NPCDCS, NP-NCDs, recent updates in national program for non-communicable diseases, components under NPCDCS, Objectives, strategies, behavioral changes, health activities at sub-center, at community health center, at district hospital, urban health check up scheme, cancer component, tobacco control legislation, provisions under COTPA act, NTCP.
The document discusses the World Health Organization's goal of "Health for All" by the year 2000. It was established in 1977 with the aim of attaining a basic level of health that allows people to live productive lives. The strategy involved strengthening primary healthcare infrastructure at the village, sub-center, primary health center, and community health center levels. It also outlined a primary healthcare package and specific health goals for India to reduce mortality and birth rates while increasing life expectancy. The national strategy for achieving Health for All built upon the principles of primary healthcare established at Alma-Ata in 1978.
The National Vector Borne Disease Control Programme (NVBDCP) is an umbrella programme under the National Health Mission that aims to control and prevent six vector-borne diseases: malaria, kala-azar, filariasis, dengue, Japanese encephalitis, and chikungunya. The programme focuses on disease management, integrated vector management, and supportive interventions like indoor residual spraying and larvivorous fish. Its goals are to reduce mortality from certain diseases and eliminate kala-azar and filariasis by targeted years. The programme is coordinated by the Directorate of NVBDCP and implemented at national, state, district, and local levels.
Revised Operational Guidelines of NP-NCD (2023-2030).pdfMostaque Ahmed
i. This document outlines the operational guidelines for India's National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) from 2023-2030. It was created to address the growing burden of NCDs and progress toward universal health coverage.
ii. The NP-NCD was launched in 2010 and scaled up to cover screening for common NCDs like diabetes and hypertension at all district levels. Population-based screening was added in 2016 to screen communities down to the sub-centre level.
iii. Comprehensive primary healthcare and Ayushman Bharat, launched in 2018, both play important roles in primary and secondary prevention of NCDs, which now account for
The National Diabetes Control Programme was started on a pilot basis in 1987 in some districts of Tamil Nadu, J&K, and Karnataka to prevent diabetes through identifying at-risk groups, early diagnosis and treatment, and preventing complications. However, due to lack of funds, the program was not expanded. Its objectives include prevention, early diagnosis and treatment, reducing morbidity and mortality in at-risk groups, and rehabilitation.
ndia is one of the developing countries who have national cancer control programme (NCCP). We started way back in 1975 and the plan has been revised three times. The first revision was in 1984, second one in 1991 and third one 2004.
The document discusses growth charts and child development scales. It provides background on the WHO growth chart, including that it was developed based on data from healthy breastfed children in diverse settings. The MGRS from 1997-2003 aimed to establish new growth curves. The WHO charts use 2nd and 98th percentiles to identify abnormal growth. In India, the WHO growth chart was incorporated into the "Mother and Child Protection Card" in 2009. The Trivandrum Developmental Screening Chart is also discussed as a tool to screen motor, mental, hearing and visual development in children under 2 years.
NVBDCP National Vector Borne Disease Control ProgramMihir Rupani
The document discusses guidelines for the National Vector Borne Disease Control Program (NVBDCP) in India. The NVBDCP is an integrated program that aims to prevent and control six vector-borne diseases - malaria, dengue, chikungunya, Japanese encephalitis, kala-azar, and filariasis. It outlines strategies like surveillance, diagnosis, treatment, vector control, capacity building, and inter-sectoral collaboration. Specific guidelines for malaria control include microscopy-based diagnosis, use of rapid test kits, indoor residual spraying, larviciding, epidemic preparedness, and training of health workers.
The Pradhan Mantri Matru Vandana Yojana (PMMVY) provides Rs. 5,000 to pregnant women and lactating mothers for their first live child in three installments. It was announced in 2016 and is administered through the Integrated Child Development Services and health infrastructure. Eligible women receive Rs. 1,000 for initial registration, Rs. 2,000 at 6 months, and Rs. 2,000 upon completion of immunizations. Various roles like field functionaries, supervisors, and nodal officers at state and district levels facilitate implementation through an online system to process registrations and payments via Direct Benefit Transfer.
RMNCH+A strategy: Reproductive, Maternal, neonatal, child and Adolescent Health Gaurav Kamboj
This document provides an overview of the RMNCH+A strategy in India. It discusses the historical background and goals of reducing maternal and child mortality. The key challenges include operating the different components vertically and strengthening adolescent health. Major causes of maternal and child deaths in India are hemorrhage, sepsis, abortion for mothers and pneumonia, preterm birth and sepsis for under-5 children. The strategy aims to address these across various life stages through interventions like adolescent nutrition programs, skilled birth attendance, emergency obstetric care, and postnatal care for mothers and newborns. It also discusses strengthening the health system to deliver comprehensive RMNCH+A services and monitoring progress.
The National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS) aims to prevent and control non-communicable diseases in India through strategies like health promotion, early diagnosis, treatment, and capacity building. Key objectives include preventing and managing common NCDs, providing early diagnosis and affordable treatment, and establishing surveillance systems. The program focuses on lifestyle changes, screening and management of conditions like diabetes, hypertension, cancer and cardiovascular disease at primary health centers, community health centers, and tertiary cancer centers. Achievements include establishing over 290 district NCD clinics and 100 cardiac care units nationwide.
