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Emerging Therapies in Ovarian Cancer.pptx by NEIGRIHMS, SHILLONG, has 41 slides with 134 views.New Drug Development in the Treatment of Ovarian Cancer: Future Perspectives Ovarian cancer remains a major challenge in gynecologic oncology due to its late diagnosis, high relapse rate, and limited long-term treatment success. While surgery and platinum-based chemotherapy remain the mainstays of therapy, advances in molecular biology and precision medicine are transforming the treatment landscape. The future of ovarian cancer management lies in the development of targeted therapies, immunotherapy, and innovative drug delivery systems, aiming for personalized and durable outcomes. PARP inhibitors have been among the most significant breakthroughs, particularly in patients with BRCA mutations or homologous recombination deficiency (HRD). Agents like olaparib, niraparib, and rucaparib work by exploiting defects in DNA repair mechanisms, leading to synthetic lethality in tumor cells. Their use has expanded from treatment of recurrent disease to maintenance therapy in first-line settings. Current research focuses on overcoming resistance by combining PARP inhibitors with other agents, such as immune checkpoint inhibitors, anti-angiogenic drugs, or ATR inhibitors. Immunotherapy has had modest results in ovarian cancer so far, likely due to the immunosuppressive tumor microenvironment. However, future strategies are exploring combinations of checkpoint inhibitors (like pembrolizumab or nivolumab) with chemotherapy, PARP inhibitors, or anti-VEGF agents to enhance tumor immunogenicity. Additionally, experimental approaches such as CAR-T cells, oncolytic viruses, and cancer vaccines are under investigation. Angiogenesis inhibitors, such as bevacizumab, have shown clinical benefit and are approved in both first-line and recurrent disease settings. Novel anti-angiogenic agents and combination regimens aim to further exploit the tumor’s reliance on blood supply while improving drug delivery and immune cell access. Emerging therapies like antibody-drug conjugates (ADCs) offer targeted cytotoxicity by linking monoclonal antibodies to chemotherapy agents. Mirvetuximab soravtansine, targeting folate receptor alpha (FRα), is a leading ADC showing promise in platinum-resistant ovarian cancer. Epigenetic therapies are another exciting avenue. Agents that modify DNA methylation or histone acetylation may reverse chemoresistance and sensitize tumors to other treatments. Similarly, targeting hormonal pathways and metabolic dependencies (like glucose and lipid metabolism) offers potential in select subtypes. Looking ahead, the integration of genomic profiling, biomarkers, and artificial intelligence is driving a shift toward precision oncology. Techniques like liquid biopsy allow real-time monitoring of tumor evolution and therapeutic response. Moreover, advances in nanotechnology and local drug delivery systems are improving the precision and tolerability of therapies. In conclusion, the future of ovarian cancer treatment is bright, with a strong focus on indi
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Luteal phase support in Assisted Reproducton.pdf by Ahmed Mowafy, has 51 slides with 188 views.Luteal phase support in Assisted Reproducton.pdf
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Iron, Hemoglobin and bilirubin Metabolism by MedicoseAcademics, has 29 slides with 180 views.Title: Iron and Hemoglobin Metabolism Lecturer: Dr. Faiza Assistant Professor of Physiology Institution: [Your Institution's Name] Description: This lecture provides a thorough exploration of the essential processes involved in iron metabolism and the synthesis, function, and types of hemoglobin, with a specific focus on their roles in erythropoiesis. Dr. Faiza, Assistant Professor of Physiology, takes students through the biochemistry and physiology underlying these critical aspects of human biology. The lecture also delves into the importance of vitamin B12 and folic acid in red blood cell (RBC) maturation and the impact of iron metabolism on erythropoiesis. Key learning objectives include: Understanding the crucial roles of Vitamin B12 and Folic Acid in RBC maturation and their relationship with DNA synthesis. Identifying the synthesis process and functions of Hemoglobin. Analyzing the different types of hemoglobin and their relevance at various stages of human development. Exploring iron metabolism, its role in the production of hemoglobin, and its essential involvement in erythropoiesis. Discussing the metabolism of bilirubin and its clinical implications, including the development of jaundice. The presentation also covers the important aspects of hemoglobin electrophoresis, the reversible binding of oxygen to hemoglobin, and its ability to transport carbon dioxide and nitric oxide, contributing to blood pressure regulation. Additionally, the lecture touches on metabolic disorders such as methemoglobinemia, where the iron in hemoglobin is oxidized, impairing oxygen binding. Topics Covered: Vitamin B12 and Folic Acid in RBC Maturation: The lecture emphasizes the role of these vitamins in DNA synthesis, with a focus on how deficiencies can lead to macrocytic anemia. Hemoglobin Structure and Synthesis: Understanding the components of hemoglobin, including the globin chains and heme groups, and their formation process. Types of Hemoglobin: Insight into embryonic, fetal, and adult hemoglobins, including the clinical significance of variants like HbS (sickle cell hemoglobin). Iron Metabolism: A detailed look at how iron is absorbed, transported, and stored in the body, as well as its critical role in the production of hemoglobin. Bilirubin Metabolism: The process of bilirubin production from RBC breakdown, including its implications for jaundice. This lecture is designed to provide students with a deep understanding of these fundamental physiological processes, preparing them for clinical challenges and further studies in the field of hematology and physiology.
