this ppt material is about physiotherapy techniques in animal, this is all about how we can aid our pets with physiotherapy treatment for their wealth.
This document discusses tail amputation procedures in various animal species. It describes the anatomy of the tail and indications for amputation such as trauma, infection, or cosmetic purposes. The procedure typically involves clipping and preparing the tail, retracting the skin, identifying the desired transection site, ligating vessels, disarticulating the tail between vertebrae, and suturing skin edges. Considerations for puppies, adults, and different animal species are provided. Complications can include tetanus or vertebral necrosis.
Pregnancy diagnosis in dogs is important for owners and veterinarians to allow appropriate care and scheduling. The most reliable methods are abdominal palpation between 24-35 days, ultrasound from 24 days which is 99% accurate by 28 days, and radiography after 45 days when bones have mineralized. Less reliable methods include hormone assays, metabolic changes, and physical exams. Ultrasound allows assessment of viability while radiography determines fetal positioning and number. Hormonal relaxin assays confirm pregnancy but not litter size.
Chemical destruction of the teat involves injecting solutions such as diluted formalin, silver nitrate, acriflavine, copper sulfate, or chlorhexidine into the teat to destroy the teat tissue. This is done as a last resort when the teat cannot otherwise be salvaged due to extensive damage or infection. The solutions work to kill the teat tissue over the course of a few days through their disinfectant and caustic properties. Pretreating with a local anesthetic like megludyne can help reduce pain from the chemical destruction process.
The document discusses horn anatomy and affections in cattle. It notes that horns are formed by the frontal bones and become hollow. The base is thin and the horn thickens towards the apex. Blood and nerve supply are described. Major horn affections include avulsion, fracture, and horn cancer. Treatment for fractures may include amputation. Dehorning involves removing the horn at the base through elliptical incision and sawing. Disbudding young calves removes small horn buds using a caustic compound or hot iron. Procedures are done with local anesthesia and analgesia.
Ear new affection of ear and its treatmentBikas Puri
Otitis, or ear infections, can affect the outer, middle, or inner ear in dogs and cats and are commonly caused by parasites, bacteria, yeast, or skin issues. Symptoms include ear scratching, redness, discharge, and in severe cases neurological signs. Treatment involves cleaning and flushing the ears under anesthesia followed by topical and oral antibiotics, antifungals, or other medications based on diagnostic tests and addressing any underlying issues.
This document discusses urinary calculi (stones) in animals. It defines urinary calculi as mineral or salt crystals that form in the urinary tract. Common types include struvite, calcium oxalate, urate and cystine crystals. Risk factors include diet, genetics, pH, and infections. Clinical signs depend on location but can include pain, hematuria, dysuria, and obstruction. Diagnosis involves urinalysis, radiography, ultrasound and possibly cystoscopy. Treatment focuses on relieving obstruction, altering urine pH, managing infections, and dissolving or removing stones through various surgical techniques.
This document summarizes a clinical discussion and case study on hygromas in dogs. It defines a hygroma as a fluid-filled swelling surrounded by a thick capsule that develops under the skin, most commonly on the outside of the elbow. Hygromas are caused by repeated trauma to bony areas from lying on hard surfaces. The case study describes a 6-year-old male dog presented with a ruptured hygroma mass on its elbow that had been growing for 1 month. The dog underwent surgical removal of the hygroma mass under sedation, which involved making an elliptical incision, removing the mass, and suturing the skin. Post-operative care included antibiotics and cleaning/band
This document describes the procedure for ovariohysterectomy (spaying) in dogs. It discusses the indications for spaying, including birth control, uterine diseases, and reducing risks of certain cancers. It outlines the pre-anesthetic drugs commonly used like atropine, xylazine, ketamine and diazepam. The steps of the surgical technique are explained, including making a midline incision, exteriorizing the uterus, clamping and ligating the ovarian pedicles, and closing in layers. The required equipment is also listed.
This document discusses ear conditions in pets. It covers otitis externa (inflammation of the outer ear), including common signs like head shaking and discharge. Otoscopic examination of the ear canal is described. Treatment for otitis externa involves cleaning and applying medications to the ear canal. Other conditions covered include auricular hematoma, otitis media (middle ear inflammation), and otitis interna (inner ear). Surgical techniques like lateral ear canal resection are discussed. Diagnosis and treatment of otitis media and interna involve cytology, antibiotics, and anti-fungals based on culture results from the infected areas.
This document discusses surgical anatomy and diseases of the oesophagus. It describes the oesophagus' location and surrounding structures. Common surgical diseases include obstruction, diverticula, stenosis, and wounds/fistulas. Obstruction is often caused by foreign bodies and treated conservatively via catheterization or surgically via oesophagotomy. Stenosis is corrected by longitudinal incision and transverse suturing to enlarge the lumen. Care must be taken during surgery to control hemorrhage and avoid nerve damage.
Intussusception is a condition where a segment of intestine invaginates into the adjacent bowel, obstructing the gastrointestinal tract. It is most commonly seen in the small intestine of cattle. Clinical signs include abdominal pain, decreased appetite, and signs of obstruction. Ultrasound can be used to diagnose intussusception based on the "target-like" or "bullseye" appearance. Treatment involves surgical resection of the affected segment through an abdominal incision. The surgery is ideally performed with the animal under general anesthesia to allow for thorough exploration and resection. Untreated intussusception is fatal as the blocked blood supply causes necrosis of the invaginated bowel.
The document discusses factors that can cause repeat breeding in cattle, which is when a female shows normal heat symptoms but does not conceive after more than 2-3 services. It lists congenital and acquired factors in both females and males that can be responsible, including defects in the genital tract, endocrine disorders, disease, semen quality issues, and nutritional/management deficiencies. It provides examples for each category and recommends treatments like hormones, antibiotics, vitamins, and improved management practices.
