Ulcerative colitis is a condition characterized by inflammation and ulcers in the lining of the colon. It causes frequent, loose stools containing blood or mucus. The exact causes are unknown but it is associated with increased nitric oxide levels in the colon. Symptoms include abdominal pain and diarrhea. Nutritional deficiencies can occur due to decreased intake and increased losses in the stool. Treatment focuses on an individualized diet that is high in nutrients, low in fiber and irritants, and aims to address nutritional deficiencies through supplements. The risk of colon cancer is increased in long-lasting cases of ulcerative colitis lasting over 7 years.
Do you often have abdominal pain or discomfort? Irritable bowel syndrome (IBS) is a common disorder leading to abdominal pain or discomfort.
What to watch out for?
-Pain
-Constipation
-Diarrhoea
-Gastro- Oesophageal Reflex Disease
The most common GERD symptom is heartburn. Also called acid indigestion, it is described as a burning chest pain moving up to the neck or throat, behind the breast bone and it can prolong as long as two hours.
Irritable bowel syndrome is a group of symptoms—including abdominal pain and changes in the pattern of bowel movements without any evidence of underlying damage.
http://www.planetayurveda.com/vatsakadi-churna.htm : The most effective treatment to ulcerative colitis… Colitis cure and Colitis treatment info at planetayurveda.com… Natural remedies which are aimed at the root cause of the ailment
Do you often have abdominal pain or discomfort? Irritable bowel syndrome (IBS) is a common disorder leading to abdominal pain or discomfort.
What to watch out for?
-Pain
-Constipation
-Diarrhoea
-Gastro- Oesophageal Reflex Disease
The most common GERD symptom is heartburn. Also called acid indigestion, it is described as a burning chest pain moving up to the neck or throat, behind the breast bone and it can prolong as long as two hours.
Irritable bowel syndrome is a group of symptoms—including abdominal pain and changes in the pattern of bowel movements without any evidence of underlying damage.
http://www.planetayurveda.com/vatsakadi-churna.htm : The most effective treatment to ulcerative colitis… Colitis cure and Colitis treatment info at planetayurveda.com… Natural remedies which are aimed at the root cause of the ailment
A urinary tract infection (UTI) is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra
Hyperacidity is a common condition wherein a person experiences some stomach discomfort after eating meal, due to the excessive production of acid during the digestion process.
Gallbladder Treatment Hospital in Hyderabad | Gallbladder Stones Treatment in...YashodaHospitals
Yashoda Hospitals is the one of the best place for the Gallbladder treatment centres in Hyderabad. The treatments for patients are well deviced and followed only after the careful analysis of the patients test results.
Your abdomen extends from below your chest to your groin. Some people call it the stomach, but your abdomen contains many other important organs. Pain in the abdomen can come from any one of them. The pain may start somewhere else, such as your chest. Severe pain doesn't always mean a serious problem. Nor does mild pain mean a problem is not serious.
Call your healthcare provider if mild pain lasts a week or more or if you have pain with other symptoms. Get medical help immediately if:
-- You have abdominal pain that is sudden and
sharp
-- You also have pain in your chest, neck or
shoulder
-- You're vomiting blood or have blood in your
stool
-- Your abdomen is stiff, hard and tender to
touch
-- You can't move your bowels, especially if
you're also vomiting
A urinary tract infection (UTI) is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra
Hyperacidity is a common condition wherein a person experiences some stomach discomfort after eating meal, due to the excessive production of acid during the digestion process.
Gallbladder Treatment Hospital in Hyderabad | Gallbladder Stones Treatment in...YashodaHospitals
Yashoda Hospitals is the one of the best place for the Gallbladder treatment centres in Hyderabad. The treatments for patients are well deviced and followed only after the careful analysis of the patients test results.
Your abdomen extends from below your chest to your groin. Some people call it the stomach, but your abdomen contains many other important organs. Pain in the abdomen can come from any one of them. The pain may start somewhere else, such as your chest. Severe pain doesn't always mean a serious problem. Nor does mild pain mean a problem is not serious.
