www.kiranivfgenetic.com
Dr.Samit Sekhar : The Birth of a child brings in cheers and attaining parenthood is the dream of every couple as it is an eternally rewarding experience.
This document provides information about content words, function words, adverbs, and pronouns in English. It defines content words as words that contain a strong syllable and carry meaning, giving "very" and "very carefully" as examples. It classifies English adverbs into categories of manner, place, time, frequency, order, degree, and certainty. It defines function words as words with little lexical meaning that serve grammatical purposes, such as indicating structural relationships. It provides examples of different types of pronouns in English like personal pronouns, accusative pronouns, possessive pronouns, reflexive pronouns, indefinite pronouns, and relative pronouns. It also discusses how personal
Este documento trata sobre la elaboración de materiales multimedia. Explica que estos materiales incluyen programas y herramientas para crear audio, video, hipertextos y gráficos. Menciona algunos tipos como CD-ROM, redes de transmisión de datos y formatos de video como VGA, JPG, MP4 y VLC. Finalmente, analiza los pros y contras del uso de materiales multimedia en la educación.
The document provides results from the IDFPA Inter Varsities 2013 weightlifting competition. It lists 27 competitors, their school, weight class and results across 3 lifts (snatch, clean and jerk, and total) in kilograms. The top male and female lifters were Eoin O'Leary from CIT and Lisa Moran from CIT, with totals of 560kg and 197.5kg respectively.
Kursus desain grafis - mengenal perbedaan resolusi dan pixel dalam sebuah desainRenra Sedoya
Dokumen ini menjelaskan perbedaan antara resolusi dan pixel dalam desain. Pixel adalah unit terkecil yang membentuk gambar, sementara resolusi mengukur kerapatan pixel per inci yang menentukan detail gambar. Semakin tinggi resolusi berarti semakin banyak pixel per inci dan gambar akan terlihat lebih jelas. Resolusi yang umum digunakan antara lain 300 dpi untuk cetak, 100-150 dpi untuk outdoor/indoor, dan 72 dpi untuk web.
La creatividad es sinónimo de éxito y está dentro de todos nosotros, expresándose a través de ideas y emociones. La inspiración puede provenir de la naturaleza, la música u otras fuentes, y al descubrirla comenzaremos a crear y desarrollar nuestro potencial. Algunas técnicas para fomentar la creatividad incluyen la asociación de ideas, buscar inspiración en la naturaleza, rodearse de personas positivas y dejar fluir los pensamientos de forma casual.
El documento describe las características y capacidades de la cámara de un teléfono LG Optimus L7 II. Incluye detalles sobre la resolución, autofocus, flash LED, geotagging y más. Luego presenta una serie de fotos tomadas con diferentes configuraciones de exposición, balance de blancos, resolución, ISO, modos de escena, zoom y efectos para demostrar las capacidades de la cámara.
La carta rechaza al solicitante para la posición actual pero mantiene su currículum en la base de datos de la empresa en caso de que surja una vacante adecuada en el futuro.
This document provides information about content words, function words, adverbs, and pronouns in English. It defines content words as words that contain a strong syllable and carry meaning, giving "very" and "very carefully" as examples. It classifies English adverbs into categories of manner, place, time, frequency, order, degree, and certainty. It defines function words as words with little lexical meaning that serve grammatical purposes, such as indicating structural relationships. It provides examples of different types of pronouns in English like personal pronouns, accusative pronouns, possessive pronouns, reflexive pronouns, indefinite pronouns, and relative pronouns. It also discusses how personal
Este documento trata sobre la elaboración de materiales multimedia. Explica que estos materiales incluyen programas y herramientas para crear audio, video, hipertextos y gráficos. Menciona algunos tipos como CD-ROM, redes de transmisión de datos y formatos de video como VGA, JPG, MP4 y VLC. Finalmente, analiza los pros y contras del uso de materiales multimedia en la educación.