The document discusses various methods for fracture fixation in animals, including external coaptation, splinting, casting, pinning, plating, and intramedullary nailing. The methods vary in their advantages and disadvantages depending on the location and type of fracture. Proper technique and design are important for achieving stability and preventing complications.
This document discusses cystitis, or inflammation of the urinary bladder. It notes that cystitis can be caused by trauma, ascending or descending infections, iatrogenic factors, nutritional issues, urinary stasis, hyperadrenocorticism, diabetes mellitus, and rare neoplasms. Common symptoms in dogs and cats include frequent and painful urination, cloudy urine, abdominal pain, and dullness. Diagnosis involves urinalysis, culture and sensitivity testing, ultrasound or cystoscopy. Treatment focuses on removing the cause, managing pain and inflammation, flushing out organisms, correcting urine pH, and controlling infections with antibiotics based on sensitivity testing.
This document discusses common surgical conditions affecting the mammary glands in cattle, including teat lacerations, supernumerary teats, summer mastitis, udder abscesses, ischemic teat necrosis, and dropped udders. It provides details on the classification, etiology, clinical signs, and management approaches for each condition.
Epidural anesthesia can be effectively performed in cattle, horses, sheep, and goats. The injection site is between the coccygeal vertebrae. For cattle, 5-10 ml of 2% lidocaine provides adequate caudal anesthesia for minor procedures while 100-150 ml provides anterior anesthesia, though the animal may become recumbent. For horses, a mixture of xylazine and mepivacaine at the sacrococcygeal junction provides effective caudal epidural anesthesia. Sheep and goats can receive lumbosacral epidural injections of lignocaine for abdominal surgery or c-sections. Correct needle placement in the epidural space is important to avoid complications.
This document discusses fluid therapy in animals. It begins by describing the distribution of water in the body and the composition of intracellular and extracellular fluids. It then discusses three types of fluid disturbances: changes in volume, content, and distribution. The document outlines different types of fluid therapy including replacement, adjunctive, and supportive therapies. It provides details on routes of fluid administration and indications for intravenous fluids. Throughout, it discusses evaluating and monitoring fluid therapy, diagnosing and treating dehydration, and complications of intravenous fluids.
This document discusses perineal hernia in dogs. It begins by defining hernia and classifying hernias based on location, functional alterations, and contents. It then describes perineal hernia specifically, noting that it is abnormal protrusion of pelvic or abdominal viscera through the pelvic diaphragm. Causes include straining, congenital weakness, trauma, and breed disposition. Diagnosis involves palpating a perineal swelling and signs like constipation. Treatment is usually surgical herniorrhaphy to repair the hernial ring. The document concludes by presenting a case study of surgical repair of a left perineal hernia in a dog.
Castration Procedure in Farm Animals (Teaching PPT Material)Dr K Karthik
The document discusses different methods of neutering or spaying animals, including closed methods like elastic banding or crushing with a Burdizzo clamp, and open methods using surgical instruments to remove the testicles or ovaries. It covers terminology, reasons for the procedures, appropriate ages and seasons, steps for different techniques, advantages and disadvantages of each method, and postoperative care.
Physiotherapy treats patients using electrical modalities, exercises, and soft tissue manipulation. It focuses on specialized areas like sports injuries, orthopedics, neurology, and cardiopulmonary rehabilitation. Sports physiotherapy helps athletes recover from injuries. Common sports injuries include tennis elbow, golfer's elbow, muscle pulls, runner's knee, and ankle sprains. Tennis elbow, or lateral epicondylitis, causes pain on the outside of the elbow often in tennis players, cricketers, and weightlifters. Physiotherapy treatments for tennis elbow include ice, heat, ultrasound, stretching, strengthening exercises, and bracing.
This is a slideshow explaining the importance of protecting patient privacy and confidentiality. This slideshow is for education and training purposes only.
Confidentiality in healthcare refers to keeping patient information such as health conditions, insurance details, and medical records private. Maintaining confidentiality is important for building trust between patients and providers, and encourages people to seek necessary medical care. The HIPAA Privacy Rule establishes federal protections for patient health information and gives patients rights over their data. Various organizations like JCAHO and NCQA monitor healthcare facilities to ensure privacy standards are followed, as breaches can result in costly lawsuits. Overall, patient confidentiality is a crucial aspect of healthcare that ensures quality care through trust in providers.
This document discusses confidentiality in healthcare. It defines confidentiality as private health information that has limits on disclosure without patient consent. Advances in technology have increased risks to privacy, so protecting confidentiality is essential for trust between providers and patients. Training employees on confidentiality policies helps ensure quality care and prevent violations. Employees who improperly access patient records will face discipline up to termination. Continuous training on regulations like HIPAA is required to protect patients and avoid penalties for non-compliance. Maintaining confidentiality is crucial for quality care and patient trust in healthcare providers.
Induction Slideshow Privacy And ConfidentialityD S
This document discusses the importance of confidentiality when working with clients. It defines confidentiality as keeping client information private and only sharing it with authorized people. Confidentiality builds trust between workers and clients so clients will feel comfortable sharing personal information. However, there are exceptions where confidentiality cannot be maintained, such as if a client may harm themselves or others, a serious crime is planned or occurring, or child abuse is suspected. The document provides examples of applying confidentiality guidelines in different situations and stresses the importance of discretion when handling client files and records.
