During pregnancy, there are marked changes in sex hormones, the immune system, and the cardiovascular system, and this can lead to changes in the skin......
During pregnancy, there are marked changes in sex hormones, the immune system, and the cardiovascular system, and this can lead to changes in the skin......
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
complcations of third stage of labour, includes PPH, Inversion of uterus, retained placenta, placenta accreta, increta, percreta, amniotic fluid embolism
Hydatidiform Mole (HM) is a rare mass or growth that forms inside the uterus at the beginning of a pregnancy. It is a type of gestational trophoblastic disease (GTD).
When a normal sperm cell fertilizes one of these oocytes, the resulting embryo has only one set of chromosomes. Because the embryo has no genes from the mother, the pregnancy cannot develop normally, resulting in a hydatidiform mole.
This topic contains definition, incidence, varieties, causes, risk factors, dangers, diagnosis, prognosis, prevention and management of inversion of uterus.
“Difficulty encountered in the delivery of the fetal shoulders after delivery of the head.”
Shoulder dystocia is an unpredictable obstetric complication with the incidence of 0.15% to 2%.
An increase in the incidence of shoulder dystocia has been recorded over the last 20 years. Incidence appears to be increasing as birth weights increase.
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
complcations of third stage of labour, includes PPH, Inversion of uterus, retained placenta, placenta accreta, increta, percreta, amniotic fluid embolism
Hydatidiform Mole (HM) is a rare mass or growth that forms inside the uterus at the beginning of a pregnancy. It is a type of gestational trophoblastic disease (GTD).
When a normal sperm cell fertilizes one of these oocytes, the resulting embryo has only one set of chromosomes. Because the embryo has no genes from the mother, the pregnancy cannot develop normally, resulting in a hydatidiform mole.
This topic contains definition, incidence, varieties, causes, risk factors, dangers, diagnosis, prognosis, prevention and management of inversion of uterus.
“Difficulty encountered in the delivery of the fetal shoulders after delivery of the head.”
Shoulder dystocia is an unpredictable obstetric complication with the incidence of 0.15% to 2%.
An increase in the incidence of shoulder dystocia has been recorded over the last 20 years. Incidence appears to be increasing as birth weights increase.
There are several dermatoses that occur during pregnancy or immediately postpartum, in particular polymorphic eruption of pregnancy, pemphigoid gestationis, and atopic eruption of pregnancy. Pruritus due to intrahepatic cholestasis of pregnancy leads to nonspecific skin lesions, including excoriations due to scratching.
Impetigo herpetiformis simply represents pustular psoriasis occurring during pregnancy, and this may be related to the relative hypocalcemia of pregnancy. Lastly, there are physiologic changes that occur during pregnancy.
Eczema, also known as atopic dermatitis, is a serious skin problem. Once it appears, eczema can last weeks or months. Eczema usually occurs in people with a personal or family history of atopy (allergic asthma, rhinitis, conjunctivitis, or food allergies).
A simplified guide to the most common diseases with fever & rash especially in pediatrics. The data have been trimmed as much as possible and focused on spot visual diagnosis of the disease.
Pruritis in pregnancy by dr alka mukherjee dr apurva mukherjee nagpur m.s. indiaalka mukherjee
Pruritus is the leading dermatological symptom during pregnancy. Besides preexisting or acquired dermatoses, there are a number of pregnancy-specific dermatological diseases such as PEP (polymorphic eruption of pregnancy, previously named PUPPP), pemphigoid (herpes) gestationis, and pruritus gravidarum that are accompanied by severe itching and scratching. Because of potential effects on the fetus, the treatment of pruritus in pregnancy requires prudent consideration. The use of topical and systemic treatments depends on the underlying aetiology of pruritus and the stage and status of the skin. In general, emollients, topical anti-pruritics and topical corticosteroids appear to be the safest options for localised forms of pruritus in pregnancy whereas systemic treatments and/or UV phototherapy are adequate for generalized pruritus. Systemic corticosteroids and a restricted number of antihistamines may be administered in severe cases
Hormonal changes in female patients and periodontal diseasesPerio Files
Hormonal fluctuations and gingival changes in female patient occurs during Puberty, Menstruation, Pregnancy, Menopause,
Oral Contraceptives, Osteoporosis.
