The document discusses preconception care and preparing for parenthood. It defines preconception counseling as counseling couples about pregnancy before conception to modify risks. The goals are to improve knowledge and behaviors related to preconception care and reduce risks of adverse pregnancy outcomes. Components of preconception care include risk assessment, health promotion, and interventions. Barriers include unintended pregnancies and limited access to healthcare. Preparing for parenthood involves the decision to have children and ensuring physical, emotional, and financial readiness through education, counseling during pregnancy, and supportive services after birth.
Definition-
The destructive operations are designed to diminish the bulk of the fetus so as to facilitate easy delivery through the birth canal
types
Craniotomy
Eviceration
Decapitation
Cleidotomy
CRANIOTOMY
Definition
It is an operation to make a perforation on the fetal head to evacuate the contents followed by extraction of the fetus
DECAPITATION
Definition
It is a destructive operation whereby the fetal head is severed from the trunk and the delivery is completed with the extraction of the trunk and that of the decapitated head per vaginam
CLEIDOTOMY
Definition
The operation consist of reduction in the bulk of the shoulder girdle by division of one or both the clavicles
Indications
Dead fetus with shoulder dystocia
Procedure
The clavicles are divided by the embryotomy scissors or long straight scissors introduced under the guidance of left two fingers placed inside the vagina
Definition-
The destructive operations are designed to diminish the bulk of the fetus so as to facilitate easy delivery through the birth canal
types
Craniotomy
Eviceration
Decapitation
Cleidotomy
CRANIOTOMY
Definition
It is an operation to make a perforation on the fetal head to evacuate the contents followed by extraction of the fetus
DECAPITATION
Definition
It is a destructive operation whereby the fetal head is severed from the trunk and the delivery is completed with the extraction of the trunk and that of the decapitated head per vaginam
CLEIDOTOMY
Definition
The operation consist of reduction in the bulk of the shoulder girdle by division of one or both the clavicles
Indications
Dead fetus with shoulder dystocia
Procedure
The clavicles are divided by the embryotomy scissors or long straight scissors introduced under the guidance of left two fingers placed inside the vagina
PRECONCEPTIONAL COUNSELLING A NEED OF THE HOUR in India DR. SHARDA JAIN Dr. ...Lifecare Centre
PRECONCEPTIONAL COUNSELLING DEFINITION
Pre-counselling is a meeting with health care professional (generally a doctor or nurse) by the couple before attempting to become pregnant.
PRECONCEPTIONAL COUNSELLING A NEED OF THE HOUR in India DR. SHARDA JAIN Dr. ...Lifecare Centre
PRECONCEPTIONAL COUNSELLING DEFINITION
Pre-counselling is a meeting with health care professional (generally a doctor or nurse) by the couple before attempting to become pregnant.
PRECONCEPTION CARE
definition
aims
purposes
components
role of midwife
ANTENATAL CARE
definition
goals
schedule for anc
assessment
antenatal preparation
health education
anc exercise
anc diet
prevention from radiation
CULTURAL ASPECTS DURING PREGNANCY
The primary aim of preconception and interconception care is to improve maternal health and birth outcome for mother, infant and family through prevention and interventions.
Discover the essential steps and expert advice for optimal pre-conception care. Learn how to enhance your fertility, ensure a healthy pregnancy, and lay the foundation for your baby's lifelong well-being
Every woman should be thinking about her health whether or not she is planning pregnancy. One reason is that about half of all pregnancies are not planned. Unplanned pregnancies are at greater risk of preterm birth and low birth weight babies. Another reason is that, despite important advances in medicine and prenatal care, about 1 in 8 babies is born too early. Researchers are trying to find out why and how to prevent preterm birth. But experts agree that women need to be healthier before becoming pregnant. By taking action on health issues and risks before pregnancy, you can prevent problems that might affect you or your baby later.
Prevention of disease.
Promotion of physical, mental and social well-being of children so that each child may achieve the full genetic potential with which he/she is born.
Primary Prevention
Secondary Prevention
Tertiary Prevention
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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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
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
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.
