Asian Integrated Medical Sdn Bhd (AIM) aims to offer integrative medicine, conventional plus complementary and alternative medicine – a holistic medicine approach designed to meet your health goals.
Standardization of Hingvastaka churna- A polyherbal formulationSachinRathore39
This document is a project report on standardizing Hingvastaka Churna, a polyherbal Ayurvedic formulation. It provides background on the origins and history of Ayurveda according to ancient Hindu texts like the Vedas and development of major Ayurvedic texts. The project aims to set quality parameters to ensure the formulation shows desired pharmacological effects. The introduction describes the need for standardization of herbal medicines and defines key terms.
This document discusses integrative medicine and its principles. It defines integrative medicine as patient-centered care that uses both conventional and alternative therapies. The document outlines the history of complementary and alternative medicine in the US healthcare system. It was largely pushed out after the Flexner Report in 1910 but continued growing. The document discusses the principles of integrative medicine, which include treating the whole person, using natural therapies when possible, and emphasizing prevention and health promotion. It provides a case study of how integrative medicine helped an 18-year-old with persistent headaches by addressing physical and lifestyle factors. The document advocates for a healthcare system grounded in these integrative principles.
A concise overview of pharmacoeconomics, health economics, various costs, various pharmacoeconomic study designs and its application in the field of medicine and drug development
The document discusses pharmacovigilance and adverse drug reaction (ADR) reporting in India. It provides information on the national pharmacovigilance program, including who can report ADRs, how to report them, and the benefits of reporting. It describes the ADR reporting process and forms for healthcare professionals and consumers. It also discusses other vigilance programs in India related to medical devices, vaccines, blood products, and several research projects conducted with these programs.
The document discusses evidence based medicine (EBM), which uses clinical research and other evidence to guide medical decisions. It defines EBM and outlines its key principles, objectives, and steps. EBM aims to minimize errors and optimize care quality by integrating the best research evidence with clinical expertise and patient values and preferences. The document reviews the contents of EBM, the four steps to applying it including formulating questions and searching evidence, and the merits of EBM in improving patient care and reducing costs. Factors influencing the practice of EBM are also discussed.
The document discusses adverse drug reaction (ADR) reporting tools. It provides a brief history of pharmacovigilance and describes the ADR reporting process from healthcare professionals to regional and zonal centers, and finally to national and global databases. It emphasizes the importance of post-marketing ADR monitoring to identify uncommon or rare reactions not detected during clinical trials. Key aspects like what information to report, who can report, and how to submit reports using standardized forms are summarized. Common ADR reporting software tools like Argus are also highlighted.
An epidemiological experiment in which subjects in a population are randomly allocated into groups, usually called study and control groups to receive and not receive an experimental preventive or therapetuic procedure, maneuver, or intervention .
This document provides an overview of pharmacoepidemiology presented by Aisha Siddiqui. It defines pharmacoepidemiology as the study of drug use and effects in large populations. The field evolved from the joining of clinical pharmacology and epidemiology to study adverse drug reactions. Various study designs are discussed, including observational studies like cross-sectional and cohort studies, as well as experimental controlled trials. Drug utilization studies specifically evaluate prescribing, dispensing, administration and outcomes of medication use. In summary, pharmacoepidemiology applies epidemiological methods to understand drug effects at a population level.
Before the enrollment of a patient in a clinical trial and beginning of any trial-related procedures, an informed consent is obtained from the potential participants. This informed consent form (ICF) provides the participants with the information related to the clinical trial. TSDP provides regulatory medical writing training on preparation of ICF.
Evidence-based medicine involves integrating clinical expertise, patient values, and the best research evidence in clinical decision making. The best evidence comes from sound clinical studies. The steps of evidence-based practice are constructing a clear question, finding relevant evidence, appraising the evidence quality, applying the evidence to the individual patient, and evaluating performance. Different types and levels of evidence are used to rank the strength and applicability of clinical research findings.
ETHICAL GUIDELINES FOR BIOMEDICAL RESEARCH ON HUMAN PARTICIPANTSjyothibhat21
This presentation highlights the regulations on Ethical requirements for conducting clinical research in India. This is the guiding regulation for the Ethics Committees in India.
