Uterine prolapse occurs when the pelvic floor muscles weaken and cannot adequately support the uterus, causing it to slip down into or protrude out of the vagina. It often affects postmenopausal women with a history of vaginal childbirth. Symptoms can include a feeling of heaviness, tissue protruding from the vagina, urinary or bowel problems, and pain. Treatment options depend on severity but may include exercises, pessaries, or surgery to repair damaged tissues. Prevention focuses on pelvic floor exercises, managing constipation and weight, and avoiding heavy lifting.
Uterine prolapse occurs when weakened or damaged muscles and connective tissues such as ligaments allow the uterus to drop into the vagina. Common causes include pregnancy, childbirth, hormonal changes after menopause, obesity, severe coughing and straining on the toilet.
Uterine prolapse occurs when weakened or damaged muscles and connective tissues such as ligaments allow the uterus to drop into the vagina. Common causes include pregnancy, childbirth, hormonal changes after menopause, obesity, severe coughing and straining on the toilet.
Presentation on this topic is available on link 👇
https://youtu.be/d_JgNiYv7eU
This topic contains detail about genital prolapse in pregnancy, It's definition, incidence, types, stages, causes, risk factors, clinical features, effect of prolapse, effect on pregnancy, effect during labour and puerperium, prevention, treatment and nursing management during pregnancy, labour and puerperium.
When fetal head is delivered, but shoulders are stuck and cannot be delivered it is known as shoulder dystocia.
The anterior shoulder becomes trapped behind on the symphysis pubis, whilst the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory.
Presentation on this topic is available on link 👇
https://youtu.be/d_JgNiYv7eU
This topic contains detail about genital prolapse in pregnancy, It's definition, incidence, types, stages, causes, risk factors, clinical features, effect of prolapse, effect on pregnancy, effect during labour and puerperium, prevention, treatment and nursing management during pregnancy, labour and puerperium.
When fetal head is delivered, but shoulders are stuck and cannot be delivered it is known as shoulder dystocia.
The anterior shoulder becomes trapped behind on the symphysis pubis, whilst the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory.
Global Medical Cures™ | What I Need To Know About BOWEL CONTROL
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
The uterus, bladder and rectum are the organs that are present in the women’s pelvis and are held by muscles, ligaments and fasciaknown as pelvic floor.
Wyndham Physio provides professional advice on Women’s Health and Pregnancy Back Pain. Our experts will help you in pregnancy physio & post natal physiotherapy.
Due to many factors, including the strain of pregnancy and childbirth as well as hormonal changes during menopause, women are prone to developing pelvic floor problems. Here are five signs to look out for and what you can do about it.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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.
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.
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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
- 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
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.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
1. UTERINE PROLAPSE
Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and
weaken, providing inadequate support for the uterus. The uterus then slips down
into or protrudes out of the vagina.
Uterine prolapse can happen to women of any age, but it often affects
postmenopausal women who've had one or more vaginal deliveries. Weakening
of the pelvic muscles that leads to uterine prolapse can be caused by:
Damage to supportive tissues during pregnancy and childbirth
Effects of gravity
Loss of estrogen
Repeated straining over the years
If you have mild uterine prolapse, treatment usually isn't needed. But if uterine
prolapse makes you uncomfortable or disrupts your normal life, you might benefit
from treatment.
Symptoms
Uterine prolapse varies in severity. You may have mild uterine prolapse and
experience no signs or symptoms. If you have moderate to severe uterine
prolapse, you may experience:
Sensation of heaviness or pulling in your pelvis
Tissue protruding from your vagina
Urinary problems, such as urine leakage or urine retention
Trouble having a bowel movement
Low back pain
Feeling as if you're sitting on a small ball or as if something is falling out of your
vagina
Sexual concerns, such as a sensation of looseness in the tone of your vaginal
tissue
Symptoms that are less bothersome in the morning and worsen as the day
goes on
2. Uterine prolapse doesn't require treatment unless it's severe. If your signs and
symptoms become bothersome and disrupt your normal activities, make an
appointment with your doctor to discuss your options
Causes
Weakening of pelvic muscles and supportive tissues contribute to uterine
prolapse. This may happen as a result of:
Pregnancy
Trauma during childbirth
Delivery of a large baby
Difficult labor and delivery
Loss of muscle tone
Less circulating estrogen after menopause
Risk factors
Certain factors may increase your risk of uterine prolapse:
One or more pregnancies and vaginal births
Giving birth to a large baby
Increasing age
Frequent heavy lifting
Chronic coughing
Prior pelvic surgery
Frequent straining during bowel movements
Genetic predisposition to weakness in connective tissue
Being Hispanic or white
Some conditions — such as obesity, chronic constipation and chronic obstructive
pulmonary disease (COPD) — can place a strain on the muscles and connective
tissue in your pelvis and may play a role in the development of uterine prolapse.
Complications
Possible complications of uterine prolapse include:
3. Ulcers. In severe cases of uterine prolapse, part of the vaginal lining may be
displaced by the fallen uterus and protrude outside your body, rubbing on
underwear. The friction may lead to vaginal sores (ulcers). In rare cases, the
sores could become infected.