Physiotherapy in orthopedic practice cryotherapyFlavia Cunha
The document discusses physiotherapy and cryotherapy techniques. It describes physiotherapy as a healthcare service that assists medical treatment using exercise and electrotherapy procedures. Cryotherapy involves using cold temperatures for medical therapy and can reduce pain, swelling and inflammation. The document provides details on various cryotherapy techniques like ice bags, ice massage and commercial devices. It lists the benefits of cryotherapy in pain management and recovery from injuries or surgery. Contraindications for cryotherapy are also mentioned.
A treatment intervention employs positioning, chest percussion, vibration, and manual hyperinflation to mobilize secretions in the lungs and assist in their expulsion. It is used prophylactically for high-risk surgery patients and those unable to cough effectively, and therapeutically for conditions like atelectasis and retained secretions. The techniques aim to prevent accumulation and improve drainage of secretions while promoting relaxed breathing.
Islamic ethics are based on moral commandments from the Quran and teachings of Muhammad. Certain actions like worshipping only God, honoring parents, and avoiding killing are considered moral absolutes. Extremism is discouraged, and Islamic law aims to balance moral and pragmatic concerns. Views on issues like euthanasia, abortion, and homosexuality generally prohibit actions that end a sacred human life or interfere with Allah's will for how long one lives. Islam values all human life as given by Allah.
The World Confederation for Physical Therapy (WCPT) was founded in 1951 by 11 national physical therapy organizations. It now represents over 350,000 physical therapists through its 106 member organizations. WCPT works to promote high standards in physical therapy practice, education, and research through international collaboration, policy development, and sharing of information. It encourages the development of the profession and aims to provide a unified global voice for physical therapy. Benefits of WCPT membership include access to professional networks and resources, support for developing national physical therapy standards and regulations, and opportunities for international engagement.
Breathing exercises are designed to improve lung function and endurance in patients with lung diseases or injuries. They are often combined with medications, drainage, and exercise. Goals include improving ventilation, cough effectiveness, and mobility while preventing complications. Types of breathing exercises include diaphragmatic breathing, segmental breathing targeting different lung areas, and pursed lip breathing. Precautions are taken to avoid forced exhalation or using accessory muscles.
Physiotherapy is a health care profession that uses physical methods to promote healing and rehabilitation from injury or illness. Physiotherapists work to improve movement and manage pain through techniques like exercise, manual therapy, education, and electrotherapy modalities. There are many specialties within physiotherapy including orthopedics, neurology, cardiopulmonary care, sports medicine, pediatrics, and geriatrics. Physiotherapists diagnose and treat movement dysfunctions from a variety of medical conditions to help patients restore function and maximize quality of life.
There are three key components of an image receptor for conventional radiography: film to record the image, intensifying screens to expose the film by converting x-rays to light, and a cassette to protect the screens and film. Intensifying screens, usually made of phosphors like calcium tungstate or rare earth elements, absorb around 30% of x-rays and emit visible light, allowing lower radiation doses while slightly blurring the image. Most cassettes have a pair of screens sandwiching double emulsion film to contribute evenly to the latent image, which is less than 1% from direct x-ray exposure.
Physiotherapy uses physical measures like heat, light, ultrasound, water, electricity and exercises to treat orthopedic injuries and conditions through both passive and active techniques. The goals of physiotherapy are to treat and prevent disability and deformity. Physiotherapy can be either short term for minor issues like soft tissue injuries or long term for more serious conditions like fractures, spinal injuries, and chronic diseases. Treatments include exercises, electrotherapy, massage, mobilization and various modalities like ultrasound, heat and cold therapy.
This document provides an overview of physiotherapy and rehabilitation. It discusses various physiotherapy techniques including electrotherapy like shortwave diathermy, ultrasound, TENS; cryotherapy; exercise therapy techniques like active exercises, PNF, and hydrotherapy. It also covers the role of physiotherapists in assessing, managing, and treating medical conditions to relieve pain and improve mobility. The principles and stages of rehabilitation including medical, psychological, and social rehabilitation are outlined. The overall goal of physiotherapy and rehabilitation is to restore optimal health and functioning.
Physiotherapy has evolved from ancient practices by Hippocrates and Galenus to treat injuries. It was established in the late 19th century in Britain and developed further during World War II to treat large numbers of injured soldiers. Physiotherapy uses various physical techniques without drugs, including exercise, massage, heat and electricity, to treat diseases and disabilities. It aims to relieve pain, improve mobility and function. Key techniques include electrotherapy like ultrasound and TENS, various exercises and equipment for gait training and rehabilitation.
Physiotherapy involves evaluating, diagnosing, and treating a range of diseases, disorders, and disabilities using physical means. Physiotherapy management is provided for conditions such as musculoskeletal disability, cardiorespiratory dysfunction, central nervous system trauma/disease, and more. Physiotherapy includes both inpatient and outpatient services for treatments like orthopedics, trauma, and spinal injuries/surgeries.
This document discusses confidentiality in healthcare. It defines confidentiality and describes how the Health Insurance Portability and Accountability Act (HIPAA) requires healthcare organizations to protect patients' private medical information. The document provides tips for maintaining confidentiality, such as only accessing medical records of patients being treated and avoiding discussing patients in public areas. It notes that breaching confidentiality can result in disciplinary actions like fines or termination.
The document discusses the importance of confidentiality in healthcare. It defines key terms like confidentiality and breach of confidentiality. It outlines what information is considered confidential for patients, such as medical records, test results, and insurance details. It also discusses ethics standards, government regulations like HIPAA, and agencies that monitor patient privacy and confidentiality. Healthcare workers are responsible for only sharing patient information with authorized individuals and protecting private documents. Maintaining confidentiality helps ensure quality care and trust between patients and providers.
PHYSIOTHERAPY IN VETERINARY SURGERY AND RADIOLOGYDrKanteshkumarMJ
• The growing interest in physiotherapy and rehabilitation within small animal practice presents a few challenges for the veterinary surgeon.
