Hysterosalpingography (HSG) is a contrast study used to examine the uterus and fallopian tubes. It can be used to evaluate infertility, recurrent abortion, or monitor the effects of tubal surgery. Contraindications include acute infection, renal/cardiac disease, sensitivity to contrast, recent procedures, pregnancy, or timing around the menstrual cycle. Complications may include pain, intravasation, or exacerbation of infection. HSG can detect congenital uterine anomalies or fibroids. Abnormalities of the fallopian tubes like hydrosalpinx or tuberculosis may also be seen. Ultrasound is widely used in obstetrics to evaluate the fetus and placenta throughout pregnancy.
In this presentation we will discuss
First trimester US especially TVS is an integral part for confirmation of intrauterine pregnancy and to rule out ectopic pregnancy.
First trimester US helps us in suggesting conceptus viability.
First trimester US especially TVS is very efficient in approaching and evaluating the cause of vaginal bleeding.
Obstetric ultrasound uses sound waves to produce pictures of a baby (embryo or fetus) within a pregnant woman, as well as the mother's uterus and ovaries. It does not use ionizing radiation, has no known harmful effects, and is the preferred method for monitoring pregnant women and their unborn babies.
Breast mass is a major concern. Aim of this study is to understand the tissue character of any breast mass, if it is solid then to decide about further strategy for regular follow up and or biopsy
In this presentation we will discuss
First trimester US especially TVS is an integral part for confirmation of intrauterine pregnancy and to rule out ectopic pregnancy.
First trimester US helps us in suggesting conceptus viability.
First trimester US especially TVS is very efficient in approaching and evaluating the cause of vaginal bleeding.
Obstetric ultrasound uses sound waves to produce pictures of a baby (embryo or fetus) within a pregnant woman, as well as the mother's uterus and ovaries. It does not use ionizing radiation, has no known harmful effects, and is the preferred method for monitoring pregnant women and their unborn babies.
Breast mass is a major concern. Aim of this study is to understand the tissue character of any breast mass, if it is solid then to decide about further strategy for regular follow up and or biopsy
A presentation about Intravenous Urography (Also known as Intravenous Pyeography).
The presentation contains 41 slides, and is divided into 4 parts :
1 - Introduction.
2 - The procedure.
3 - Examples for abnormal findings.
4 - Studies comparing IVU accuracy with KUB & USG with CT Scan.
This presentation was prepared and presented by me in the tutorials of the Radiology Department of Sebha Medical Center.
Sonosalpingography. Dr. Sharda Jain, Dr. Jyoti Agarwal Lifecare Centre
Evaluation of fallopian tubes forms an essential part of evaluation
Tubal pathology is a cause of infertility in 30- 35% of infertile patients
Tubal Assessment
Fallopian tubes can be assessed by:
Hysterosalpingography
Hysterosalpingo-contrast-sonography (HycoSy)
Sonosalpingography
Laparoscopy & CHROMOTUBATION
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!
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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 Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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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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
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
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.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
4. obstetrics' US in pregnant women T-abdominal. T-vaginal X-Ray ( Radiation Hazards ) . US in first trimester GS CRL is the longest fetal length within the GS .( this reliable method of dating from 7th Wks till 12th Wks. , Nuchal translucency US in the second & thited trimester Fetal maturity can be assessed by measuring the BPD & FL . Accurate dating based on BPD carried out before 24 – 26 Wks .After 24 -25 Ws the best neasurment of head size is head circomferance . Cerebral ventricles should be measured ,to exclude hydrocephalouas At 18 – 20 Wks of gestation the fetus is well formed and this is an approperiate time to obtain an accurate biparital diameter to estimate fetal maturation & also this is a sutable time to examin the fetus for fetal anomalies , so enabiling for medical abortion if fetal abnormlity is seen . Accurate dating is very important in late pregnancy for the obstatrician to know if induction of the labour or ceasarian section is necessory Obtaining sereal BPD & HC for fetal head growth , how ever the growth restriction may be manifestated first by lack of fetal body growth this estemated by maesuring the abd circomferanc . Sex of the fetus ( for those where there is risk of sex – linked inherited disease ) .
11. The Placenta Is usually evaluated at 9th Wks , as it mature it undergoes successive changes which is of no significance. Hemorrhage from placenta praevia ,the condition in which the placenta encroaches on the lower uterine segment,is a common cause of bleeding in the third trimester, occurring in about 0,5 %, sonography permits accurate delination of the placental position & its relation ship to the presenting part of the fetus . During the second trimester 1/3 – 1/2 of all placentas are low laying.thus raising the question of placenta praevia thus followed through the term the majority of these do not turn out to be true placenta praevia, because of diffirential growth rate of the uterus . The diagnosis of marginal placenta praevia befot 36th Ws should be confirmed with repeat the scan befor delivary . . Abruptio placenta ( accidental hemorrhage ) occur in 1 – 2 % of pregnancies .the majority of cases presented with vag bleeding but some are concealed . US show collection of blood separating the amniotic membrain from the uterine surface ,and also retromembranous hemorrahge can be diagnosed .