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Acetate mevalonate pathway (mevalonic acid pathway).pdf by samuelwadia, has 6 slides with 100 views.A vivid description of the acetate mevalonate pathway, a gateway for many secondary metabolites among which are volatile oils, saponins, and cardiac glycosides. This particular document shows the origins of monoterpenes, diterpenes, sesquiterpenoids, triterpenoids and tetraterpenoids.
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Ethical Concerns in Regenerative Medicine and Tissue Engineering: A Course Le... by ajefferi, has 10 slides with 231 views.A course learning resource for a new proposed course on ethical concerns in regenerative medicine and tissue engineering. Created by postgraduate students at University of Edinburgh.
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Biomechanics of cervical Spine by susan.j (1).ppt by Bolan University of Medical and Health Sciences ,Quetta, has 19 slides with 79 views.Spinal biomechanics involves the regional features of the vertebrae, intervertebral discs, ligaments, facet joints and muscles. The role of these structures individually and in concert in relation to injuries. Dr Aliya S.M
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GIST , pathophysiology , diagnosis and management dr. amrish .pptx by Dr. Amrish Yadav, has 35 slides with 66 views.1) Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the Gl tract that arise from interstitial cells of Cajal. 2) GISTs most commonly occur in the stomach and small intestine and present with Gl bleeding, abdominal pain, or mass. 3) Diagnostic workup includes CT, endoscopy, and biopsy to establish a diagnosis, assess resectability, and identify mutations for targeted therapy. 4) Complete surgical resection is the main treatment, while adjuvant imatinib therapy helps maintain remission and unresectable tumors may be downstaged with neoadjuvant imatinib
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Bone mineral density measurements in nuclear medicine by MiadAlsulami, has 39 slides with 256 views.In every Nuclear Medicine department, DEXA scans are important and performed daily. It's crucial for us to accurately understand and interpret these scans.