• There is an expectation among the public, and within veterinary law, that veterinary practitioners should be the experts on physiotherapy and rehabilitation for animals, but current training does not prepare them for this role.
• While the non-specialist vet and nurse can easily and effectively provide simple physiotherapy modalities with just basic training, qualified veterinary physiotherapists can offer a new dimension to the small animal practice and bring additional expertise and skills to the veterinary team.
• The integration of physiotherapy in practice can help to improve outcomes and promote a positive, caring image to clients.
• Hopefully, when the established post-graduate programs of study begin to produce quality research the scientific evidence base for animal physiotherapy will broaden and strengthen, ultimately enhancing the quality of overall veterinary care.
• Physiotherapy has immense potential as an alternative treatment. It is cost effective and nowadays, this important branch is also rapidly becoming recognized tool in the prevention, cure and rehabilitation of many equine, canine and feline injuries.
The document discusses various aspects of physiotherapy, including its history, definition, aims, principles, categories, and methods. Physiotherapy originated in ancient times but was established as a modern science in the 19th century due to injuries sustained in World War 2. It aims to restore function and mobility through physical means without the use of drugs, using methods like heat therapy, massage, hydrotherapy, exercise and electricity.
Physiotherapy involves various techniques to treat physical ailments and injuries, including manipulative therapy, electrotherapy, hydrotherapy, and ice therapy. Manipulative therapy uses techniques like massage and passive mobilization of joints to increase mobility. Electrotherapy applies different electric currents for purposes like pain management and tissue repair. Hydrotherapy uses water properties for joint mobility, strength training, and rehabilitation. Ice therapy reduces pain and swelling through cryotherapy.
The document summarizes several common physical agents used in physiotherapy for patient rehabilitation, including hot packs, cold packs, paraffin, hydrotherapy, ultrasound, laser therapy, magnetotherapy, and electrostimulation. Hot packs are used to increase blood flow and relieve muscle pain and spasms, while cold packs decrease blood flow and are used to reduce inflammation and pain. Paraffin is applied to joints to improve flexibility and reduce stiffness. Hydrotherapy uses water and jets to heat or cool tissues and aid circulation. Ultrasound, laser therapy, and magnetotherapy are applied to reduce swelling and inflammation and accelerate healing. Electrostimulation causes muscle contraction through electrical current to prevent atrophy and improve muscle strength and joint
Physiotherapy aims to preserve, enhance or restore movement and physical function impaired by disability, injury or disease. It utilizes techniques like therapeutic exercises, physical modalities, assistive devices and patient education. Physiotherapy can improve function by minimizing contractures, loss of strength and decreased skin compliance, although it may not change underlying pathology or prevent all disability. Major physiotherapy techniques include therapy using mechanical treatment, non-electric thermotherapy, electrotherapy, ozonetherapy, vacuum therapy and balneotherapy. Electrotherapy techniques like electrostimulation, ultrasound and magnetotherapy have anti-inflammatory, analgesic, spasmolytic and trophic clinical effects. Physiotherapy plays an important role in managing various conditions like wounds,
Management of pain can be approached through physical, cognitive, and behavioral means. Physical interventions include therapies like thermotherapy, ultrasound, phonophoresis, cryotherapy, TENS, iontophoresis, massage, myofascial release, joint mobilization, therapeutic touch, and point stimulation. Cognitive strategies involve relaxation exercises, body scanning, and humor to change thoughts about pain. Behavioral manipulations use exercise, operant conditioning, hypnosis, and biofeedback to produce behavioral changes that reduce pain.
This document discusses the principles and techniques of physiotherapy, with a focus on its applications in orthopedics. It outlines the aims of physiotherapy to treat, correct, and prevent disability and deformity. A variety of physical therapy techniques are described, including heat therapy, cold therapy, electrical stimulation, therapeutic exercises, and aquatic physiotherapy. Heat therapy is used to reduce pain and stiffness, while cold therapy aims to reduce pain, swelling, and muscle spasm after injury. Different types of exercises like range of motion, strengthening, functional, and conditioning exercises are covered. The document emphasizes the role of physiotherapy in rehabilitation after fractures and injuries to help restore full function.
Principles of physiotherapy in special reference to orthopaedicsDrSiddique H. Ranna
This document discusses the principles and techniques of physiotherapy, with a focus on its applications in orthopedics. It outlines the aims of physiotherapy to treat, correct, and prevent disability and deformity. A variety of physical therapy techniques are described, including heat therapy, cold therapy, electrical stimulation, therapeutic exercises, and aquatic physiotherapy. Heat therapy is used to reduce pain and stiffness, while cold therapy aims to reduce pain, swelling, and muscle spasm after injury. Different types of exercises like range of motion, strengthening, functional, and conditioning exercises are covered. The document emphasizes the importance of rehabilitation for all fractures and injuries to restore function.
This document discusses principles of physiotherapy in orthopedics. It covers various physical therapy modalities like heat therapy, cold therapy, electrical stimulation, therapeutic exercises and aquatic therapy. Heat therapy is used to reduce pain, increase blood flow and relax muscles. Cold therapy is applied after injuries to reduce pain, swelling and muscle spasm. Electrical stimulation modalities like TENS and interferential current are used to manage pain. A comprehensive exercise program including range of motion, strengthening and functional exercises is important for rehabilitation. Group and aquatic physiotherapy can provide additional benefits.
Physical Therapies in Management of Sports InjuriesSushmita Kushwaha
The document discusses various physical modalities used in sports medicine and rehabilitation, including cryotherapy, superficial heat therapy, ultrasound, TENS, interferential therapy, galvanic current, laser therapy, and iontophoresis. It provides details on the mechanisms of action, clinical indications, contraindications, and proper application of each modality.
