Twitter for Advanced Beginners. Moving from occassionally tweeting to tweeting regularly. Targeted at professionals in medical education and clinical care. MDs, MD-PhDs, MPH and other healthcare professionals. Follow us @EinsteinMed and on our blog www.thedoctorstablet.com
Twitter for Advanced Beginners. Moving from occassionally tweeting to tweeting regularly. Targeted at professionals in medical education and clinical care. MDs, MD-PhDs, MPH and other healthcare professionals. Follow us @EinsteinMed and on our blog www.thedoctorstablet.com
Individualisation, A Medico Social and Psychological Approachijtsrd
The Earth! 4th planet of the solar system and suppose to be only planet that supports lives which makes it the most unique and separate from rest of the planet but that doesn't mean other planet are less. Every planet has its own unique character that makes it different. Exactly in a same way we are 7.6 billion i.e 7,600,000,000 people heads breathing, walking, talking, working in the Earth, just like those nine planets with there on uniqueness we are humans with our own complex body mechanism and functions. No doubt we all belong to same species but we too differ in our genetic makeup, response, appearance, emotion, expressions, voice, culture, traditions, response to diseases, fingerprints, our cuisine, personality trait, rituals, dressing, habits, hobbies, mental ability etcetera. So the question here is why there is same medical technology, medical approach, and same medical protocol for every human being We will totally agree with the fact that we all are different in one way or the other and our body needs and demands vary from person to person still there no change in the treatment procedures. As we are advancing with our lifestyle so as the diseases, and our approaches are making those causative agents more and more resistance which is helping to adapt with the new environment. This brings the need of individualising the technology to every extent possible using the medico social and psychological approach. So that we'll be able eradicate not just the symptoms but the disease in whole. Swastika Subba | Dr. Sinchan Das "Individualisation, A Medico-Social and Psychological Approach" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26359.pdfPaper URL: https://www.ijtsrd.com/humanities-and-the-arts/sociology/26359/individualisation-a-medico-social-and-psychological-approach/swastika-subba
A slideshow by Deborah Olenev CCH RSHom (NA) comparing the Western Medicine therapeutic model and ideologies with the Homeopathic perspective on healing and the influence on the COVID19 response. Links to resources are given.
Individualisation, A Medico Social and Psychological Approachijtsrd
The Earth! 4th planet of the solar system and suppose to be only planet that supports lives which makes it the most unique and separate from rest of the planet but that doesn't mean other planet are less. Every planet has its own unique character that makes it different. Exactly in a same way we are 7.6 billion i.e 7,600,000,000 people heads breathing, walking, talking, working in the Earth, just like those nine planets with there on uniqueness we are humans with our own complex body mechanism and functions. No doubt we all belong to same species but we too differ in our genetic makeup, response, appearance, emotion, expressions, voice, culture, traditions, response to diseases, fingerprints, our cuisine, personality trait, rituals, dressing, habits, hobbies, mental ability etcetera. So the question here is why there is same medical technology, medical approach, and same medical protocol for every human being We will totally agree with the fact that we all are different in one way or the other and our body needs and demands vary from person to person still there no change in the treatment procedures. As we are advancing with our lifestyle so as the diseases, and our approaches are making those causative agents more and more resistance which is helping to adapt with the new environment. This brings the need of individualising the technology to every extent possible using the medico social and psychological approach. So that we'll be able eradicate not just the symptoms but the disease in whole. Swastika Subba | Dr. Sinchan Das "Individualisation, A Medico-Social and Psychological Approach" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26359.pdfPaper URL: https://www.ijtsrd.com/humanities-and-the-arts/sociology/26359/individualisation-a-medico-social-and-psychological-approach/swastika-subba
A slideshow by Deborah Olenev CCH RSHom (NA) comparing the Western Medicine therapeutic model and ideologies with the Homeopathic perspective on healing and the influence on the COVID19 response. Links to resources are given.
Similar to SUPERBUGS - WHAT EVERYBODY SHOULD KNOW? Sruthi Suresh Kumar, 2nd MBBS student (11)
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.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
SUPERBUGS - WHAT EVERYBODY SHOULD KNOW? Sruthi Suresh Kumar, 2nd MBBS student
1. SUPERBUGS - WHAT EVERYBODY SHOULD KNOW?
Sruthi Suresh Kumar, 2nd MBBS student
Sree Gokulam medical college and research foundation, Trivandrum
Mentor and guidance of Dr. Ashish Jitendranath MD Associate professor
“The thoughtless person playing with penicillin treatment is morally responsible
for the death of the man who succumbs to infection with the penicillin-resistant
organism.”, Alexander Fleming, 1945.
