#screening of pregnant women and infants
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neosciencehub · 19 days ago
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GNDU gets a project to screen Infants for Genetic Disorders
GNDU gets a project to screen Infants for Genetic Disorders @neosciencehub #GuruNanakDevUniversity #GeneticDisorders #Infants #Sciencenews #Healthcare #latest news #Trending #neosciencehub
A significant project worth Rs 3.59 million has been awarded to Guru Nanak Dev University’s Department of Human Genetics by the Union Ministry of Science and Technology’s Department of Biotechnology for “screening of pregnant women and infants.” The university’s scientists will strive to make this research a success and report the findings to the government so that it can take the necessary…
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bejeweledblondie · 1 year ago
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Captain John Price Headcannons
A/N: these are as realistic as I can make ‘em about to be, all of the headcannons I have are inspired by my personal experiences living on a military base & the experiences I’ve had with foreign military (even the Brits, playing cards against humanity with them was interesting)
Captain John Price x F! Reader
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• You & Price met through Laswell, you were her intern turned assistant you had gone to college for international relations
• Your intelligence sparked his interest, Laswell had to do a whole presentation on their Task Force should interact with the women in some of the countries they completed missions in
• He was fully attentive & took notes the entire time
• When Price had asked you to dinner it took you by surprise initially, you were oblivious to his small gestures
• He’d bring you coffee, always visit you at least once a day, & would offer to carry your bag into the office
• He took you to a nice little Italian restaurant
• He opened the car door, made you walk on the inside of the street, pulled you chair out etc.
• His parents & grandparents raised him to be a proper gentleman
• He ordered the nicest wine for the both of you
• Afterwards, you guys walked around & just chatted, the conversation flowed beautifully
• When he drove you home he walked you to your door & you kissed him goodnight, once you closed the door he had a shit eating grin
• That following Monday a giant bouquet of roses sitting on your desk with a sweet note from him
• He’s so sweet on you, a true gentleman
•He found out how much you loved dogs & gifted you a golden retriever puppy
• You cried when he gifted the puppy to you
• After a year & a half of being together he proposed to you
• He used the Diamond from his grandmothers ring as your center stone, & he spent months with a jeweler custom making
• Laswell knew the entire time while he was planning the proposal & the ring
• Your wedding was a winter one the week after Christmas so everyone was able to take leave
• Soap, Simon, & other men he had served with were all part of the Saber exit you had at the end of your ceremony
• Soap was the one who cheekily tapped your behind with his saber to “properly” welcome you into the military
• “Mrs. Captain Jonathan Price, welcome to His Majesty’s Army”
• You guys opted for a nice cottage near post because on post housing absolutely sucks
• Shortly after you two had moved in, you had found out you were pregnant
• It terrified you initially & you came up with a creative way to tell John
• You picked up some Army themed baby onesies at the on post NAAFI (the British equivalent of the U.S. Militaries Post Exchange)
• You told him once he got home he had a gift waiting for him & he initially looked confused at the baby onesies, then it clicked
• The both of you decided to hold off on telling everyone until you were far enough long & starting to show
• You both decided to wait to find out the gender
• He treats you like a China doll while you’re pregnant (along with everyone else)
• You’d wake up to him talking to your stomach, he’d tell your baby all about his day
• In office surprise baby shower happened & everyone went ham with the gift buying
• An emergency hostage rescue operation came across Laswell’s desk the week you were due
• You sobbed into him when he told you, he absolutely hated seeing you this sad
• Like clockwork the night he was already mid-mission, once he got back Laswell informed him you were in full blown labor
• John was crushed, one of the nurses held your phone up so he could at least watch his baby being born on screen
• He broke down once he heard the cries of their infant coming into world
• It was a boy, you decided to name him John as well both after his father & grandfather
• He met you in the hospital 12 hours later still in his gear
• As soon as he possibly could this man brought y’all’s son to work
• Laswell was all over him, constantly wanting to hold him
• You do own Tactical Baby Gear with “Price” plastered all over it
• I don’t think you’d return to work after having your first kid tbh… it would’ve been too stressful with Price��s job
• You two definitely have more children, two boys & one girl
• Price 100% coaches your sons soccer (or if you’re not American; football) team
• Your little girl has him wrapped around her finger (along with her “uncles)
• He would sport a tiara & boa for her tea parties (any “uncle” that came over would too)
• He brought his daughter & her little friends to the Eras Tour (he had a blast btw)
• I think your two sons would join the army to follow in their father’s footsteps
• He was so proud when they graduated from Basic Training
• Price on the battlefield is a hardened man but as soon as he walked into your home his hard exterior dropped & he’d go full on domestic he truly loves you & the life you two had built
✨NSFW✨
• Price was the one who had been your first, due to the fact you focused more on school & your studies you hadn’t been with anyone else
• He wears that like a badge of honor, knowing he was the first & only one to show you how you should be treated in bed
• somewhat discreet office sex
• you’d like out a whimper or a moan & he’d whisper “mmmm you gotta be quiet sweetheart, you don’t want anyone to walk in hmmm”
• you have sucked him off while he’d been on calls in his own office
• he smokes cigars while you ride him in your backyard’s hot tub
• you’re a moaning mess on his cock & he’s just taking in the view of you bouncing up & down on him
• he’s 100% an ass man
• has a HUGE corruption kink, & loves being called “daddy” or “captain”
• he has a collection of nude Polaroids of you hidden in his bucket hat, Soap accidentally found one that had fallen out & Price immediately ripped it from his hands
• He definitely bought you sex toys before he leaves for deployment
• you two go at it like rabbits when he comes home (makes sense how y’all have three kids)
• you gave him a blow job after he was honored at a military ball in the bathroom, as a thank you for his service 😏
• People assume you two are vanilla & bland in the bedroom as oatmeal but boy looks can be deceiving
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unhonestlymirror · 1 year ago
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I am horrified by how often I see people writing, "Well, we shouldn't take Holocaust into account when talking about Israel-Palestine war." Of course we SHOULD, and that's why:
"October 7 is getting rewritten and certain social media users are an active of the campaign to erase the atrocities.