The viewers are requested to give their feedback on the utility of the presentation.
This document outlines reverse pharmacology, which involves starting drug discovery with clinically documented effects from traditional medicines and exploring the underlying mechanisms through laboratory and clinical research. It discusses the definition, scope, and phases of reverse pharmacology. It provides examples of drugs discovered through reverse pharmacology from India, including drugs for hypertension, amoebiasis, and Parkinson's disease. It also discusses some challenges to reverse pharmacology and promising future perspectives if more collaboration between academia and industry can help validate traditional knowledge through rigorous clinical research.
The document describes Prescription Event Monitoring (PEM), a method of pharmacovigilance that involves collecting information on patient outcomes after being prescribed new medications. PEM was developed in the 1980s in the UK to address limitations of spontaneous adverse event reporting. It involves sending questionnaires to prescribers to obtain follow-up data on patients. Analysis of the data provides incidence rates of adverse events and allows detection of potential safety issues with new drugs. Modified PEM (M-PEM) expands the method to collect additional targeted safety information.
This document discusses ethics in medical research. It begins by outlining the lesson objectives which are to explain ethics, describe important historical events related to research ethics, list important guidelines, describe informed consent, and describe the role of institutional ethics committees. It then discusses the definition of ethics, important historical incidents like the Nuremberg trials, Thalidomide tragedy, and Tuskegee syphilis experiment. It also describes key documents that outline research ethics guidelines like the Nuremberg Code, Helsinki Declaration, ICH Guidelines, and ICMR Guidelines. It concludes by explaining informed consent and the responsibilities of institutional ethics committees in research.
Randomisation is a process that randomly assigns participants in a clinical trial to treatment groups in order to prevent bias. It distributes characteristics of participants evenly across groups and ensures comparability. Common randomisation methods include simple randomisation using a coin flip or computer generation, block randomisation which assigns participants in blocks to balance group sizes, and stratified randomisation which divides participants with prognostic factors into subgroups before randomisation. Bias can still occur if the randomisation process is not properly implemented or if those involved in the trial are aware of participant group assignments.
This document discusses the field of pharmacoeconomics. It begins by defining pharmacoeconomics as the scientific discipline concerned with comparing the costs and benefits of drug therapies. It describes how pharmacoeconomics helps optimize health care resource allocation by comparing drug costs and outcomes. The document then outlines several key aspects of pharmacoeconomics including its need, challenges, evaluation methods, and applications. In conclusion, it states that pharmacoeconomics provides a means to quantify pharmaceutical value by balancing costs and outcomes to help inform better healthcare decisions.
EBM Is the ability to access, asses and apply the best evidence from systematic research information to daily clinical problems after integrating them with the physician's experience and patient's value.
Ayurveda , the Indian system of medicine is a very old system of diagnosis and treatment. Ayurveda have developed its own way for diagnosis of disease and after that a suitable treatment. The slide show will provide you information for the methods of clinical diagnosis.
Mh0053 hospital & healthcare information managementsmumbahelp
This document provides information about an assignment for a Master of Business Administration in Healthcare Services Management course. It includes 6 questions related to health information systems and hospital management. The questions cover topics like issues with existing health management systems in India, the significance of health information systems in nursing education, defining medical audits and describing the audit process, categories of information systems in hospitals, modules of hospital information systems, and helping a hospital management choose between continuing manual medical records or automating with an electronic medical records system. Students are instructed to answer all questions and send their semester and specialization details to receive fully solved assignments.
This document provides information about a printing company celebrating its 10th anniversary. It discusses the company's history of providing quality printing, packaging, and display services. It also outlines the company's mission to meet international standards in below-the-line communications. The company details its upgraded services, which now include creative design, powerful production methods, and marketing solutions to develop suitable creative ideas within time frames. It provides examples of the types of design and production work it handles and thanks customers.
The report highlights the importance of tourism SMEs to the Canadian economy—they account for 99.9 percent of businesses in tourism industries. A detailed analysis of recent financing activities, innovation activities and financial performance follows.