Prolapse of other pelvic organs. If you experience uterine prolapse, you
might also have prolapse of other pelvic organs, including your bladder and
rectum. A prolapsed bladder (cystocele) bulges into the front part of your
vagina, which can lead to difficulty in urinating and increased risk of urinary
tract infections. Weakness of connective tissue overlying the rectum may result
in a prolapsed rectum (rectocele), which may lead to difficulty having bowel
movements
Tests and diagnosis
Tests or exams to diagnose uterine prolapse include:
Pelvic exam. During this exam, your doctor may ask you to bear down as if
having a bowel movement, which can help your doctor assess how far the
uterus has slipped into your vagina. To check the strength of your pelvic
muscles, your doctor may ask you to tighten (contract) them, as if you're
stopping the stream of urine. You may be examined while lying down and while
standing up.
Questionnaire. You may fill out a form that helps your doctor assess how
uterine prolapse affects your quality of life. This information also helps guide
treatment decisions.
Imaging tests, such as an ultrasound or magnetic resonance imaging (MRI),
aren't generally needed for uterine prolapse. But they're sometimes helpful in
assessing the degree of prolapse.
Treatments and drugs
If you have mild uterine prolapse, either without symptoms or with symptoms that
don't bother you, you probably don't need treatment. However, your pelvic floor
may continue to lose tone, making uterine prolapse more severe as time goes
on. Check back with your doctor to monitor the extent of your prolapse and
review your symptoms.
4. Simple self-care measures, such as performing exercises called Kegels to
strengthen your pelvic muscles, may provide symptom relief. Maintaining a
healthy weight and avoiding heavy lifting may help reduce pressure on
supportive pelvic structures.
For advanced cases of uterine prolapse, treatment options include:
Vaginal pessary. This device fits inside your vagina and holds your uterus in
place. Used as temporary or permanent treatment, vaginal pessaries come in
many shapes and sizes. Your doctor measures and fits you for the proper
device. You'll learn how to insert, remove and clean the pessary. You may be
able to take the pessary out overnight and reinsert it each day; other pessaries
can be left in place for longer periods of time.
But a vaginal pessary may be of little use if you have severe uterine prolapse.
A pessary also can irritate vaginal tissues, possibly to the point of causing
sores (ulcers) on vaginal tissues, and it may interfere with sexual intercourse.
Surgery. To repair damaged or weakened pelvic floor tissues, your surgeon
may perform the procedure through your vagina, although sometimes an
abdominal surgery is needed. Surgical repair of your prolapse may involve
grafting your own tissue, donor tissue or some synthetic material onto
weakened pelvic floor structures to support your pelvic organs. Your surgeon
may recommend a hysterectomy, which removes your uterus.
In some cases, minimally invasive (laparoscopic) surgery is a possibility. This
procedure involves smaller abdominal incisions, special surgical instruments
and a lighted camera-type device (laparoscope) to guide the surgeon.
Which surgery and surgical approach your doctor recommends depends on
your individual needs and circumstances. Each procedure has pros and cons
that you'll need to discuss with your surgeon.
If you plan future pregnancies, you might not be a good candidate for surgery to
repair uterine prolapse. Pregnancy and delivery of a baby put strain on the
supportive tissues of the uterus and can undo the benefits of surgical repair.
Also, for women with major medical problems, the risks of surgery might
outweigh the benefits. In these instances, pessary use may be your best
treatment choice for bothersome symptoms.
5. Talk with your doctor to learn your options, including the benefits and risks.
Lifestyle and home remedies
Depending on the severity of your condition, these self-care measures may help
with uterine prolapse:
Perform Kegel exercises.
Avoid constipation by eating high-fiber foods and drinking plenty of fluids.
Avoid heavy lifting and straining.
Try to control coughing.
Lose weight if you're overweight or obese.
Kegel exercises
Kegel exercises strengthen your pelvic floor muscles, which support the uterus,
bladder and bowel. A strong pelvic floor provides better support for your pelvic
organs and relief from symptoms associated with uterine prolapse.
To perform Kegel exercises, follow these steps:
Tighten (contract) your pelvic floor muscles — the muscles you use to stop
urinating.
Hold the contraction for five seconds, then relax for five seconds. (If this is too
difficult, start by holding for two seconds and relaxing for three seconds.)
Work up to holding the contractions for 10 seconds at a time.
Do three sets of 10 repetitions each day.
Ask your health care provider for feedback on whether you're using the right
muscles. Kegel exercises may be most successful when they're taught by a
physical therapist and reinforced with biofeedback. Biofeedback involves using
monitoring devices that help ensure you're tightening the proper muscles with
optimal intensity and length of time.
Once you've learned the proper method, you can do Kegel exercises discreetly
just about any time, whether you're sitting at your desk or relaxing on the couch.
Prevention
Although uterine prolapse isn't always preventable, you may be able to decrease
your risk if you:
6. Perform Kegel exercises on a regular basis. These exercises can
strengthen your pelvic floor muscles — especially important after you have a
baby.
Treat and prevent constipation. Drink plenty of fluids and eat high-fiber
foods, such as fruits, vegetables, beans and whole-grain cereals.
Avoid heavy lifting and lift correctly. When lifting, use your legs instead of
your waist or back.
Control coughing. Get treatment for a chronic cough or bronchitis, and don't
smoke.
Avoid weight gain. Talk with your doctor to determine your ideal weight and
get advice on weight-loss strategies, if you need them.