Isn’t it fascinating that the very man who discovered antibiotics predicted the
destruction of mankind by the development of antibiotic-resistant organism
more than 70 years ago? So, what we have under the spotlight, Ladies and
Gentlemen is our very own, one of a kind, ‘Post- antibiotic Era’. And we, being
the very citizens of this era, are; with great pride; the founders too.
Let us discuss in brief a typical healthcare incident happening widely in India.
Let’s put in this scenario a young sick man, running nose, cough, as a viewer,
and as a self-proclaimed doctor, we assume he’s got a cold. Now we see him
walking up to a pharmacy. The young lad then discusses his recently befallen
misfortune (nothing personal, just his “cold”) to this man who handles the
pharmacy or as we common man call it, ‘The All-Knowing Pharmacist’, who may
or may not have the required qualification, but hey, who are we to judge? Now
this ‘Pharmacist’ asks him some general questions about his wellbeing, which
we would rather have with a doctor, and then gives him a few medications. The
man is happy. The pharmacist is happy. Our little bacteria, waiting to be
resistant to the drug, are happy. And thus, the story ends in a happy ending.
Beautiful, isn’t it, how we play an important role in making a bacterium happy?
This is an incident common to all of us. So then, whose fault is it? The all-
knowing pharmacist? The gullible young lad? This, my friends are what we must
investigate.
Antibiotics are commonly used as bactericidal (destroying the bacteria) or as
bacteriostatic (slowing down the bacteria). When these target organisms
combat the attack of the drug, it is termed as an antibiotic resistant. The more
antibiotics used the faster bacteria develop resistance. Why? That would mean
evolution, the same thing that differentiates us from Homo erectus. Antibiotics
2. insert a biological pressure on the bacteria, thus enhancing its development of
resistance.
Irrational use of drugs, misuse of drugs, over-dosing, under-dosing, self-
medication has all given birth to a new spectrum of bacteria. Due to
misconceptions often perpetuated by media and other, antibiotics are used in
viral infections such as colds. We take it for granted that most infections are
treatable with antibiotics, the result of which, some of these are becoming
untreatable. Administration of antibiotics in food-producing animals has
inevitably led to the increase in antibiotic-resistant organisms.
70 years ago Alexander Fleming warned us about the development of AMRs, yet
it was overlooked. Pipelines for discovering new antibiotics have diminished in
past 30 years and now run dry. And in about 20 years, we would walk back to
the 19th C when people died due to infections. We have been relying on the
same antibiotics for decades thus giving bacteria a better chance to evolve and
be resistant.
What must be done to combat AMR?
There must be a drastic change in the way of prescribing drugs by doctors and
using them by patients. We tend to be self-proclaimed doctors occasionally, due
to the abundant knowledge that flows to us from the very ‘Gurukul of Google’.
We have everything at our fingertips, that we prescribe medicines ourselves.
Obviously, once you know what the doctor always prescribes, why bother going
to the old man’s doors and troubling him? You could medicate yourself. Don’t
know the dose? Just Google it. After all, what doesn’t the Google know
What you must know is that every time you prescribe yourself a dose of
antibiotics for your cold, you’re ultimately being a carrier of multidrug-resistant
bacteria and that on a bigger picture affects an entire population. So, on the
shorter note, don’t prescribe your own medicines and complete the dose of
drug prescribed to you.
“If resistance to treatment continues to spread, our interconnected, high-tech
world may find itself back in the dark ages of medicine, before today’s miracle
drugs ever existed”, Dr. Spellburg.
The article was written and contributed by
3. Sruthi Suresh Kumar, Second-year MBBS student, Sree Gokulam medical college
and research foundation, venjaramoodu-Trivandrum, 695607
Mentor Dr. Ashish Jitendranath, Associate professor, department of
microbiology, Sree Gokulam medical college and research foundation,
venjaramoodu-Trivandrum, 695607
NOTE – This article is a part of the TALENT SEARCH ON MATTERS RELATED TO
INFECTIOUS DISEASE
We wish to support/publish the talents of new generation of Medical and
Nursing students to spread the scientific ideas to many in the world
Dr. Ranga Reddy
Dr.T.V.Rao.
Dr Dhruv
Sister Solbymol
Article will be available at Google + Linked in for benefit of many Students
Medical professionals in the world
www.slideshare.com
www.scribd.com
www.authourstream.com