Presented the Warmilu IncuBlanket and heat technology to a group of Ministry of Health officials, County Health officials, Chief Medical Officers, Chief Nursing Officers, neonatologists, pediatricians, and other key influencers seeking positive impact in maternal and infant health. We discuss the Warmilu technology and challenges in infant warming as well as context for applications. Presented by Grace Hsia, CEO, on 3/31/2016 at the Sarova Panafric Hotel.
Dr. Randall Spare - Antibiotic Usage in Beef Production, We Can't Forget PeopleJohn Blue
Antibiotic Usage in Beef Production, We Can't Forget People - Dr. Randall Spare, President, Ashland Veterinary Clinic, from the 2018 NIAA Antibiotic Symposium: New Science & Technology Tools for Antibiotic Stewardship, November 13-15, 2018, Overland Park, KS, USA.
More presentations at https://www.youtube.com/playlist?list=PL8ZKJKD9cmEffjOrjbBvQZeN2_SZB_Skc
Health & Industry Trend: Towards InsertablesMBSDigitalClub
Devices have become smaller and more powerful and devices that were once large have becoming luggable, wearable and even small enough to go inside the human body. We coin, and define, insertables as: devices that go in, though and underneath the skin. This includes devices that an individual can insert and remove themselves and those that must be inserted by a trained professional. What non-medical devices are people inserting, and why?
'Health & Industry Trend: Towards Insertables' by Kayla J Heffernan (PhD Candidate at The University of Melbourne and User Experience Designer at SEEK) at the Melbourne Business School Digital Club event on 7th July 2016
Dr. Randall Spare - Antibiotic Usage in Beef Production, We Can't Forget PeopleJohn Blue
Antibiotic Usage in Beef Production, We Can't Forget People - Dr. Randall Spare, President, Ashland Veterinary Clinic, from the 2018 NIAA Antibiotic Symposium: New Science & Technology Tools for Antibiotic Stewardship, November 13-15, 2018, Overland Park, KS, USA.
More presentations at https://www.youtube.com/playlist?list=PL8ZKJKD9cmEffjOrjbBvQZeN2_SZB_Skc
Health & Industry Trend: Towards InsertablesMBSDigitalClub
Devices have become smaller and more powerful and devices that were once large have becoming luggable, wearable and even small enough to go inside the human body. We coin, and define, insertables as: devices that go in, though and underneath the skin. This includes devices that an individual can insert and remove themselves and those that must be inserted by a trained professional. What non-medical devices are people inserting, and why?
'Health & Industry Trend: Towards Insertables' by Kayla J Heffernan (PhD Candidate at The University of Melbourne and User Experience Designer at SEEK) at the Melbourne Business School Digital Club event on 7th July 2016
kindly give your suggestion if you like this. Newborn care and safety are the activities and precautions recommended for new parents or caregivers. It is also an educational goal of many hospitals. it helpful for the students also for educative purpose.
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHYSamDilipPrasanth1
The World Health Organization (WHO) defines
neonatal hypothermia as an axillary temperature
below 36.5°C (97.7°F) among newborns aged
below 28 days.
Normal axillary temperature is
36.5–37.5°C
Severity Of Hypothermia
1)Mild hypothermia/cold stress 36.0–36.4°C
2)Moderate hypothermia 32.0–35.9°C
3)Severe hypothermia <32°C.
It is an environmental temperature at which the newborn has minimal
rates of oxygen consumption and expends the least energy to maintain
its temperature is needed.
Mechanism Of Heat Production in
Newborn
1)Nonshivering thermogenesis—occurs by utilizing brown fat in
newborns. Thermoreceptors on sensing a low temperature result in
elevated sympathetic output and this stimulates the beta-adrenergic
receptors in the brown fat increasing cAMP. This results in
increased metabolism and increases heat production.
2) Increased metabolic activity—the brain, heart, and liver produce
metabolic energy by oxidative metabolism of glucose, fat, and
protein.
