The document discusses postpartum care and the puerperium period, which refers to the six weeks following childbirth. The main points covered include promoting healing of the body's parts, providing emotional support, and establishing successful lactation. Key genital changes like uterine involution and lochia are described. Guidelines are provided for breastfeeding, addressing common issues like engorgement and mastitis. The document also covers newborn assessment and care, including establishing an airway, maintaining temperature, identification, and monitoring vital signs and physical exam findings.
breast feeding problems can be easily tackled by obstetricians provided they make conscious efforts to look into the problem,they can create awareness among the paramedical people who are under their direct control
This topic contains definition, incidence, varieties, causes, risk factors, dangers, diagnosis, prognosis, prevention and management of inversion of uterus.
Postnatal care (PNC) for the mother should respond to her special needs, starting within an hour after the delivery of the placenta and extending through the following six weeks. The care includes the prevention, early detection and treatment of complications, and the provision of counselling on breastfeeding, birth spacing, immunization and maternal nutrition. To standardise the PNC service, you are advised to use the screening, counselling and postnatal care cards. These cards ensure that you have covered all the essential steps in every home visit.
this ppt is beneficial for nursing and obstetric and gynaecology students.
breast feeding problems can be easily tackled by obstetricians provided they make conscious efforts to look into the problem,they can create awareness among the paramedical people who are under their direct control
This topic contains definition, incidence, varieties, causes, risk factors, dangers, diagnosis, prognosis, prevention and management of inversion of uterus.
Postnatal care (PNC) for the mother should respond to her special needs, starting within an hour after the delivery of the placenta and extending through the following six weeks. The care includes the prevention, early detection and treatment of complications, and the provision of counselling on breastfeeding, birth spacing, immunization and maternal nutrition. To standardise the PNC service, you are advised to use the screening, counselling and postnatal care cards. These cards ensure that you have covered all the essential steps in every home visit.
this ppt is beneficial for nursing and obstetric and gynaecology students.
This powerpoint is a literature review on Cesarean Delivery by Maternal Request (CDMR). It introduces various birthing methods including cesareans and reports on the recent trends of cesarean delivery in the U.S. It then explores CDMR and the trends, issues, and concerns that surround it.
Physiology of puerperium,management of mother during puerperium,postnatal exe...preetishukla38
physiological changes during puerperium is very important to bsc nursing students to understand that what are exactly changes occure in mother during post natal periods.
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 lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of 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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. POSTPARTUM / PUERPERIUM Refers to the six-week period after delivery of the baby Principles: Promote healing and involution of different parts of the body Provide emotional support Establish a successful lactation Prevent postpartum complications
4. Vascular changes The 30% - 50% increase in total cardiac volume during pregnancy will be reabsorb into the general circulation WBC count increases to 20,000 – 30,000/mm3 There is extensive activation of clotting factors, which encourages thromboembolization. All blood values are back to prenatal levels by the 3rd and 4th week postpartum
5. Genital Changes Uterus Sealing of the placenta site Reduced to its approximate pregestational size Assessed by measuring the fundus by fingerbreadth In some women, causes afterpains Nursing Management: Never apply heat on abdomen Give analgesics as ordered Advise knee-chest position when perineum has healed
7. Genital Changes Characteristics of Lochia Pattern should not reverse It should approximate menstrual flow. However, it increases with activity and decreases with breastfeeding It should not have any offensive odor It should not contain large clots It should never be absent, regardless of the method of delivery
8. Genital Changes Vagina Involution from soft and with greater diameter than normal until its approximate pregestational state takes the entire postpartal period Nursing Management: Encourage Kegel Exercise
9. Genital Changes Perineum Develops edema and generalized tenderness Labia majora and minora typically remain softened
10. Sexual Activity Maybe resumed by the 3rd or 4th week postpartum if bleeding has stopped and episiorrhaphy has healed
11. Menstruation If not breastfeeding, return of menstrual flow is expected within 8 weeks after delivery If breastfeeding, menstrual return is expected in 3-4 months. In some women, no menstruation occurs during the entire lactation period.
12. Urinary Changes There is marked diuresis within 12 hours postpartum Common complaints are frequent urination in small amounts and difficulty voiding Nursing management: Initiate voiding If measures fail, catheterization as ordered.