The document discusses India's National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). It was established to address the growing burden of non-communicable diseases in India. The program merged the National Cancer Control Programme and National Diabetes Control Programme. It aims to promote healthy lifestyles, screen high-risk populations, build healthcare capacity, and strengthen tertiary care facilities. Key activities include health education, opportunistic screening, NCD clinics, and referral systems across primary, community and district levels.
Mission Indradhanush is an initiative of the Indian Ministry of Health and Family Welfare to provide universal immunization to children under 2 years of age and pregnant women. It aims to fully immunize more than 90% of newborns by 2020 through special drives. The mission focuses on strengthening health systems and addressing inequities in access to immunization. It has conducted several phases of intensified immunization drives since 2015, focusing on pockets of low coverage. Evaluation surveys show immunization rates increasing from 35.4% to over 60% from 1992 to 2016, though progress remains slow, especially in urban areas. Supplemental action under Intensified Mission Indradhanush was needed to accelerate coverage further.
The document outlines India's National Programme for Control and Prevention of Non-Communicable Diseases (NPCDCS) such as cancer, diabetes, cardiovascular diseases and stroke. It aims to integrate NCD prevention and control with primary healthcare and improve early diagnosis, management and treatment of NCDs. Key objectives include preventing NCDs through lifestyle changes and screening, building healthcare capacity for NCDs, and improving access to treatment. The program promotes healthy behaviors and screens for NCDs opportunistically. It also works to establish NCD clinics and strengthen infrastructure for NCD care.
The document discusses the National Filariasis Control Programme in India. It provides an introduction to filariasis, noting it is caused by a parasitic infection transmitted by mosquitoes. It affects 250 districts across 20 states. The program was launched in 1955 with objectives of surveys, control measures, and community awareness. Activities include annual mass drug administration of diethylcarbamazine, vector control, and management of acute and chronic cases. The nurse's role includes administration, communication, nursing care, teaching patients and families, and conducting research.
The India Newborn Action Plan (INAP) aims to reduce preventable newborn deaths and stillbirths in India. Its two goals are to achieve a neonatal mortality rate (NMR) and stillbirth rate (SBR) of less than 10 by 2030. It outlines six intervention pillars including care during pregnancy, childbirth, the postnatal period and beyond. The plan emphasizes improving services for maternal and newborn care across various levels of India's health system through strategies like the Home Based Newborn Care program and strengthening special newborn care units. Successful implementation of INAP requires active participation and commitment from India's states to achieve its vision by 2030.
This document discusses behavioral change communication (BCC) and its role in public health programs. It defines BCC as a research-based, client-centered approach aimed at promoting behavior change through benefit-oriented and professionally developed services. BCC principles include community involvement, self-esteem promotion, and voluntary participation. The document outlines BCC's role in HIV/AIDS prevention by increasing knowledge, promoting attitude change, improving skills, and reducing stigma. It also discusses using BCC to achieve reproductive and child health goals by targeting influencers like mothers-in-law. Challenges to effective BCC include integrating it fully into programs and ensuring financial and training resources for sustainability.
The document outlines key strategies for improving maternal health in India, including using the Mother and Child Tracking System (MCTS) to ensure early registration of pregnancy and full antenatal care, detecting and line listing high-risk pregnancies like severely anemic mothers to ensure management, and equipping delivery points with facilities for basic and comprehensive obstetric and newborn care available 24/7. It also discusses reviews of maternal, perinatal and child deaths to understand gaps in health services and strategies to strengthen health infrastructure for maternal and newborn care.
The document discusses several national health programs in India related to non-communicable diseases. It provides an overview of the National Mental Health Programme, including its aims to integrate mental health services into primary care. It describes the National Programme for Control of Blindness, including its goal to reduce blindness prevalence. It also summarizes the National Programme for Cancer Control and National Diabetes Control Programme, outlining their objectives to manage these diseases.
This document discusses health planning and its importance. It defines planning as setting goals, strategies, and schedules to accomplish goals. Health planning is part of national planning and is needed to efficiently use resources to improve health services. The planning cycle involves analyzing the health situation, establishing objectives and goals, assessing resources, setting priorities, formulating plans, programming and implementation, monitoring, and evaluation. The overall goal of health planning is rapid and balanced development to meet community health needs through optimal resource utilization.
National programme for prevention and control of cancer, diabetes, CVDs and s...Dr Lipilekha Patnaik
NCDs are surpassing the burden of communicable diseases in India, need for National Programme on Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke was envisaged.
This document summarizes the National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in India. It notes that NCDs account for 60% of deaths in India and aims to provide early diagnosis and management of common NCDs. The program has two components: (1) diabetes, cardiovascular diseases and stroke, focusing on prevention, capacity building, and integrating management into primary healthcare; and (2) cancer control, with objectives of prevention, screening and strengthening comprehensive therapy. It outlines the activities, schemes and initiatives undertaken at various levels of healthcare to implement this national program.
Prevention and Control of Non-Communicable diseases (NCDs).pptxJaydeep Ghevariya
The document discusses the National Program for Prevention and Control of Non-Communicable Diseases (NPCDCS) in India. It aims to prevent and control common NCDs like cardiovascular diseases, diabetes, cancers and strokes through a comprehensive and multisectoral approach. Key activities include health promotion, screening, diagnosis and management of risk factors, and strengthening healthcare facilities. The program is implemented through primary, secondary and tertiary levels and focuses on both communicable and non-communicable diseases.
