1. Vasomotor rhinitis is a non-allergic form of rhinitis characterized by symptoms like nasal obstruction, rhinorrhea, and sneezing without an allergic cause.
2. It occurs due to an imbalance between the sympathetic and parasympathetic nervous systems leading to hyperreactivity of the nasal mucosa.
3. Treatment includes avoidance of triggers, oral antihistamines, topical steroids, and addressing any psychological factors. Surgery may help if medical treatment fails.
ENT Nasal septal perforation..... for best rhinoplasty and nose reshape surgery contact
Dr Junaid Ahmad (MBBS FCPS) is the best plastic surgeon in Lahore. He is a well known, trained and expert in his field. He is MBBS and FCPS in Plastic and Recosntructive Surgery. He is a post graduate of the College of Physicians and Surgeons Pakistan which is oldest and best institute for post graduation in this area of the world. He is doing his practice in Lahore, Pakistan. He is always kind to the patients and listens them carefully as it is part of modern clinical skill and training. He is expert in both cosmetic as well as reconstructive surgery. He is also skin cancer and burn expert. A few of Dr Junaid Ahmad expertise are listed here..... call 03104037071
Allergic Rhinitis ppt.
by Vishnuvardhan Thotakura [vishnutv9@gmail.com]
3yr MBBS
i have put BASICS to know all ABOUT ALLERGIC RHINITIS in this ppt. and hope you understand it!
ref: ENT books - Dhingra, Hazarika , pics and video from the internet.
ENT Nasal septal perforation..... for best rhinoplasty and nose reshape surgery contact
Dr Junaid Ahmad (MBBS FCPS) is the best plastic surgeon in Lahore. He is a well known, trained and expert in his field. He is MBBS and FCPS in Plastic and Recosntructive Surgery. He is a post graduate of the College of Physicians and Surgeons Pakistan which is oldest and best institute for post graduation in this area of the world. He is doing his practice in Lahore, Pakistan. He is always kind to the patients and listens them carefully as it is part of modern clinical skill and training. He is expert in both cosmetic as well as reconstructive surgery. He is also skin cancer and burn expert. A few of Dr Junaid Ahmad expertise are listed here..... call 03104037071
Allergic Rhinitis ppt.
by Vishnuvardhan Thotakura [vishnutv9@gmail.com]
3yr MBBS
i have put BASICS to know all ABOUT ALLERGIC RHINITIS in this ppt. and hope you understand it!
ref: ENT books - Dhingra, Hazarika , pics and video from the internet.
Define allergic rhinitis
Pathophysiology of allergic rhinitis
Signs/symptoms of allergic rhinitis
Diagnosis
Investigations
Complications
Treatment
Non allergic rhinitis
Pathogenesis
Signs/symptoms
Treatment
“It is an IgE-mediated immunologic response of nasal mucosa to airborne allergens and is characterized by watery
nasal discharge, nasal obstruction, sneezing and itching
in the nose. This may also be associated with symptoms
of itching in the eyes, palate and pharynx”
. Two clinical types have been recognized:
1. Seasonal. Symptoms appear in or around a particular
season when the pollens of a particular plant, to whic
the patient is sensitive, are present in the air.
2. Perennial. Symptoms are present throughout the year
Rhinitis commonly known as a stuffy
nose,
is the medical term describing
irritation and inflammation of some internal areas of the nose .
It is the inflammation of the nasal mucosa.
Acute Rhinitis is also known as the common cold.
It may be bacterial or viral.
It may be classified as acute & allergic .
It usually lasts 5 to 7 days.
It may be bacterial or viral or irritants.
Which is caused by Rhinoviruses and Coronaviruses , or bacterial sinusitis .
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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.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
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.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
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
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.
Overview on Edible Vaccine: Pros & Cons with Mechanism
Vasomotor rhinitis and other rhinitis
1. Vasomotor rhinitis
&
other non allergic rhinitis
Dr. K.RAVI KUMAR
ASSISTANT PROFESSOR
Dept of ENT
Great eastern medical school,Srikakulam
2. VASOMOTOR RHINITIS (VMR)
It is nonallergic rhinitis but clinically simulating nasal
allergy with symptoms of nasal obstruction,
rhinorrhoea and sneezing.
One or the other of these symptoms may
predominate.
The condition usually persists throughout the year
and all the tests of nasal allergy are negative.
3. Nasal mucosa has rich blood
supply. Its vasculature is
similar to the erectile tissue in
having venous sinusoids or
“lakes” which are surrounded
by fibres of smooth muscle
which act as sphincters and
control the filling or emptying of
these sinusoids.
Sympathetic stimulation
causes vasoconstriction and
shrinkage of mucosa
parasympathetic stimulation
causes vasodilation and
engorgement.
4. PATHOGENESIS
Autonomic nervous system is under the control of
hypothalamus and therefore emotions play a great role
in vasomotor rhinitis.