This document discusses ultrasound and electrotherapy. It describes how ultrasound uses mechanical vibration to generate heat in tissues. Different coupling methods like gels or immersion can be used depending on the treatment area. Electrotherapy can stimulate muscles or nerves to help with conditions like pain, edema, or muscle atrophy. Electrical currents are used to induce muscle contraction or stimulate sensory nerves according to the gate control or descending pain theories of treatment. Placement of electrodes can target specific tissues or structures.
Presentation on SHOCKWAVE THERAPY.
What is ESWT Or Shockwave Therapy.
MECHANISM OF ACTION Shockwave Therapy.
MEDICAL EFFECTS of Shockwave Therapy.
INDICATIONS and CONTRAINDICATIONS of Shockwave Therapy.
Some of the benefits of shockwave therapy treatment.
HOW SUCCESSFUL IS SHOCKWAVE?
This document discusses cryotherapy, or the therapeutic use of local cold application. It provides details on the physical principles, indications, contraindications, physiological effects, therapeutic effects, techniques of application including immersion, ice towel, ice pack, and ice cube massage methods. Cryotherapy is used to reduce pain, inflammation, swelling and muscle spasm through vasoconstriction, decreased nerve conduction velocity, and reduced cell metabolism. Precautions must be taken to avoid dangers like frostbite.
CRYOTHERAPY BY DR. ANERI PATWARI.. .pptxAneriPatwari
This presentation will throw light on cryotherapy.
This will inform you about the types of cryotherapy.
This will increase your knowledge on principle of cryotherapy.
This will brings the information on physiological and therapeutic effect on cryotherapy.
This will lighten the the knowledge of indication and contraindications of cryotherapy.
It will inform about the cooling magnitude and the reasons of the effects.
Physiotherapy Management for Wound Ulcers Rahul.AP BPT,MPT (CRD&ICU Managemen...Rahul Ap
This document discusses wound assessment and treatment. It describes the three phases of normal wound healing and factors that can impair healing such as pressure and decreased blood flow. Pressure ulcers are defined as wounds caused by unrelieved pressure. Assessment involves examining the wound history, type, stage, drainage, and surrounding skin. Treatment aims to promote healing and involves cleaning, dressing, and physical therapy modalities like ultrasound, electrical stimulation, and compression therapy to accelerate healing.
Contrast bath therapy involves alternating immersion of a body part in cold then warm water. It treats soreness, swelling, and inflammation from injuries or conditions like sprains or carpal tunnel by increasing blood circulation and lymph flow through vasodilation and vasoconstriction induced by temperature changes.
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13.2 Physiological effects of Massage.pptxalpadhanani
Massage has many physiological effects on the body. It increases venous and lymphatic flow, improving circulation. It also increases arterial blood flow through the release of vasodilators and activation of the axon reflex. Other effects include increased blood cell counts; improved nutrient exchange; accelerated metabolism; enhanced mobility of soft tissues; modulation of the nervous, respiratory, and immune systems; and psychological relaxation. Overall, massage provides benefits like reduced fluid stagnation, improved removal of waste, and increased general well-being.
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
EXPERIMENTAL STUDY DESIGN- RANDOMIZED CONTROLLED TRIALRishank Shahi
Randomized controlled clinical trial is a prospective experimental study.
It essentially involves comparing the outcomes in two groups of patients treated with a test treatment and a control treatment, both groups are followed over the same period of time. Prepare a plan of study or protocol
a. Define clear objectives
b. State the inclusion and exclusion criteria of case
c. Determine the sample size, place and period of study
d. Design of trial (single blind, double blind and triple blind method)
2. Define study population: Most often the patients are chosen from hospital or from the community. For example, for a study for comparison of home and sanatorium treatment, open cases of tuberculosis may be chosen.
3. Selection of participants by defined criteria as per plan:
Selection of participants should be done with precision and should be precisely stated in writing so that it can be replicated by others. For example, out of open cases of tuberculosis those who fulfill criteria for inclusion may be selected (age groups, severity of disease and treatment taken or not, etc.)
Randomization ensures that participants have an equal chance to be assigned to one of two or more groups:
One group gets the most widely accepted treatment (standard treatment/ gold standard)
The other gets the new treatment being tested, which researchers hope and have reason to believe will be better than the standard treatment
Subject variation: First, there may be bias on the part of the participants, who may subjectively feel better or report improvement if they knew they were receiving a new form of treatment.
Observer bias: The investigator measuring the outcome of a therapeutic trial may be influenced if he knows beforehand the particular procedure or therapy to which the patient has been subjected.
Evaluation bias: There may be bias in evaluation - that is, the investigator(Analyzer) may subconsciously give a favorable report of the outcome of the trial.
Co-intervention:
participants use other therapy or change behavior
Study staff, medical providers, family or friends treat participants differently.
Biased outcome ascertainment:
participants may report symptoms or outcomes differently or physicians
Investigators may elicit symptoms or outcomes differently
A technique used to prevent selection bias by concealing the allocation sequence from those assigning participants to intervention groups, until the moment of assignment.
Allocation concealment prevents researchers from influencing which participants are assigned to a given intervention group.
All clinical trials must be approved by Institutional Ethics Committee before initiation
It is mandatory to register clinical trials with Clinical Trials Registry of India
Informed consent from all study participants is mandatory.
A preclinical trial is a stage of research that begins before clinical trials, and during which important feasibility and drug safety data are collected.
Following points high.