Call your healthcare provider if mild pain lasts a week or more or if you have pain with other symptoms. Get medical help immediately if:
-- You have abdominal pain that is sudden and
sharp
-- You also have pain in your chest, neck or
shoulder
-- You're vomiting blood or have blood in your
stool
-- Your abdomen is stiff, hard and tender to
touch
-- You can't move your bowels, especially if
you're also vomiting
Image result for ulcerative colitis
Ulcerative colitis (UL-sur-uh-tiv koe-LIE-tis) is an inflammatory bowel disease (IBD) that causes inflammation and ulcers (sores) in your digestive tract. Ulcerative colitis affects the innermost lining of your large intestine (colon) and rectum. Symptoms usually develop over time, rather than suddenly.
Diet treatment in liver cirrhosis - di Vincenzo Ostilio PalmieriMedOliveOil
Dieta nella cirrosi epatica - di Vincenzo Ostilio Palmieri. 21 giugno 2012. Corso di formazione "valore nutrizionale e salutistico di prodotti agroalimentari” - Università degli studi di Bari.
- 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
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.
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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.
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
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.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Erosion in the lining of colonErosion in the lining of colon
(mucosa and sub mucosa)(mucosa and sub mucosa)
3. It is characterized by inflammation andIt is characterized by inflammation and
ulceration of colon resulting in frequent passageulceration of colon resulting in frequent passage
of stools with blood and mucus.of stools with blood and mucus.
It is confined to colon and rectum.It is confined to colon and rectum.
4. INCIDENCEINCIDENCE unknown causeunknown cause
at any ageat any age
predominates in middlepredominates in middle
and higher incomeand higher income
groups.groups.
6. Nitric oxide synthesis is increased in U.CNitric oxide synthesis is increased in U.C
NO is produced from arginine by nitric oxideNO is produced from arginine by nitric oxide
synthase.synthase.
U.C is assosiated with increase in mucosalU.C is assosiated with increase in mucosal
vasodilation.vasodilation.
7. CLINICAL FINDINGSCLINICAL FINDINGS
Mucosa becomes fragile.Mucosa becomes fragile.
In early stages mucosa is edematous andIn early stages mucosa is edematous and
hyperemic.hyperemic.
In severe stage, necrosis and frank ulceration ofIn severe stage, necrosis and frank ulceration of
mucosa occur.mucosa occur.
8. SymptomsSymptoms
Attack of dysentery.Attack of dysentery.
Exacerbations and remissions.Exacerbations and remissions.
Loss of water, electrolytes, blood and protein.Loss of water, electrolytes, blood and protein.
Weight lossWeight loss
DehydrationDehydration
FeverFever
AnemiaAnemia
Abdominal painsAbdominal pains
9. AnorexiaAnorexia
Metabolic rate is increasedMetabolic rate is increased
Liver damageLiver damage
Constipation-distal irritability and spasm.Constipation-distal irritability and spasm.
10. CAUSES OF NUTRITIONCAUSES OF NUTRITION
PROBLEMSPROBLEMS
MECHANISMMECHANISM
Decreased nutritional intakeDecreased nutritional intake
Increased nutritional lossesIncreased nutritional losses
Nutritional interference by drugsNutritional interference by drugs
CONTRIBUTINGCONTRIBUTING
FACTORFACTOR
Anorexia, nausea, painAnorexia, nausea, pain,,
restrictive/unbalanced diet.restrictive/unbalanced diet.
Malabsorption, intestinal resection,Malabsorption, intestinal resection,
bacterialbacterial over growth, bile saltover growth, bile salt
deficiency, drugs.deficiency, drugs.
