Service providers who receive high nutrition risk referrals, particularly Registered Dietitians, need to be knowledgeable about general and clinical pediatric nutrition as well as counselling skills for working with families and children.
This is the third of five self-directed training modules available in PowerPoint presentations that have been developed and evaluated to respond to this need
Service providers who receive high nutrition risk referrals, particularly Registered Dietitians, need to be knowledgeable about general and clinical pediatric nutrition as well as counselling skills for working with families and children.
This is the third of five self-directed training modules available in PowerPoint presentations that have been developed and evaluated to respond to this need
The journey of low birth weight infant Khaled Saad
Previously known as ‘failure to thrive’ (FTT), also known as weight faltering
Infant or children whose current weight or rate of weight gain is significantly below that expected of similar children of the same age, sex and ethnicity
Can occur in both infants (< 1 year of age) and in children (> 1 year of age)
Fitness improvements amongst children in one Alberta First Nation after eight...Kelli Buckreus
2012 (Feb 8-10) Integrated Chronic Disease Prevention: It Works! CDPAC Fourth Pan-Canadian Conference, presentation by BRAID Research and Driftpile First Nation
The journey of low birth weight infant Khaled Saad
Previously known as ‘failure to thrive’ (FTT), also known as weight faltering
Infant or children whose current weight or rate of weight gain is significantly below that expected of similar children of the same age, sex and ethnicity
Can occur in both infants (< 1 year of age) and in children (> 1 year of age)
Fitness improvements amongst children in one Alberta First Nation after eight...Kelli Buckreus
2012 (Feb 8-10) Integrated Chronic Disease Prevention: It Works! CDPAC Fourth Pan-Canadian Conference, presentation by BRAID Research and Driftpile First Nation
What is the epidemiological evidence linking early life events and cancer risk and what are the potential critical windows for cancer prevention?
By Professor Ricardo Uauy, University of Chile, London School of Hygiene and Tropical Medicine
World Cancer Congress, Saturday 6 December 2014
Promotion of child survival -Experiences, innovations and opportunitiesHarivansh Chopra
In this presentation, i have discussed the normal growth in children. the focus of attention must be an infant as it is the time of maximum growth and chances of growth faltering are also high. if one has to reduce underfive mortality and promote child survival than aBIGWIN APPROACH is to be followed. i have also shared few success stories of low birth weight babies attaining the target at one year of age.causes of malnutrition are also discussed and what type of opportunities are there for public health professional in the community settings.focus from under six has to be shifted to ist year of life
Dyslipidemia:
Among the total sample, 55.3% of patients had dyslipidemia.
11.7% of patients had high cholesterol,
28.6% had high triglyceride,
32.7% had high LDL, and
18.0% had low HDL.
Waist circumference was significantly associated with having dyslipidemia.
With every unit increase (1 cm), the odds of having dyslipidemia significantly increases by 1.020
Aleitamento materno e adiposidade adultaLaped Ufrn
Aleitamento materno e adiposidade adulta (JPed 2014) - Artigo apresentado em Reunião Científica da Liga Acadêmica de Pediatria da UFRN - LAPED UFRN - Natal - RN - Brasil.
Effects of Prenatal Exposures to EDCs on Childhood DevelopmentDES Daughter
by the Collaborative on Health and the Environment
The call featured Dr. Frederica Perera who reviewed data from a longitudinal cohort study following mothers and children from pregnancy into adolescence. In this study, prenatal exposure to the combustion related air pollutants, polycyclic aromatic hydrocarbons, is associated with adverse neurodevelopmental outcomes as well as other disease endpoints. Prevention strategies were also discussed.
Sources: http://www.healthandenvironment.org/partnership_calls/14035
According to the WHO, malnutrition is by far the biggest contributor to child mortality
Under-weight births and IUGR (intra-uterine growth restrictions) cause 3 million child deaths a year.
According to the Lancet, consequences of malnutrition in the first two years is irreversible.
Malnourished children grow up with worse health and lower educational achievements.
Malnutrition can exacerbate the problem of diseases such as measles, pneumonia and diarrhoea.