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Ventilation Perfusion Ratio, Physiological dead space and physiological shuntMedicoseAcademics
In this insightful lecture, Dr. Faiza, an esteemed Assistant Professor of Physiology, delves into the essential concept of the ventilation-perfusion ratio (V˙/Q˙), which is fundamental to understanding pulmonary physiology. Dr. Faiza brings a wealth of knowledge and experience to the table, with qualifications including MBBS, FCPS in Physiology, and multiple postgraduate degrees in public health and healthcare education.
The lecture begins by laying the groundwork with basic concepts, explaining the definitions of ventilation (V˙) and perfusion (Q˙), and highlighting the significance of the ventilation-perfusion ratio (V˙/Q˙). Dr. Faiza explains the normal value of this ratio and its critical role in ensuring efficient gas exchange in the lungs.
Next, the discussion moves to the impact of different V˙/Q˙ ratios on alveolar gas concentrations. Participants will learn how a normal, zero, or infinite V˙/Q˙ ratio affects the partial pressures of oxygen and carbon dioxide in the alveoli. Dr. Faiza provides a detailed comparison of alveolar gas concentrations in these varying scenarios, offering a clear understanding of the physiological changes that occur.
The lecture also covers the concepts of physiological shunt and dead space. Dr. Faiza defines physiological shunt and explains its causes and effects on gas exchange, distinguishing it from anatomical dead space. She also discusses physiological dead space in detail, including how it is calculated using the Bohr equation. The components and significance of the Bohr equation are thoroughly explained, and practical examples of its application are provided.
Further, the lecture examines the variations in V˙/Q˙ ratios in different regions of the lung and under different conditions, such as lying versus supine and resting versus exercise. Dr. Faiza analyzes how these variations affect pulmonary function and discusses the abnormal V˙/Q˙ ratios seen in chronic obstructive lung disease (COPD) and their clinical implications.
Finally, Dr. Faiza explores the clinical implications of abnormal V˙/Q˙ ratios. She identifies clinical conditions associated with these abnormalities, such as COPD and emphysema, and discusses the physiological and clinical consequences on respiratory function. The lecture emphasizes the importance of understanding these concepts for medical professionals and students, highlighting their relevance in diagnosing and managing respiratory conditions.
This comprehensive lecture provides valuable insights for medical students, healthcare professionals, and anyone interested in respiratory physiology. Participants will gain a deep understanding of how ventilation and perfusion work together to optimize gas exchange in the lungs and how deviations from the norm can lead to significant clinical issues.
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...rightmanforbloodline
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Todd W. Vanderah, 2024,} Verified Chapter
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Todd W. Vanderah, 2024,} Verified Chapter
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Todd W. Vanderah, 2024,} Verified Chapter
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptxsouravpaul769171
Theoretically, gene therapy is the permanent solution for genetic diseases. But it has several complexities. At its current stage, it is not accessible to most people due to its huge cost. A breakthrough may come anytime and a day may come when almost every disease will have a gene therapy Gene therapy have the potential to revolutionize the practice of medicine.
2. • PHYSIOTHERAPY:
Treament of diseases by physical method.
• REHABILITATION:
Restoration of the functional utility of the
affected part.
Physiotherapy & Rehabilitation accelerate tissue
healing by galvanizing normal physiological process
so that the functional normalcy of an affected part
is restored faster.
3. AIMS OF PHYSIOTHERAPY
• Correcting deformities.
• Making the joint movement more supple.
• Preventing deforming tendencies.
• Developing paralyzed muscles.
• Faster healing.
• Restoring the functional ability.
4. PRINCIPLES OF PHYSIOTHERAPY
• Decrease pain & facilitates healing of inflammed & injured
neurological & musculoskeletal tissues.
• Maintain normal range of motion in affected joints, i.e. hind & fore
limb.
• Prevent soft tissue contracture & fibrosis in weak or paralyzed limbs.
• Prevent further disuse atrophy of affected musculature of hind
limb/fore limb during the healing process.
• Improve strength & function of weak or paralyzed limbs.
• Maximize post-surgical recovery & function of the patient.
• Provide +ve psychological effects for the patient & owner.
6. COLD THERAPY
• INDICATION: it is advised in acute & hyperacute
injuries, particularly effective during the first 24-48hrs.
after injury.
• TECHNIQUE: can be done by ice water immersions,
ice packs, blowing cold air, applications of volatile
liquids & running cold water.
• MECHANISM: cold therapy decreases local circulation
results in constriction of blood vessels. Reduced blood
flow helps to reduce odema, heamorrhage &
extravasation of inflammatory cells. Reduced tissue
metabolism may inhibit effect of inflammatory
mediators, pain, muscle spasm & enzyme system.
7. •Therapeutic effects of cold occur at tissue temp. between 15-19 deg.
Cent.
•Each application should last 15 to 20 minutes and there should be at least
1-2 hrs. interval between the applications.
•Cold application is generally combined with compression bandage.
8. HYDROTHERAPY
• INDICATION: Downers cow syndrome (if muscles damage has not occurred),
conditions involving limbs problem.
• TECHNIQUES:-
(a) Buoyance of water: this is used to relieve pressure on effected parts.
The method is used in the form of an aqua lift system to treat Downers
cow syndrome if muscles damage has not occurred.
(b) Whirlpool hydrotherapy: in this extemity or the entire body is
submerged in either warm or cold swirling water. The water is kept in
constant agitation & mixed with air by the action of turbine thus
producing a gentle massaging effect.
(c) Irrigation: irrigating the affected part with a stream of water through a
hose pipe or by submerging part or body in warm/cold water.
(d) Swimming: it is another method of hydrotherapy.
9. 1) Picture showing constant agitation of water for hydrotherapy.
2) Picture showing hydrotherapy treatment for limb problem.