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Biophysics Thermodynamics 1 Chapter Notes by PKLI-Institute of Nursing and Allied Health Sciences Lahore , Pakistan., has 23 slides with 41 views.Biophysics – Unit 01: Thermodynamics This unit introduces the fundamental principles of thermodynamics and their application in biological and physiological systems. It explores how energy is exchanged and transformed in the human body, forming the basis of many critical clinical processes. Key Concepts Covered: System & Surroundings: Open, closed, and isolated systems relevant to physiological environments (e.g., respiratory system as an open system). Zeroth Law: Basis for clinical thermometry and body temperature regulation. First Law of Thermodynamics (Law of Energy Conservation): Application in calorimetry, metabolic rate calculation, and ATP energy balance. Second Law of Thermodynamics: Directionality of biological processes, entropy, and energy efficiency in muscle contraction and enzymatic activity. Third Law: Conceptual relevance in absolute zero and physiological limits. Clinical Applications: Energy transformations during cellular respiration Thermal regulation and homeostasis in patients Bioenergetics in critical care (e.g., post-operative energy needs, fever metabolism) Use of thermodynamic principles in medical devices (ventilators, incubators, dialysis machines)
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1140411-Prolonged_Dual_Antiplatelet_or_Antithrombotic_Therapy_An_Update.pdf by Ks doctor, has 59 slides with 205 views.日期:114年4月11日 講題:Prolonged Dual Antiplatelet or Antithrombotic Therapy:An Update 講師:高醫大附設醫院內科 林宗憲 副院長
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Medical Negligence and Medical Ethics.pptx by Dr Kadiyali. M. Srivatsa, has 65 slides with 28 views.Negligence & Medical Ethics – The Unspoken Pandemic Presented by Dr. Kadiyali M Srivatsa Every day, patients walk into clinics, trusting someone will care for them. But what if I told you… that medical errors are now the third leading cause of death in the world? Yes—after heart disease and cancer. And the tragedy? Most of these deaths are preventable. 🎬 Scene 2: Medical Negligence – A Global Crisis On Screen: ⚠️ FACT: 2.6 million deaths annually are linked to medical errors – WHO Narration: According to the World Health Organization, over 2.6 million people die every year due to unsafe medical care. In high-income countries, 1 in 10 patients is harmed while receiving hospital care. In low- and middle-income countries… the number is likely even higher, but underreported. This… is a silent pandemic. Act of Commission vs. Omission Negligence isn’t always about what’s done. It’s often about what is not done. Doing what shouldn’t be done. Or… failing to do what must be done. Both destroy lives. Nurses Acting as Doctors Untrained, Unsupervised, Unethical. In some systems, nurses with only 6 months of training diagnose, prescribe, and manage patients without supervision. This is not progress. It’s cost-cutting at the cost of lives. Since 2006, hospitals in the UK began replacing doctors with “Independent Nurse Practitioners and prescriber.” And what happened? Avoidable deaths doubled. Medical litigation rose to £1.5 billion. Hospitals started collapsing under the weight of compensation claims. Real Cases – Real Suffering On Screen: 🚨 True Stories That Shake the Soul Narration: A nurse tells a 23-year-old woman with yellow eyes “It’s just a flu. Take paracetamol.” Two days later, she’s in liver failure. A young man misdiagnosed with shingles actually has septicemia—He collapses in shock. Survives—but just barely. A toddler with pneumonia is sent home. Told to return after the weekend. She nearly dies. These are not accidents. These are acts of negligence. And behind every mistake… is a family left grieving. Why did I create Dr. Maya GPT? Dr. Maya GPT – A Global Guardian for Patient Safety. I could no longer bear to watch patients suffer due to systemic negligence, corporate cost-cutting, and ego-driven medicine. Dr. Maya is not a replacement for doctors. It is a guide. A safety net. An AI-powered guardian that helps people identify when to seek help— and most importantly, whom to trust. The Ethical Compass – Diligence - A Universal Virtue Across Faiths Whether it's the teachings of the Bible, the Quran, the Gita, or the Dhammapada -they all echo one truth: “Act with diligence.” That means effort. Integrity. And doing the right thing—even when no one is watching.
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65 slides28 views
Dental Avulsion & its Management by Dr. Mukesh Kumar Dey, has 73 slides with 277 views.This presentation is based on the series and flowcharts decisions to be made and of methods when dealing with a case of tooth avulsion in children (more specifically) and adults. All references have been enumerated in the last slides. Hit LIKE if you found this content helpful.