The National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS) in India aims to prevent and control these common non-communicable diseases. It focuses on health promotion, strengthening infrastructure, early diagnosis and management, and integrating services through NCD cells. The program operates in 100 districts across 21 states, providing screening, management of risk factors, and tertiary care services for cardiovascular diseases, diabetes, stroke, and cancer. Achievements so far include training and establishing human resources, releasing funds, and piloting school-based diabetes screening. The overall goal is to reduce the risk factors and burden of non-communicable diseases in India.
Chronic non-communicable diseases (NCDs) such as cardiovascular disease, cancer, and diabetes now account for over half of deaths in India and place a large economic burden. The National Programme for Prevention and Control of Cancer, Diabetes, CVD and Strokes (NPCDCS) aims to address NCDs through health promotion, screening, diagnosis, management, and capacity building integrated into primary healthcare. Current programs have had limited implementation; a comprehensive and widespread approach is still needed to reduce the growing NCD burden in India.
The document discusses India's growing burden of non-communicable diseases like cardiovascular diseases, cancer, diabetes, and stroke. It outlines the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) which aims to integrate NCD interventions into primary healthcare and provide prevention, early diagnosis, management and capacity building services. The strategies proposed include prevention through behavior change, early diagnosis, treatment, capacity building, and monitoring and evaluation. Services will be provided at sub-centers, community health centers and district hospitals, including health promotion, screening, management, home-based care and referrals.
Role of peripheral health centres in non communicable diseasesSHAFI UR RAHMAN KHAN
This document discusses the role of peripheral health centers in managing non-communicable diseases (NCDs) in India. It notes that NCDs account for over 60% of deaths globally and are a major cause of mortality in India as well. It then outlines the roles of sub-centers and primary health centers (PHCs) in promoting healthy behaviors, opportunistically screening for NCDs, diagnosing and managing cases, collecting data, and referring more advanced cases. PHCs establish NCD clinics to provide clinical services, investigations, and counseling. The role of community health centers is also described, including expanded screening, prevention activities, lab tests, diagnosis, referral networks, data collection, and hiring dedicated staff.
Introduction of National Health Programmes,Objectives, Main Activities, Ongoing National Health Programmes in India, National Iodine Deficiency Disorders Control Programme (NIDDCP), National Leprosy Eradication Programme (NLEP),National Mental Health Programme(NMHP), National Palliative Care (NPPC) , National Oral Health Programme (NOHP), National Organ Transplant Programme (NOTP), National Programme for Control of Blindness and Visual Impairment (NPCBVI), National Programme for Prevention and Control of Fluorosis (NPPCF),National Tobacco Control Programme (NTCP),Revised National TB Control Programme (RNTCP), National Programme on Health Care for Elderly (NPHCE), National Programme for Prevention and Control of Deafness (NPPCD), National Programme for Prevention & Control of Cancer, Diabetes, CVS Diseases & Stroke, b) Programme National Rabies Control (NRCP), c) National Viral Hepatitis Surveillance Programme (NVHSP), ) Six Vector – Borne DiseasesThey are chikn gunya, malaria, filariasis, kala azar, Japanese encephalitis and dengue, National Programme for Prevention & Mangement of trauma & Burn Injuries (NPPMTBI), National Pulse Polio Programme, Health Programmes Monitored by National Centre for Disease Control (NCDC)1. Antimicrobial Resistance (AMR) Containment, 2. National Programme on Climate Change & Human Health (NPCCHH), 3. Integrated Disease Surveillance Programme (IDSP), 4. Yaws Eradication Programme (YEP) there Objectives and Functions and Outcome, Additional National Health Programmes and Role of Pharmacist in National Health Programmes.
A detailed view of National Control Programme for Diabetes, 1987 and the changes in the programme.. for nursing students.
From Community health nursing..
Health system and National Health Programs in India.pptxMohammadsaifShaha
The document provides an overview of the health system and various national health programs in India. It describes India's mixed public-private healthcare system and the three-tier rural public health system. It then summarizes the objectives and functioning of several key national health programs in India, including the National AIDS Control Program, National Leprosy Eradication Program, Revised National Tuberculosis Control Program, National Iodine Deficiency Disorders Control Program, and National Mental Health Program.
Taking Public Health Action To Stop Chronic NonCommunicable DiseasesElvira Beracochea
Dr. Elvira Beracochea presented on taking public health action to stop chronic non-communicable diseases (CNCDs). Up to 80% of CNCD deaths can be prevented through improved care and public health programs. CNCDs account for 70% of global deaths and will kill 10 billion from tobacco by 2030. Objectives were to discuss global and local actions to stop CNCDs and choose one 2014 action. Interventions like those in North Karelia involving communities and integrating services into healthcare were effective locally. The Fagerstrom Test for Nicotine Dependence was presented to assess addiction levels and guide tobacco treatment. Challenges include lack of trained workforce, medicines, and surveillance systems. Advoc
National Program for Prevention and Control of Cancer, Diabetes, CVD and Stro...Vivek Varat
Government of India initiated a National Programme for Prevention and Control of Cancers, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) during 2010-11 after integrating the National Cancer Control Programme (NCCP) with (NPDCS).
Cancer is a major public health problem in India, with nearly 7-9 lakh new cases occurring annually. The National Cancer Control Programme aims to prevent and control cancer through primary prevention of tobacco-related cancers, secondary prevention through early detection of cancers like cervix and breast, and tertiary prevention including palliative care. It operates through schemes at district and regional levels, focusing on health education, screening, training, and strengthening diagnostic and treatment facilities across the country.