The report reveals that:
Tourism SMEs tend to be younger and larger businesses that are more growth oriented than other SMEs. There are also relatively more female, immigrant and visible minority entrepreneurs operating in tourism industries.
Principal challenges faced by tourism SME owners include the rising cost of inputs, increasing competition and fluctuations in demand.
Personal financing; credit from financial institutions, such as domestic chartered banks; and leasing remain the three main sources of financing used by tourism SMEs. However, tourism SMEs experience more difficulty obtaining financing from domestic chartered banks—the main providers of external financing to SMEs—than other SMEs.
Debt financing is the most common type of financing sought by both tourism and other SMEs. However, both groups experience more difficulty obtaining this type of financing than other types of financing that are less risky.
Tourism SMEs are more likely to introduce product innovation than other SMEs. They are also more likely to benefit from increased sales and reduced costs as a result of their innovations.
On average, small businesses in tourism industries have higher total revenues than small businesses in other industries, but they also have lower average profits due to higher total expenses.
This document outlines the terms and conditions for a rental agreement between John Doe and Jane Doe for the property located at 123 Main St. It specifies the monthly rent amount and due date, the security deposit required, the utilities included, and policies regarding pets, parking, maintenance, and early termination of the lease. The agreement is for a 12-month term beginning January 1, 2023 and ending December 31, 2023.
The Beasts of Bourbon formed in 1983 in Sydney when singer Tex Perkins recruited musicians from his local pub to fill band commitments. Their debut album sold over 30,000 copies in Europe. The band split and reunited multiple times over decades, releasing several albums and becoming a iconic Australian rock band known for their gritty blues sound.
Mh0059 – quality management in healthcare servicessmumbahelp
This document provides information about getting fully solved assignments for various MBA specializations and semesters by contacting a help email address or phone number. It includes sample assignment questions and answers related to quality management in healthcare services. The questions cover topics like principles of quality in healthcare, differentiating between Six Sigma and total quality management, implementing a quality management system in a healthcare organization, defining accreditation and certification and listing their benefits, defining total quality management and discussing its importance in healthcare, and discussing methods of performance evaluation in healthcare services.
Launch of the TomTom Bridge Device - Picup's Experience.Antonio Bruni
The launch event was held on the 16th of February at the Bytes Conference Centre in Johannesburg where various companies such as IBM Research Africa, Infotech Business Solutions, Tracer Mobile, Voetspore shared their experience with the all new Bridge. Picup had the privilege to be a part of the event and to share our experience with the revolutionary new Bridge device.
The document is a parent handbook for the Progressive Schoolhouse that provides an overview of the school's educational philosophy and programs. It discusses that the school takes a developmental approach to education that individualizes learning for each student's unique needs and potential. It also describes the school's curriculum, director Lori Tennant's qualifications, and the school's affiliation with the International Institute for Education Through the Arts nonprofit organization.
Este documento describe diferentes herramientas de almacenamiento en la nube, incluyendo Dropbox, Google Drive, OneDrive, Mega y otros. Explica las opciones gratuitas y de pago para el almacenamiento en la nube, así como las ventajas y características de cada servicio. También diferencia entre almacenamiento en la nube pública, privada y híbrida.
Dr. Hanid Audish Your Health, Our Priority - A Clinic Redefining Medication P...Dr. Hanid Audish
In the dynamic world of healthcare, certain institutions stand out for their pioneering dedication to medical science and patient welfare. Some of these institutions are redefining medication protocols, raising the bar for patient wellbeing. Through rigorous testing and rigorous research, new medications and therapeutic treatments are brought to life, promising a brighter future for patients around the globe. An integral part of this commitment is the continuous improvement and enhancement of existing therapies. This ceaseless drive for innovation not only ensures improved efficacy and safety of medications, but also paves the way for personalized medicine, tailor-made to suit individual health profiles. A key figure leading this endeavor is Dr. Hanid Audish, whose dedication to patient outcomes is evident in his tireless pursuit of healthcare innovation. In a world where healthcare is often viewed through the lens of specialization and sub-specialization, this clinic distinguishes itself by embracing an integrated approach to patient care. "Your Health, Our Priority" is more than just a motto; it's a commitment to addressing the holistic needs of each patient. The clinic recognizes that health issues are often interconnected, and a narrow focus on a single aspect of a patient's health may miss the broader picture.