12. Large for date Causes 1- Mistake in calculating the date of conception . 2- Multiple pregnancy ( fetal abnormality is more frequent in in multiple pregnancy ) . 3- Trophoblastic disease : is spectrum of pathology ranging from benign hydatidiform mole to a malignant choriocarcinoma, Enlarged uterus filled with multiple vesicular ( cystic ) structure & in most cases no fetal parts . Rarely invasion of myometerium seen, but very rarely trophoblastic disease exist with a living pregnancy . . Benign and malignant form are indistinguishable by US In about 1/3 of cases multilocular cysts called theca lutein cysts may be identified, due to high out put of FSH.
13. Large for date 4 – uterine tumours in about 1% of cases The most common is fibroid, enlarged under the hormonal influnces, location of fibroid . Rarely undergoes cystic degeneration. Ovarian tumours usually corpus luteum cyst, thin wall . 5 - Polyhydramniosmay associated with : A -- Maternal abnormalities as in diabetes . B -- Fetal abnormality due to a- neural tube defect.due to production of CSF. b- obstruction of alimentary tract. Due to impaired circulation of swallowed amniotic fluid . C – poly occurs with normal multiple pregnancy .
14. Small for date Due to error in calculating the age from the menstrual history . Growth restriction : can be divided in to tow groups 1- Symmetrical in early pregnancy & it is associated with genetic factors & early IU infections . 2- Asymmetrical in late pregnancy affect fetal body before brain . Asymmetrical growth restriction occurs in third trimester & is associated with placental insufficiency either due to a – primary placental diseases . b - Maternal causes ( hypertension , diabetes ). Standarts are available for head circumference & body circumference in order that the fetal growth may be assessed. Fetal monitoringDoppler US of the unbilical artery enables the blood flow in the umbillical artery to be studied, in a normal preg placental resistance is low and a large portion of fetal cardiac out put flows through the placenta. There is therefor a high diastolic flow show by the flow velocity waveform in the umbilical artery .
15.
16. Type III. Reverse Blood Flow During DiastoleWhen the resistance in the placenta increases further, absent diastolic flow becomes reverse diastolic flow in which the Doppler waveform is observed to be below the baseline. When the fetus develops this type of abnormality, intense surveillance is required if the fetus is less than 32 to 34 weeks and delivery if it is greater than 32 to 34 weeks. The surveillance that is currently recommended is evaluation of the ductus venosus and/or inferior vena cava, in addition to traditional antepartum testing. The following illustrates reverse diastolic flow during diastole (blue circle). When this occurs there is abnormal resistance in the placenta which results in a marked decrease in blood flow from the fetus to the placenta.
17. Fetal abnormality Early detection of fetal abnormality help us for appropriate management . The commonest abnormality is neural tube defects particularly spina bifida & anencephaly both identified by 18 ws, these may associated with elevated serum and amniotic alpha fetoprotien levels ,sever cases may associated with meningocele or meningomyelocele .these may associated with polyhydramnios & since polyhydramnios is due to fetal anomaly in 20%. Tumours associated with spine can be diagnosed the most common is teratoma. & may contain calcification. Most of fetal abnormality can identified in utero .
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20. Fetal abnormality Head hydroceplalus frequently associated with spina bifida. The fetal ventricles . .Cyst of choroid plexus.Anencephaly may be diagnosed after 12 ws Chest : Pulmonary hypoplasia . Congenital diaphragmatic hernia . Heart the four-chamber view is the most rialable view. GIT : Duodenal atresia . Omphalocele & gastroschiasis . Urinary tract : the kidneys contribute significantly to the amniotic fluid volium . The presence of profound oligohydramnios although most frequently due to premature rupture of the membranes, should raise the possibility of the renal abnormality . Renal agenisis. ,the comonest are congenital hydronephrosis and dysplastic, multicystic kidney. Chronic bladder out let obstruction . Skeleton , dwarfism .the lethal form are usally associated with polyh
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27. Us for karyotyping Three main techniques & all require US to guide the needle to required position . 1 – chorion villus sampling which carried out between 10th – 14th Wks sample from placenta . 2 – Amniocentesis carried out at 16th Wks in order to a – analysis for chromosomal abnormality & b – for alpha fetoprotein level . 3 – cordocentesis .puncturing the umbilical vein. Amniocentesis is the simplest method but it may take up two Wks for karyotyping . While villus sampling & cordocentesis the results may be available within two to three days .
28. Obstatrices Fetal death . A blighted ovum. Ectopic pregnancy : patient present with acute abdominal pain & pregnancy + Ve with absent IU GS. US appear as Complex adnexal mass No GS in utero. Free fluid in pouch of Douglas . DD Pelvic inflammatory diseases . Ruptured adnexal cyst . Various neoplasm . Perperium . RPOC Abdominal problem in pregnancy ( Doppler US for suspect venous thrombosis .). For detection of IUCD .