3)Peripheral vasoconstriction—reduces blood flow to the skin and
decreases loss of heat.
MECHANISM OF HEAT LOSS IN NEWBORN
Evaporation
Radiation
Due to the
evaporation of
amniotic fluid
from skin surface
Conduction
By coming in
contact with
cold objects
such as cloth
and weighing
tray
Convection
Convection by
air currents
where cold air
replaces warm
air around baby
due
to open windows,
fans, etc.
Radiation to
colder solid
objects in
vicinity-like
walls
Risk Factors
PRETERM,
LBW,IUGR,Asphyxia
Congenital
Abdominal Wall
defects
Low delivery room
temperature, Bathing
the baby after
delivery
Removal of vernix
caseosa, Reduced
contact with mother
Delayed initiation of
breastfeed
Surgical procedures
PREVENTION OF HYPOTHERMIA IN VARIOUS
SETUPS
Memories flashed across my
mind as I came
across the first photo
of myself as a little
baby..
In delivery room and operation theater:
• Follow the 10 steps of “warm chain” recommended by the WHO.
Draught free and warm delivery room temperature of 25–28°C.
Radiant warmer to be prewarmed along with all the linen and clothes/cap before
delivery.
Cap prevents significant heat loss in preterm as well as in term infants. Remove wet towel.
Baby is placed directly on the mother’s abdomen or chest after delivery in both vaginal
and cesarean delivery.
Provide warmth by skin-to-skin contact after drying with a warm and dry linen if baby
is doing well.
Breastfeeding can be started immediately and the baby and the mother are covered
with a warm blanket. Delay bathing. No bathing in the hospital.
Resuscitation, if required, should be done under the radiant warmer and heated
humidified gases to be used if oxygen or positive pressure ventilation is required.
Prewarm medications and intravenous (IV) fluid, if required.
During surgery, abdominal organ coverage reduces the incidence of hypothermia.
Additional measures for very preterm infants (who are more prone to hypothermia due
to greater surface-to-mass ratio and lesser brown fat):
In the NICU:
• Use servocontrolled warmer or
Hello guys, bringing to you the concept of golden hour of neonatology. As in trauma, the first hour of neonatal life is most precious and this ppt is an attempt to highlight a few key aspects of this resuscitative strategy in premature infants.
PPT presentation supporting education for the NHS SEC SCN Acute Care Pathways: Fever, Bronchiolitis, Diarrhoea and Vomiting, Head Injury and Acute Asthma
WHO Extract on Newborn care, Apgar scale and score, interpreting apgar scores and important things on interpretation, newborn care kit, objectives,procedure of immediate newborn care, positions used during resuscitations and DO's and DONT's of a newborn care.
Essential newborn care Essential care of a normal newborn can be best provided by the mothers under the supervision of nursing personnel.
About 80% of newborn babies require minimal care.
The normal term baby should be kept with their mother rather than in a separate nursery.
Rooming-in promotes better emotional bondage, prevents cross-infection and establishes breast feeding easily.
Active participation of mothers in the nursing care of the baby develops self-confidence in her.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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
More Related Content
Similar to [Warmilu] Kenya Product Launch 20160331
kindly give your suggestion if you like this. Newborn care and safety are the activities and precautions recommended for new parents or caregivers. It is also an educational goal of many hospitals. it helpful for the students also for educative purpose.
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHYSamDilipPrasanth1
The World Health Organization (WHO) defines
neonatal hypothermia as an axillary temperature
below 36.5°C (97.7°F) among newborns aged
below 28 days.
Normal axillary temperature is
36.5–37.5°C
Severity Of Hypothermia
1)Mild hypothermia/cold stress 36.0–36.4°C
2)Moderate hypothermia 32.0–35.9°C
3)Severe hypothermia <32°C.
It is an environmental temperature at which the newborn has minimal
rates of oxygen consumption and expends the least energy to maintain
its temperature is needed.