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
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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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- 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
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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
3. DEFINITION
When a couple is seen and counseled about
pregnancy , its course and outcome well
before the time of actual conception is called
preconception counseling.
A set of interventions that aim to identify and
modify (biomedical, behavioral and social)
risks to a women’s health or pregnancy
outcome through prevention and
management(CDC 2006)
4. The counseling should be done by primary
health care providers; the help of an
obstetrician, physician and geneticist can be
received.
5. GOALS
Improve knowledge, attitude and behavior of
men and women related to preconception
care
Ensure that all women of child bearing age
receive preconception care services that
enable them to enter pregnancy in optimum
health
Reduce risks associated with the previous
adverse pregnancy outcome.
14. B. Physical examination
Nutritional assessments
Periodontal
Thyroid
Heart
Breast
Pelvic examinations
15. C. Screening
Infections and immunization
Screen for peridontal, STD, Hepatitis C
infections
Immunization – hepatitis-B, Rubella,
Varicella, HPV and influenza
Genetic screening and family history of cystic
fibrosis, sickle cell anemia, thalassemia etc
Psychosocial: screen for depression, anxiety,
domestic violence
16. Lab tests:
CBC, urinalysis, blood type, and others
like syphilis, gonorrhea, Chlamydia, diabetes
17. HEALTH PROMOTION
Family Planning
Healthy weight and nutrition
ideal BMI is 20-26kg/m2
exercise and nutrition
Healthy behaviors
Nutrition, exercise, safe sex, effective
contraceptive use, dental flossing
Discourage the use of alcohol, smoking,
substance abuse
20. INTERVENTION
5. Hepatitis B vaccination
6. HIV screening and
treatment
7. STD screening and
treatment
BENEFIT
Prevents transmission of
infection to the infants
Prevents transmission of
infection to the infants
Reduce risk for chronic
pelvic pain, ectopic
pregnancy and infertility
21. INTERVENTION
8. Maternal
phenylketonuria
9.Oral anticoagulants use
and management
BENEFIT
Prevent babies being
bone with PKU related
MR
Changing to less
teratogenic treatment
regimen from
teratogenic Warfarin
22. INTERVENTION
10.Antiepileptic drug use
and management
11.Smoking cessation
BENEFIT
Changing to less
teratogenic treatment
regimen.increase follic
acid intake
Prevent preterm birth
and low birth weight
babies
23. INTERVENTION
12.Eliminating alcohol use
13.Obesity Control
14.couple with history of
recurrent fetal loss
BENEFIT
Prevents fetal alcohol
syndrome
Reduce risk of neural
tube defect, DM, LSCS,
hypertensive
thromboemblic diseases
Investigation and
counselling helps in treat
the cause
24. BARRIERS TO PRECONCEPTION
CARE
Patient aspects
High rate of unintended pregnancies
Ignorance about importance of good
health habits prior to conception
Limited access to health services in
general
25. Provider aspects
Feeling of having inadequate
knowledge
Perception of preconception care
being time consuming
BARRIERS TO PRECONCEPTION
CARE
27. Preparing For Parenthood
Preparing for parenthood begins
with the decision to become
pregnant or the discovery of the
pregnancy in an unplanned
circumstance
28. Preparing For Parenthood
Department of education and
science(DES) and Department
of health and social
security(DHSS) stressed the
importance of school in
preparing the young children
for adult life.
30. Preparation for parenthood
in school setting
Never enter into the unplanned
pregnancies as parenthood is a
lifelong commitment that needs
physical and psychosocial maturity.
For successful parenthood, good
physical health healthy relationship
with parents and partner is required
Financial stability
Emosional readiness
31. Preparing For Parenthood
during pregnancy
Prepare the pregnant women and the partner
for the birth of their child, through individual
and group counseling sessions
5-10 classes emphasis on partner
relationship, family life, child care, sibling
rivalry on arrival of new baby
Events and problems faced by the first time
parents and how can the parents make use of
the formal and informal support systems
32. Supportive services for the
parents during the early years
after the birth of children
The problems experienced during
the post natal period and its effect
on mother and child relationship
Problems related with when the
mother return to their job, and
how to solve these problems