The document provides results from the IDFPA Inter Varsities 2013 weightlifting competition. It lists 27 competitors, their school, weight class and results across 3 lifts (snatch, clean and jerk, and total) in kilograms. The top male and female lifters were Eoin O'Leary from CIT and Lisa Moran from CIT, with totals of 560kg and 197.5kg respectively.
Kursus desain grafis - mengenal perbedaan resolusi dan pixel dalam sebuah desainRenra Sedoya
Dokumen ini menjelaskan perbedaan antara resolusi dan pixel dalam desain. Pixel adalah unit terkecil yang membentuk gambar, sementara resolusi mengukur kerapatan pixel per inci yang menentukan detail gambar. Semakin tinggi resolusi berarti semakin banyak pixel per inci dan gambar akan terlihat lebih jelas. Resolusi yang umum digunakan antara lain 300 dpi untuk cetak, 100-150 dpi untuk outdoor/indoor, dan 72 dpi untuk web.
La creatividad es sinónimo de éxito y está dentro de todos nosotros, expresándose a través de ideas y emociones. La inspiración puede provenir de la naturaleza, la música u otras fuentes, y al descubrirla comenzaremos a crear y desarrollar nuestro potencial. Algunas técnicas para fomentar la creatividad incluyen la asociación de ideas, buscar inspiración en la naturaleza, rodearse de personas positivas y dejar fluir los pensamientos de forma casual.
El documento describe las características y capacidades de la cámara de un teléfono LG Optimus L7 II. Incluye detalles sobre la resolución, autofocus, flash LED, geotagging y más. Luego presenta una serie de fotos tomadas con diferentes configuraciones de exposición, balance de blancos, resolución, ISO, modos de escena, zoom y efectos para demostrar las capacidades de la cámara.
La carta rechaza al solicitante para la posición actual pero mantiene su currículum en la base de datos de la empresa en caso de que surja una vacante adecuada en el futuro.
El documento habla sobre dos sistemas operativos basados en Linux: Linux Mint y Ubuntu. Linux Mint se compone de paquetes de software distribuidos bajo licencias de software libre como la GPL, que permite a los usuarios ejecutar, copiar, distribuir, estudiar, cambiar, desarrollar y mejorar el software. Ubuntu es un sistema operativo basado en Linux que se distribuye gratuitamente e incluye su propio entorno de escritorio Unity, cuyo nombre proviene de la ética ubuntu sobre la existencia de uno mismo a través de la cooperación con los
O documento apresenta uma palestra sobre imagers da Motorola Solutions, incluindo seu portfólio de leitores de código de barras, como funcionam os imagers, aplicações e benefícios, além de ferramentas de suporte como o 123Scan2.
This document provides an overview of the US state of Alabama. It details that Alabama's capital is Montgomery, it has a population of over 4 million people and covers an area of 52,423 square miles. The document outlines Alabama's history, nickname, major cities, famous residents, tourist attractions, natural resources, climate and major industries which include agriculture, mining and steelmaking.
This document discusses the implementation of low power integrators and differentiators using memristors. It first provides background on memristors and describes the linear ion drift model used to model memristor behavior. It then shows circuit diagrams for traditional op-amp-based integrators and differentiators and their memristor-based counterparts. Transient analyses are performed and results show the memristor-based circuits provide significantly lower power dissipation in the nano-Watt range compared to milli-Watt ranges for traditional designs. Therefore, memristors allow for more compact and reliable analog circuit implementation with reduced power consumption.
El documento describe varias estrategias y herramientas para mejorar la competitividad del departamento de Caquetá en Colombia, incluyendo la promoción de sectores como el lácteo, la formalización empresarial, el fomento a la innovación, el desarrollo de encadenamientos productivos, y la articulación entre el gobierno, el sector privado y la academia. También identifica oportunidades de exportación para los productos de Caquetá en mercados como Perú, Alemania, Reino Unido, Canadá, México, Chile y otros.
El documento describe los aspectos fundamentales de la gestión de proyectos, incluyendo las fases, duración, entornos, roles de los responsables, y las características y funciones de la oficina de gestión de proyectos.