In cooperation with the Research and Evaluation Division of BRAC, Copenhagen Consensus Center organized roundtable discussions with an aim to figure out smarter solutions to the most problematic issues facing Bangladesh.
NATIONAL TOBACCO CONTROL PROGRAMME [Autosaved].pptxbharatibakde1
The National Tobacco Control Programme was launched in 2007-2008 in India to address the growing issue of tobacco use and related deaths and diseases. The objectives of the program are to increase awareness of the harms of tobacco, implement tobacco control laws like the COTPA 2003, and minimize tobacco consumption and related deaths. The program is implemented at national, state, and district levels and focuses on public awareness campaigns, enforcing advertising bans and youth access laws, and establishing tobacco cessation centers. While the program has led to a reduction in tobacco use prevalence, continued challenges include patient lack of motivation to quit and policy issues around tax increases and enforcement.
The National Cancer Strategy in Qatar 2011-2016 aims to establish a comprehensive national cancer control program. It was developed in response to the increasing cancer burden in Qatar due to risk factors like smoking and obesity. The strategy outlines recommendations across the cancer continuum from prevention to treatment to palliative care. It also establishes a governance structure and implementation plan. Formal reviews will be conducted in 2013 and 2016 to evaluate progress and refresh the strategy.
Planning,implementation and evaluation of education program on diabetesSurakshya Poudel
This document outlines a proposed education program on diabetes in Nepal. It begins with background on diabetes and its types. It then performs assessments of the social, epidemiological, behavioral, environmental, educational, policy and administrative factors related to diabetes in the target area. The goal is to reduce diabetes mortality and morbidity within 60 days through education. The program will educate adults on causes and risk factors, encourage healthy lifestyle changes like exercise and diet, and increase health checkups. It describes implementation, evaluation and follow up plans to assess the process, impact and outcomes of the diabetes education program.
Health Promotion and Disease Prevention under the Aquino Health Agenda by Use...HealthJustice Philippines
The document discusses the Philippine health situation and efforts to promote health and prevent diseases under the Aquino Health Agenda. It outlines the current burden of non-communicable diseases in the Philippines, which are among the top causes of mortality. It also discusses the implementation of universal health care in the country to improve health outcomes through expanding access to essential health services. A key part of this is addressing non-communicable diseases by implementing strategies around prevention and control of risk factors like tobacco use, unhealthy diets, and physical inactivity.
Nutrition, food items, deficiency disorders, instruments related to nutrition, nutritive value of cereals, nutritive value of pulses, methods of pasteurization of milk, nutritive value per 60gm of egg, bitot's spot, angular stomatitis, scurvy, casal's necklace, rickets, protein energy malnutrition, kwashiorkar, marasmus, neuro lathyrism, salters scale, infantometer, stadiometer, body mass index, shakirs tape, harpendens calliper, ended with question answer session on two slides
India has the second highest population in the world. Some key causes of population growth in India include high birth rates due to factors like universality of marriage and low standards of living, as well as decreased death rates due to better healthcare. This population explosion leads to issues like overexploitation of natural resources, increased environmental pollution, and poverty. India's population is characterized by its age structure, sex ratio, and dependency ratio. The United Nations Population Fund (UNFPA) works on issues related to population dynamics worldwide.
ACUTE GASTRO-ENTERITIS (AGE), TYPES, EPIDEMIOLOGICAL TRIAD, MODE OF TRANSMISSION, CONTROL MEASURES, ORS THERAPY, ResMol, Assessment of dehydration, IV, MAINTAINANCE THERAPY, foods to eat and to avoid, APPROPRIATE FEEDING, CHEMOTHERAPY, ZINC SUPPLEMENTATION, better MCH care, preventive strategies & ends with questions on this topic.
PRINCIPLES OF HEALTH EDUCATION, INTRODUCTION, DEFINITION, AIM, PRACTICE OF HEALTH EDUCATION, INDIVIDUAL APPROACH, GROUP APPROACH, MASS APPROACH, CREDIBILITY, MOTIVATION, INTEREST, PARTICIPATION, REINFORCEMENT, COMPREHENSION, FEEDBACK, KNOWN TO UNKNOWN, LEARNING BY DOING, SETTING AN EXAMPLE, GOOD HUMAN RELATIONS, LEADER.
WHO five keys to safer food, food additives, food processing, effects of food processing, sanitation of food establishment & of food handlers, conservation of nutrients before-during & after cooking, food fortification, examples of fortified foods, how to choose fortificant.
health education, audio-visual aids, methods of health education, individual approach, group approach, demonstrations, group discussions, panel discussion, symposium, workshop, conference, role play, mass approach, billboards, health exhibition, folk media, thank you.
The document outlines the four levels of prevention: primordial, primary, secondary, and tertiary. Primordial prevention aims to prevent the development of risk factors through lifestyle changes like exercise, nutrition, and restricting tobacco/alcohol. Primary prevention targets the whole population and high-risk groups to stop disease progression using public health strategies and screening high-risk individuals. Secondary prevention focuses on early diagnosis and treatment for those who already have a disease. Tertiary prevention aims to prevent disability and support rehabilitation.