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molecular medicin unit 2 lecturer 1.pptx by Bolan University of Medical and Health Sciences ,Quetta, has 30 slides with 26 views.Genes are formed by the order of the nitrogenous bases present in the DNA which is crucial for protein synthesis. RNA is another nucleic acid that translates genetic information into proteins from DNA. The nucleotides are linked together for the formation of two long strands. genomics, which encompasses the examination of an organism's entire set of genetic material, including DNA and RNA. by Dr Aliya S.M BUMHS,QTA
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Bolan University of Medical and Health Sciences ,Quetta
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Spondyloepiphyseal dysplasia is a mimicker of arthritis by Ritasman Baisya, has 11 slides with 72 views.Musculoskeletal involvement in children is often challenging, with a wide range of benign conditions, such as growing pain, to severe systemic diseases. Spondylo-epiphyseal dysplasia (SED) is an autosomal recessive disease of the skeletal system that often mimics juvenile idiopathic arthritis (JIA) with no response to anti-rheumatic therapy. Case - A young male, 22 years of age, presented with a history of pain in his upper and lower back and multiple small and large joints since five years of age. He denied any morning stiffness or increased nocturnal pain. Previously, he was treated outside as juvenile idiopathic arthritis with methotrexate, sulfasalazine and injection Adalimumab. However, his mother denied any symptomatic improvement of his pain. On examination, his growth was stunted with significant kyphoscoliosis. (Figure 1 ) He had an antalgic gait with exaggerated lumbar lordosis. He had mild tenderness in both hips, knees and ankles with flexion contracture and bony swelling at bilateral proximal & distal interphalangeal joints (PIP and DIP), referred to as camptodactyly. (Figure 2 ) His cervical and lumbar movement was severely restricted, with bilateral hip movement restricted. Laboratory investigation showed normal ESR CRP. Rheumatoid factor was low titre positive, anti-CCP antibody and HLA-B27 by PCR were negative. His skeletal radiographic images showed platyspondyly in the thoracolumbar spine, epiphyseal widening in MCP and IP joints with ovoid carpal bones (Figure 3), platyspondyly in the thoracolumbar spine (Figure 4) , hip joint sclerosis . (Figure 5 ) His diagnosis was reconsidered as spondyloepiphyseal dysplasia (SED) . He was started with extensive physiotherapy and symptomatic pain relief treatment and noticed improvement in his pain and quality of life. Brief discussion - SED predominantly involves articular cartilage, which results in joint stiffness and epiphyseal enlargement. Typically starting at 2-8 years of age, they manifest with pain, stiffness and swelling of extremity joints. (1) On examination, the swelling is predominantly bony without any evidence of inflammation. Over time, the large joints and the spine get involved, causing significant joint contractures, gait abnormality, kyphoscoliosis, abnormal posture and poor quality of life. There are reported cases where SED have been misdiagnosed as JIA with no response to immunomodulatory treatment. (1,2) SED's radiological features differ from JIA, with platyspondyly being an early finding in the skeletal image, epiphyseal enlargement, and lack of destructive joint erosions. Though SED is considered a rare entity, one large study by Dalal et al. (3) reported 35 cases of SED from 25 unrelated families with 11 different homozygous mutations and one instance of compound heterozygosity in the WISP3 gene. It proves that this entity is not very uncommon in India.
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Ritasman Baisya
11 slides72 views
anterior cruciate ligament rehabilitation by Physio one , has 34 slides with 178 views.physical therapy ACL Rehabilitation
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Physio one
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NURSING MANAGEMENT OF PATIENT WITH KIDNEY AND URINARY SYSTEM DISORDERS by Rekhanjali Gupta , has 12 slides with 16 views.Urethritis is an inflammation of the urethra, the tube that carries urine from the bladder out of the body. It's often caused by a bacterial infection, commonly a sexually transmitted infection (STI) like gonorrhea or chlamydia. Pain or burning during urination is a key symptom, along with other symptoms like urethral discharge and the frequent need to urinate.