The Myanmar Essential Medicines Project aims to ensure regular access to safe, effective, and affordable essential medicines. It was started in 1988 and has now covered all townships. Major activities include building human resource capacity, reviewing treatment guidelines, and integrating essential medicines concepts into university curricula. Future plans include further education and promoting rational medicine use. Essential medicines are those that meet a population's priority healthcare needs and should be continuously available at a cost people can afford. The concepts of essential medicines focus on access, quality, and rational medicine use.
The document discusses Quality Use of Medicines (QUM) in Australia. It defines QUM as selecting management options wisely, choosing suitable medicines if needed and using medicines safely and effectively. The key principles of QUM are the primacy of consumers, partnership, consultative and collaborative activities, supporting existing activity, and systems-based approaches. Key partners in QUM include consumers, healthcare providers, educators, facilities, industries, media, funders and governments. The building blocks that support QUM are policy development, coordination, information provision, education and training, services, and research. Evaluation of QUM occurs at the community, institutional and national levels.
Traditional medicine and safety of traditional medicine.pptxManish Gautam
The World Health Organization (WHO) acknowledges the global importance and diversity of traditional and complementary medicine practices. WHO recognizes the valuable role of traditional medicine in healthcare delivery, particularly at the primary level. However, WHO emphasizes the need to integrate traditional medicine safely and effectively based on scientific evidence of efficacy and safety to avoid harm and ensure high-quality healthcare.
CONCEPT OF HOLISTIC AND CONTINUOUS CARE IN FAMILY PRACTICE - JAN 2016 1.pdfNouahOgar
This document outlines the key concepts of holistic and continuous care in family practice. It begins with defining holistic health care and family practice. It discusses the principles of holistic medical practice including viewing illness as more than just physical, the importance of prevention, and establishing trust with patients. It also covers traditional and alternative medicines, issues to consider for holistic care like attitudes, knowledge and circumstances, and factors that can undermine holistic care.
Preventive and promotive health initiatives: An experience of a wellness clin...Apollo Hospitals
Wellness clinics play a pivotal role in the transforming health status and help in bringing better outcomes of the employees' of an organization. Having a wellness clinic at workplace is an opportunity for the employees' to understand the concepts of health promotion and prevention, in addition to out-patient department. The article shares the experience of wellness clinic established in one of the multinational organization.
The document discusses Quality Use of Medicines (QUM), which aims to ensure optimal health outcomes from medication use. QUM focuses on selecting management options wisely, choosing suitable medicines appropriately, and using medicines safely and effectively. The National Medicines Policy also aims to ensure timely access to medicines, quality products, quality use, and a viable medicines industry. Key partners in achieving QUM include healthcare providers and recipients, as well as governments, industry, and educators.
This document summarizes lessons learned from Thailand's Antibiotics Smart Use Program (ASU), which aimed to reduce unnecessary antibiotic use and build collaborative networks. The program was successful in changing antibiotic prescribing behaviors, with a 45% reduction in unnecessary antibiotic prescriptions. It also engaged over 10,000 healthcare professionals through training. Local teams developed their own materials and media to spread messages. While limited resources posed a challenge, the program strengthened by empowering local teams and fostering international collaboration. The ASU model shows how multifaceted, community-driven interventions can effectively promote more appropriate antibiotic use.
An introduction to medication therapy managementKabito Kiwanuka
Pharmacists: An Untapped Resource: Pharmacists receive more training on the safe, effective and appropriate use of medications than any other healthcare professional
National Health Policy Introduction, NHP 1983, NHP 2000, NHP 2002, NHP 2017, Seven Priority areas, Sustainable Developmental (SDGs), Public and Private health system in India, National Health Mission (NHM),Sustainable Development Goals (SDGs), International Pharmaceutical Federation Development Goal (FIP),
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
Health Economics In Clinical Trials - Pubricapubrica101
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> Patient engagement
> Patient advocacy groups
> Patient focused drug development
> Patient reported outcomes
> Patient centric clinical trials
> Patient preference studies
> Make patients as partners in research
> Institutionalised involvement - NICE, EMA, US-FDA
> Indian perspective
> Drivers for involving patients
The document discusses the roles and responsibilities of pharmacists. It notes that pharmacists ensure cost-effective healthcare through rational medicine use, provide expertise on medications, and are responsible for medical product safety and efficacy. Pharmacists also deliver primary care, preventive services, and health information. They contribute to public health policy development and emergency response planning.