NEED FOR ASSESSMENT: To identify high-risk stages of female patients in prior so that preventive and treatment procedures can be tailored
During pregnancy, women undergo certain hormonal and physiological changes that can affect their mouths.
EFFECT OF PREGNANCY ON PERIODONTAL TISSUES
PREGNANCY GINGIVITIS
EFFECT OF PERIODONTITIS ON PREGNANCY
PRETERM LOW BIRTH WEIGHT (PLBW) INFANTS
PREECLAMPSIA
pruritus/itching of pregnancy , its epidemiology , types and pathogenesis along with management .
References are from fitzpatrick synopsis of dermatology & other sources ( references kept along with slide)
MR. MOHAMMAD TALAL AL JOHANY
RESPIRATORY THERAPIST
Meqaat Hospital Madina
POST TEST
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OVID-19 Management experience
What we learned from bedside experience in COVID-19 treatment
Dr. Essam A. Salem, ICU Registrar, Meeqat GENERAL.HOSPITAL, Head OF ICU Unit Meeqat General Hospital
Hassan Mohamed Ali
Associate professor of anesthesia and pain management, Anesthesia department, Cairo University.
MB.B.ch, M Sc, M.D, FCAI, DESA
Meeqat General Hospital, Madinah Munawarah
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
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Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
3. SKIN CHANGES AND
DERMATOSES OF
PREGNANCY
Dr. HUSSEIN ABOUL FOTOUH
Dermatologist
Al Meeqat General Hospital
Almadina Almunawara
4.
5. During pregnancy immunologic endocrine
metabolic and vascular changes occur that
make the pregnant woman susceptible to skin
changes both physiologic and pathologic.
They are
A-Physiologic skin changes
B-Dermatoses aggravated by pregnancy
C-Dermatoses of pregnancy
6.
7. Physiologic skin changes
Caused by the hormonal changes of
pregnancy
1-Pigmentary changes
(usually regress postpartum)
-Diffuse hyperpigmentation(90% with
accentuation of normally hyperpigmented
areas e.g. areolae axillae linea alba
-Melasma(70% of pregnant)
-Darkening of nevi
-Pigmentation of axillae and inner thighs
8.
9. 2-Hair changes (hirsutism postpartum
telogen effluvium postpartum male pattern
alopecia)
3-Nail changes (subungual hyperkeratosis
distal onycholysis transverse grooving and
brittleness)
4-Glandular
-Increased eccrine activity (hyperhidrosis
miliaria and dyshidrotic eczema)
-Decreased apocrine activity )(hidradenitis
suppurativa)
-Increased sebaceous activity (exacerbation
of AV enlarged Montgomery follicles of
areolae)
5-Striae distensae or atrophicae
10.
11.
12.
13.
14.
15.
16.
17. Vascular(spider nevi palmar erythema-6
nonpitting facial edema varicosities
(dermographism and haemorrhoides
Gingival hyperemia and gingivitis-7
Prurigo gravidarum due to functional-8
hepatic disturbance induced by estrogens
18.
19.
20.
21.
22.
23. Dermatoses aggravated by pregnancy
1-Infections ( severe seborrhoeic dermatitis or orovulval
candidiasis should raise suspicion of HIV during pregnancy)
-Viral (H. simplex- condyloma accuminata ( cs is
indicated for both)- varicella zoster)
-Bacterial (leprosy)- protozoan (trichomoniasis)
-Fungal (Candida -pityrosporum folliculitis)
.AIDS pregnancy accelerates the development of
AIDS in an asymptomatic HIV +ve patient.