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Dentist in Chembur - Dr. Akshay's DentAvenue.pdf by Dental Clinic in Chembur - Dr. Akshay's DentAvenue, has 16 slides with 178 views.At Dr. Akshay's DentAvenue Dental Clinic in Chembur, expert dentists Dr. Akshay Bandewar and Dr. Saudnya Bandewar are committed to delivering comprehensive dental care with a focus on advanced treatments. Dr. Akshay, a leading prosthodontist, implantologist, and dental implants periodontist with 13 years of experience, specializes in full mouth rehabilitation, crown & bridge work, and smile designing, while Dr. Saudnya, an experienced endodontist, pediatric dentist, and laser dentist with 8 years of expertise, offers specialized treatments such as root canal therapy, pediatric dental care, and laser gum treatments. From orthodontics (traditional braces & Invisalign) to cosmetic dentistry, periodontics, teeth whitening services, and more, a wide array of treatments is available. Whether it's dental implants, a smile makeover, or routine dental care, Dr. Akshay and Dr. Saudnya ensure expert solutions tailored to every patient's needs. Visit today for advanced, compassionate, and personalized dental care. Dr. Akshay Bandewar, the Founder of Dr. Akshay's DentAvenue Dental Clinic in Chembur, is an experienced Prosthodontist and Implantologist with over 13 years of expertise. He specializes in Dental implants in Chembur, Full Mouth Rehabilitation, Smile Designing, and a variety of restorative treatments. Dr. Akshay holds an MDS in Prosthodontics (Crown, Bridge, and Implantology) from Government Dental College, Mumbai, and has honed his skills in Crown, Bridge, and Implantology over the years. His comprehensive approach ensures that every patient receives personalized care, whether it's dental implants or smile makeover treatments. As a former assistant professor at Government Dental College, Mumbai, Dr. Akshay stays at the forefront of dental advancements. His clinic is equipped with state-of-the-art technology, providing precision and efficiency in all treatments. Whether you need Dental implants in Chembur or a complete smile restoration, Dr. Akshay offers expert solutions tailored to your needs. Trust his 13+ years of experience for the best dental care. Visit Dr. Akshay at Dr. Akshay’s DentAvenue for exceptional and personalized dental treatment. Dr. Saudnya, Co-founder of Dr. Akshay's DentAvenue Dental Clinic in Chembur, with over 8 years of experience in the dental field. As an expert in Root Canals, Crowns, Bridges, Cosmetic Dentistry, Dentures, and more, she offers exceptional care to all her patients. Dr. Saudnya is also skilled in Pediatric Dental Treatment, ensuring a gentle approach for children’s dental needs. Tags:- dental clinic in Chembur, dentist in Chembur, implantologist in Chembur, prosthodontist in Chembur, endodontist in Chembur, cosmetic dentist in Chembur, orthodontist in Chembur, periodontist in Chembur, pediatric dentist in Chembur, best dentist in Chembur.
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Emerging Therapies in Ovarian Cancer.pptx by NEIGRIHMS, SHILLONG, has 41 slides with 134 views.New Drug Development in the Treatment of Ovarian Cancer: Future Perspectives Ovarian cancer remains a major challenge in gynecologic oncology due to its late diagnosis, high relapse rate, and limited long-term treatment success. While surgery and platinum-based chemotherapy remain the mainstays of therapy, advances in molecular biology and precision medicine are transforming the treatment landscape. The future of ovarian cancer management lies in the development of targeted therapies, immunotherapy, and innovative drug delivery systems, aiming for personalized and durable outcomes. PARP inhibitors have been among the most significant breakthroughs, particularly in patients with BRCA mutations or homologous recombination deficiency (HRD). Agents like olaparib, niraparib, and rucaparib work by exploiting defects in DNA repair mechanisms, leading to synthetic lethality in tumor cells. Their use has expanded from treatment of recurrent disease to maintenance therapy in first-line settings. Current research focuses on overcoming resistance by combining PARP inhibitors with other agents, such as immune checkpoint inhibitors, anti-angiogenic drugs, or ATR inhibitors. Immunotherapy has had modest results in ovarian cancer so far, likely due to the immunosuppressive tumor microenvironment. However, future strategies are