This document discusses the psychological adaptations that occur during pregnancy. It covers three trimesters of pregnancy and the common experiences women face, including ambivalence, introversion, acceptance of pregnancy, role assumption, self-image changes, establishing a relationship with the fetus, and preparation for birth. It also discusses cultural influences on pregnancy experiences, such as dietary practices, activity levels, and birth preparations that are specific to different cultures. Understanding these psychological and cultural aspects can help both mothers and their partners during this transition to parenthood.
Many women experience some minor disorders during pregnancy.
Every system of the body may be affected during pregnancy. These disorders, however , are not minor to the pregnant woman.
Many women experience some minor disorders during pregnancy.
Every system of the body may be affected during pregnancy. These disorders, however , are not minor to the pregnant woman.
Puerperium is the period following childbirth during which the body tissues, specially the pelvic organs revert back approximately to the pre-pregnant state both anatomically and physiologically. puerperium begins as soon as the placenta is expelled and lasts for approximately 6 weeks when the uterus becomes regressed almost to the non-pregnant size.
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.
Puerperium is the period following childbirth during which the body tissues, specially the pelvic organs revert back approximately to the pre-pregnant state both anatomically and physiologically. puerperium begins as soon as the placenta is expelled and lasts for approximately 6 weeks when the uterus becomes regressed almost to the non-pregnant size.
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.
Impact of Socio-Cultural Factors and Family on Health and Disease.pptxIsaacLalrawngbawla1
This powerpoint presentation describe about family and cultural factors that impact health and health behaviours. It highlights the definition of family, types of family, functions and impact of family on the health of an individual. It also highlights the impact of cultural factors on health and health behaviour.
Mother and Baby Friendly Care: Mother friendly care during pregnancySaide OER Africa
Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: mother-friendly care in pregnancy, a modern approach to normal labour, skin-to-skin care of infants, encouraging breastfeeding, a baby-friendly nursery.
Lactation management is the science and art of assisting women and infants with breastfeeding, because the mother-infant pair is dynamically interrelated for breastfeeding, it is imperative to consider both individuals when attempting to assess and “manage” breastfeeding.
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.
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
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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
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
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.
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
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
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
2. INTRODUCTION
• Pregnancy is an experience full of growth, change,
enrichment, and challenge.
• Fears and expectations about becoming parents.
• Emotions in both mother and father.
• Pregnancy and child birth are events that touch
nearly every aspect of human experience.
• Biologic, psychological, social and culture
individual adaptations to child bearing on each of
these levels may be quite different depending on
age, health, socio-economic status and cultural
background of the women and her family.
4. AMBIVALENCE
• Most of half of the pregnancies are
unintended and unexpected
• Once the pregnancy is confirmed many
women have conflict feeling is known as
ambivalence.
• Pregnancy cause permanent life changes
for woman
• Primi mothers feel unsure of their ability
to be a good parent
• Multi para may be apprehensive about
pregnancy which will affect her
relationship with her children.
5. INTROVERSION/NARCISSISM
• Many women become increasingly concerned about
heir ability to protect and provide for the fetus.
• Undue preoccupation with oneself is narcissism
• Concentration on the self and body is introversion
• Selecting right foods to eat
• Primi mothers wonder about the infant and looks
baby pictures and eager to hear stories what they
were like as infants
• Multi paras know more about infants but they are
concerned with child's acceptance by siblings
6. ACCEPTANCE OF PREGNANCY
• Accepting the pregnancy is one of
the first changes a women must make
for a successful transition in life style.
• A woman who cannot accept the
pregnancy will find it very difficult to
accept the changes necessitated by
pregnancy, child birth and interaction
with the new born.
7. CONTD..
The areas to be assessed in acceptance of
pregnancy
•Extent to which the pregnancy was planned and wanted by the
woman and her partner.
•Amount of time the woman in happy versus depressed using
the pregnancy
•Amount of reported discomfort during pregnancy and the
woman's response to the discomfort
•Extent to which the woman accepts or rejects in her body
9. ROLE ASSUMPTION
•Assuming and adopting to the role of
mother are parts of a long term process.
•The psychological changes a woman
undergone during pregnancy that enable
her assume the maternal role actually
build a life long process of informal
socialization of learning a feminine
identify
10. SELF IMAGE AND BODY
IMAGE DURING PREGNANCY
• Psychologic change a woman undergoes during
pregnancy are self image and body image.
• Self image and body image will be different,
depending on the woman’s trimester of pregnancy.
• Three interdependent spheres of self that influence
the psychological transition to role of mother
1.the ideal self,
2.the self image, and
3.the body image
11. CONTD…
• Ideal self is composed of all the attributes,
qualities and images a person would like to
have and hope to include the self.