Why Gokuldas Hospital is best for Cancer treatment in IndoreGokuldas Hospital
Cancer, a formidable adversary, strikes fear into the hearts of many.
Facing a cancer diagnosis can be overwhelming, leaving you searching for the best possible treatment options. In the face of this daunting disease, access to quality healthcare becomes paramount.
Indore, a bustling city in central India, has seen a rise in cancer cases in recent years, necessitating the presence of advanced medical facilities. Among these, Gokuldas Hospital stands out as a beacon of hope for cancer treatment in Indore.
This was a discussion on healthcare reform between various medical professionals, students, patients, and insurers.
1. Dr. Donna Beck, a naturopathic physician, shared her experience being unable to get credentialed by an HMO despite being a qualified doctor, showing the system prioritizes insurance companies over patients.
2. A patient described the high costs and difficulties navigating their health plan, showing the system is complex and lacks transparency.
3. The group agreed the system needs reform to focus on prevention, wellness, nutrition education, and making care accessible, patient-centered, and driven by consumer needs rather than insurance profits.
Complementary medical health services: a cross sectional descriptive analysis...home
This summary analyzes a research article describing a cross-sectional study of patient data from the largest naturopathic teaching clinic in Canada. The study aimed to describe the patient demographics, health conditions, and services provided at the clinic over three years. Key findings include:
- Over 13,000 unique patients received care in over 76,000 visits. The median patient age was 37 and most patients were female.
- Common health concerns included those consistent with primary care like chronic health conditions. Obtaining health education and help with chronic issues were top reasons for visits.
- Services provided included herbal medicines, homeopathy, acupuncture, and nutrition counseling.
- The clinic attracts patients from a
Pharmaceutical Care -Definition and Principles (1).pptAyeshaShifa2
Pharmaceutical care is defined as the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life. It involves establishing a professional relationship with patients, collecting and evaluating their medical information, formulating individualized drug therapy plans with desired outcomes, implementing and ensuring understanding of plans, and monitoring outcomes and modifying plans as needed. The principles of pharmaceutical care are centered around improving patient care through optimization of medication use.
This document provides information about consumer health education. It aims to teach learners to differentiate reliable from unreliable health information and products. It also explains how to properly evaluate and select health services. The document outlines several key components of consumer health, including health information, products, and services. It provides examples of reliable sources like medical professionals and government agencies. In contrast, outdated customs and commercialized information are unreliable sources. Finally, the document describes different types of health services providers and how health insurance works.
Dr. Y misdiagnosed and overprescribed medication to patient X, which led to their death from a heart attack. This was a case of medical malpractice and unintentional tort. As a healthcare ethics consultant, I would provide training to Dr. Y on the four principles of healthcare ethics: autonomy, beneficence, non-maleficence, and justice. Training should cover informed consent, doing what is best for the patient, avoiding harm, and fairness. The goal is to prevent future ethical violations and protect patient safety.
Causes Of Tooth Loss
PERIODONTAL PROBLEMS ( PERIODONTITIS, GINIGIVITIS)
Systemic Causes Of Tooth Loss
1. Diabetes Mellitus
2. Female Sexual Hormones Condition
3. Hyperpituitarism
4. Hyperthyroidism
5. Primary Hyperparathyroidism
6. Osteoporosis
7. Hypophosphatasia
8. Hypophosphatemia
Causes Of Tooth Loss
CARIES/ TOOTH DECAY
Causes Of Tooth Loss
CAUSES OF TOOTH LOSS
Consequence of tooth loss
Anatomic
Loss of ridge volume both height and width
Bone loss :
mandible > maxilla
Posteriorly > anteriorly
Anatomic consequences
Broader mandibular arch with constricting maxilary arch
Attached gingiva is replaced with less keratinised oral mucosa which is more readily traumatized.