But malnutrition can actually cause diseases itself , and can be fatal in its own right
The term 'faltering growth' is widely used in relation to infants and young children whose weight gain occurs more slowly than expected for their age and sex.
In the past, this was often described as a ‘failure to thrive’ but this is no longer the preferred term :-
partly because ‘failure’ could be perceived as negative,
but also because lesser degrees of faltering growth may not necessarily indicate a significant problem but merely represent variation from the usual pattern when measured against the standardized growth charts (WHO Growth Charts
Peer-Reviewed Highlights From Obesity Among Children and.docxdanhaley45372
Peer-Reviewed
Highlights From
Obesity Among Children and
Adolescents in America
Written by Phil Vinall
According to a report from the Centers for Disease Control and Prevention (CDC), overweight
or obese preschoolers are five times as likely to become overweight or obese adults as their
normal weight peers [Centers for Disease Control and Prevention. Morb Mortal Wkly Rep 2013].
Additionally, high cholesterol, high blood sugar, asthma, and mental health problems are linked
to obesity in older children and adolescents.
Although small decreases in the prevalence of obesity were observed among low-income
preschool children in certain parts of the United States and its territories between 2008 and 2011,
the rate of obesity remains high with ~1 of 8 children aged 2 to 5 years having an age- and sex-
specific body mass index (BMI) ≥95th percentile, according to the 2000 CDC growth charts (Figure
1) [Centers for Disease Control and Prevention. Morb Mortal Wkly Rep 2013]. The study included
data for ~11.6 million low-income children aged 2 to 4 years who were participants in federally
funded child health and nutrition programs.
Figure 1. Changes in Obesity Prevalence: 2008 to 2011
DC=Washington, DC; PR=Puerto Rico; V I=Virgin Islands.
Source: Morbidit y and Mortalit y Week ly Report 2013.
Using a subset of the CDC data, Pan and colleagues [Pediatrics 2013] reported an overall
incidence of childhood obesity of 11.0% but with several important differences among population
subgroups. Obesity was more common among boys versus girls and among children aged 0 to 11
months in 2008 versus older children. The risk of obesity was 35% higher among Hispanics and 49%
Figure 1. Changes in Obesity Prevalence: 2008 to 2011
Increase
No change
Decrease
Not included
DC
PR
VI
S E L E C T E D U P D A T E S O N O B E S I T Y
21Official Peer-Reviewed Highlights From the American Society for Nutrition 2013
ASN2013.indd 21 10/20/2014 3:00:55 PM
higher among American Indians/Alaska Natives compared
with non-Hispanic whites, but among non-Hispanic
African Americans, it was 8% lower. Of the children who
were obese at baseline, 36.5% remained obese at follow-
up while 63.5% were nonobese. Obesity remission was
proportionally significantly lower among Hispanics and
American Indians/Alaska Natives compared with other
racial/ethnic groups.
American society is characterized by environments that
promote poor eating habits and physical inactivity. William
H. Dietz, MD, PhD, Centers for Disease Control and
Prevention, Atlanta, Georgia, USA, discussed intervention
strategies to address some of these issues.
Beyond the effects of poverty, pregnancy and postnatal
influences have an important influence on childhood
obesity. These include maternal weight prior to pregnancy
and the amount of weight gained during pregnancy,
breastfeeding duration, the child’s overall feeding
experience and sleep patterns, as well as media exposure to
f.
Taking account of research around the relationship between genetics and our new ‘food environment’, Dr Robyn Toomath (endocrinologist and Clinical Director Wellington Hospital) argues that we are in the middle of an obesity epidemic which impacts widely on public health. She advocates for new approaches to obesity based not on blame or impossible personal goals, but on outcomes. She argues it is the responsibility of all to become informed and active (personally and politically), in working for change to present health policies and gives examples of what can be done.
http://dosomething.org.nz
Similar to Presentation to the ACCFCR Showcase, May 22, 2013 (20)
Screening for diabetes and its complications as part of the Alberta Diabetes ...Kelli Buckreus
2004 (Jan) 3rd National Conference on Diabetes and Aboriginal Peoples, National Aboriginal Diabetes Association (NADA), poster presentation by BRAID Research
Health outcomes of Aboriginal individuals with early onset diabetesKelli Buckreus
2010 (Oct) 3rd Conference on Recent Advances in the Prevention and Treatment of Childhood and Adolescent Obesity, poster presentation by BRAID Research
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
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
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
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.