Kursus desain grafis - mengetahui ukuran cetak fotoRenra Sedoya
Dokumen ini memberikan informasi tentang ukuran-ukuran yang digunakan dalam percetakan foto. Terdapat berbagai kode ukuran seperti 2R, 4R, 10R, dan 10R Plus yang masing-masing memiliki ukuran dalam centimeter dan inci. Dokumen ini juga menyediakan tabel yang menjelaskan konversi antara ukuran dalam centimeter dan inci untuk berbagai kode ukuran cetakan foto.
Dokumen berisi 7 soal matematika tentang peluang dan kombinatorika. Soal-soal tersebut meminta menghitung jumlah bilangan, formasi, cara duduk, penjabaran bentuk aljabar, dan peluang terjadinya suatu peristiwa.
This document discusses the meaning and importance of God's faithfulness. It begins by asking the reader if they are faithful to God, their family, others, their ministry, and church. It then provides several Bible verses demonstrating that God is faithful, including that He will not abandon His people. The document argues that God is faithful to maintain His glory, truthfulness, and reputation. It explains that God faithfully keeps His covenants and shows mercy to those who love and obey Him. In conclusion, it encourages readers to commit to being faithful in all things, with the promise that if they do, God will bless them as He promised He would bless the Israelites.
Solving equations with multiplication and division webbweldon
The document provides instruction on solving one-step and two-step equations with integers. It includes examples of solving equations using properties of equality and the order of operations. Students are guided through solving equations by combining like terms, then undoing addition/subtraction and multiplication/division to isolate the variable. The document emphasizes key concepts and steps for solving different types of equations.
A revelação geral de Deus por meio da criação é insuficiente para salvar o homem, sendo necessária a revelação especial de Deus por meio da Bíblia. A Bíblia é composta de 66 livros escritos por 40 autores humanos ao longo de 2.000 anos, sob inspiração divina, e é a única regra de fé e prática para os cristãos.
The document discusses rapid performance testing (RPT), an approach to respond to a specific performance-related question within 4 hours using minimal resources. RPT follows a conceptual approach of receiving the question, generating a test coverage outline, transforming it into a rapid strategy, executing the strategy, analyzing results, and reporting. The goal of RPT is to answer the question, provide a partial answer, or identify better questions to address the underlying concern within a short time box.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
El documento habla sobre dos sistemas operativos basados en Linux: Linux Mint y Ubuntu. Linux Mint se compone de paquetes de software distribuidos bajo licencias de software libre como la GPL, que permite a los usuarios ejecutar, copiar, distribuir, estudiar, cambiar, desarrollar y mejorar el software. Ubuntu es un sistema operativo basado en Linux que se distribuye gratuitamente e incluye su propio entorno de escritorio Unity, cuyo nombre proviene de la ética ubuntu sobre la existencia de uno mismo a través de la cooperación con los
O documento apresenta uma palestra sobre imagers da Motorola Solutions, incluindo seu portfólio de leitores de código de barras, como funcionam os imagers, aplicações e benefícios, além de ferramentas de suporte como o 123Scan2.
This document provides an overview of the US state of Alabama. It details that Alabama's capital is Montgomery, it has a population of over 4 million people and covers an area of 52,423 square miles. The document outlines Alabama's history, nickname, major cities, famous residents, tourist attractions, natural resources, climate and major industries which include agriculture, mining and steelmaking.
This document discusses the implementation of low power integrators and differentiators using memristors. It first provides background on memristors and describes the linear ion drift model used to model memristor behavior. It then shows circuit diagrams for traditional op-amp-based integrators and differentiators and their memristor-based counterparts. Transient analyses are performed and results show the memristor-based circuits provide significantly lower power dissipation in the nano-Watt range compared to milli-Watt ranges for traditional designs. Therefore, memristors allow for more compact and reliable analog circuit implementation with reduced power consumption.
El documento describe varias estrategias y herramientas para mejorar la competitividad del departamento de Caquetá en Colombia, incluyendo la promoción de sectores como el lácteo, la formalización empresarial, el fomento a la innovación, el desarrollo de encadenamientos productivos, y la articulación entre el gobierno, el sector privado y la academia. También identifica oportunidades de exportación para los productos de Caquetá en mercados como Perú, Alemania, Reino Unido, Canadá, México, Chile y otros.