I was barely awake on October 7th when news of the atrocities that were committed by Hamas began to trinkle in, horror by horror. With sleep still in my eyes, I had hoped it was a nightmare I could erase by burying my face in pillows and returning to slumber, but alas, reality was insistent. Hamas had butchered over 1,200 people, amongst them infants, pregnant women, the handicapped, and the elderly. Even dogs were not spared.
But Hamas didn’t just murder them in cold blood, they had tortured, raped, desecrated their bodies, and took hostages. Their depravity was limitless. And they were so proud of their crimes that they used GoPro cameras to record them, later releasing the sickening spectacles to the public as a form of psychological terror. Add to that the live streams, cell phone recordings, and CCTV camera footage, and you’ll probably have the most documented massacre in history—with a reported 60,000 video clips collected.
I’ve seen some of these videos, including those not circulating quite so widely in public. They will haunt me for the rest of my life—and that falls far short than the 47 minute “film” shown to select journalists and diplomats worldwide, a number of whom broke down and/or fell ill during the screening.
But as shocking as all of this deranged butchery was — which was entirely the intention — what stunned me in the aftermath is the world’s reaction.
Putting aside disputes of land and politics, it was jarring to hear such a blatant reframing of narrative. It started with calling Hamas the “resistance” and justifying the unjustifiable. A number of BLM chapters had put out “heroic” images of Hamas terrorists descending on parachutes. I half-expected them to release action figures of Hamas fighters too. Maybe they did?
And then came the "BUTs." Sure, some folks condemned Hamas, but it was always followed by a "BUT," justifying the unjustifiable. I've been asked, ad nauseam, "What would you do in their situation?" Well, my response remains steadfast: not commit random acts of murder, torture, and kidnapping. Call me old-fashioned. (For the record I’ve called many colorful words for my stance, but oddly that was never one of them).
It was a wake-up call for many, especially those of us in the global Jewish community. Overnight, the illusion of safety shattered, much like the dreams of anyone who's binge-watched a horror series alone at night. But now we were all collectively trapped in that nightmare, and couldn’t wake up no matter how hard with pitched.
The history of the Holocaust is taught in many schools around the world. “Never forget” and “never again” are sentiments that are echoed within that curriculum. Yet, while some might scoff at the persistent advocacy for Holocaust education, insisting that it’s hitting them over the head, a nationwide survey in 2020 reveals that the under-40 crowd seems to have missed the memo. Shockingly, one in ten respondents haven’t even heard of the word “Holocaust,” let alone being aware that as many as 6 million Jews perished in it.
Further, nearly a quarter of those questioned said they believed the Holocaust was a myth, had been exaggerated or that they weren’t sure. Meanwhile in Canada, one in five young people (under 34) either hasn't heard of the Holocaust or isn't sure what it is. And in Britain, one in twenty adults flat-out deny that it ever took place. Ah, the privilege of blissful ignorance.
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Most who underestimate the number of Jews killed in Holocaust have neutral or warm feelings toward Jews.
But it's not just ignorance; there's an entire industry that has been propped up and dedicated to Holocaust denial, complete with books, “movies,” and groups. To make matters worse, alarmingly, fewer Holocaust survivors are around to share their firsthand accounts and counteract the flames of denialism.
Nearly half of the 1000 people surveyed had stated that they’ve seen Holocaust denial or distortion posts on social media or elsewhere online.
I’ve always thought that denials of genocide—such as the Holocaust —were something that happened over time, with history slipping away and being re-written.
However, I never expected to be observing this in real time.
While initially the so-called “resistance” was celebrated by a subset of society, this soon turned into full-fledged denials of Hamas’ actions on Oct 7. Despite overwhelming evidence in the form of videos captured and shared by Hamas themselves and shared on Telegram channels and elsewhere, I would read and hear people claiming that they had only targeted Israeli military. Absurd claims emerged using supposedly ‘leaked’ footage where an Israeli helicopter shoots at Nova music festival goers. That video was viewed over 30 million times on X alone. The video, which was actually originally shared by the IDF on Oct 9, was showing their attacks on specific Gazan targets—certainly NOT indiscriminate bombings of music festival attendees in Israel. (Here’s a great thread that details how this piece of disinformation spread and geolocation information that further confirms that the claim is fake).
I’ve heard countless denials of the rapes of women (and men), despite overwhelming evidence in the form of physical evidence, forensics, and a number of witness testimonies. Women’s rights groups, meanwhile, remained silent—thus offering a vacuum for denialists to fill. Proponents of “me too” also stayed silent. Worse, the University of Alberta Sexual Assault Centre’s director signed an open letter calling Hamas perpetrating “sexual violence” an “unverified accusation.” It took UN Women nearly two months to issue a lukewarm condemnation of the brutal attacks. “We are alarmed by the numerous accounts of gender-based atrocities and sexual violence during those attacks,” they wrote, following a letter writing campaign urging them to speak up. Better late than never though, right?
The roughly 40 dead babies claim was debunked as a lie. At least that’s what people on social media now declare as fact, citing a Haaretz investigation.
“Haaretz investigation EXPOSES all the ISRAELI LIES from October 7th just like I predicated (sic),” reads the post of one particularly large disinformation account.
These claims persisted despite Haaretz directly addressing that post and calling it “blatant lies” and insisting that it “absolutely no basis in Haaretz’s reporting.”
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The denials continued regardless of the fact that a group of 200 forensic pathologists from all over the world had confirmed that babies were indeed murdered and that some babies were found decapitated, though it was unclear whether this was done before or after death. First responders also corroborated that they witnessed beheaded infants. Regardless of decapitation, these were babies, murdered.
The forensic pathologists also confirmed that humans were executed, bound and burned alive. Israeli police have over 1,000 statements related to the attack.
When some of the hostages were released, Hamas supporters claimed that the hostages enjoyed being held by them, that they hardly wanted to leave. That this was like a pleasant vacation for them, that’s all. Like sipping piña coladas by the beach. In fact, they would state that they were more concerned about their safety in Israeli hands. They even concocted stories of love affairs between a hostage who was shot in the leg and a Hamas captor. A sick and twisted take on reality where up is down, cats are dogs, and denial is truth. They dismissed the reality that many of these hostages watched their loved ones get murdered in front of them, and still had relatives being held in captivity. The hostages were also administered Clonazepam by Hamas, a mood-enhancing tranquilizing drug, before handing them over to the Red Cross, so that they would appear “happy.”
