stillbirth
14. Prevention
There are no known methods of preventing pica.
However, once pica is known or suspected, measures
can be taken to reduce further ingestion of non-food
substances.
Removing the particular substance from readily
accessible areas can be helpful.
Close observation of the individual with pica may limit
inappropriate eating behaviors
15. Treatment
• Treatment emphasizes psychosocial, environmental, and family guidance
approaches.
• Treatment of pica will often depend on the cause and type of pica.
• Conventional medical treatment may be appropriate in certain situations. For
example, supplementation with iron-containing vitamins has been shown to cause the
unusual cravings to subside in some iron-deficient patients.
• Medical complications and health threats, including high lead levels, bowel
perforation or intestinal obstruction, will require additional medical management,
beyond addressing the underlying issue of pica.
• behavior therapy , Treatment options include:
- discrimination training between edible and nonedible items,
- self-protection devices that prohibit placement of objects in the mouth
- sensory reinforcement involving screening (covering eyes briefly), contingent
aversive oral taste (lemon), contingent aversive smell sensation (ammonia),
contingent aversive physical sensation (water mist),
- brief physical restraint, and overcorrection (correct the environment, or practice
appropriate or alternative responses).
• Medications may be helpful in reducing the abnormal eating behavior if pica occurs
in the course of a developmental disorder, such as mental retardation or pervasive
developmental disorder. These conditions may be associated with severe behavioral
disturbances, including pica. These medications enhance dopaminergic functioning,
which is believed to be associated with the occurrence of pica.
16. Prognosis
• The prognosis for individuals with pica varies greatly,
• according to the type and amount of substance ingested,
the extent of presenting side effects, and the success of
treatment.
• Pica frequently spontaneously remits in young children
and pregnant women; however, it may persist for years if
untreated, especially in individuals with mental retardation
and developmental disabilities.
• Many of the side effects and complications of pica can be
reversed once the behavior is stopped,
• while other complications, including infection and bowel
perforation, pose significant health threats and if not
successfully treated may result in death.