Mechanism Of Heat Production in
Newborn
1)Nonshivering thermogenesis—occurs by utilizing brown fat in
newborns. Thermoreceptors on sensing a low temperature result in
elevated sympathetic output and this stimulates the beta-adrenergic
receptors in the brown fat increasing cAMP. This results in
increased metabolism and increases heat production.
2) Increased metabolic activity—the brain, heart, and liver produce
metabolic energy by oxidative metabolism of glucose, fat, and
protein.
3)Peripheral vasoconstriction—reduces blood flow to the skin and
decreases loss of heat.
MECHANISM OF HEAT LOSS IN NEWBORN
Evaporation
Radiation
Due to the
evaporation of
amniotic fluid
from skin surface
Conduction
By coming in
contact with
cold objects
such as cloth
and weighing
tray
Convection
Convection by
air currents
where cold air
replaces warm
air around baby
due
to open windows,
fans, etc.
Radiation to
colder solid
objects in
vicinity-like
walls
Risk Factors
PRETERM,
LBW,IUGR,Asphyxia
Congenital
Abdominal Wall
defects
Low delivery room
temperature, Bathing
the baby after
delivery
Removal of vernix
caseosa, Reduced
contact with mother
Delayed initiation of
breastfeed
Surgical procedures
PREVENTION OF HYPOTHERMIA IN VARIOUS
SETUPS
Memories flashed across my
mind as I came
across the first photo
of myself as a little
baby..
In delivery room and operation theater:
• Follow the 10 steps of “warm chain” recommended by the WHO.
Draught free and warm delivery room temperature of 25–28°C.
Radiant warmer to be prewarmed along with all the linen and clothes/cap before
delivery.
Cap prevents significant heat loss in preterm as well as in term infants. Remove wet towel.
Baby is placed directly on the mother’s abdomen or chest after delivery in both vaginal
and cesarean delivery.
Provide warmth by skin-to-skin contact after drying with a warm and dry linen if baby
is doing well.
Breastfeeding can be started immediately and the baby and the mother are covered
with a warm blanket. Delay bathing. No bathing in the hospital.
Resuscitation, if required, should be done under the radiant warmer and heated
humidified gases to be used if oxygen or positive pressure ventilation is required.
Prewarm medications and intravenous (IV) fluid, if required.
During surgery, abdominal organ coverage reduces the incidence of hypothermia.
Additional measures for very preterm infants (who are more prone to hypothermia due
to greater surface-to-mass ratio and lesser brown fat):
In the NICU:
• Use servocontrolled warmer or
Hello guys, bringing to you the concept of golden hour of neonatology. As in trauma, the first hour of neonatal life is most precious and this ppt is an attempt to highlight a few key aspects of this resuscitative strategy in premature infants.
PPT presentation supporting education for the NHS SEC SCN Acute Care Pathways: Fever, Bronchiolitis, Diarrhoea and Vomiting, Head Injury and Acute Asthma
WHO Extract on Newborn care, Apgar scale and score, interpreting apgar scores and important things on interpretation, newborn care kit, objectives,procedure of immediate newborn care, positions used during resuscitations and DO's and DONT's of a newborn care.
Essential newborn care Essential care of a normal newborn can be best provided by the mothers under the supervision of nursing personnel.
About 80% of newborn babies require minimal care.
The normal term baby should be kept with their mother rather than in a separate nursery.
Rooming-in promotes better emotional bondage, prevents cross-infection and establishes breast feeding easily.
Active participation of mothers in the nursing care of the baby develops self-confidence in her.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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
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!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
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
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
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
3. Source: WHO Premature Birth, Fact Sheet N°363, November 2015
http://www.who.int/mediacentre/factsheets/fs363/en/ 3
15 million premature infants are born annually.
1.5 million infants die in resource scarce settings.
4. 7/21/2016 4
Of 1.5 million deaths, 75% could be saved
with interventions including thermal care, safe
oxygen use, and CPAP.