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Meanwhile, the Yale Daily News published a correction of an opinion column stating that the “allegations had not been substantiated.”
The denials go on and on, and I can’t help but feel like I’m watching a version of Holocaust denial, except this time it’s happening in real time—not years after the fact. And this time, it has a Wi-Fi connection and a social media account.
The conditions for this were ripe. Moral relativism is why just several weeks ago, Gen Z embraced Bin Laden's 'Letter to America.' It has been building up for years across college campuses, a breeding ground for ideologies that support violent means to achieve political gains.
The perceived power dynamics play a role here too. In the eyes of many, the Israelis are seen as a superpower whereas the Palestinians, and by extension Hamas, are seen as underdogs. In their view, the underdog is always right because it is the victim, and the “power” is the oppressor. So how can the oppressor be a victim?
Israelis, despite the majority of the population being Mizrahi Jews, as well as 20% Arabs (who were also victims on Oct 7), have been framed as “white colonizers,” vs the Palestinians who are seen as “POC” in the context of this conflict. Never mind that Jews, including Ashkenazi Jews, can be traced back to the land through DNA, archaeological evidence, and historical documents.
An overall distrust for media is another factor, which has resulted in individuals taking the word of random influencer accounts as gospel over traditional media outlets. According to Gallup polls, Americans’ trust in media is near a record low. Only 34% of US adults have a “great deal” or “fair amount” of confidence as of 2022. This is a major hindrance to our sensemaking abilities.
And then, of course, there’s cognitive dissonance. When a group identifies so closely with the perpetrator and they commit heinous acts, confronting that fact happens to be uncomfortable. So, in an attempt to reduce that discomfort, they rationalize or deny the evidence. This means that they accept only evidence that supports their existing beliefs, while placing unreasonable demands on the other side.
But none of these factors would have gained as much traction if it weren’t for something that didn’t exist during the Holocaust: social media. This is the engine that helps drives this real-time historical revisionism and denialism. According to 2021 data from Pew Research, over 70% of Americans get their news via social platforms. A Reuters Institute report from 2023 found that 30% of respondents use social media as the main way to get their news.
We have a society that consumes sound-bites of information, both truth and lies (as well as lies based on grains of truth).
Social media algorithms—combined with human nature—tend to amplify outrageous untruths, which spread widely. Corrections, never make it as far as the original lie. They are just a faint hum.
Throughout the Israeli-Gaza war, we’ve seen AI generated images and bots used to paint a specific narrative—for evocative, emotional effect. But technologically sophisticatication isn’t a prerequisite for painting false narratives. Many “influencers” have taken to using existing images or videos and attaching misleading headlines to them—including sharing content that captures events in Syria while presenting it as taking place in Gaza. These networks of influencers have large reach, and can turn even the most blatant lie into a revisionist truth.
Researchers for Freedom House, a non-profit human right advocacy group, found that generally at least 47 governments have used commentators to manipulate online discussions in their favor, either via humans or bots. They’ve also recruited influencers to help spread false and misleading content, and have created fake websites that mimic actual media publications. Then there’s always Russia’s propaganda arm RT, and various other publications like Al Jazeera and Quds who have direct ties to Hamas and/or other Islamic regimes.
All of this has contributed to narrative confusion, and the erasure of unspeakable acts of brutality, and the denial of the facts of October 7, right before our very eyes.
If we cannot even share a common reality, how can have any hope of resolving anything?
“Never again” is happening now."
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PROPAGANDA
STEPHANIE (EVERYMANHYBRID)
1.) Aw jeez. Starts out as a really interesting peripheral character with a lot of knowledge the main (male) characters don’t have and a unique voice and perspective, but almost as soon as she meets the main guys her role is reduced to Girlfriend, she gets vanishingly little screen time, and almost no attention is paid to her role in the larger plot. The story instead favors the male characters and their relationships. This is despite the fact that she’s metaphysically tied to the guys in the same way they are to each other (past life multiple reincarnations deal) - much attention is paid to the fact that the dude characters have this relationship to each other but this gets almost completely ignored for Steph! And then her boyfriend gets her pregnant (we hear nothing about it or her feelings on the situation until after her death) and THEN her boyfriend gets possessed by an evil murder entity who kills her. Also cannibalizes her infant daughter (yeah, for a misogyny bonus round, we know that the dead baby is a girl). After this, Steph disappears from the story completely - the next time she gets mentioned again is her boyfriend monologuing about how bad he feels about getting possessed and killing her. It’s a horror story, and during that point in the plot a lot of characters get killed off in grotesque and cruel ways - but it’s especially bad to the point of misogyny for Steph because 1. she’s the only woman at that point, every other female character has also been killed and 2. she gets so little focus and is not mentioned after her death except in the context of her boyfriend’s manpain. The other major character that gets murdered concurrent with this gets an eight minute video all to himself - Steph’s last appearance before she’s confirmed dead is less than a minute long and she shares the video with the death of a much more minor male character. It fucking sucks man. And we do know that her actress wanted to leave the project and had to be written out, but doing it in such a shitty, perfunctory way, having it be at the hands of her boyfriend, focusing on her baby and her boyfriend’s pain as if all that matters about women is their reproductive capacity and the fact that men have feelings about them sometimes - it’s bad! They put her in the fucking fridge dude!!! As an addendum - this one can’t be entirely blamed on the series itself because the fans came up with the nickname and the character approved it in the fiction, but still - before we knew her actual name, Steph was known as DAMSEL. christ alive.