exploring combinations of checkpoint inhibitors (like pembrolizumab or nivolumab) with chemotherapy, PARP inhibitors, or anti-VEGF agents to enhance tumor immunogenicity. Additionally, experimental approaches such as CAR-T cells, oncolytic viruses, and cancer vaccines are under investigation. Angiogenesis inhibitors, such as bevacizumab, have shown clinical benefit and are approved in both first-line and recurrent disease settings. Novel anti-angiogenic agents and combination regimens aim to further exploit the tumor’s reliance on blood supply while improving drug delivery and immune cell access. Emerging therapies like antibody-drug conjugates (ADCs) offer targeted cytotoxicity by linking monoclonal antibodies to chemotherapy agents. Mirvetuximab soravtansine, targeting folate receptor alpha (FRα), is a leading ADC showing promise in platinum-resistant ovarian cancer. Epigenetic therapies are another exciting avenue. Agents that modify DNA methylation or histone acetylation may reverse chemoresistance and sensitize tumors to other treatments. Similarly, targeting hormonal pathways and metabolic dependencies (like glucose and lipid metabolism) offers potential in select subtypes. Looking ahead, the integration of genomic profiling, biomarkers, and artificial intelligence is driving a shift toward precision oncology. Techniques like liquid biopsy allow real-time monitoring of tumor evolution and therapeutic response. Moreover, advances in nanotechnology and local drug delivery systems are improving the precision and tolerability of therapies. In conclusion, the future of ovarian cancer treatment is bright, with a strong focus on indi
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Emerging Therapies in Ovarian Cancer.pptx
NEIGRIHMS, SHILLONG
41 slides134 views
Iron, Hemoglobin and bilirubin Metabolism by MedicoseAcademics, has 29 slides with 180 views.Title: Iron and Hemoglobin Metabolism Lecturer: Dr. Faiza Assistant Professor of Physiology Institution: [Your Institution's Name] Description: This lecture provides a thorough exploration of the essential processes involved in iron metabolism and the synthesis, function, and types of hemoglobin, with a specific focus on their roles in erythropoiesis. Dr. Faiza, Assistant Professor of Physiology, takes students through the biochemistry and physiology underlying these critical aspects of human biology. The lecture also delves into the importance of vitamin B12 and folic acid in red blood cell (RBC) maturation and the impact of iron metabolism on erythropoiesis. Key learning objectives include: Understanding the crucial roles of Vitamin B12 and Folic Acid in RBC maturation and their relationship with DNA synthesis. Identifying the synthesis process and functions of Hemoglobin. Analyzing the different types of hemoglobin and their relevance at various stages of human development. Exploring iron metabolism, its role in the production of hemoglobin, and its essential involvement in erythropoiesis. Discussing the metabolism of bilirubin and its clinical implications, including the development of jaundice. The presentation also covers the important aspects of hemoglobin electrophoresis, the reversible binding of oxygen to hemoglobin, and its ability to transport carbon dioxide and nitric oxide, contributing to blood pressure regulation. Additionally, the lecture touches on metabolic disorders such as methemoglobinemia, where the iron in hemoglobin is oxidized, impairing oxygen binding. Topics Covered: Vitamin B12 and Folic Acid in RBC Maturation: The lecture emphasizes the role of these vitamins in DNA synthesis, with a focus on how deficiencies can lead to macrocytic anemia. Hemoglobin Structure and Synthesis: Understanding the components of hemoglobin, including the globin chains and heme groups, and their formation process. Types of Hemoglobin: Insight into embryonic, fetal, and adult hemoglobins, including the clinical significance of variants like HbS (sickle cell hemoglobin). Iron Metabolism: A detailed look at how iron is absorbed, transported, and stored in the body, as well as its critical role in the production of hemoglobin. Bilirubin Metabolism: The process of bilirubin production from RBC breakdown, including its implications for jaundice. This lecture is designed to provide students with a deep understanding of these fundamental physiological processes, preparing them for clinical challenges and further studies in the field of hematology and physiology.
