in this presentation lecture we gone take a hypo and hyper thyrodism that affect the human cell because both situation may increase or decrease the basal metabolic rate.
Hemolytic uremic syndrome is usually caused by toxigenic strains of E.coli or Shigella. HUS due to Salmonella typhi is a rare presentation. We present a seven year old child with diarrhea followed by microangiopathic hemolytic anemia, acute kidney injury and thrombocytopenia. Blood culture grew salmonella typhi (NARST). Supportive care with antibiotics, fluid and electrolyte management resulted in complete recovery in a week. Our child presented with mild clinical features hence didn’t require peritoneal dialyses or blood transfusions.
vasogenic shock also known as vasodilatory shock causes drastic effects in animals. vasogenic shock is due to increased vascular capacitance,while the blood volume is normal. Based on the causes,it can be grouped into septic,neurogenic and anaphylactic shock
Few data are available with regard to the safety and tolerability of antiplatelet medications in patient with thrombocytopenia
Risk stratification by thrombotic and bleeding risks should be performed.PCI and dengue management should consider the timing of coronary intervention and the severity of the dengue infection.
Management based on expert opinion; this should be determined by the clinician on a case-by-case basis.
Thyroiditis is a general term that refers to “inflammation of the thyroid gland”. Thyroiditis includes a group of individual disorders causing thyroidal inflammation but presenting in different ways. For example, Hashimoto's thyroiditis is the most common cause of hypothyroidism in the United States.
in this presentation lecture we gone take a hypo and hyper thyrodism that affect the human cell because both situation may increase or decrease the basal metabolic rate.
Hemolytic uremic syndrome is usually caused by toxigenic strains of E.coli or Shigella. HUS due to Salmonella typhi is a rare presentation. We present a seven year old child with diarrhea followed by microangiopathic hemolytic anemia, acute kidney injury and thrombocytopenia. Blood culture grew salmonella typhi (NARST). Supportive care with antibiotics, fluid and electrolyte management resulted in complete recovery in a week. Our child presented with mild clinical features hence didn’t require peritoneal dialyses or blood transfusions.
vasogenic shock also known as vasodilatory shock causes drastic effects in animals. vasogenic shock is due to increased vascular capacitance,while the blood volume is normal. Based on the causes,it can be grouped into septic,neurogenic and anaphylactic shock
Few data are available with regard to the safety and tolerability of antiplatelet medications in patient with thrombocytopenia
Risk stratification by thrombotic and bleeding risks should be performed.PCI and dengue management should consider the timing of coronary intervention and the severity of the dengue infection.
Management based on expert opinion; this should be determined by the clinician on a case-by-case basis.
Thyroiditis is a general term that refers to “inflammation of the thyroid gland”. Thyroiditis includes a group of individual disorders causing thyroidal inflammation but presenting in different ways. For example, Hashimoto's thyroiditis is the most common cause of hypothyroidism in the United States.
Hypothyroidism happens when the thyroid gland doesn't make enough thyroid hormone. This condition also is called underactive thyroid. Hypothyroidism may not cause noticeable symptoms in its early stages
Thyroid disease is a general term for a medical condition that keeps your thyroid from making the right amount of hormones. Your thyroid typically makes hormones that keep your body functioning normally.
Q: A 70 y.o. man is brought to ER by his nephew because he was found poorly responsive at home. The nephew had not checked on the patient for two weeks. The patient lives alone and has been noted by his nephew to be more confused and less active over the past few months.
The nephew was uncertain about the patient's past medical history. He recalls that the patient takes several pills per day for some 'heart issues,' blood pressure, and headaches.
He also recalls that the patient was seen in ER recently for muscle pains and was given opioid analgesics.
a new IHC method to detect malignancies with NTRK rearrangments and fusions
this ppt sumerizes the newes research done on this topic for your convinence
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.
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
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
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!