2.) Completely Fridged. she was a promising standalone character and then the actress left the project and she went from Cool Artist with A Bone-Deep Lifelong Struggle with the paranormal to She Gave Birth And Then Died ¯_(ツ)_/¯ free my girl she should’ve done so much more shit
3.) She was killed by a demon possessing her boyfriend right after having their child and then both she and the child were literally never mentioned again except to underscore the boyfriend's pain
MEGAERA (HADES) (CW: Abuse Mention)
1.) Zag's male lover, Thanatos, gets to be an ally on roughly equal terms with Zagreus. Their love story is romantic and beautiful, and his long term childhood crush on Zagreus is acknowledged and handled. Megaera is the first boss in the game, and once you reach a certain level of progression it is almost impossible to lose to her, she is FAR behind Zag and Than in terms of canon power level. She and Zag are ex lovers, because Zag was kind of a dick to her, but the narrative never lends her a voice to these feelings after they start dating again. It's not even clear if they DO start dating again - she just bursts into his room one night and starts domming him again. Her thoughts and feelings are never given center stage the way Than's are, despite being a DEEPLY interesting character in her own right, born into the position of head torturer where it is strongly implied she was abused or at least deeply fucked up by her sisters (or at least Alecto). However no one is ever willing to explore that trauma or how her inability to form bonds with people outside the context of hurting them (for shades' pain or for Zag's pleasure) is a character FLAW that could be explored with a lot of nuance but haha dommy mommy who cares about who she is on the inside as a person she has kinky sex with Zag and that's all that matters amirite
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flyonthewallmedstudent · 1 year ago
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Chlamydia Trachomatis
Can't blog about gonorrhoea without at least a brief mention about Chlamydia.
Risk groups: Sexually active and under 30 Concerningly, it's usually asymptomatic (90% are asymptomatic), but can have severe/significant complications if undetected and untreated (i.e. infertility, pelvic inflammatory disease etc.)
Prevention: Active screening of anyone under <30, pregnant patients in clinic etc. Related to Chlamydophila Pneumoniae (atypical 'walking' pneumonia) and Psittaci (bird infection, causes resp illness psittacosis) Is an atypical bacteria, no cell wall, so penicillins have no effect. It has a lipid rich membrane. Gram stains negative (Pink), much like gono. Clinical presentation: Source: QHealth
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ANyone with a human body can also get laryngeal chlamydia (so painful throat) from oral sex, and conjunctivitis (similarly, oral sex)
IMage source:
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Pregnant women are routinely screened and treated, as it can also result in neonatal conjunctivitis during vaginal delivery, usually presenting 2 weeks post partum.
by the way, koalas also get chlamydia..
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Investigations: - gold standard testing is PCR swab or NAAT (Nucleic acid amplification test) Also test for: - concurrent gonorrhoea (treated with ceftriaxone)
Complications if left untreated: Pregnancy: low birth weight infants, pre term delivery, as above, neonatal conjunctivitis Pelvic inflammatory disease --> which can lead to abscess and infertility via tubal damage from inflammation
Epididymo-orchitis --> painful, swollen testicles, can feel like a testicular torsion presentation is a differential for this
Rarely, but can happen: reactive arthritis. painful, red, hot swollen joints from immune complexes, sterile on testing fluid MCS from joint. usually resolving post infection, even more rarely can lead to long term inflammatory arthritis needing long term immunosuppression as guided by rheumatology. Treatment: 1 g of azithromycin as a stat dose, PO (blissfully simple) alternative is doxycyline 100 mg BD for a week, but I rarely see this prescribed. Given it is an atypical that won't respond to pencillins or cephalosporins. For adherence it's better to just go with the stat dose unless there's contraindications to azith (prolonged QTc etc). As it often co-occurs with gono, they're often tested together and treated together. With gono it's IM cef, 500 mg
Contact tracing is always incredibly important in STIs - need to trace back partners up to 6 mos Sexual contact - none for 7 days post therapy, and not with partners from the last 6 months until they've been screened and treated if positive. there's no immunity post infection, and re-infection is common. interestingly re testing at 3 months is recommended.
REsource: JAMA
CDC guidelines/free Free - Australian STI guidelines
Summary from JAMA on X:
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mcatmemoranda · 1 year ago
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Leukocytes or nitrites present 75% sensitivity and 82% specificity; all you need for simple cystitis
Culture positive if >10^5 CFU or 10^2 CFUs with symptoms; necessary for pyelonephritis/complicated UTI
CT will show obstruction, calculi, gas-forming infections
Men: STI, prostatitis, urethritis
Tx: Macrobid 100 mg x5 days, Bactrim DS bid x3 days
Pyelo: FQs, CTX, zosyn, cefepime if low risk for MDR
Meropenem, IV FQs, CTX, zosyn, cefepime for high risk MDR
Recurrent UTIs: pyridium, post coital abxs, urogyn referral, daily ppx with Bactrim, Macrobid, or Keflex
Pyelo f/u: PRN, urology, or urogyn f/u
Highest prevalence among uncircumcised males <3 months
In peds pts, enterococcus is not a contaminant in the urine culture as it typically is in adults
You want to avoid renal scarring; any other organism other than E.coli has increased risk of causing renal scarring in kids
US recommended in kids <2 years with first febrile UTI, any age with recurrent UTI, any age with fam hx of kidney/uro disease, poor growth, HTN, failure to respond to tx
Voiding cystourethrogram for anatomical eval and for reasons listed above
Simple cystitis tx:
Infants: cephalosporin; Keflex 50-100 mg/kg qd divided bid x5 days. Allergy? Can use Bactrim, Augmentin, rarely ciprofloxacin
Pts 1 month to 2 years: IV CTX, gentamicin; cefdinir 14 mg/kg qd divided bid x10 days
If no improvement in 48-72 hours, change abxs and pursue imaging
For infants, you need to do f/u imaging if not done in hospital
Pregnant women have acute cystitis, not simple cystitis because pregnant women are not simple
Abxs in pregnancy: beta lactam, Macrobid (not in first trimester), Fosfomycin; duration of therapy is 5-7 days
Bactrim avoided during pregnancy. Cefpodoxime is another one safe in pregnancy.
Pyelo in pregnancy: consider intraamniotic infection and placental abruption; it’s not an indication for delivery. Can tx with IV CTX or zosyn.
You have to recheck UA after treatment of asymptomatic bacteriuria in pregnant pts; 30% don’t clear it
Macrobid and Bactrim should be avoided in pregnancy; Macrobid more so in the first trimester; avoid Bactrim throughout pregnancy
Febrile neonate: tachypnea, irritability, cyanosis, poor feeding; <1% of term infants have UTIs. Limited data for preterm infants.
Term infants tend to get E. coli. In preterm infants, coagulase neg staph and Klebsiella are more common; really small premies can have candida.
Hematogenous spread can occur in premies.