13. Gastrointestinal Changes There is delayed bowel evacuation postpartally which maybe due to: Decreased muscle tone Lack of food and enema during labor Dehydration Perineal tenderness Almost immediately, the woman feels hungry and thirsty. She can eat unless she has the after effects of general anesthesia.
14. Vital Signs Temperature may increase Bradycardia is common for the 6-8 days postpartum Orthostatic hypotension and dizziness is common
20. Physiology of Breastmilk Excretion 1.Crying of the baby / Thinking of the baby 2.Posterior Pituitary Gland 3.Oxytocin 4.Let-down reflex
21. Advantages of Breastfeeding For the mother: Economical in terms of time, money, and effort More rapid involution Less incidence of cancer of the breast For the baby: Closer mother-infant relationship Contains antibodies Fewer incidence of GI diseases Always available at the right temperature
22. Health Teachings Hygiene: Wash breast daily Soap or alcohol should never be used Wash hands before and after feeding Insert clean OS squares or piece of cloth in the brassiere to absorb moisture
23. Health Teachings Method: Stimulate the baby to open the mouth by means of rooting reflex Infant should grasp not only the nipple but also the areola Infant should be introduced to breast gradually Infant should be placed first on the breast he fed last in the previous feeding Feed by demand Advise the mother how to relax during feedings
24. Associated Problems and Management Engorgement: tension of the breast during 3rd to 4th days. It fades after the infant begins sucking Advise use of firm-fitting brassiere for good support Cold compress / warm compress depending if the mother will breastfeed or not
25. Associated Problems and Management Sore Nipples Expose nipple to air If normal air-drying is not effective, exposure to a 20-watt bulb placed 12-18inches away
26. Associated Problems and Management Mastitis Antibiotics as ordered Ice compress Proper breast support Discontinue breastfeeding in affected breast
28. Principles of Newborn Care Establish and maintain a patent airway Maintain appropriate body temperature Immediate assessment of the newborn Proper identification of the newborn Nursery care
37. Maintain appropriate body temperature Important as it may lead to cold stress Heat loss in newborn occurs in 4 ways Conduction Convection Evaporation Radiation
75. Head Largest part of the body Fontanelles are neither sunken nor prematurely closed Craniotabes present Caput succedaneum or Cephalhematoma may be present
89. Neck Head rotate freely on the neck and flex forward and back Chest Smaller or as large as the head Breast may be engorged Witch’s milk may be present
90.
91. Abdomen Liver, spleen, and kidneys may be palpable at birth Dome-shaped Umbilical cord breaks free at 6th – 10th day after birth
92. Anogenital area Inspect anus to ensure presence and patency Female genitalia: may have swollen labia and pseudomenstruation Male genitalia: Scrotum may be edematous Testes should be present Cremasteric reflex should be elicited
93. Extremities Hands are clenched into fist Note for polydactyly or unusual spacing of toes
99. Urinary system Urine is less concentrated Female: strong stream voiding Male: projected arc voiding Autoimmune system Have difficulty forming antibodies until 2 months Passive natural immunity
100. Senses Sight: Can only see within 9 inches away from the eyes on the first 6-8weeks Hearing: As soon as amniotic fluid has been absorbed Taste and Smell: As soon as mucus and fluid have been cleared Touch: Most develop of all senses
101. Neuromuscular System Blink reflex (always present) Sucking reflex (disappears at 6 mos) Swallowing reflex (always present) Extrusion reflex (disappears by 4 months)
120. Management for the Common Health Problems Constipation Encourage breastfeeding Add more fluids, carbohydrates, sugar Colic Feed by demand Burp at least twice during feeding May need to change formula as per doctor’s order
121. Management for the Common Health Problems Spitting up Feed in upright position Position on right side after feeding Burp more frequently Diaper rash Expose to air Careful washing and rinsing
122.
123. Starch bathSeborrhic dermatitis Apply mineral oil or petroleum jelly on scalp at night before giving shampoo in the morning
124.
125.
126. GOD BLESS ON YOUR FINALS! Aim to top your finals!Break a neck… Sir cj