And premature birth rates are increasing in almost all
countries with reliable data.
For 1°C in temperature, there is a 28% in
infant mortality.
9. 9
Instant Heat: Usage Flow Chart
1. Ready for Use:
Liquid Pack
2. Press Disk
Place Pack in Blanket
8 Hours of Heat
3. Boil Solid
Pack 30 min
4. Cool to Room Temperature
400x Cycles
10. 10
The pack can be recharged through boiling for 30 minutes. (Life cycle
400 boiling cycles.)
Video in real time.
15. 15
Intermittent
Kangaroo Mother
Care (KMC)
• No Electricity
• No Incubator
Assist Moms with
Intermittent Kangaroo
Mother Care (KMC)
• Goal = Capacity Building
• Have Incubators &
Electricity
16. 16
IncuBlanket Materials &
Technical Specifications
• Safe temperature
• Breathable to
wick away sweat
• Phthalate-free,
lead-free
• All medical grade
materials
currently used in
US baby
products8”
16”
20. 20
Clinical Trials Summary
• No reported morbidity except being premature or
low birth weight in these infants.
• Average weight 1.75 kg
• Average gestational age 35.25 weeks
• Each infant’s temperature started at 36.5°C-37.5°C.
These infants were constantly monitored for their
time and temperature profiles.
• The infant warming blanket demonstrated the ability
to maintain the infant’s body temperature between
36.5°C-37.5°C for 5 or more hours.
Thermoregulation Clinical Trials
Summary
24. 24
Logistics, Distribution, Customer Care
& Support
• Channels to distribute,
manage logistics, and
collaborate for on-the-
ground support
throughout Kenya, Rift
Valley Areas
• Great Lakes Region
• Horn of Africa
25. 25
Relief for Africa Foundation focuses on
aid to the Horn of Africa, including Eritrea,
Ethiopia, Somalia and Djibouti.
About $1,000,000 of medical supplies
totaling more than 50,000 pounds donated
to date.
First, thank you Relief for Africa Foundation and your team for welcoming me here today. Hello everyone, my name is Grace Hsia and I am the Co-Founder and CEO for Warmilu. Today, I am sharing with you the partnership we have with Relief for Africa Foundation, to be on a mission with the IncuBlanket to nonelectrically spread warmth and reduce premature infant death from hypothermia. My team including Director Musa Kannenje and President Rama Kannenje have had the opportunity to meet and work together over the course of the past year. This presentation presented the Warmilu IncuBlanket and heat technology to a group of Ministry of Health officials, County Health officials, Chief Medical Officers, Chief Nursing Officers, neonatologists, pediatricians, and other key influencers seeking positive impact in maternal and infant health. We discuss the Warmilu technology and challenges in infant warming as well as context for applications. Presented by Grace Hsia, CEO, on 3/31/2016 at the Sarova Panafric Hotel.
When we met and partnered with the Warmilu team, we found ourselves sharing a common mission to improve infant and maternal health. One of the challenges we focus on is that of premature infant death. Of 15 million low birthweight preterm infants born annually, 1.5 million die in resource scarce settings during the neonatal period. For every 1°C drop in body temperature, there is a 28% in infant mortality.
Of the 1.5 million deaths, 75% could be saved with basic interventions. We recognize that premature birth rates are continuing to increase in almost all countries with reliable data and that these basic interventions including thermal care, safe oxygen use, and continuous positive airway pressure can make all the difference if they can be accessed by trained personnel. This is known in the scientific literature.
According to the World Health Organization (2013), 8,000 newborns die daily around the world, and 20 of these deaths occur every day in Kenya (DHIS 2012). In total there are 1.25 million – 1.5 million live births annually in Kenya; of these, one in eight or 156,700 -187,500 are born preterm and low birth weight. Of these preterm infants 14,000 die and the leading cause is hypothermia or pneumonia exacerbated by hypothermia.