Iron, Hemoglobin and bilirubin MetabolismIron, Hemoglobin and bilirubin Metabolism
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MedicoseAcademics
29 slides180 views
Medical Negligence and Medical Ethics.pptx by Dr Kadiyali. M. Srivatsa, has 65 slides with 28 views.Negligence & Medical Ethics – The Unspoken Pandemic Presented by Dr. Kadiyali M Srivatsa Every day, patients walk into clinics, trusting someone will care for them. But what if I told you… that medical errors are now the third leading cause of death in the world? Yes—after heart disease and cancer. And the tragedy? Most of these deaths are preventable. 🎬 Scene 2: Medical Negligence – A Global Crisis On Screen: ⚠️ FACT: 2.6 million deaths annually are linked to medical errors – WHO Narration: According to the World Health Organization, over 2.6 million people die every year due to unsafe medical care. In high-income countries, 1 in 10 patients is harmed while receiving hospital care. In low- and middle-income countries… the number is likely even higher, but underreported. This… is a silent pandemic. Act of Commission vs. Omission Negligence isn’t always about what’s done. It’s often about what is not done. Doing what shouldn’t be done. Or… failing to do what must be done. Both destroy lives. Nurses Acting as Doctors Untrained, Unsupervised, Unethical. In some systems, nurses with only 6 months of training diagnose, prescribe, and manage patients without supervision. This is not progress. It’s cost-cutting at the cost of lives. Since 2006, hospitals in the UK began replacing doctors with “Independent Nurse Practitioners and prescriber.” And what happened? Avoidable deaths doubled. Medical litigation rose to £1.5 billion. Hospitals started collapsing under the weight of compensation claims. Real Cases – Real Suffering On Screen: 🚨 True Stories That Shake the Soul Narration: A nurse tells a 23-year-old woman with yellow eyes “It’s just a flu. Take paracetamol.” Two days later, she’s in liver failure. A young man misdiagnosed with shingles actually has septicemia—He collapses in shock. Survives—but just barely. A toddler with pneumonia is sent home. Told to return after the weekend. She nearly dies. These are not accidents. These are acts of negligence. And behind every mistake… is a family left grieving. Why did I create Dr. Maya GPT? Dr. Maya GPT – A Global Guardian for Patient Safety. I could no longer bear to watch patients suffer due to systemic negligence, corporate cost-cutting, and ego-driven medicine. Dr. Maya is not a replacement for doctors. It is a guide. A safety net. An AI-powered guardian that helps people identify when to seek help— and most importantly, whom to trust. The Ethical Compass – Diligence - A Universal Virtue Across Faiths Whether it's the teachings of the Bible, the Quran, the Gita, or the Dhammapada -they all echo one truth: “Act with diligence.” That means effort. Integrity. And doing the right thing—even when no one is watching.
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Dr Kadiyali. M. Srivatsa
65 slides28 views
Spondyloepiphyseal dysplasia is a mimicker of arthritis by Ritasman Baisya, has 11 slides with 72 views.Musculoskeletal involvement in children is often challenging, with a wide range of benign conditions, such as growing pain, to severe systemic diseases. Spondylo-epiphyseal dysplasia (SED) is an autosomal recessive disease of the skeletal system that often mimics juvenile idiopathic arthritis (JIA) with no response to anti-rheumatic therapy. Case - A young male, 22 years of age, presented with a history of pain in his upper and lower back and multiple small and large joints since five years of age. He denied any morning stiffness or increased nocturnal pain. Previously, he was treated outside as juvenile idiopathic arthritis with methotrexate, sulfasalazine and injection Adalimumab. However, his mother denied any symptomatic improvement of his pain. On examination, his growth was stunted with significant kyphoscoliosis. (Figure 1 ) He had an antalgic gait with exaggerated lumbar lordosis. He had mild tenderness in both hips, knees and ankles with flexion contracture and bony swelling at bilateral proximal & distal interphalangeal joints (PIP and DIP), referred to as camptodactyly. (Figure 2 ) His cervical and lumbar movement was severely restricted, with bilateral hip movement restricted. Laboratory investigation showed normal ESR CRP. Rheumatoid factor was low titre positive, anti-CCP antibody and HLA-B27 by PCR were negative. His skeletal radiographic images showed platyspondyly in the thoracolumbar spine, epiphyseal widening in MCP and IP joints with ovoid carpal bones (Figure 3), platyspondyly in the thoracolumbar spine (Figure 4) , hip joint sclerosis . (Figure 5 ) His diagnosis was reconsidered as spondyloepiphyseal dysplasia (SED) . He was started with extensive physiotherapy and symptomatic pain relief treatment and noticed improvement in his pain and quality of life. Brief discussion - SED predominantly involves articular cartilage, which results in joint stiffness and epiphyseal enlargement. Typically starting at 2-8 years of age, they manifest with pain, stiffness and swelling of extremity joints. (1) On examination, the swelling is predominantly bony without any evidence of inflammation. Over time, the large joints and the spine get involved, causing significant joint contractures, gait abnormality, kyphoscoliosis, abnormal posture and poor quality of life. There are reported cases where SED have been misdiagnosed as JIA with no response to immunomodulatory treatment. (1,2) SED's radiological features differ from JIA, with platyspondyly being an early finding in the skeletal image, epiphyseal enlargement, and lack of destructive joint erosions. Though SED is considered a rare entity, one large study by Dalal et al. (3) reported 35 cases of SED from 25 unrelated families with 11 different homozygous mutations and one instance of compound heterozygosity in the WISP3 gene. It proves that this entity is not very uncommon in India.