Anatomic consequences
Tipping of the adjacent teeth
Supraeruption of the teeth
Traumatic occlusion
Premature occlusal contact
Anatomic Consequences
Anatomic Consequences
Physiologic consequences
Physiologic Consequences
Decreased lip support
Decreased lower facial height
Physiologic Consequences
Physiologic consequences
Education of Patient
Diagnosis, Treatment Planning, Design, Treatment, Sequencing, and Mouth Preparation
Support for Distal Extension Denture Bases
Establishment and Verification of Occlusal Relations and Tooth Arrangements
Initial Placement Procedures
Periodic Recall
Education of Patient
Informing a patient about a health matter to
secure informed consent.
Patient education should begin at the initial
contact with the patient and should continue throughout treatment.
The dentist and the patient share responsibility for the ultimate success of a removable partial denture.
This educational procedure is especially important when the treatment plan and prognosis are discussed with the patient.
Diagnosis, Treatment Planning, Design, Treatment, Sequencing, and Mouth Preparation
Begin with thorough medical and dental histories.
The complete oral examination must include both clinical and radiographic interpretation of:
caries
the condition of existing restorations
periodontal conditions
responses of teeth (especially abutment teeth) and residual ridges to previous stress
The vitality of remaining teeth
Continued…..
Occlusal plan evaluation
Arch form
Evaluation of Occlusal relationship through mounting the diagnostic cast
The dental cast surveyor is an absolute necessity in which patients are being treated with removable partial dentures.
Mouth preparations, in the appropriate sequence, should be oriented toward the goal of
providing adequate support, stability,
retention, and
a harmonious occlusion for the partial denture.
Support for Distal Extension Denture Bases
A base made to fit the anatomic ridge form does not provide adequate support under occlusal loading.
The base may be made to fit the form of the ridge when under function.
Support for Distal Extension Denture Bases
This provides support
Mainstreaming #CleanLanguage in healthcare.pptxJudy Rees
In healthcare, every day, millions of conversations fail. They fail to cover what’s really important, fail to resolve key issues, miss the point and lead to misunderstandings and disagreements.
Clean Language is one approach that can improve things. It’s a set of precise questions – and a way of asking them – which help us all get clear on what matters, what we’d like to have happen, and what’s needed.
Around 1000 people working in healthcare have trained in Clean Language skills over the past 20+ years. People are using what they’ve learnt, in their own spheres, and share anecdotes of significant successes. But the various local initiatives have not scaled, nor connected with each other, and learning has not been widely shared.
This project, which emerged from work done by the NHS England South-West End-Of-Life Network, with help from the Q Community and especially Hesham Abdalla, aims to fix that.
A comparative study on uroculturome antimicrobial susceptibility in apparentl...Bhoj Raj Singh
The uroculturome indicates the profile of culturable microbes inhabiting the urinary tract, and it is often required to do a urine culture to find an effective antimicrobial to treat UTIs. This study targeted to understand the profile of culturable pathogens in the urine of apparently healthy (128) and humans with clinical UTIs (161). In urine samples from UTI cases, microbial counts were 1.2×104 ± 6.02×103 colony-forming units (cfu)/ mL, while in urine samples from apparently healthy humans, the average count was 3.33± 1.34×103 cfu/ mL. In eight samples (six from UTI cases and two from apparently healthy people) of urine, Candida (C. albicans 3, C. catenulata 1, C. krusei 1, C. tropicalis 1, C. parapsiplosis 1, C. gulliermondii 1) and Rhizopus species (1) were detected. Candida krusei was detected only in a single urine sample from a healthy person and C. albicans was detected both in urine of healthy and clinical UTI cases. Fungal strains were always detected with one or more types of bacteria. Gram-positive bacteria were more commonly (OR, 1.98; CI99, 1.01-3.87) detected in urine samples of apparently healthy humans, and Gram -ve bacteria (OR, 2.74; CI99, 1.44-5.23) in urines of UTI cases. From urine samples of 161 UTI cases, a total of 90 different types of microbes were detected and, 