Definition of health, determinants of health, the galenic concept of health, modern health concepts, biological, ecological, psychological & holistic concept, lastly question-answer session.
mortality indicator, IMR, MMR, disease-specific mortality, uses of mortality data, morbidity indicator, disability rates, nutritional status indicators, health care delivery indicators, utilization rates, social health indicators, mental health indicators, environmental indicators, socio-economic indicators, health policy indicators, indicators of quality of life, other indicators
introduction of food hygiene, food additives, food processing, sanitation of food establishment, food handlers, conservation of nutrients, before, during and after food preparation, food fortification, food adulteration, food standards, PFA act, milk hygiene, pasteurization of milk, tests of pasteurization, meat hygiene, slaughterhouse hygiene, fish hygiene, egg hygiene, along with references.
Summary of DART (Detect Adulteration with Rapid Tests), tests how to detect food adulteration at home, adulteration of milk, oil, sugars, grain, spices, etc. food standards, PFA act.
Background of PRA, Origin, the difference between survey research and PRA, Johari window, principles of PRA, uses of PRA, tools of PRA, references, Social mapping of our Harshnagar area, thank you.
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga
MALE CIRCUMCISION consists of the surgical act of removing the foreskin (skin that covers the glans of the penis), leaving the glans more prominent and better cleanable.
MALE CIRCUMCISION itself has medical as well as sociocultural implications, as it has been proven to be an act that can minimize SEXUALLY TRANSMITTED INFECTIONS (STIs), especially HIV, but it also represents the SOCIOCULTURAL IDENTITY of some people, respectively.
Now, in a SERO-EPIDEMIOLOGICAL PROFILE like that of Mozambique where the prevalence of HIV is around 12.5% which corresponds to approximately 2 million people living with HIV, where the province of GAZA is the most seroprevalent with a positivity rate of 21% (INSIDA, 2021), it is extremely necessary to THOROUGHLY scrutinize all possibilities for preventing or minimizing the spread of HIV and other STIs.
Safety should always come first when it comes to medical operations involving the use of a Huber needle. Disposable safety Huber needles are useful in this situation. A secure and effective method of accessing and delivering medication to a patient's port is provided by these single-use devices. But it might be difficult to choose the best option when there are so many on the market. We've put up the best advice to selecting the ideal disposable safety Huber needle so you can make an educated choice.
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of internal Medicine, Immunology, rheumatology and allergy
How to use subcutaneous nodules as a clue for diagnosis by completing the puzzle
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....bkling
Join Dr. Kevin Kalinsky, breast oncologist and researcher from Emory Winship Cancer Institute, to learn about the latest updates from The American Society of Clinical Oncology (ASCO) annual meeting 2024.
Human blood has a hydrogen ion concentration [H+ ] of 35 to 45 nmol/L and it is essential that its concentration is maintained within this narrow range.
Hydrogen ions are nothing but protons which can bind to proteins and alter their characteristics.
All the enzymes present in the body are proteins and an alteration in these enzyme systems can change the homeostatic mechanisms of the body.
Hence, a disturbance in acid-base balance can result in malfunction of the various organ systems.
The normal pH of blood is 7.35-7.45.
Acidosis is defined as a pH Less than 7.35.
Conversely, when the pH is more than 7.45, alkalosis is said to exist.
Acidosis and alkalosis are of two types each: respiratory and metabolic.
An increase in carbon dioxide (CO2 ) levels increases the plasma [H+ ] and decreases the pH (respiratory acidosis).
Similarly, a decrease in plasma carbon dioxide levels reduces the [H+ ] and increases the pH (respiratory alkalosis).
A decrease in [HC03 -] reduces the pH and is called metabolic acidosis.
Similarly, an increase in [HC03 -] increases the pH and produces metabolic alkalosis.
The pH is regulated in the human body mainly by two organs: the respiratory system and the renal system.
The arterial carbon dioxide levels are regulated by the respiratory system.
Any increase in carbon dioxide levels stimulates the respiratory centre in the medulla thus augmenting respiration, alveolar ventilation and elimination of extra CO2 levels.
A decrease in CO2 levels may reduce the stimulus to breathe and cause hypoventilation.
This response is limited by hypoxia as the hypoxic drive stimulates the patient to maintain respiration.
Respiratory response to changes in CO2 level occurs very fast.
The plasma bicarbonate levels are regulated by the kidneys.
Any decrease in [HC03 -] stimulates the kidney to retain and synthesise bicarbonate.
High [HC03 -] results in elimination of more bicarbonate in urine.
In general, the pulmonary response to a change in acid-base status is faster and occurs immediately.
However, renal regulation takes time, a few hours to days.
Kidneys filter and reabsorb all the bicarbonate in the urine.
When necessary, kidneys can also produce extra bicarbonate through the glutamine pathway.
When an acid-base disorder occurs, the initial disturbance that occurs is termed the primary disorder.
The body attempts to normaliZe the pH by certain compensatory mechanisms resulting in a secondary disorder, e.g. primary metabolic acidosis results in an increase in hydrogen ions and a consequent decrease in bicarbonate ions.
To compensate for this, the patient hyperventilates and reduces the arterial carbon dioxide levels, thus moving the pH back to normal ( compensatory respiratory alkalosis )
Surgical Infection Powerpoint based on Scwartz Principlse of SurgeryMedicNerd
A presentation on surgical infections would encompass an in-depth examination of infections that occur post-surgery, highlighting their significance in clinical settings. It would cover the various types of surgical infections, such as superficial incisional infections, deep incisional infections, and organ/space infections, delving into their causes, including microbial contamination during surgery, patient-related factors, and procedural factors. The presentation would discuss diagnostic techniques, such as clinical evaluation, laboratory tests, and imaging studies, alongside treatment strategies that include antibiotic therapy, surgical intervention, and supportive care. Additionally, it would emphasize preventive measures, such as stringent aseptic techniques, preoperative skin antisepsis, and postoperative care protocols, to mitigate the incidence of these infections.