We think, together with your team here in Bungoma, we can help reduce premature infant death by providing access to a non-electric infant warming blanket. Almost 5 years ago now, the Warmilu team began developing their nonelectric warming technology. But what do we mean by nonelectric? I have brought with me the Warmilu nonelectric warming pack [and small demonstration packs]. The pack was designed by materials science engineers at Warmilu to be a thermal battery that you can turn on by pressing this metal disk. You can feel it generating warmth in seconds. This pack heats the blanket to 37.5 degrees Celsius. You can feel the warmth in your hands. This pack may then be slid into the back of the IncuBlanket.
Here is the phase change again in a Warmilu video. As you can see, the heat is generated by flexing the metal activator disk. The composition controls the pack’s temperature and allows it to generate heat for hours with the addition of a proprietary thermal buffer. The pack has undergone validation in clinical trials with the Kempegowda Institute of Medical Sciences in Bangalore, India and testing with Lawrence Berkeley National Laboratory, Kettering University, and the University of Michigan.
IncuBlanket Demonstration
Now we will show you how to use the IncuBlanket. First, you would lay the infant inside the IncuBlanket. The fold would be lifted and laid over the infant’s core and these wings are wrapped around the infant to make sure the heat is directed and kept close to the infant. The temperature is monitored by ThermoSpot stickers.
In summary, we are proud to be able to present this infant warming solution to you. To finalize and summarize how to use the Warmilu IncuBlanket, I will present this usage flow cart. First, you generate heat by pressing the disk. Then, you place the pack inside of the IncuBlanket to generate heat. Then, after 8 hours and completion of the heat generation, you boil the solid pack for 30 minutes. Finally, let the liquid pack cool to room temperature. When you are ready to use the pack again, press the disk and place it inside of the infant warming blanket.
The pack can be recharged through boiling for 30 minutes. (Life cycle 400 boiling cycles.) This video is shown in real time. Once you boil the pack, it resets it into the liquid state which is stable and when you need the heat you may press the disk and generate heat in seconds.
We have had the opportunity to visit a significant number of hospitals in the course of our work throughout Kenya and throughout the Horn of Africa. During our visits to hospitals, we experienced and learned about several specific use cases.
The first use case is in settings where electricity is scarce and the hospitals do not possess incubators. They might possess, as shown in this photo, a space heater. These hospitals were also often in need of thermometers. Level 2 Hospitals often experienced electricity scarcity with the power going out anywhere from 2-4 times a week for 30 minutes up to an entire day. In these Level 2 to Level 3 hospitals, they did not have any incubators and did not have backup power generators. There was a need within the hospital to have a source of warmth if the mother was not able to provide kangaroo mother care.
In addition, if there was a complication in the birth which may affect the mother or infant’s health, the infants and mother may be transferred to a Level 3 or a Level 4 hospital. When the mothers cannot administer kangaroo mother care during transport, there is a need to supplement kangaroo mother care and provide warmth to the infants during transport.
Warmilu Use Case
In this scenario, we learned that the Warmilu IncuBlanket could serve as a source of warmth to the infants at the hospital and provide warmth during transport.
One of the most common challenges we encountered was electricity scarcity and just not having enough incubators. If a hospital had incubators, they might only have 1-2 working incubators and there could be anywhere from 2 to 6 infants laid in an incubator. When the mothers cannot administer kangaroo mother care or the power goes out or there are just too many infants, there is a need to supplement kangaroo mother care and incubators to provide warmth to the infants. This tended to apply to Level 3-Level 4 hospitals. When there is no more space in the incubators or the mothers cannot administer kangaroo mother care during transport or in the hospital, there is a need to supplement kangaroo mother care and provide warmth to the infants being kept for observation in a Level 3 or Level 4 Hospital.