Neonates: UA, culture, blood culture, lumbar puncture; imaging, voiding cystourethrogram
Broad spectrum abxs in babies: Ampicillin and gentamicin for 10 to 14 days
CTX can increase serum free bilirubinà increased jaundice
Kids can have impaired renal growth that resolved
Catheter Associated UTI = CAUTI; no need to screen unless pt is symptomatic
Pyuria is not enough to diagnose UTI in pts with indwelling catheters; you need a culture, which you compare to previous culture. Percutaneous nephrostomy tubes, stents – get urology involved. Tx with broad spectrum abxs until you get culture results. Tx 7-14 days. Levofloxacin x5 days if not severely ill; 3 days for pts under 65 w/o upper UTI sxs
For transplant pts, there’s more resistance to cipro and Bactrim
For transplant pts with simple cystitis: FQs, 3rd gen cephalosporins x10-14 days; zosyn, meropenem, cefepime if complicated and call ID
Do not screen (these are guidelines, not what we always do): peds pts, functionally impaired adults, long term care facility pts, diabetics, pts w/ renal transplants, pts with spinal cord injuries
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allaboutmedical · 3 days ago
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Hepatitis B Vaccine in Singapore: A Crucial Step in Protecting Your Liver Health
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Hepatitis B is a viral infection that targets the liver, and it can lead to severe complications like cirrhosis, liver failure, or liver cancer if left untreated. The Hepatitis B vaccine singapore is an essential preventive measure, and Singapore has made remarkable strides in combating the disease with effective vaccination programs. This article explores the significance of the Hepatitis B vaccine in Singapore, who should get vaccinated, and where to access the vaccine.
What Is Hepatitis B?
Hepatitis B is caused by the Hepatitis B virus (HBV), which can be spread through contact with infected bodily fluids, such as blood, semen, or vaginal fluids. Common modes of transmission include:
Unprotected sexual contact
Sharing needles or other drug paraphernalia
From mother to child during childbirth
Blood transfusions, though rare due to stringent screening processes
While some people may experience mild symptoms, others may develop chronic Hepatitis B, which can result in long-term liver damage. Chronic infections often go unnoticed for years, earning Hepatitis B its reputation as a "silent" disease. Fortunately, the Hepatitis B vaccine offers a robust defense against this potentially deadly virus.
Why Get Vaccinated Against Hepatitis B in Singapore?
Singapore has long recognized the importance of vaccination in the prevention of infectious diseases. Here’s why the Hepatitis B vaccine is crucial:
Prevention of Chronic Disease: Hepatitis B can become a chronic infection that leads to serious liver complications, including cirrhosis and liver cancer. The vaccine significantly reduces the risk of developing these conditions by preventing the initial infection.
Protection Against Liver Cancer: Hepatitis B is one of the leading causes of liver cancer worldwide. By preventing the infection, the vaccine also helps reduce the incidence of this deadly form of cancer.
Reducing Transmission: The vaccine not only protects individuals but also helps reduce the transmission of Hepatitis B in the community. Widespread vaccination leads to herd immunity, reducing overall infection rates.
Who Should Get the Hepatitis B Vaccine?
The Hepatitis B vaccine is recommended for various groups in Singapore:
Infants: Hepatitis B vaccination is included in Singapore’s National Childhood Immunisation Schedule (NCIS), with the first dose given to newborns within 24 hours of birth. Additional doses are administered at 1 and 6 months of age.
Children and Adolescents: If children and teenagers have not received the vaccine as part of their childhood immunization program, they are encouraged to get vaccinated to prevent exposure to the virus later in life.
Adults at High Risk: Adults who are at higher risk for Hepatitis B, such as healthcare workers, individuals with multiple sexual partners, intravenous drug users, or those who live with an infected person, should also get vaccinated.
Pregnant Women: Pregnant women who are at risk of Hepatitis B are advised to get vaccinated, particularly to protect their babies from being born with the infection.
How to Get the Hepatitis B Vaccine in Singapore?
The Hepatitis B vaccine is easily accessible in Singapore:
Polyclinics: The vaccine is provided as part of the National Immunisation Program for infants, and adults can receive it at subsidized rates through government programs like the Community Health Assist Scheme (CHAS).
Private Clinics: Many private clinics and general practitioners offer the vaccine for both children and adults. Costs may vary depending on the clinic.
Hospitals and Specialized Centers: Healthcare institutions, including hospitals and specialized clinics, also offer the Hepatitis B vaccine, particularly for high-risk groups or individuals seeking private care.
Cost of the Hepatitis B Vaccine
The cost of the Hepatitis B vaccine in Singapore varies depending on where you receive it:
Polyclinics: Vaccination for infants is free under the National Childhood Immunisation Schedule. Adults who are eligible under schemes like CHAS may receive the vaccine at a subsidized cost.
Private Clinics: In private clinics, the price for the vaccine typically ranges from $40 to $80 per dose. A complete vaccination series involves three doses.
MediSave: For adults, MediSave can be used to cover the cost of the vaccination, making it more affordable for eligible individuals.
Is the Hepatitis B Vaccine Safe?
Yes, the Hepatitis B vaccine is extremely safe and well-tolerated. It has been used globally for decades with a proven track record of safety. The vaccine is made from non-infectious components of the virus, so it cannot cause Hepatitis B. Common side effects are generally mild and include:
Pain or redness at the injection site
Mild fever
Fatigue or headache
Serious side effects are rare, and the benefits of vaccination far outweigh the minimal risks.
The Role of the Hepatitis B Vaccine in Singapore's Public Health Strategy
Singapore has a long history of addressing Hepatitis B through targeted vaccination programs. Since the inclusion of the Hepatitis B vaccine in the National Immunisation Schedule in the 1980s, the country has significantly reduced the incidence of chronic Hepatitis B infections. Public health campaigns and widespread vaccination have contributed to decreasing the prevalence of liver cancer associated with the virus.
Moreover, Singapore’s healthcare system offers comprehensive screening programs for Hepatitis B, allowing for early detection and treatment for those at risk.
Conclusion: Take Control of Your Health with the Hepatitis B Vaccine
The Hepatitis B vaccine is a crucial step in protecting your liver and overall health. Whether you're an infant receiving the vaccine as part of your childhood immunization or an adult who needs to catch up on missed doses, vaccination is essential in safeguarding against this silent and potentially deadly infection.