कायाकल्प क्लिनिक: पटना के अग्रणी सेक्सोलॉजिस्ट और स्किन केयर विशेषज्ञ
पटना का एक शानदार स्वास्थ्य सेवा प्रदाता, कायाकल्प क्लिनिक, आपके स्वास्थ्य और त्वचा की देखभाल में विशेषज्ञता प्रदान करता है। हमारे नवीनतम तकनीकी समाधानों और अनुभवी विशेषज्ञों के साथ, हम पुरुष और महिलाओं के स्वास्थ्य सम्बंधित मुद्दों को हल करते हैं। यहां पर हम प्रदान करते हैं:
Expert Treatment for Sex Issues at Kaya Kalp Clinic in Patna -best sexologist in patna
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Discover the Best Sexologist in Patna: Expert Care at Kayakalp Clinic
Kayakalp Clinic - Best Sexologist in Patna
Kayakalp Clinic - Best Sexologist in Patna
When it comes to sexual health, finding the right expert is essential for effective diagnosis and treatment. At Kayakalp Clinic in Patna, we pride ourselves on providing exceptional care for a wide range of sexual health issues. If you’re searching for the best sexologist in Patna, look no further. Our team of highly skilled professionals is here to help you navigate and resolve your concerns with confidentiality and compassion.
Why Choose Kayakalp Clinic?
1. Experienced Professionals
Our sexologists are highly trained and experienced in dealing with various sexual health issues. They stay updated with the latest advancements in the field to provide the best care possible.
2. Comprehensive Services
At Kayakalp Clinic, we offer a wide range of services, including:
- Treatment for erectile dysfunction
- Solutions for premature ejaculation
- Counseling for low libido
- Infertility treatment
- Management of sexual pain disorders
- STI screening and treatment
- Relationship and intimacy counseling
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We understand that every individual is unique, and so are their health concerns. Our sexologists take the time to understand your specific needs and create personalized treatment plans to ensure the best outcomes.
As a leading rheumatologist in Chandigarh, Dr. Aseem specializes in the diagnosis and management of a wide range of rheumatic conditions, including but not limited to:
Rheumatoid Arthritis: An autoimmune disorder that causes chronic inflammation of the joints.
Osteoarthritis: A degenerative joint disease characterized by the breakdown of cartilage.
Lupus: A systemic autoimmune disease that can affect the skin, joints, kidneys, and other organs.
Ankylosing Spondylitis: A type of arthritis that primarily affects the spine, causing pain and stiffness.
Gout: A form of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in the joints.
Psoriatic Arthritis: A type of arthritis that affects some people with psoriasis.
Vasculitis: An inflammation of the blood vessels that can cause a variety of symptoms.
Sjogren’s Syndrome: An autoimmune disorder characterized by dry eyes and mouth.
Accurate diagnosis is crucial for effective treatment. Dr. Aseem Goyal utilizes advanced diagnostic techniques to identify the underlying causes of rheumatic conditions. Our state-of-the-art facility is equipped with the latest technology to provide comprehensive diagnostic services, including:
Blood Tests: To check for markers of inflammation and autoimmune activity.
Imaging Studies: Such as X-rays, MRI, and ultrasound to assess joint and soft tissue damage.
Joint Fluid Analysis: To examine the fluid in the joints for signs of inflammation or infection.
Biopsy: In certain cases, a small tissue sample may be taken for further examination.
Treatment Approaches
Dr. Aseem Goyal adopts a holistic and patient-centered approach to treatment. Depending on the specific condition and its severity, treatment options may include:
Medications
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To reduce inflammation and relieve pain.
Disease-Modifying Antirheumatic Drugs (DMARDs): To slow the progression of rheumatic diseases.
Biologic Agents: Targeted therapies that block specific pathways in the immune system.
Corticosteroids: To control severe inflammation quickly.
Introduction to Dental Implant for undergraduate studentShamsuddin Mahmud
Introduction to Dental Implant
Dr Shamsuddin Mahmud
Assistant Professor, Department of Prosthodontics
Nortth East Medical College (Dental Unit)
Definition of Dental Implant
A prosthetic device
made of alloplastic material(s)
implanted into the oral tissues beneath the mucosal and/or periosteal layer and
on or within the bone
to provide retention and support for a fixed or removable dental prosthesis.
Classification of Dental Implant
According to placement within the tissue
Blade/Plate form implant
According to Material Used
A) METALLIC IMPLANTS
Commercially pure Titanium
Cobalt chromium molybdenum
Titanium aluminum vanadium
Stainless steel
B) NON-METALLIC IMPLANT
Zirconium
Ceramic
Carbon
According to the ability of implant to stimulate bone formation
A) Bio active
Hydroxyapatite
Tri Calcium Phosphate
B) Bio inert
Metals
Parts of Dental Implant
Implant fixture
Implant mount
Cover screw
Gingival former/healing screw/healing abutment/permucosal extension
Impression post/impression transfer abutment
Implant analogue
Abutment
Fixation screw
Implant Fixture
Implant Mount
Connected to the fixture
Function: used to carry implant from its vital to the prepared osteotomy site either by hand or with a ratchet/ handpiece adaption
Cover Screw
component that is used to cover the implant connection during the submerged healing of the implant
Function: preserves the patency of the connection by preventing any soft tissue ingrowth in the connection
Gingival former/ Healing Abutment/ Healing screw
Screw/ abutment used to create the soft tissue emergence profile around the implant.