2-Inflammatory disorders
-Atopic dermatitis–acne vulgaris –Hidradenitis
suppurativa –Chronic plaque psoriasis –Fox
fordyce disease (all may improve) -urticaria
32. DERMATOSES OF PREGNANCY(6)
1-Intrahepatic cholestasis of pregnancy (ICP)
2-Impetigo herpetiformis (IH)
3-Herpes gestationis (HG)
4-Pruritic urticarial papules and plaques of
pregnancy (PUPPP)
5-Prurigo of pregnancy (PP)
6-Pruritic folliculitis of pregnancy (PFP)
33. Intrahepatic cholestasis of pregnancy
It is seen in the third trimester ( unlike physiologic
prurigo gravidarum which occurs in the first
trimester) . It is characterized by
-Elevated liver function tests and serum bile acids
-Generalized pruritus ( high bile salts) and
excoriations (without primary skin lesions) with jaundice in
50% of cases that resolves after delivery
-Malabsorption of fat with weight loss vitamin k
deficiency------- IU Hge
-Increased fetal distress and stillbirths
-50% recurrence with subsequent pregnancies
TTT emollients cholestyramin UVB evening primrose
oil.
34. (IMPETIGO HERPETIFORMIS(IH
A variant of pustular psoriasis( histopathologically)
characterized by widespread sheets of
erythema with pustular margin starting
in flexures sparing face hands and feet there is
fever diarrhea and vomiting.
-It starts usually in the third trimester and resolves
postpartum but may recur with subsequent
pregnancies
-associated with hypocalcaemia high ESR and
leukocytosis.
TTT prednisolone 40 mg daily calcium and
termanination is indicated (stillbirth and placental
insufficiency).
35.
36. Herpes gestationis (HG( an autoimmune bullous
:disorder closely related to Bullous pemphigoid .Onset
-second or third trimester .Recurrence is common
with subsequent pregnancies and oral contraceptives
-Intensely pruritic erythematous plaques on the
abdomen periumblical----------generalized bullous
eruption sparing face mucous membranes palms and
soles
-Histopathology subepidermal separation basal cell
necrosis eosinophilic spongiosis.
Direct Immuno Fluorescence shows linear c3 and IgG
at BMZ
HG factor is a circulating IgG Ab. that binds toAg2 in
BMZ the same antigen is found in the placenta.It
stimulates complement pathway----c3 deposition at
BMZ---chemotaxis of eosinophils----proteolytic
enzymes-----dermoepidermal separation
37. TTT mild cases potent topical steroids
and systemic antihistamines
-prednisone 20—40mg daily
-Plasmapheresis
NB Avoid dapsone-----neonatal
hemolysis and avoid oral
contraception-------HG recurrences
38.
39.
40.
41.
42. PRURITIC URTICARIAL PAPULES AND PLAQUES OF
PREGNANCY (PUPPP( SYN. POLYMORPHIC ERUPTION
OF PREGNANCY
The most common 1to 300 preg.
-occurs in primigravidas in the third
trimester and does not usually recur in
subsequent pregnancies.
-severely pruritic polymorphous eruptions
(urticarial-papules-plaques-and erythema
multiforme like lesions) usually begin in the
striae on the abdomen and spreading
peripherally .The face palms and soles are
commonly spared.It resolves after delivery.
-HISTOPATHOLOGY mild spongiosis and superficial
perivascular inflammatory cell infiltrate with many
43. Pathogenesis
Rapid abdominal distention in primigravidas in
third trimester may cause damage to
connective tissue in the striae and trigger the
.inflammatory response to PUPPP
.It is harmless to the fetus and mother-
TTT Antihistamines – short course of oral
prednisone –topical steroids and antipruritics-
UVB therapy
44.
45.
46.
47. PRURIGO OF PREGNANCY (PP)
-Onset 2nd or 3rd trimester with no recurrence with
subsequent pregnancy.
-Clinically pruritic papules or nodules on extensors of
limbs or abdomen (similar to nodular prurigo) as
there may be an atopic background. No
complications.
-TTT topical steroids – antihistamines – resolution
-----weeks after pregnancy
48.
49. PRURITIC FOLLICULITIS OF PREGNANCY(PFP)
-Onset 2nd or 3rd trimester with no recurrence with
subsequent pregnancy.
-Clinically similar to steroid acne (pruritic
erythematous follicular papules on limbs and
abdomen).
-No complications
-TTT Topical steroids – Resolution is postpartum