73 samples had only a single type of bacteria. In contrast, 49, 29, 3, 4, 1, and 2 samples had 2, 3, 4, 5, 6 and 7 types of bacteria, respectively. The most common bacteria detected in urine of UTI cases was Escherichia coli detected in 52 samples, in 20 cases as the single type of bacteria, other 34 types of bacteria were detected in pure form in 53 cases. From 128 urine samples of apparently healthy people, 88 types of microbes were detected either singly or in association with others, from 64 urine samples only a single type of bacteria was detected while 34, 13, 3, 11, 2 and 1 samples yielded 2, 3, 4, 5, 6 and seven types of microbes, respectively. In the urine of apparently healthy humans too, E. coli was the most common bacteria, detected in pure culture from 10 samples followed by Staphylococcus haemolyticus (9), S. intermedius (5), and S. aureus (5), and similar types of bacteria also dominated in cases of mixed occurrence, E. coli was detected in 26, S. aureus in 22 and S. haemolyticus in 19 urine samples, respectively. Gram +ve bacteria isolated from urine samples' irrespective of health status were more often (p, <0.01) resistant than Gram -ve bacteria to ajowan oil, holy basil oil, cinnamaldehyde, and cinnamon oil, but more susceptible to sandalwood oil (p, <0.01). However, for antibiotics, Gram +ve were more often susceptible than Gram -ve bacteria to cephalosporins, doxycycline, and nitrofurantoin. The study concludes that to understand the role of good and bad bacteria in the urinary tract microbiome more targeted studies are needed to discern the isolates at the pathotype level.
Coronary Circulation and Ischemic Heart Disease_AntiCopy.pdfMedicoseAcademics
In this lecture, we delve into the intricate anatomy and physiology of the coronary blood supply, a crucial aspect of cardiac function. We begin by examining the physiological anatomy of the coronary arteries, which lie on the heart's surface and penetrate the cardiac muscle mass to supply essential nutrients. Notably, only the innermost layer of the endocardial surface receives direct nourishment from the blood within the cardiac chambers.
We then explore the specifics of coronary circulation, including the dynamics of blood flow at rest and during strenuous activity. The impact of cardiac muscle compression on coronary blood flow, particularly during systole and diastole, is discussed, highlighting why this phenomenon is more pronounced in the left ventricle than the right.
Regulation of coronary circulation is a complex process influenced by autonomic and local metabolic factors. We discuss the roles of sympathetic and parasympathetic nerves, emphasizing the dominance of local metabolic factors such as hypoxia and adenosine in coronary vasodilation. Concepts like autoregulation, active hyperemia, and reactive hyperemia are explained to illustrate how the heart adjusts blood flow to meet varying oxygen demands.
Ischemic heart disease is a major focus, with an exploration of acute coronary artery occlusion, myocardial infarction, and subsequent physiological changes. The lecture covers the progression from acute occlusion to infarction, the body's compensatory mechanisms, and the potential complications leading to death, such as cardiac failure, pulmonary edema, fibrillation, and cardiac rupture.
We also examine coronary steal syndrome, a condition where increased cardiac activity diverts blood flow away from ischemic areas, exacerbating the condition. The long-term impact of myocardial infarction on cardiac reserve is discussed, showing how the heart's capacity to handle increased workloads is significantly reduced.
Angina pectoris, a common manifestation of ischemic heart disease, is analyzed in terms of its causes, presentation, and referred pain patterns. We identify factors that exacerbate anginal pain and discuss both medical and surgical treatment options.
Finally, the lecture includes a case study to apply theoretical knowledge to a practical scenario, helping students understand the real-world implications of coronary circulation and ischemic heart disease. The role of biochemical factors in cardiac pain and the interpretation of ECG changes in myocardial infarction are also covered.
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Why Does Seminal Vesiculitis Causes Jelly-like Sperm.pptxAmandaChou9
Seminal vesiculitis can cause jelly-like sperm. Fortunately, herbal medicine Diuretic and Anti-inflammatory Pill can eliminate symptoms and cure the disease.