DiarrheaDiarrhea
BleedingBleeding
Protein-losing enteropathyProtein-losing enteropathy
Intestinal lymphangiectasiaIntestinal lymphangiectasia
Corticosteroids, sulfasalazine,Corticosteroids, sulfasalazine,
cholestyraminecholestyramine
11. NEED FOR NUTRITIONALNEED FOR NUTRITIONAL
CARECARE
MalnutritionMalnutrition
insufficient food consumptioninsufficient food consumption
excessive nitrogen lossesexcessive nitrogen losses
- blood, mucus and necrotic- blood, mucus and necrotic
colonic mucosacolonic mucosa
-electrolyte loss in feces-electrolyte loss in feces
Absorptive areas are destroyedAbsorptive areas are destroyed
ulcerations of mucosa and scar tissuesulcerations of mucosa and scar tissues
Tissue repair and restore normal functioningTissue repair and restore normal functioning
12. DIETARY PRINCIPLESDIETARY PRINCIPLES
Individual attentionIndividual attention
Diet- highly individualized, nutritionally adequateDiet- highly individualized, nutritionally adequate
Small 6 to 8 feedingsSmall 6 to 8 feedings
Based up on severity of disease it ranges fromBased up on severity of disease it ranges from
TPNTPN
nasogastric feeding of E.Fnasogastric feeding of E.F
oral ingestion of E.Doral ingestion of E.D
exclusion of regular foodsexclusion of regular foods
fiber supplementationfiber supplementation
high fiber diet.high fiber diet.
14. Small intestine is not involved.Small intestine is not involved.
Oral or Enteral feedingOral or Enteral feeding
- integrity of intestinal epithelium- integrity of intestinal epithelium
Prep. – protein concentratePrep. – protein concentrate
eg. Complan.eg. Complan.
15. Low residue dietLow residue diet
- high in protein and energy.- high in protein and energy.
Exclusion of Irritating foods –nuts, legumes,Exclusion of Irritating foods –nuts, legumes,
raw fruits, etc.raw fruits, etc.
In acute U.C – Strict low residue dietIn acute U.C – Strict low residue diet
- fecal stasis.- fecal stasis.
Fiber content – high fiber diet.Fiber content – high fiber diet.
Soluble fibers and pectinsSoluble fibers and pectins
17. Carbohydrates : soups, etcCarbohydrates : soups, etc
Fats : normalFats : normal
fried foods are notfried foods are not
easily digested.easily digested.
Vitamins : commercial prep.Vitamins : commercial prep.
(orally or injections)(orally or injections)
18. MineralsMinerals
Mineral loss must be marked.Mineral loss must be marked.
Unless marked – fatal outcomeUnless marked – fatal outcome
Sodium : large volume of fecesSodium : large volume of feces
extra salt in food, saline infusion.extra salt in food, saline infusion.
Potassium :Potassium :
Symptoms- weakness, hypotonia, abdominalSymptoms- weakness, hypotonia, abdominal
distension, E.C changes.distension, E.C changes.
potassium citrate orallypotassium citrate orally
19. Iron : 30g/dayIron : 30g/day
oral route if not toleratedoral route if not tolerated
AnemiaAnemia
Intra muscular injectionsIntra muscular injections
Blood transfusionBlood transfusion
Fluids : liberal intakeFluids : liberal intake
1200 – well hydrated1200 – well hydrated
20. Calcium : Rapid bone lossCalcium : Rapid bone loss
-milk exclusion-milk exclusion
-steroid therapy-steroid therapy
calcium salts – orallycalcium salts – orally
FOODS TO BE AVOIDEDFOODS TO BE AVOIDED
spices, stale foods,spices, stale foods,
irritant foods - legumes, nuts etc.irritant foods - legumes, nuts etc.
21. Psychological aspectsPsychological aspects
They are significantThey are significant
Therapy for depression, relaxation can benefitTherapy for depression, relaxation can benefit
the patient.the patient.
Exercise is important adjunct.Exercise is important adjunct.
22. U.C AND CANCERU.C AND CANCER
Constipated patients – lump in right colon.Constipated patients – lump in right colon.
Risk of cancer is increased in cases lasting moreRisk of cancer is increased in cases lasting more
than 7 years.than 7 years.