Warmilu Use Case
In this scenario, we learned that the Warmilu IncuBlanket could serve as a source of warmth to the infants in the case of a power outage at the hospital and provide warmth to a greater number of infants who were being cared for in the hospital. In this case, the Warmilu IncuBlanket could also help expand basic thermal care to other infants and could also be used during transport.
In infants that are stable enough for kangaroo mother care, more hospitals are beginning to evaluate intermittent kangaroo mother care to help with scaling thermal management. When there is a warming gap when the mothers need to rest or use the restroom or take a shower, they often do not have access to electricity or incubators to provide supplemental warmth.
Warmilu Use Case
In those instances, there is the high potential to help the mothers and caretakers and relatives when they need to rest by providing an infant warming blanket to help provide supplemental warmth.
Finally, in Level 5 and Level 6 hospitals, we found that there are often enough incubators and electricity. There are backup generators even if the power goes out. In these hospitals, we find that they are helping educate mothers in proper intermittent kangaroo mother care when the infants are stable.
Warmilu Use Case
In that scenario, the Warmilu IncuBlanket may be used to assist hospitals with scaling and capacity building and providing supplemental warmth when the mother needs to rest from intermittent kangaroo mother care.
In addition to a strong technical design and being built with the infant and maternal health in mind and how best to help medical practitioners, the materials were selected to improve the comfort and safety of the infant by being breathable, temperature safe, and wicking away sweat to make sure any moisture is swept away from the infant’s skin. All materials are medical grade and currently used in US baby products. They are all phthalate-free and lead-free and comply to the highest medical grade standards for infant products.
The IncuBlanket has been validated in Clinical Trials.
We’ve built and tested our IncuBlankets and heat packs in clinical trials to make sure they are safe and effective with third parties.
In the clinical trials, there was no reported morbidity except being premature or low birth weight in these infants. The infant warming blanket demonstrated the ability to maintain the infant’s body temperature between 36.5°C-37.5°C for 5 or more hours as indicated by the infants’ body temperatures kept between the green rectangle on this graph showing the infant core temperatures versus time.
In summary the IncuBlanket was able to administer thermal care safely and effectively in premature and low birth weight infants with average weight 1.75 kg and average gestational age of 35.25 weeks. These infants were constantly monitored for their time and temperature profiles.
Our next steps include completing our regulatory approval. This is an overview on the regulatory pathway in Kenya.
We have received the SGS Certificate of Conformity which is a way to verify that each IncuBlanket conforms to the highest quality management, quality control, and quality assurance standards. Each shipment is verified to meet the expectations and quality rigor expected by the Kenya Bureau of Standards.
In the next 1-2 months we will be receiving our regulatory approval for the IncuBlanket. We are currently in the final process of updating the design following feedback from a meeting with doctors, nurses, County Officials, and Ministry of Health Officials on March 31, 2016. This will help us update and finalize our quality management system documentation and get it ready for submission to the Kenya Pharmacy and Poisons Board.
Upon receiving Kenya Pharmacy and Poisons Board clearance, we at Relief for Africa Foundation will be the logistics, distribution, customer care, and support partner for Warmilu. We have the channels and team to manage these critical tasks and provide on the ground support and collaboration throughout Kenya and the Rift Valley Areas and beyond including the Great Lakes Region and surrounding Horn of Africa.
Our organization, the Relief for Africa Foundation, is a nonprofit on a mission to provide aid to the Horn of Africa including Eritrea, Ethiopia, Somalia, and Djibouti. We are able to facilitate these donations through the executive team’s roots here in Nairobi and Western Kenya as well through as our President’s work at the University of Michigan Health System and Huron Valley Ambulance and as an ambassador at World Medical Relief. We are builders of partnerships and relationships that help improve healthcare right here in Kenya. About $1,000,000 of medical supplies totaling more than 50,000 pounds have been donated to date through the efforts of our foundation.
Thank you for your attention and time! We look forward to welcoming and answering your questions. We also welcome your feedback and contributions. Together, we can spread the warmth to save lives.