Overactivity of parasympathetic system also causes
excessive secretion from the nasal glands.
Autonomic system is unstable in cases of vasomotor
rhinitis.
Nasal mucosa is also hyperreactive and responds to
several nonspecific stimuli, e.g. change in temperature,
humidity, blasts of air, small amounts of dust or smoke.
5. Stress
Unstable autonomous nervous system
Imbalance between sympathetic and
parasympathetic systems
Overactivity of parasympathetics
Excessive secretion of nasal glands and
congestion of mucosa
Nasal obstruction,Rhinorhhea
6. SYMPTOMS
1. Paroxysmal sneezing. Bouts of sneezing start just after
getting out of the bed in the morning.
2. Excessive rhinorrhoea. This accompanies sneezing or
this may be the only predominant symptom.
3. Nasal obstruction. This alternates from side to side.
Usually more marked at night.
4. Postnasal drip.
7. SIGNS
Nasal mucosa over the turbinates is generally
congested and hypertrophic.
In some, it may be normal.
8. Medical Treatment
1. Avoidance of physical factors which provoke symptoms, e.g. sudden
change in temperature, humidity, blasts of air or dust.
2. Antihistaminics and oral nasal decongestants are helpful in relieving
nasal obstruction, sneezing and rhinorrhoea.
3. Topical steroids (e.g. beclomethasone dipropionate, budesonide or
fluticasone), used as spray or aerosol, are useful to control symptoms.
4. Systemic steroids can be given for a short time in very severe cases.
5. Psychological factors should be removed. Tranquillizers may be
needed in some patients.
9. Surgical Treatment
1. Nasal obstruction can be relieved by measures which reduce
the size of nasal turbinates (see hypertrophic rhinitis). Other
associated causes of nasal obstruction, e.g. polyp, deviated
nasal septum, should also be corrected.
2. Excessive rhinorrhoea, not corrected by medical therapy , can
be relieved by sectioning the parasympathetic secretomotor
fibres to nose (vidian neurectomy).
11. OTHER FORMS OF NONALLERGIC RHINITIS
Nasal mucosa responds to several different stimuli
producing symptoms of rhinitis.
Some of these conditions have acquired specific
eponyms.
Some authorities categorize them under the catch-all
term of vasomotor rhinitis.
12. Drug induced rhinitis
Antihypertensive drugs such as reserpine,
guanethidine, methyl dopa and propranolol are
sympathetic blocking agents and cause nasal stuffiness.
Anticholinesterase drugs, e.g. neostigmine, used in the
treatment of myasthenia gravis, have acetylcholine like
action and cause nasal obstruc- tion.
Contraceptive pills also cause nasal obstruction
because of oestrogens.
13. Rhinitis Medicamentosa
Topical decongestant nasal drops are notorious to
cause rebound phenomenon.
Their excessive use causes rhinitis.
It is treated by withdrawal of nasal drops
short course of systemic steroid therapy
surgical reduction of turbinates, if they have become
hypertrophied.
14. Rhinitis of Pregnancy
Pregnant women may develop persistent rhinitis due to hormonal
changes.
Nasal mucosa becomes oedematous and blocks the airway.
Some may develop secondary infection and sinusitis.
Treatment:
local measures such as limited use of nasal drops, topical steroids
and limited surgery (cryosurgery) to turbinates are sufficient to relieve
the symptoms.
Safety of the developing fetus is not established for newer
antihistaminics and they should be avoided.
16. Emotional rhinitis
Nose may react to several emotional stimuli.
Psychological states like anxiety, tension, hostility,
humiliation, resentment and grief are all known to
cause rhinitis.
Treatment is proper counselling for psychological
adjustment.
Imipramine, which has both antidepressant and
anticholinergic effects, has been found useful.
17. Rhinitis Due to hypothyroidism
Hypothyroidism leads to hypoactivity of the
sympathetic system with predominance of
parasympathetic activity causing nasal stuffiness
and “colds.”
Replacement of thyroid hormone relieves the
condition.
18. Gustatory rhinitis
Spicy and pungent food may in some people produce
rhinorrhoea, nasal stuffiness, lacrimation, sweating and even
flushing of face.
This is a cholinergic response to stimulation of sensory
receptors on the palate.
Spicy food, particularly the red pepper, contains capsaicin
which is known to stimuate sensory nerves.
It can be relieved by ipratropium bromide nasal spray (an
anticholinergic), a few minutes before meals.
19. Non airflow rhinitis
It is seen in patients of laryngectomy and
tracheostomy.
Nose is not used for air- flow and the turbinates
become swollen due to loss of vasomotor control.
Similar changes are also seen in
nasopharyngeal obstruction due to choanal
atresia or adenoidal hyperplasia, the latter having
the additional factor of infection
It is profuse and watery and may even wet several hand- kerchiefs. The nose may drip when the patient leans forward and this may need to be differentiated from CSF rhinorrhoea
It is the dependent side of nose which is often blocked when lying on one side.