10. • MECHANISM: Hydrotherapy is the treatment of
disease with water. Water absorbs more heat per
unit of weight than any other substance. The
solvent properties of water help checking
infection & accelerate wound healing by
removing dirt & necrosed tissue. A treatment
time of 10-30 min. is sufficient for this effect.
• Contra-indication:
1. Animal with recent skin grafts
2. Acute edema
3. Fever
4. Marked circulatory disturbances.
11. SWIMMING
• INDICATION: Conditions involving limb problems,
helpful in recovering from injury or operation, Downers
cow syndrome (if muscles damage has not occurred).
• MECHANISM:
a) Swimming helps to improve general fitness & stamina,
improves muscle tone & is helpful in recovering from
injury or operation.
b) Horse are usually swum in cold water to dissipate the
enormous amount of heat they generate under exertion.
c) Swimming is an excellent form of exercise because most
of the muscles normally used in movement are involved.
Swimming results increased resistance to movement &
strengthens the muscles.
13. HOT WATER APPLICATION
• INDICATIONS:
i. Sub acute & chronic inflammations.
ii. Recent inflammation after the acute stage has passed.
iii. Septic lesions in which the vitality of tissues lowered &
they are threatened with deaths.
• TECHNIQUES: Hot water, Hydro-thermoregulators.
• EFFECTS/MECHANISM:
i. Analgesia by softening & relaxing the tissue.
ii. Hyperemia results leucocytosis & phagocytosis in septic
wounds.
iii. Reabsorption of exudates.
14. HOW TO MAINTAIN CONSTANT
TEMPERATURE ?:
1) Hot water application is done to increase the temperature gradually
to 113 deg. F or 122 deg. F without scalding. The temp. of water is
maintained by adding hot water as per need.
2) With Hydro-thermorugulator a temperature of 107-113 deg. F may
be maintained for 12-24 hrs. with excellent effect.
15. HEAT THERAPY
• INDICATIONS:
• Best applied after acute inflammation has subsided.
• Useful in reducing muscle spasm & pain due to musculoskeletal injuries.
• Used to increase joint & tendon mobility.
• Accelerating the healing response of localized soft tissue injuries.
• TECHNIQUES:
• Superficial heat may be applied with hot packs, hydrotherapy, paraffin
baths or moist air (penetration upto 1cm deep).
• Deep heat may be applied using radiant heat (heat lamp), microwave or
shortwave diathermy & therapeutic ultrasound.
• Warm water, the most accessible method of heat therapy (wet towel, water
immersion, turbulator boot).
17. • MECHANISM:
• Heat therapy increases local circulation, decrease pain,
reduce muscle spasm & increase tissue extensibility.
• Local heat applications dilate blood vessels & stimulate
local circulation. Increased local blood flow help to
mobilize tissue metabolites, increase tissue
oxygenation & increase metabolic rate of cells &
enzyme system.
• As a rule, metabolic rate increases 2-3 times for an
increase in tissue temp. of 10 deg. C.
• Increased blood flow & vascular permiability promotes
resorption of oedema.
18. ULTRASOUND THERAPY
• INDICATION:
1) Useful to get rid of stiffness & decrease in flexibility of skeletal
muscle.
2) It improves range of motion of the joints.
3) Improves circulation to the scar tissue.
4) Decreases pain & muscle spasm.
5) Stimulates the resorption of calcium deposits e.g. splints,
spondylosis.
6) Stimulates tissue repair by acoustic streaming & promoting the
healing of pressure sores by increasing the rate of protien
synthesis by fibroblasts & increased lysosomal activity.
• TECHNIQUE: The area to be treated should be clipped/shaved
& cleaned. Ultrasound gel are applied liberally & sound head is
placed over the skin. After setting required frequency & time,
sound head must keep on moving slowly over the target area.
19. MECHANISM/EFFECTS:
1)PHYSICAL PROPERTIES:
a) Therapeutic frequencies of 1 MHz penetrates as deep as 4-6
cm into the tissues.
b) Tissues with a high fluid content (blood, muscles) will absorb
sound waves better than less hydrated tissues.
C) Nerve tissue has high coefficient of ultrasound absorption. Thus, use
of ultrasound in treating peripheral nervous system is encouraged.
20. 2) THERMAL EFFECTS:
a) Skin and subcutaneous fat can not absorb US well, absorption
takes place on the molecular level & protien molecules are the
major absorbers. So the skin surface may remain cool while underlying
structures are heated. This unique characteristic is ideal therapeutic
option for treating nerves, ligaments, tendons, joint capsule & muscles.
CONTRA-INDICATION:
Blood vessels in the path of interacting US waves could suffer thermal
damages. And when periosteum is overheated, pain results.
21. 3) CHEMICAL EFFECTS:
a) US waves result alternating cycles of compression ( area of increased
density & pressure) & rarefaction (area of decreased density & pressure)
in the area through which it passes.
b) Rarefaction forms air bubbles in the blood or tissue fluids & expand
because of the decrease in pressure. During expansion, gas enters into
the bubbles.
c) In compression phase gas is flown out of the bubbles.
d) Rarefaction & compression phase results in the gaseous exchange,
which exerts mechanical stress on the surrounding called cavitation.
e) Multifactorial benefits of cavitation:- increases cell permeability, it has
electrolytic effect, useful in the breaking up of calcified deposits,
increasing in the extensibility of fibrous capsule.
22. Acoustic streaming/ Micro streaming/
Micro massage:-
• Ultrasound when passes through, liquid flow
along the cell membranes pushed by the
pressure of the sound wave. Thus, diffusion of
ions & metabolites across the membrane
improves. Change in membrane permeability
to sodium ions could be involved in the
altered electrical activity in nerves, resulting in
pain relief. Exchange of sodium & calcium
probably helps in reduction of muscle spasm.