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 2 - Dr.GawadNephroTube - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/FHV_jNJUt3Y
- Video recording of this lecture in Arabic language: https://youtu.be/D5kYfTMFA8E
- 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
High Profile"*Call "*Girls in Kolkata ))86-075-754-83(( "*Call "*Girls in Kol...Nisha Malik Chaudhary
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JMML is a rare cancer of blood that affects young children. There is a sustained abnormal and excessive production of myeloid progenitors and monocytes.
Pharmacotherapy of Asthma and Chronic Obstructive Pulmonary Disease (COPD)HRITHIK DEY
This PowerPoint presentation provides an in-depth overview of the pharmacotherapy approaches for managing asthma and Chronic Obstructive Pulmonary Disease (COPD). It covers the pathophysiology of these respiratory conditions, the various classes of medications used, their mechanisms of action, indications, side effects, and the latest treatment guidelines. Designed for students, healthcare professionals, and anyone interested in respiratory pharmacology, this presentation offers a comprehensive understanding of current therapeutic strategies and advancements in the field.
2. Trend: Patients shift to alternative medicine
• The use of alternative medicine and therapy
has been increased.
• Patients are turning to alternative and natural
medicine to find healing and health.
• Advocates of integrative medicine claim that
the key to effective treatment is a
customized long-term health plan that
encourages and supports a healthy lifestyle
for patients
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Asian Integrated Medical Sdn Bhd
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3. Why do people shift to alternative medicine?
• Patients has pursued alternative medicine
because of their concerns about drug
side effects and the desire to find
alternatives to the less than adequate drug
therapies.
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4. The Advantages of Alternative Medicine
Generally alternative therapies are
• closer to nature,
• cheaper
• less invasive than conventional
therapies
• more effective
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Asian Integrated Medical Sdn Bhd
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6. If you are sick, what type of therapy will you go
for treatment?
????
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Asian Integrated Medical Sdn Bhd
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7. What is your option?
• Will you go for modern medicine
(conventional medicine) to get treatment?
• Will you go for alternative medicine i.e.
visit Traditional Chinese Medicine
practitioner?
• Will you go for integrative medicine doctor
to get the best solution?
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8. However, some patients said they have no
confidence with alternative medicine treatment?
• Due to genuinity of an alternative medicine
practitioner whether they have gone
through a proper training.
• Some patients mentioned the herb is not
properly produced and heavy metal
contamination & steroid content.
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9. What is Integrative medicine?
• a field focused on blending conventional
medicine with complementary
treatments.
+
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Asian Integrated Medical Sdn Bhd
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10. The principles of integrative medicine:
• A partnership between patient and
practitioner in the healing process
• Appropriate use of conventional and
alternative methods to facilitate the body's
innate healing response
• Consideration of all factors that influence
health, wellness and disease, including mind,
spirit and community as well as body
• A philosophy that neither rejects conventional
medicine nor accepts alternative therapies
uncritically
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Asian Integrated Medical Sdn Bhd
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11. The principles of integrative medicine (cont.)
• Recognition that good medicine should be
based in good science, be inquiry driven,
and be open to new paradigms
• Use of natural, effective, less-invasive
interventions whenever possible
• Use of the broader concepts of promotion of
health and the prevention of illness as well as
the treatment of disease
• Training of practitioners to be models of
health and healing, committed to the process
of self-exploration and self-development
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12. About Asian Integrated Medical Sdn Bhd
• Asian Integrated Medical Sdn Bhd believes that bridging the gap
between conventional medicine and complementary medicine
(Traditional Chinese Medicine) will lead to the improvement of
patient care and choices. We hope to create a network of
professionals who seek to continuously improve their understanding
of alternative therapies and to incorporate an integrative approach to
health care.
• We are distributor, importer and exporter, wholesaler of quality
healthcare products, Chinese medicine, modern medicine in
innovative products and to provide healthcare services.
• Our advisor is a professional doctor with dual degree, both in
conventional medicine and Traditional Chinese Medicine (TCM) who
has vast knowledge and experience in medical field.
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Asian Integrated Medical Sdn Bhd
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