Gastritis is a condition in which the stomach
lining—known as the mucosa—is inflamed. The stomach lining contains special
cells that produce acid and enzymes, which help break down food for digestion,
and mucus, which protects the stomach lining from acid. When the stomach lining
is inflamed, it produces less acid, enzymes, and mucus.
Gastritis may be acute or chronic. Sudden,
severe inflammation of the stomach lining is called acute gastritis. Inflammation
that lasts for a long time is called chronic gastritis. If chronic gastritis is
not treated, it may last for years or even a lifetime.
Erosive gastritis is a type of gastritis that
often does not cause significant inflammation but can wear away the stomach
lining. Erosive gastritis can cause bleeding, erosions, or ulcers. Erosive
gastritis may be acute or chronic.
The relationship between gastritis and
symptoms is not clear. The term gastritis refers specifically to abnormal
inflammation in the stomach lining. People who have gastritis may experience
pain or discomfort in the upper abdomen, but many people with gastritis do not
have any symptoms.
The term gastritis is sometimes mistakenly
used to describe any symptoms of pain or discomfort in the upper abdomen. Many
diseases and disorders can cause these symptoms. Most people who have upper
abdominal symptoms do not have gastritis.
Talking about gastritis & peptic ulcer disease ( definetions , clinical picture , diagnosis & treatment , complications ) , all informations are Up tu date of 2017
This presentation is to help readers to be equipped with knowledge on predisposing factor to peptic ulcer disease and how it can be managed in the clinical/hospital setup.
Gastritis is a condition in which the stomach
lining—known as the mucosa—is inflamed. The stomach lining contains special
cells that produce acid and enzymes, which help break down food for digestion,
and mucus, which protects the stomach lining from acid. When the stomach lining
is inflamed, it produces less acid, enzymes, and mucus.
Gastritis may be acute or chronic. Sudden,
severe inflammation of the stomach lining is called acute gastritis. Inflammation
that lasts for a long time is called chronic gastritis. If chronic gastritis is
not treated, it may last for years or even a lifetime.
Erosive gastritis is a type of gastritis that
often does not cause significant inflammation but can wear away the stomach
lining. Erosive gastritis can cause bleeding, erosions, or ulcers. Erosive
gastritis may be acute or chronic.
The relationship between gastritis and
symptoms is not clear. The term gastritis refers specifically to abnormal
inflammation in the stomach lining. People who have gastritis may experience
pain or discomfort in the upper abdomen, but many people with gastritis do not
have any symptoms.
The term gastritis is sometimes mistakenly
used to describe any symptoms of pain or discomfort in the upper abdomen. Many
diseases and disorders can cause these symptoms. Most people who have upper
abdominal symptoms do not have gastritis.
Talking about gastritis & peptic ulcer disease ( definetions , clinical picture , diagnosis & treatment , complications ) , all informations are Up tu date of 2017
This presentation is to help readers to be equipped with knowledge on predisposing factor to peptic ulcer disease and how it can be managed in the clinical/hospital setup.
Nausea and vomiting are the most common manifestations of gastrointestinal (GI) diseases. Although nausea and vomiting can occur independently, they are usually closely related and treated as one problem.
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.
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.
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.
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
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.
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. Terminology
Nausea: is an unpleasant subjective sensation that most
people have experienced at some point in their lives and
usually recognize as a feeling of impending vomiting in
the epigastrium or throat.
Retching: muscular activity of the abdomen and thorax,
often voluntary, leading to forced inspiration against a
closed mouth and glottis without oral discharge of gastric
contents (“dry heaves”)
Vomiting: Vomiting is a partially voluntary act of
forcefully expelling gastric or intestinal content through
the mouth.
3. Regurgitation: effortless return of esophageal or gastric
contents into the mouth unassociated with nausea or
involuntary muscle contractions.
Rumination: food that is regurgitated in the postprandial
period, re-chewed and then re-swallowed.
6. -Neurologic coordination of the various components of vomiting is
provided by the emetic center (or vomiting center) located in the
medulla, specifically in the dorsal portion of the lateral reticular
formation in the vicinity of the fasciculus solitarius
7.
8. -The components include brisk
contraction of the diaphragm and
abdominal muscles, relaxation of
the lower esophageal sphincter,
and a forceful retrograde
peristaltic contraction in the
jejunum that pushes enteric
content into the stomach and from
there toward the mouth.