• Self image refers to the more reality oriented
active self, it is the self that interfaces with
real world, here and now.
• Body image during pregnancy has to do the
woman’s perception of her size, how she
moves and her own physical beauty or
ugliness.
12. MATERNAL ROLE
ATTAINMENT
• Maternal role attainment, that acquisition of the
mothering role, is described as process that begins
prenatally and ends with formation of a maternal
identify during the infants first years.
• For first time mothers, it is a process in which the
mother achieves competence in the role and
integrates the mothering behaviours in to her
established role set, so that she is comfortable with
their identify as a mother
13. THIRD TRIMESTER ADAPTATIONS
•Lack of knowledge
and preparation for
maternal role
•Establishing a
relationship with the
fetus
•Fantasy during
pregnancy
14. LACK OF KNOWLEDGE AND
PREPARATION FOR
MATERNAL ROLE
• In modern nuclear family, guidelines for parenting
are confusing and role models less apparent than in
some other family types stressors include the lack of
guidelines for successful parenting.
• Some women may feel they have trouble
concentrating or focussing on learning new material
or skills at this time
• Teaching should be clear and concise to help women
learn most easily.
15. ESTABLISHING A
RELATIONSHIP WITH THE
FETUS
• During the course of pregnancy and
the transition to a new life style and
the maternal roles a mother needs to
establish a relationship with the infant
to be.
• The relationship with fetus is through
to be the first stage in establishing a
relationship with the new-born and
then the child.
16. DREAMS/FANTACIES
DURING PREGNANCY
• Experience strange dreams about childbirth, new born
baby, and life as a new mother.
• Baby's sex and nightmares .
• Fantasy is an important factor in assumption of the
maternal role and transition in to the life style of women
and child.
• Fantasies during pregnancy allow a women to have a
“dress rehearsal” for labor and delivery and mothering
of an infant.
• Realistic fantasies of potential problems that might
occur during pregnancy and labour and delivery can
help the women prepare herself to cope with these
problems or complications, should they occur
17. CULTURAL ASPECTS IN
PREGNANCY
• DIET:-Cultures encourages the pregnant
women to maintain a diet to generally
considered a normal one for that is generally
considered a normal one for that culture.
• Food taboos are common, usually reflecting a
cultural belief that certain foods are unclean
or fears that ingesting certain food will
produce undesirable physical characteristic in
the new born.
18. CONTD…
• For example pregnant women avoid eating chicken
crab, eggs drank, rabbit and blemished fruits as
those may harm baby’s appearance some cultures
that subscribe to hot and cold theory of illness such
as the Hindus, view pregnancy as a hot state
• So cold goods such as milk and milk products sour
foods and vegetables are encouraged. Hot foods
such as chillies, ginger and animal products are
believed to cause miscarriage and fetal abnormalities
19. ACTIVITY AND REST
• Must cultures encourage a pregnant women
to maintain normal activities, excluding
strenuous works, although some encourage
more rest during pregnancy.
• Norms for sexual activity during pregnancy
are more variable ranging form no change to
strict prohibition of sexual intercourse
through the second half of pregnancy
20. CONTD….
• Postpartum period is characterized by more
restrictions on maternal activity. Most cultures
encourage a period for rest. Some as long as 40
days, during which time the mother is confined
to her home, often to her bed.
• Some cultures regard the post partum woman as
unclean and prohibit her participation in
religious activities when this is the case, there is
usually provision for a ritual cleansing for both
mother and infant at the end of the confinement
period
21. PREPARATION FOR BIRTH
• Preparations for the actual birth may include
intensive preparation of the house and actual
physical preparations of the mother through specific
exercises, religious practices or diet.
• Some cultures view preparation in advance of the
event as potentially dangerous. Advance preparation
or even referring to the fetus by name may be seen
as tempting fate and making the mother and fetus
vulnerable to evil influences.
22. CULTURAL ASSESSMENT
• Question to help the nurse understand the family belief
about appropriate care during pregnancy include..
How will you and your family prepare for the baby.
What concerns do you have about the pregnancy
What would provide the greatest assistance
Where do you obtain most health care information
What foods are encouraged or discouraged?
Who will be with you during labour and birth of the
baby?
Who will help you at home during pregnancy and after
birth?
23. CULTURAL NEGOTIATION
•Cultural negotiation also
involves sensitivity to specific
concerns.
•Eg nurses must be aware about
Islamic law governing modesty
when caring Muslim women.
24. CONCLUSION
•psychological changes that occur
during pregnancy will help both
expectant mothers and expectant
fathers to understand themselves
and their partners better.