Spondyloepiphyseal dysplasia is a mimicker of arthritisSpondyloepiphyseal dysplasia is a mimicker of arthritis
Spondyloepiphyseal dysplasia is a mimicker of arthritis
Ritasman Baisya
11 slides72 views
Dentist in Chembur - Dr. Akshay's DentAvenue.pdf by Dental Clinic in Chembur - Dr. Akshay's DentAvenue, has 16 slides with 178 views.At Dr. Akshay's DentAvenue Dental Clinic in Chembur, expert dentists Dr. Akshay Bandewar and Dr. Saudnya Bandewar are committed to delivering comprehensive dental care with a focus on advanced treatments. Dr. Akshay, a leading prosthodontist, implantologist, and dental implants periodontist with 13 years of experience, specializes in full mouth rehabilitation, crown & bridge work, and smile designing, while Dr. Saudnya, an experienced endodontist, pediatric dentist, and laser dentist with 8 years of expertise, offers specialized treatments such as root canal therapy, pediatric dental care, and laser gum treatments. From orthodontics (traditional braces & Invisalign) to cosmetic dentistry, periodontics, teeth whitening services, and more, a wide array of treatments is available. Whether it's dental implants, a smile makeover, or routine dental care, Dr. Akshay and Dr. Saudnya ensure expert solutions tailored to every patient's needs. Visit today for advanced, compassionate, and personalized dental care. Dr. Akshay Bandewar, the Founder of Dr. Akshay's DentAvenue Dental Clinic in Chembur, is an experienced Prosthodontist and Implantologist with over 13 years of expertise. He specializes in Dental implants in Chembur, Full Mouth Rehabilitation, Smile Designing, and a variety of restorative treatments. Dr. Akshay holds an MDS in Prosthodontics (Crown, Bridge, and Implantology) from Government Dental College, Mumbai, and has honed his skills in Crown, Bridge, and Implantology over the years. His comprehensive approach ensures that every patient receives personalized care, whether it's dental implants or smile makeover treatments. As a former assistant professor at Government Dental College, Mumbai, Dr. Akshay stays at the forefront of dental advancements. His clinic is equipped with state-of-the-art technology, providing precision and efficiency in all treatments. Whether you need Dental implants in Chembur or a complete smile restoration, Dr. Akshay offers expert solutions tailored to your needs. Trust his 13+ years of experience for the best dental care. Visit Dr. Akshay at Dr. Akshay’s DentAvenue for exceptional and personalized dental treatment. Dr. Saudnya, Co-founder of Dr. Akshay's DentAvenue Dental Clinic in Chembur, with over 8 years of experience in the dental field. As an expert in Root Canals, Crowns, Bridges, Cosmetic Dentistry, Dentures, and more, she offers exceptional care to all her patients. Dr. Saudnya is also skilled in Pediatric Dental Treatment, ensuring a gentle approach for children’s dental needs. Tags:- dental clinic in Chembur, dentist in Chembur, implantologist in Chembur, prosthodontist in Chembur, endodontist in Chembur, cosmetic dentist in Chembur, orthodontist in Chembur, periodontist in Chembur, pediatric dentist in Chembur, best dentist in Chembur.
Dentist in Chembur - Dr. Akshay's DentAvenue.pdfDentist in Chembur - Dr. Akshay's DentAvenue.pdf
Dentist in Chembur - Dr. Akshay's DentAvenue.pdf
Dental Clinic in Chembur - Dr. Akshay's DentAvenue
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