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
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
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8. Baseline clinical, anthropometric for all children measured by BRAID-Kids, N=72a
MEASUREMENT RESULTS
Gender, % female 47.2%
Mean age, years 7.9 (range: 4-15 years)
Fasting glucometer blood glucose, N=57
Mean (mmol/L) 5.4 (range: 4.3-7.8)
“Possible” diabetesb, # of children (%) 1 (1.8%)
“Possible” pre-diabetesc, # of children (%) 7 (12.3%)
Body Mass Index (BMI), N=69
≥85th-<95th, overweightd, # of children (%) 13 (18.8%)
≥95th, obesityd, # of children (%) 35 (50.7%)
Central adipositye, N=67, # of children (%) 58 (86.6%)
Hypertensionf, N=52, # of children (%) 13 (25.0%)
a. 21 children completed only fitness tes1ng; b. fas7ng blood glucose ≥7.0 mmol/L; c. fas7ng blood glucose 6.1‐6.9 mmol/L; d. CDC percen7le reference for age and gender; e.
NHANESIII: central adiposity = waist circumference ≥85th percen7le for age and gender; f. CDC percen7le reference for age and gender, hypertension: ≥95th percen7le
10. Baseline fitness percentiles for age and gender, N=90a
Gender (% female) 45.6%
Mean Age (years) 8.0 (range: 4-15 years)
Fitness: percentile for age and genderb, N=67
# of children < 5th percentile (percent) 48 (71.6%)
# of children 5th to <10th percentile (percent) 5 (7.5%)
# of children 10th to <20th percentile (percent) 5 (7.5%)
# of children 20th to <30th percentile (percent) 4 (6.0%)
# of children 30th to <40th percentile (percent) 1 (1.5%)
# of children 40th to < 50th percentile (percent) 3 (4.5%)
# of children 50th to <60th percentile (percent) 1 (1.5%)
# of children below 20th percentilec (percent) 53 (79.1%)
Baseline Fitness results for children who underwent fitness
tes1ng by BRAID‐Kids
a. children under the age of 6 were excluded, per Leger reference (Leger, 1984)
b. (Leger, 1984)
c. rela7ve fitness = >20th percen7le (Downs, 2006)
17. Television Viewing and Video Gaming
Values are means (SD).
T‐tests were used to assess differences.
Questionnaire responses by gender (N = 91)
Females (SD) Males (SD) p-value
TV watching on school days 2.6 (1.1) 2.7 (1.3) 0.767
Video/internet gaming on school
days
2.4 (1.0) 2.1 (0.9) 0.224
TV watching Saturday morning 2.6 (0.9) 2.4 (0.9) 0.203
TV watching Saturday afternoon 2.9 (0.8) 2.7 (1.0) 0.285
Video/internet gaming Saturday
morning
3.3 (0.7) 2.8 (1.1) 0.019
Video/internet gaming Saturday
afternoon
3.1 (0.8) 2.7 (1.0) 0.044
18. Television Viewing and Video Gaming
Values are means (SD).
T‐tests were used to assess differences.
Responses to first and second questionnaires (N = 29)
1st Questionnaire
(SD)
2nd Questionnaire
(SD)
p-value
TV watching on school days 2.7 (1.1) 2.5 (1.2) 0.537
Video/internet gaming on school
days
2.2 (1.0) 2.2 (1.0) 0.981
TV watching Saturday morning 2.6 (0.8) 3.1 (0.9) 0.025
TV watching Saturday afternoon 3.0 (0.7) 2.9 (0.8) 0.489
Video/internet gaming Saturday
morning
3.2 (0.8) 3.5 (0.7) 0.199
Video/internet gaming Saturday
afternoon
3.1 (0.9) 3.2 (0.8) 0.621