Time of placement:
During 1st surgery – One step surgery
After Osseointegration – Two step/stage surgery
Gingival former/ Healing Abutment/ Healing screw
Placed in the site 2-3 weeks for soft tissue healing
Function:
Create gingival emergence profile
Formation of biological width
Impression post/impression transfer abutment
component that is used to trans- fer the implant Hex position and orientation from the mouth to the working cast.
Types
Closed tray
Open tray
Implant analogue/
component which has a different body but its platform and connection are exactly similar to the implant. The analogue is used to replicate the implant platform and connection in the laboratory mode.
Abutment
Abutments
Advantages of Dental Implant Retained Prosthesis
Maintain bone height and width by preventing bone resorption
Maintain facial esthetics
Improve masticatory performance
Improve stability and retention of prosthesis
More esthetics
Increase survival times of prostheses
There is no need to alter adjacent teeth
Improve psychological health
Disadvantages of Dental Implant Retained Prosthesis
Very expensive.
Cannot be used in medically compromised patients who cannot undergo surgery.
Longer duration of treatment
Requires a lot of patient co-operation because of repeated recall visits are essential
INDICATION OF DENTAL IMPLANT
Dental implants can successfully restore all
Principles of Cleaning
Nonsurgical root canal treatment is a predictable method of retaining a tooth that otherwise would require extraction. Success of root canal treatment in a tooth with a vital pulp is higher than that of a tooth that is necrotic with periradicular pathosis. The difference is the persistent irritation of necrotic tissue remnants, and the inability to remove the microorganisms and their by-products. The most significant factors affecting this process are tooth anatomy and morphology, and the instruments and irrigants available for treatment. Instruments must contact and plane the canal walls to debride the canal.
Morphologic factors such as lateral and accessory canals, canal curvatures, canal wall irregularities, fins, cul-de-sacs, and isthmuses make total debridement virtually impossible. Therefore the goal of cleaning not total elimination of the irritants but it is to reduce the irritants.
Currently there are no reliable methods to assess cleaning. The presence of clean dentinal shavings, the color of the irrigant, and canal enlargement three file sizes beyond the first instrument to bind have been used to assess the adequacy; however, these do not correlate well with debridement. Obtaining glassy smooth walls is a preferred indicator. The properly prepared canals should feel smooth in all dimensions when the tip of a small file is pushed against the canal walls. This indicates that files have had contact and planed all accessible canal walls thereby maximizing debridement (recognizing that total debridement usually does not occur).
Principles of Shaping
The purpose of shaping is to
1) facilitate cleaning and
2) provide space for placing the obturating materials.
The main objective of shaping is to maintain or develop a continuously tapering funnel from the canal orifice to the apex. This decreases procedural errors when cleaning and enlarging apically. The degree of enlargement is often dictated by the method of obturation. For lateral compaction of gutta percha the canal should be enlarged sufficiently to permit placement of the spreader to within 1-2 millimeters of the corrected working length. There is a correlation between the depth of spreader penetration and the apical seal.5 For warm vertical compaction techniques the coronal enlargement must permit the placement of the pluggers to within 3 to 5 mm of the corrected working length.6
As dentin is removed from the canal walls the root is weakened.7 The degree of shaping is determined by the preoperative root dimension, the obturation technique, and the restorative treatment plan. Narrow thin roots such as the mandibular incisors cannot be enlarged to the same degree as more bulky roots such as the maxillary central incisors. Post placement is also a determining factor in the amount of coronal dentin removal.
HIV weakens the immune system, increasing the risk of TB in people with HIV. Infection with both HIV and TB is called HIV/TB coinfection. This presentation is an overview on "HIV-Tuberculosis Coinfection"
an huge problem we are facing about the anaemia , we slight our contribution to aware with one of its class , with detailed description. it is usefull for health , medicine , pharmacy , nursing.
These lecture slides, by Dr Sidra Arshad, offer a simplified description of the physiology of insulin and glucagon.
Learning objectives:
1. Describe the synthesis and release of insulin
2. Explain the mechanism of action of insulin
3. Discuss the metabolic functions of insulin
4. Elucidate the effects of insulin on adipose tissue, skeletal muscle, and liver
5. Enlist the factors which stimulate and inhibit the release of insulin
6. Explain the mechanism of action of glucagon
7. Discuss the metabolic functions of glucagon
8. Elucidate the role of insulin and glucagon in glucose homeostasis during the fasting and fed states
9. Discuss the role of other hormones in the glucose homeostasis
10. Differentiate between the types of diabetes mellitus
11. Explain the pathophysiology of the features of diabetes mellitus
12. Discuss the complications of diabetes mellitus
13. Explain the rationale of oral hypoglycemic drugs
14. Describe the features of hyperinsulinemia
Study Resources:
1. Chapter 79, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 24, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 39, Berne and Levy Physiology, 7th edition
4. Chapter 19, Human Physiology, From Cells to Systems by Lauralee Sherwood, 9th edition
5. Chapter 3, Endocrine and Reproductive Physiology, Bruce A. White and Susan P. Porterfield, 4th edition
6. Insulin and Insulin Resistance, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1204764/
7. Complications of diabetes mellitus,
https://pdb101.rcsb.org/global-health/diabetes-mellitus/monitoring/complications
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn J...rightmanforbloodline
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
Interventional radiology is a medical specialty that uses imaging techniques, such as X-rays, CT scans, and ultrasound, to guide minimally invasive procedures to diagnose and treat a variety of conditions. These procedures can be an alternative to open surgery, often resulting in shorter recovery times for patients.