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lurline86n · 27 days ago
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wushigod · 1 month ago
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The Anambra State AIDS Control Agency (ANSACA) has disclosed that 3,138 individuals tested positive for HIV out of 257,953 screened between January and October 2024. This reflects a 1.2% positivity rate over the 10-month period. Dr. Afam Obidike, the Commissioner for Health in Anambra, shared these statistics during a media briefing in Awka on Thursday, in observance of World AIDS Day, celebrated globally every December 1st since 1988. This year’s World AIDS Day theme is: ‘Take the Rights Path, Sustain HIV Response, Stop HIV Among Children to End AIDS in Nigeria by 2030.’ Expansion of comprehensive HIV services Obidike highlighted the state’s progress in combating HIV/AIDS, noting the expansion of comprehensive services to 175 healthcare facilities across Anambra. He stated, “Between January and October 2024, 257,953 individuals were tested for HIV, with 3,138 (1.2%) testing positive. “Notably, 99% of those diagnosed were successfully linked to antiretroviral therapy (ART). Currently, 49,067 individuals living with HIV are receiving antiretroviral treatment.” As part of its prevention efforts, the state, with support from partners, distributed 1,406,744 condoms and 26,640 lubricants to promote safe practices among key populations and the general public. The Commissioner emphasized the critical role of the Prevention of Mother-to-Child Transmission (PMTCT) program in reducing pediatric HIV cases in Anambra State. Obidike revealed that spectrum projections for 2024 estimated 5,167 pregnant women in the state required PMTCT services. “Thanks to the efforts of mentor mothers and community partners, 56,199 antenatal attendees were tested for HIV, resulting in the identification of 560 HIV-positive pregnant women (including known and new cases). All were successfully linked to care,” he stated. He also highlighted the adoption of advanced diagnostics, such as m-PIMA machines for Early Infant Diagnosis, which have enhanced the testing and care of HIV-exposed infants, ensuring healthier outcomes for mothers and their babies. Additionally, Obidike noted that the state government has domesticated the HIV Anti-Discrimination Act to safeguard the rights of People Living with HIV, combat stigma, and address gender-based violence. “The state remains committed to achieving health equity and an AIDS-free future for all residents,” he affirmed. What You Should Know HIV (Human Immunodeficiency Virus) remains a significant public health concern in Nigeria, despite progress in prevention, treatment, and awareness efforts. Nigeria has the second-largest HIV epidemic globally. According to UNAIDS, the national HIV prevalence rate is around 1.3%, with regional variations. Funding gaps, healthcare infrastructure, and social factors like poverty and gender inequality hinder progress. Strengthening community-based interventions and addressing these systemic challenges are critical.
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adongojs · 2 months ago
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Jayesh Saini: The Architect of Africa’s Healthcare Future
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 Healthcare is not just about treating diseases; it's about supporting communities and  ensuring that every individual has access to basic health services. Jayesh Saini, the  visionary founder of LifeCare Hospitals, understands the importance of community-focused  healthcare and is committed to improving the well-being of Kenyan healthcare communities.  Under his leadership, LifeCare Hospitals has launched several Corporate Social Responsibility (CSR) initiatives to ensure that quality healthcare reaches every corner of  Kenya. In this blog, we’ll explore Jayesh Saini’s dedication to community health and  highlight the various CSR efforts LifeCare Hospitals has implemented to bring healthcare  closer to the people.
Maternal and Child Health Outreach Programs
Maternal and child health is a crucial area that requires attention in many parts of Kenya,  where maternal and infant mortality rates are still high due to inadequate healthcare  facilities and lack of access to timely care. Recognizing this, Jayesh Saini has spearheaded  outreach programs focused specifically on maternal and child health.
 These programs aim to provide prenatal care, maternal education, and vaccinations to  ensure the well-being of both mothers and their children. LifeCare Hospitals has  collaborated with local midwives and community health workers to extend maternal care to  remote areas, ensuring that pregnant women receive the necessary support during  pregnancy and after childbirth.
 The maternal and child health outreach programs not only focus on healthcare provision but  also on education, helping mothers understand the importance of nutrition, vaccinations,  and prenatal checkups. By educating and empowering mothers, Jayesh Saini is laying the  foundation for healthier future generations within Kenyan healthcare communities.
Partnering with Schools for Student Health Initiatives
 Another key aspect of LifeCare Hospitals' CSR efforts under Jayesh Saini’s leadership has  been partnering with schools to promote health and wellness among students. School  health programs are designed to provide health checkups, dental and eye screenings, and  health education to children who might not otherwise receive routine medical care.
 By organizing health camps at schools, LifeCare Hospitals ensures that students receive  timely health assessments and interventions, allowing them to perform better academically  without health challenges holding them back. These initiatives also include health talks on  topics such as personal hygiene, nutrition, and the importance of physical activity,  empowering children to take charge of their health from a young age.
 Jayesh Saini believes that investing in children’s health is investing in the future of Kenya,  and through these school health initiatives, he has made a positive impact on the lives of  thousands of students across the country.
 Chronic Disease Awareness and Prevention Programs
Non-communicable diseases (NCDs) such as diabetes, hypertension, and heart disease  are on the rise in Kenya, and many people remain unaware of the risks and early warning  signs of these conditions. Under Jayesh Saini’s leadership, LifeCare Hospitals has  launched several awareness and prevention programs aimed at educating communities  about NCDs and promoting healthy lifestyles.
 These programs involve free screenings for conditions like diabetes and hypertension,  followed by consultations to help patients understand their results and the necessary  lifestyle changes they need to make. The focus on early detection and lifestyle modification  is crucial in managing these chronic conditions and preventing complications.
 Community engagement is central to these programs. Health education sessions, often  conducted in collaboration with community leaders, help spread awareness about the  importance of regular health checkups, a balanced diet, and physical activity. Jayesh Saini’s  commitment to tackling NCDs head-on has made a significant difference in managing these  health challenges within Kenyan healthcare communities.
 Community Health Education and Awareness Campaigns
 Education is a key component of improving health outcomes, and Jayesh Saini has made  community health education a central part of LifeCare Hospitals' CSR efforts. Health  education campaigns have been launched to address a wide range of topics, from  reproductive health and hygiene to the importance of vaccinations and chronic disease  management.
 By collaborating with community leaders and local health workers, LifeCare Hospitals has  been able to deliver health education in a way that resonates with local communities. These  campaigns are conducted through community meetings, health talks, and even door-to-door  visits to ensure that the information reaches everyone, including those who may not attend  formal events.
