peritoneal dialysis
Type of dialysis which uses peritoneum in a persons’s abdomen as filtration membrane
(through which fluid and dissolved substances are exchanged with the blood.)
It is used to
*Remove excess fluid
*Correct elctrolyte problems
*Remove toxins with those in kidney failures.
It has better outcome then hemodialysis during first couple of years.
Peritoneum is the serosal membrane that lines the peritoneal cavity. The peritoneum is divided into 2 portions
The visceral peritoneum >>> which lines the gut and the other visceras
The parietal peritoneum >>> which lines the walls of the abdominal cavity
Psychological Therapies
Psychoanalysis:
Strategy is to slowly uncover experiences that are repressed in the unconscious mind.
To accomplish this goal, psychoanalytic patients receive extended treatment, often four to five sessions weekly over 3 to 6 years
Brief or short-term dynamic psychotherapy:
Designed to help people deal with current life problems or crises.
It includes a lengthy first interview in which the patient is helped to quickly unlock the unconscious mind and focus on the present problem.
Interpersonal therapy :
based on the notion that psychiatric problems, specifically depression, result from difficulties in dealing with other people
BEHAVIORAL THERAPIES :
Based on learning theory (both classical & operant conditioning.)
Classical conditioning
Systematic desensitization & aversive conditioning.
Operant conditioning
Flooding and implosion, token economy, and biofeedback
peritoneal dialysis
Type of dialysis which uses peritoneum in a persons’s abdomen as filtration membrane
(through which fluid and dissolved substances are exchanged with the blood.)
It is used to
*Remove excess fluid
*Correct elctrolyte problems
*Remove toxins with those in kidney failures.
It has better outcome then hemodialysis during first couple of years.
Peritoneum is the serosal membrane that lines the peritoneal cavity. The peritoneum is divided into 2 portions
The visceral peritoneum >>> which lines the gut and the other visceras
The parietal peritoneum >>> which lines the walls of the abdominal cavity
Psychological Therapies
Psychoanalysis:
Strategy is to slowly uncover experiences that are repressed in the unconscious mind.
To accomplish this goal, psychoanalytic patients receive extended treatment, often four to five sessions weekly over 3 to 6 years
Brief or short-term dynamic psychotherapy:
Designed to help people deal with current life problems or crises.
It includes a lengthy first interview in which the patient is helped to quickly unlock the unconscious mind and focus on the present problem.
Interpersonal therapy :
based on the notion that psychiatric problems, specifically depression, result from difficulties in dealing with other people
BEHAVIORAL THERAPIES :
Based on learning theory (both classical & operant conditioning.)
Classical conditioning
Systematic desensitization & aversive conditioning.
Operant conditioning
Flooding and implosion, token economy, and biofeedback
Psychoanalytic Theory
Based on Freud’s concept that behavior is determined by forces derived from unconscious mental processes.
Psychoanalysis and related therapies are psychotherapeutic treatments based on this concept.
Topographic theory
In the topographic theory, the mind contains three levels: The
unconscious, preconscious, and conscious.
Structural theory
In the structural theory, the mind contains three parts:
The id
the ego
the superego
Early life events in behavioral sciences
prenatal life
Physical influences
exposure to infectious agents
drugs use/abuse
Psychological influences :
stress-related increase in maternal corticosteroid production, resulting in reduced fetal androgen secretion
Learning theory in behavioral sciences.
HABITUATION
In habituation (also called desensitization), repeated stimulation results in a decreased response
(e.g., a child who receives weekly allergy injections cries less and less with each injection).
SENSITIZATION
In sensitization, repeated stimulation results in an increased response.
Classical conditioning involves associating an involuntary response and a stimulus, while operant conditioning is about associating a voluntary behavior and a consequence
Aging, Death, and Bereavement in behavioral sciences
Old Age
stage of ego integrity versus despair
person either has satisfaction and pride of life accomplishments
Or feels that His/Her was wasted her.
Stages of grief
Five stages:
Denial
Anger
Bargaining
Depression
Acceptance
CNS monitoring
Standard for monitoring during anesthesia
Standard for monitoring during anesthesia
Clinician monitoring (inspection, palpation and auscultation)
Monitoring devices do not replace clinical observation!
Respiratory system monitoring (oxygenation, ventilation)
Circulatory system monitoring (BP, ECG, etc.)
Temperature monitoring
To assess the integrity of brain, brainstem, spinal cord, cranial nerves, peripheral nerves
Important during spinal surgeries, intracranial surgeries, cardiovascular surgery, otolaryngology surgeries, interventional neuroradiology surgeries
EEG
Records electrical activity in the brain
Can detect ischemia and seizure activity
Assess the impact of anesthetic agents in the brain
Pharmacology related to diabetes mellitus. Insulin & other hypoglycemic medicines.
Diabetes Mellitus type 1 & type 2
insulin dependent & non insulin dependent diabetes.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
3. Axilla (Armpit)
• Is a pyramid-shaped space between the upper
thoracic wall and the arm
• Axilla
4.
5. • The overall 3D shape of the axilla looks slightly like a pyramid. It
consists of four sides, an open apex and base:
• Apex – also known as the axillary inlet, it is formed by lateral
border of the first rib, superior border of scapula, and the posterior
border of the clavicle.
6. • Lateral wall – formed by intertubercular groove of
the humerus.
• Medial wall – consists of the serratus anterior and the thoracic
wall (ribs and intercostal muscles).
• Anterior wall – contains the pectoralis major and the
underlying pectoralis minor and the subclavius muscles.
• Posterior wall – formed by the subscapularis, teres major and
latissimus dorsi.
7.
8. contents
• Brachial plexus
• Axillary artery
• Axillary Vein
• Axillary Lymph nodes
• Axillary tail (tail of Spence) is a superolateral extension of the mammary
gland
22. COMPARTMENTS OF ARM
The upper arm is divided into an
• Anterior fascial compartment
• Posterior fascial compartment
• Each having its muscles, nerves, and arteries
39. CONTENTS OF THE POSTERIOR FASCIAL COMPARTMENT
OF UPPER ARM
• Muscle: The three heads of the triceps muscle
• Nerve supply: Radial nerve
• Blood supply: Profunda brachii and ulnar collateral arteries
• Structures passing through the compartment: Radial nerve and
ulnar nerve