These simplified lecture slides by Dr Sidra Arshad offer a concise look at the cardiovascular effects of heart failure:
1. Define cardiac failure, its pathophysiology and clinical manifestations
2. Differentiate between the factors causing hyper-effective and hypo-effective heart functions
3. Differentiate between right and left heart failure based on their presentation
4. Outline the physiology of treatment of cardiac failure
2. •NPCDCS stands for National Programme For Prevention
And Control Of Cancer, Diabetes, Cardiovascular Diseases
& Stroke.
•On 5th May 2023, the Ministry of Health & Family Welfare
(MoHFW) renamed NPCDCS to National Programme for
Prevention of NCDs (NP-NCDs)
3. • NP-NCDs includes NCDs like Non Alcoholic Fatty Liver Disease,
Chronic Kidney Disease, Obesity, etc.
• The rationale behind this was such that the programme can now
include all types of NCDs under a new name.
• It also thereby allows widening coverage & further expansion of
the programme.
4. 1. Rapid Health Transition Of India With Rising Burden Of
Non-communicable Diseases.
2. NCD’s Account For 53% Deaths Thus Surpassing Deaths Due To
Communicable Diseases.
7. 1. Prevent & Control Common NCDs through Behaviour & Lifestyle
Changes.
2. Early Diagnosis & Management
3. Capacity Building
4. Training Of Human Resource
5. Establish & Develop Capacity For Palliative & Rehabilitative Care
8. 1. At Country Level:
Promoting Healthy Lifestyle Through Massive Health Education &
Mass Media Efforts.
2. At CHC & District Level:
i. Opportunistic Screening Of Persons Above The Age Of 30 Years.
ii. Establishment Of Non-Communicable Disease Clinic
9. 3. At Tertiary Level :
i. Development Of Trained Manpower
ii. Strenghthening Of Tertiary Level Health Facilities
19. 2. Management & Stabilization Of Common CVD,
Diabetes, Stroke
20. 3. Appointment Of Nurse To:
• Undertake Home Visits For Bedridden Cases.
• Supervise Work Of Health Workers.
• Attend Monthly Clinics Being Held In Villages.
25. • Screening Urban Slum Population
• Creating Database For Prevalence Of NCDs
• Sensitization About Healthy Lifestyle.
27. 1. Primary Prevention By Health Education,
2. Secondary Prevention By Screening / Self Examination
Methods.
3. Tertiary Prevention By Strengthening Existing Institutions.
28. 1. Regional Cancer Centre Scheme
•Strengthening Of Existing Regional Cancer
Centres.
•One Time Assistance Of Rs. 3 crores To Regionaal
Cancer Centres Except TMH, Mumbai & AIIMS.
29. 2.Oncology Wing Development Scheme
•Initiated To Fill Up Geographical Gaps in Cancer
Treatment Availability.
•Central Assistance For Equipments.
3. Decentralized NGO Scheme
•Financial Assistance For Undertaking Health
Education And Early Detection Activities Of Cancer.
30. 4. IEC Activities At Central Level
•To Give Wider Publicity About The Anti-Tobacco Legislation
5. Research, Training & Development Of Manuals
•Manual For Health Professionals
•Manual For Cytology
•Manual For Palliative Care
•Manual For Tobacco Cessation
31. “ The Cigarettes And Other Tobacco Products
(Prohibition Of Advertisement And Regulation Of
Trade And Commerce, Producation, Supply And
Distribution) Act, 2003”
32. • Prohibition Of Smoking In Public Places.
• Prohibition Of Direct & Indirect Advertisement Of Cigarette & Other
Products.
• Prohibition Of Sale Of Cigarette & Other Tobacco Products To A
Person Below The Age Of 18 Years.
• Mandatory Depiction Of Statutory Warnings On Tobacco Packs.
• Mandatory Depiction Of Tar And Nicotine Contents Alongwith
Maximum Permissible Limits On Tobacco Packs.
33. • Public Awareness
• Establishment Of Tobacco Product Testing Laboratories
• Research & Training On Alternate Crops
• Adult Tobacco Survey
• Dedicated Tobacco Control Cells
• Tobacco Cessation Facilities
• School Programme
34. 1. Lower Limit Of Screening Age For NCDs Is-
a) 60 Years
b) 50 Years
c) 40 Years
d) 30 Years
35. 2. NPCDCS Don’t Deal With-
a) Alcohol Abuse
b) Drug Abuse
c) Tobacco Abuse
d) Stress Disorders
36. 3. Which Of The Following Can Get Benefit
Of Regional Cancer Centre Scheme?
a) AIIMS, Nagpur
b) Tata Memorial Hospital, Mumbai
c) State Govt. Medical Colleges
d) All Of The Above
37. 4.Which Of The Following Manual For
NPCDCS Is Not Developed?
a) Health Professionals
b) Cytology
c) Pathology
d) Tobacco Cessation