El documento describe los aspectos fundamentales de la gestión de proyectos, incluyendo las fases, duración, entornos, roles de los responsables, y las características y funciones de la oficina de gestión de proyectos.
Kursus desain grafis - mengetahui ukuran cetak fotoRenra Sedoya
Dokumen ini memberikan informasi tentang ukuran-ukuran yang digunakan dalam percetakan foto. Terdapat berbagai kode ukuran seperti 2R, 4R, 10R, dan 10R Plus yang masing-masing memiliki ukuran dalam centimeter dan inci. Dokumen ini juga menyediakan tabel yang menjelaskan konversi antara ukuran dalam centimeter dan inci untuk berbagai kode ukuran cetakan foto.
Dokumen berisi 7 soal matematika tentang peluang dan kombinatorika. Soal-soal tersebut meminta menghitung jumlah bilangan, formasi, cara duduk, penjabaran bentuk aljabar, dan peluang terjadinya suatu peristiwa.
This document discusses the meaning and importance of God's faithfulness. It begins by asking the reader if they are faithful to God, their family, others, their ministry, and church. It then provides several Bible verses demonstrating that God is faithful, including that He will not abandon His people. The document argues that God is faithful to maintain His glory, truthfulness, and reputation. It explains that God faithfully keeps His covenants and shows mercy to those who love and obey Him. In conclusion, it encourages readers to commit to being faithful in all things, with the promise that if they do, God will bless them as He promised He would bless the Israelites.
Solving equations with multiplication and division webbweldon
The document provides instruction on solving one-step and two-step equations with integers. It includes examples of solving equations using properties of equality and the order of operations. Students are guided through solving equations by combining like terms, then undoing addition/subtraction and multiplication/division to isolate the variable. The document emphasizes key concepts and steps for solving different types of equations.
A revelação geral de Deus por meio da criação é insuficiente para salvar o homem, sendo necessária a revelação especial de Deus por meio da Bíblia. A Bíblia é composta de 66 livros escritos por 40 autores humanos ao longo de 2.000 anos, sob inspiração divina, e é a única regra de fé e prática para os cristãos.
The document discusses rapid performance testing (RPT), an approach to respond to a specific performance-related question within 4 hours using minimal resources. RPT follows a conceptual approach of receiving the question, generating a test coverage outline, transforming it into a rapid strategy, executing the strategy, analyzing results, and reporting. The goal of RPT is to answer the question, provide a partial answer, or identify better questions to address the underlying concern within a short time box.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- 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
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...Donc Test
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
2. BIRTH OF CHILD
The Birth of a child brings in cheers and attaining
parenthood is the dream of every couple as it is
an eternally rewarding experience.
The medical science has grown in such huge
proportion over the years that infertility
treatment has moved forward rapidly.
Some forms of infertility that were considered as
untreatable in the past have now simple and
successful solutions in this age of medical
technology
www.kiranivfgenetic.com
3. ROLE OF FERTILITY CLINICS
The role played by fertility clinics and centers
in India is commendable as these centers are
helping couples in fulfilling their dreams of
parenthood.
www.kiranivfgenetic.com
4. FERTILITY CLINICS
The establishment of fertility clinics or
surrogacy centers has led to an increase in
huge number of tourists coming to India as
patients and their relatives who come for
surrogacy/IVF is contributing to the economy
by helping tourism industry directly and
indirectly.
The fertility industry in India has grown
rapidly due to these fertility centers with
more and more couples preferring surrogacy.
www.kiranivfgenetic.com
5. ART(ASSISTED REPRODUCTIVE
TREATMENT)
The Assisted ReproductiveTreatment or ART
clinics popularly known as fertility centers are
chugging along on the good intentions of
everyone one involved such as surrogate
mothers, fertility experts and intending
parents.
www.kiranivfgenetic.com