-Simultaneously, protective
reflexes are activated. The soft
palate is raised to prevent gastric
content from entering the
nasopharynx, respiration is
inhibited momentarily, and the
glottis is closed to prevent
pulmonary aspiration, which is a
potentially serious complication of
vomiting.
9. Clinical features
• Nausea and vomiting that occur in the morning or with an empty
stomach are characteristic of vomiting produced by direct
activation of the emetic center or CTZ.
• This type of emesis is most typical of pregnancy, drugs, toxins
(e.g., alcohol abuse), or metabolic disorders (diabetes mellitus,
uremia).
• Bilious vomiting is commonly seen after multiple vomiting
episodes occur in close succession because of retrograde entry of
intestinal material into the stomach. It is also characteristic of
patients with a surgical enterogastric anastomosis, in whom the
gastric contents normally include bile-stained enteric refluxate.
10. •Vomitus with a feculent odor suggests intestinal obstruction, ileus
associated with peritonitis.
•Vomiting that develops abruptly without preceding nausea or
retching (projectile vomiting) is characteristic of, but not specific
for, direct stimulation of the emetic center, as may occur with
intracerebral lesions (tumor, abscess) or increased intracranial
pressure.
• Vomiting that occurs outside the immediate postprandial period
and that is characterized by evacuation of retained and partially
digested food is typical of slowly developing gastric outlet
obstruction or gastroparesis.
11. Common etiologies
Abdominal Causes:
• Mechanical obstruction, Gastric outlet obstruction
• Small bowel obstruction, Motility disorders.
• Chronic intestinal pseudo-obstruction, Gastroparesis.
• Acute appendicitis, Acute cholecystitis, Acute hepatitis.
• Acute mesenteric ischemia, Crohn's disease.
• Gastric and duodenal ulcer disease.
• Pancreatitis and pancreatic neoplasms.
• Peritonitis and peritoneal carcinomatosis.
• Retroperitoneal and mesenteric pathology.
• SUPERIOR MESENTERIC ARTERY SYNDROME.
13. Nervous System Causes
• Demyelinating disorders
• Disorders of the autonomic system
• Hydrocephalus
• Intracerebral lesions with edema Abscess
• Hemorrhage --Infarction
• Neoplasm --Labyrinthine disorders
• Meningitis --Migraine headaches
• Otitis media --Seizure disorders
14.
15. Medications that often cause nausea & vomiting
• Cancer chemotherapy e.g. cisplatin
• Analgesics e.g. opiates, NSAIDs
• Anti-arrythmics e.g., digoxin, quinidine
• Antibiotics e.g., erythromycin
• Oral contraceptives
• Metformin
• Anti-parkinsonians e.g., bromcryptine, L-DOPA
• Anti-convulsants e.g., phenytoin, carbamazepine
• Anti-hypertensives
• Theophylline
• Anesthetic agents
16. Treatment of nausea and vomiting
1. Treat complications regardless of cause
e.g., replace salt, water, potassium losses
2. Identify and treat underlying cause, whenever possible
3. Provide temporary symptomatic relief of the symptoms
4. Use preventive measures when vomiting is likely to occur (e.g.,
cancer chemotherapy, parenteral opiate administration)
17. Drugs with anti- emetic properties and known mechanisms
-Antihistamines, e.g., meclizine.
esp. for vestibular disorders
-Anticholinergics, e.g., scopolamine.
esp. for vestibular and GI disorders
-Dopamine antagonists, e.g.,metoclopramide or prochlorperazine.
esp. for GI disorders
-Selective serotonin-3 (5HT3) RAs, e.g., odansetron, granisetron,
dolasetron
esp. to prevent chemotherapy-induced nausea/vomiting
18. Multiple mechanisms of action:
Promethazine (Phenergan)
dopamine antagonist
H1 antihistamine
anticholinergic
CNS sedative
prevention of opiate-induced nausea and vomiting
Hydroxyzine.
H1 antihistamine
anticholinergic
CNS sedation
prevention of opiate-induced nausea and vomiting
19. --Nausea and vomiting are features of many GI and non-GI
diseases and disorders.
--Regardless of its cause, treatment of nausea and vomiting should
initially focus on replacing volume and electrolyte deficits.
Later on, nutritional deficits must be addressed.
--Regardless of its cause, nausea and vomiting can cause several
life-threatening GI and non-GI complications.
--Elucidation of the cause is often possible, and treatment of the
underlying cause will usually be successful.
--Effective symptomatic therapies for nausea and vomiting are
available when the cause is unclear or when the treatment of the
underlying cause takes time to work.