 Jayesh Saini’s emphasis on health education demonstrates his belief that empowering  communities with knowledge is one of the most effective ways to create lasting change. By  helping people understand how to take care of their health, he is enabling them to lead  healthier, more fulfilling lives.
Environmental Sustainability and Healthcare
 Jayesh Saini’s commitment to the community also extends to the environment. LifeCare  Hospitals has taken steps to minimize its environmental impact by adopting sustainable  practices such as proper waste management, energy-efficient systems, and recycling  programs. These initiatives are designed to ensure that LifeCare Hospitals not only provides  quality healthcare but also contributes to a cleaner and healthier environment for the  communities it serves.
 Environmental sustainability is an important aspect of community health, as environmental  factors directly impact health outcomes. By reducing the hospital’s carbon footprint and  properly managing medical waste, LifeCare Hospitals is helping to protect the health of the  communities around its facilities
Read more At: https://www.business-standard.com/content/press-releases-ani/jayesh-saini-chairman-of-lifecare-hospitals-felicitated-with-best-emerging-leader-2023-123111600577_1.html
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fanakajs · 3 months ago
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Jayesh Saini’s Vision for Community Welfare: CSR at LifeCare Hospitals
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Healthcare is not just about treating diseases; it's about supporting communities and  ensuring that every individual has access to basic health services. Jayesh Saini, the  visionary founder of LifeCare Hospitals, understands the importance of community-focused  healthcare and is committed to improving the well-being of Kenyan healthcare communities.  Under his leadership, LifeCare Hospitals has launched several Corporate Social Responsibility (CSR) initiatives to ensure that quality healthcare reaches every corner of  Kenya. In this blog, we’ll explore Jayesh Saini’s dedication to community health and  highlight the various CSR efforts LifeCare Hospitals has implemented to bring healthcare  closer to the people.
Free Health Camps: Bringing Healthcare to the People
 One of the most notable CSR initiatives under Jayesh Saini’s leadership at LifeCare  Hospitals has been the organization of free health camps across Kenya. These health  camps have been instrumental in reaching people who may not have easy access to  medical facilities, particularly those living in rural and remote areas.
 The free health camps provide essential medical services, including general consultations,  screenings for diabetes, hypertension, and other non-communicable diseases, as well as  vaccinations. By setting up these camps, LifeCare Hospitals has brought healthcare directly
 to those in need, removing barriers such as travel costs and distance that often prevent  people from seeking medical care.
 Through these health camps, Jayesh Saini has demonstrated his deep commitment to the  well-being of Kenyan healthcare communities. By providing free and accessible healthcare,  LifeCare Hospitals has been able to detect health issues early, provide immediate  treatment, and educate people about preventive measures—ultimately contributing to  healthier communities.
Maternal and Child Health Outreach Programs
 Maternal and child health is a crucial area that requires attention in many parts of Kenya,  where maternal and infant mortality rates are still high due to inadequate healthcare  facilities and lack of access to timely care. Recognizing this, Jayesh Saini has spearheaded  outreach programs focused specifically on maternal and child health.
 These programs aim to provide prenatal care, maternal education, and vaccinations to  ensure the well-being of both mothers and their children. LifeCare Hospitals has  collaborated with local midwives and community health workers to extend maternal care to  remote areas, ensuring that pregnant women receive the necessary support during  pregnancy and after childbirth.
 The maternal and child health outreach programs not only focus on healthcare provision but  also on education, helping mothers understand the importance of nutrition, vaccinations,  and prenatal checkups. By educating and empowering mothers, Jayesh Saini is laying the  foundation for healthier future generations within Kenyan healthcare communities.
Partnering with Schools for Student Health Initiatives
 Another key aspect of LifeCare Hospitals' CSR efforts under Jayesh Saini’s leadership has  been partnering with schools to promote health and wellness among students. School  health programs are designed to provide health checkups, dental and eye screenings, and  health education to children who might not otherwise receive routine medical care.
 By organizing health camps at schools, LifeCare Hospitals ensures that students receive  timely health assessments and interventions, allowing them to perform better academically  without health challenges holding them back. These initiatives also include health talks on  topics such as personal hygiene, nutrition, and the importance of physical activity,  empowering children to take charge of their health from a young age.
 Jayesh Saini believes that investing in children’s health is investing in the future of Kenya,  and through these school health initiatives, he has made a positive impact on the lives of  thousands of students across the country.
Chronic Disease Awareness and Prevention Programs
 Non-communicable diseases (NCDs) such as diabetes, hypertension, and heart disease  are on the rise in Kenya, and many people remain unaware of the risks and early warning  signs of these conditions. Under Jayesh Saini’s leadership, LifeCare Hospitals has  launched several awareness and prevention programs aimed at educating communities  about NCDs and promoting healthy lifestyles.
 These programs involve free screenings for conditions like diabetes and hypertension,  followed by consultations to help patients understand their results and the necessary  lifestyle changes they need to make. The focus on early detection and lifestyle modification  is crucial in managing these chronic conditions and preventing complications.
 Community engagement is central to these programs. Health education sessions, often  conducted in collaboration with community leaders, help spread awareness about the  importance of regular health checkups, a balanced diet, and physical activity. Jayesh Saini’s  commitment to tackling NCDs head-on has made a significant difference in managing these  health challenges within Kenyan healthcare communities.
Community Health Education and Awareness Campaigns
 Education is a key component of improving health outcomes, and Jayesh Saini has made  community health education a central part of LifeCare Hospitals' CSR efforts. Health  education campaigns have been launched to address a wide range of topics, from  reproductive health and hygiene to the importance of vaccinations and chronic disease  management.
 By collaborating with community leaders and local health workers, LifeCare Hospitals has  been able to deliver health education in a way that resonates with local communities. These  campaigns are conducted through community meetings, health talks, and even door-to-door  visits to ensure that the information reaches everyone, including those who may not attend  formal events.