25. What is Infrared Rays ?
• Infrared rays are electromagnetic waves
(radiant energy) of 770-1,00,000 mμ.
• 1500-12,000mμ
• It is emitted by low temp. bodies
like hot water bottles, electric
heating pads etc.
Long
wave
infrared
• 770-1500mμ
• It is emitted by sun, incandescent
lamps & high temp. infraradiators.
Short
wave
infrared
27. • MECHANISM:
• The infrared stimulates local circulation. Radiant
heating causes vasoconstriction of the capillaries
& subsequent release of vasodilator substances
which again absorbed thus more capillaries
become active, hence the blood circulation is
increased.
• Infrared exposure for a short time cause mild
heating , result in relief of pain. While strong heat
works as a counter irritant stimulating the nerve
endings.
28. • CONTRA-INDICATIONS:
Erythemal
response
Electric shock
Injury to eyes Faintness
Hypersensitivity followed by
erythemia, wheel formation,
local edema & blistering
29. ULTRAVIOLET THERAPY
• INDICATION:
• General tonic effects
• Chronic ulcers
• Tuberculosis
• Psoriasis, Acne
• DIAGNOSTIC USE: In dermatological cases with the aid of
words lamp to detect fungal infection.
• TECHNIQUES:
• Natural- sunlight
• Mercury Vapour lamp
• Fluorescent sun lamp
• R.S. type suit lamp
31. EFFECTS:
• UV rays penetrate to a limited extent through body surface.
• UV rays cause erythemal production, pigmentation &
bactericidal effects.
• Spectral band at 265.2 mμ produces maximum bactericidal
effects.
• UV rays produce local/regional analgesia when it hits nerve
endings.
• Usually 20 exposures are required for complete cure of
local infections.
34. ELECTRIC STIMULATION DEVICE:
• Electric stimulation is the application of an
electrical current to tissue to promote healing.
NMES devices generally are pulsed current
stimulators that may use alternating or direct
current waves. These devices may be set for
waveform, amplitude (magnitude of one electrical wave),
pulse duration (time during which the charge flows in both
directions), phase duration (time current flows from baseline in
one direction and back), pulse rate (number of pulses delivered per
second), duty cycle (ratio of on time to total cycle time), ramp
(allows gradual increase or decrease in amplitude), and polarity.
35. MECHANISM:
• Clip and prepare the skin over the motor point with alcohol.
Apply gel to the skin, and place the electrode. Locate the
approximate motor point (area where the motor nerve enters the
muscle) for the targeted muscle. With the current on, move the
electrode to identify the precise motor point. Select the
parameters for electrical stimulation. First select a wavelength.
Set the pulse duration, which is directly proportional to the
duration of the contraction. Set the frequency (which defines the
number of pulses of electricity per second) to determine the rate at
which the muscle fibers are stimulated. Set the duty cycle to 1 :
1 to enhance endurance or at 1 : 3 or 1 : 5 for muscle
strengthening. Set the ramp to control patient comfort.
• Generally NMES is applied for 15 to 20 minutes, one to five
times per week.
36. EFFECTS:
• Increasing muscle strength.
• Improving muscle tone.
• Decreasing edema and enhancing circulation.
• Decreasing muscle spasms and pain.
• Improves muscle strength by increasing muscle
contractile proteins.
• Improves muscle endurance by increasing
vascularity, aerobic capacity & mitochondrial size.
• Electrical muscle stimulation may be used to
reeducate denervated muscle.
37. • CONTRA-INDICATION:
• Over a gravid uterus.
• Over the heart.
• Over carotid sinus.
• In animals with pacemakers or seizures.
• Over tumors or infected areas.
38. MASSAGE
• MASSAGE MAY BE DEFINED AS MANIPULATION OF SOFT TISSUES
WITH HAND & FINGERS.
• INDICATIONS: (with liniments) Sub-acute & chronic inflammatory
conditions.
• TECHNIQUES/METHODS:
• Slight Friction: Fingers of the hand is used in centripetal direction. It
gives feeling of warmth & has a numbing effect.
• Methodical pressure: It is applied by firm pressure on to tissue with
the pulp of the thumb or with fingers or the hell of the palm or with
closed fist.
• Individual compression of muscles: A portion of the muscles is hold
between the fingers & thumb & uniform pressure is applied from its
insertion towards its origin.
40. • Percussion: consist of superficial or deep percussion of
the tissue by striking the part perpendicularly with the
fingers or closed hand.
• EFFECTS:
• Sensory nerve endings stimulated.
• Liberation of histamine substances with local
hyperemia results in dilatation of blood vessels.
• Improves venous & lymphatic return by mechanical
assistances due to alternative pressure & relaxation.
• Mechanical movement causes stretching & softening of
fibrous connective tissue.
42. • CONTRA-INDICATION:
• Acute inflammatory conditions with a threat
of pretend haemorrhage.
• Presence of foreign bodies.
• Existence of neoplasm.
43. EXERCISE
• INDICATIONS:
• Joint stiffness
• Abnormal posture
• Spastic paralysis
• Orthopaedic problems
• TECHNIQUES/METHODS:
• Passive exercise: the affected joint is grasped & its
flexon & extension is done for 10-15 times.
• Active exercise: this includes walking, grazing & slow
running up.
45. • EFFECTS:
• Mechanical movement of joint & muscles improves
venous & lymphatic return.
• Sensory stimulation by keeping cortical pathways open.
• Mobility & range of movement of joints can be
increased.
• Balance & coordination can be improved.
• Improves cardiovascular & respiratory capabilities.