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
- 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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. Background
◦ Inflammation of the thyroid gland
◦ Occurs in number of different settings
◦ Thyroiditis entities can be distinguished by:
1- the rapidity of onset and duration of disease
2- the predominant inflammatory response (polymorphonuclear, lymphocytic,
granulomatous)
3. Chronic lymphocytic thyroiditis (Hashimoto)
◦ The most common cause of hypothyroidism
◦ Autoimmune inflammatory disorder
◦ The frequency of other immune disorders like SLE and RA is
increased
◦ 45-65 YO, F>M (10-20:1)
◦ Painless enlargement of thyroid (usually symmetrical) + some
degree of hypothyroidism (gradually but may preceded by transient
thyrotoxicosis due to disruption of follicles and release of thyroid
hormones)
◦ T3+4 progressively decline, compensatory raise in TSH
◦ Increased risk for B call non Hodgkin lymphoma in thyroid
4. Subacute granulomatous thyroiditis (de quervain)
◦ 30-50 YO, F>M
◦ Unknown cause
◦ Preceded by URTI, suggesting a possibility of viral origin
◦ Acute onset, pain in the neck (when swallowing), fever, malaise, variable enlargement of the gland
◦ Transient hyperthyroidism – disruption of follicles and release of hormones
◦ Increased WBC and ESR
◦ Progression of disease- transient hypothyroid phase
◦ Self limited, lasts 6-8 W
5. Subacute lymphocytic thyroiditis
◦ Silent/painless thyroiditis
◦ May follow pregnancy, if so than may return in future pregnancies
◦ Autoimmune
◦ Painless neck mass/ features of thyroid hormone excess
◦ Middle aged women
◦ Initial phase of thyrotoxicosis followed by return to normal in a few months
◦ Rarely progresses to hypothyroidism
6. Others
◦ Riddle thyroiditis
unknown etiology, extensive fibrosis of the gland and neck structures
hard and fixed thyroid mass
associated with idiopathic fibrosis in other sites (ie retroperitoneum)
◦ Palpation thyroiditis
caused by vigorous clinical palpation of the gland
multifocal follicular disruption, chronic inflammatory cells, occasional giant cell formation
no abnormalities of gland function
7. Pathophysiology of any kind
1. Enlargement of thyroid gland due to lymphocyte infiltration
2. Destruction of thyroid parenchyma
3. Hypothyroidism if untreated
8. Clinical features
◦ Fatigue
◦ Drowsiness
◦ Dry skin, Hair and nails
◦ Constipation
◦ Difficulty learning
◦ Malaise
◦ Chills
◦ Thyroid tenderness
◦ Dysphagia
o Rapid heart rate
o tremors
o Dysphonia
o Fever
o Irritability
o Swelling
o Nervousness
9. diagnosis
◦ Blood test :
is there increased TSH levels?
Are there abnormal antibodies ? (anti-microsomal and antithyroglobulin)
◦ fine needle aspiration:
diffuse plasma cells and lymphocytes infiltration
Damage to follicular basement membrane
Atrophy of thyroid parenchyma
10. treatment
◦ During hyperthyroid phase treatment is not recommended, this phase usually lasts for 2-4 month, yet if
symptoms are extreme then beta blockers may be used to decrease heart rate and drowsiness.
◦ Treatments are usually according to the specific type which may include :
1. Antimicrobial medication
2. Fluid replacement
3. anti-inflammatory agents
4. Analgetics
5. Beta blockers
11. ◦ Thyrotoxicosis : beta blockers to treat symptoms carbimazole acts as an antithyroid drug iodine can
destruct the overly active gland if non are able to control the pathology then surgery can be considered
◦ Hypothyroidism: hormone replacement therapy, the medication should be given for six month then stopped
in order to asses thyroid gland function.
If function is back to normal then no need to continue medication, if not then there is permanent damage to
the thyroid gland in which hormonal therapy should be continued.
◦ Thyroidal pain : anti-inflammatory drugs like aspirin, or in more severe cases steroidal therapy with
prednisone for example can be given.