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positivevoiceofkenya · 3 months ago
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Jayesh Saini’s Commitment to Community: CSR Initiatives at LifeCare Hospitals
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Healthcare is not just about treating diseases; it's about supporting communities and ensuring that every individual has access to basic health services. Jayesh Saini, the visionary founder of LifeCare Hospitals, understands the importance of community-focused healthcare and is committed to improving the well-being of Kenyan healthcare communities. Under his leadership, LifeCare Hospitals has launched several Corporate Social Responsibility (CSR) initiatives to ensure that quality healthcare reaches every corner of Kenya. In this blog, we’ll explore Jayesh Saini’s dedication to community health and highlight the various CSR efforts LifeCare Hospitals has implemented to bring healthcare closer to the people.
1. The Role of CSR in Healthcare: Jayesh Saini's Vision
Jayesh Saini has always been passionate about ensuring that healthcare is not just for those who can afford it but for everyone who needs it. As the founder of LifeCare Hospitals, he has set a clear mission to make healthcare accessible and affordable to all, regardless of socio-economic background. One of the pillars of this mission is Corporate Social Responsibility (CSR).
For Jayesh Saini, CSR is not merely a corporate requirement; it is a genuine commitment to uplifting the health standards of Kenyan healthcare communities. He believes that healthcare facilities should go beyond their walls and actively engage with local communities to address pressing health needs. This philosophy has driven LifeCare Hospitals to take on several impactful initiatives aimed at improving community health outcomes and fostering a sense of shared responsibility.
2. Free Health Camps: Bringing Healthcare to the People
One of the most notable CSR initiatives under Jayesh Saini’s leadership at LifeCare Hospitals has been the organization of free health camps across Kenya. These health camps have been instrumental in reaching people who may not have easy access to medical facilities, particularly those living in rural and remote areas.
The free health camps provide essential medical services, including general consultations, screenings for diabetes, hypertension, and other non-communicable diseases, as well as vaccinations. By setting up these camps, LifeCare Hospitals has brought healthcare directly to those in need, removing barriers such as travel costs and distance that often prevent people from seeking medical care.
Through these health camps, Jayesh Saini has demonstrated his deep commitment to the well-being of Kenyan healthcare communities. By providing free and accessible healthcare, LifeCare Hospitals has been able to detect health issues early, provide immediate treatment, and educate people about preventive measures—ultimately contributing to healthier communities.
3. Maternal and Child Health Outreach Programs
Maternal and child health is a crucial area that requires attention in many parts of Kenya, where maternal and infant mortality rates are still high due to inadequate healthcare facilities and lack of access to timely care. Recognizing this, Jayesh Saini has spearheaded outreach programs focused specifically on maternal and child health.
These programs aim to provide prenatal care, maternal education, and vaccinations to ensure the well-being of both mothers and their children. LifeCare Hospitals has collaborated with local midwives and community health workers to extend maternal care to remote areas, ensuring that pregnant women receive the necessary support during pregnancy and after childbirth.
The maternal and child health outreach programs not only focus on healthcare provision but also on education, helping mothers understand the importance of nutrition, vaccinations, and prenatal checkups. By educating and empowering mothers, Jayesh Saini is laying the foundation for healthier future generations within Kenyan healthcare communities.
4. Partnering with Schools for Student Health Initiatives
Another key aspect of LifeCare Hospitals' CSR efforts under Jayesh Saini’s leadership has been partnering with schools to promote health and wellness among students. School health programs are designed to provide health checkups, dental and eye screenings, and health education to children who might not otherwise receive routine medical care.
By organizing health camps at schools, LifeCare Hospitals ensures that students receive timely health assessments and interventions, allowing them to perform better academically without health challenges holding them back. These initiatives also include health talks on topics such as personal hygiene, nutrition, and the importance of physical activity, empowering children to take charge of their health from a young age.
Jayesh Saini believes that investing in children’s health is investing in the future of Kenya, and through these school health initiatives, he has made a positive impact on the lives of thousands of students across the country.
5. Chronic Disease Awareness and Prevention Programs
Non-communicable diseases (NCDs) such as diabetes, hypertension, and heart disease are on the rise in Kenya, and many people remain unaware of the risks and early warning signs of these conditions. Under Jayesh Saini’s leadership, LifeCare Hospitals has launched several awareness and prevention programs aimed at educating communities about NCDs and promoting healthy lifestyles.
These programs involve free screenings for conditions like diabetes and hypertension, followed by consultations to help patients understand their results and the necessary lifestyle changes they need to make. The focus on early detection and lifestyle modification is crucial in managing these chronic conditions and preventing complications.
Community engagement is central to these programs. Health education sessions, often conducted in collaboration with community leaders, help spread awareness about the importance of regular health checkups, a balanced diet, and physical activity. Jayesh Saini’s commitment to tackling NCDs head-on has made a significant difference in managing these health challenges within Kenyan healthcare communities.
7. Community Health Education and Awareness Campaigns
Education is a key component of improving health outcomes, and Jayesh Saini has made community health education a central part of LifeCare Hospitals' CSR efforts. Health education campaigns have been launched to address a wide range of topics, from reproductive health and hygiene to the importance of vaccinations and chronic disease management.
By collaborating with community leaders and local health workers, LifeCare Hospitals has been able to deliver health education in a way that resonates with local communities. These campaigns are conducted through community meetings, health talks, and even door-to-door visits to ensure that the information reaches everyone, including those who may not attend formal events.
Jayesh Saini’s emphasis on health education demonstrates his belief that empowering communities with knowledge is one of the most effective ways to create lasting change. By helping people understand how to take care of their health, he is enabling them to lead healthier, more fulfilling lives.
8. Environmental Sustainability and Healthcare
Jayesh Saini’s commitment to the community also extends to the environment. LifeCare Hospitals has taken steps to minimize its environmental impact by adopting sustainable practices such as proper waste management, energy-efficient systems, and recycling programs. These initiatives are designed to ensure that LifeCare Hospitals not only provides quality healthcare but also contributes to a cleaner and healthier environment for the communities it serves.
Environmental sustainability is an important aspect of community health, as environmental factors directly impact health outcomes. By reducing the hospital’s carbon footprint and properly managing medical waste, LifeCare Hospitals is helping to protect the health of the communities around its facilities.
9. Partnering with Local NGOs for Broader Impact
To maximize the impact of its CSR efforts, LifeCare Hospitals has partnered with several local NGOs to address various health challenges faced by Kenyan healthcare communities. These partnerships have enabled LifeCare Hospitals to extend its reach and deliver healthcare services to some of the most marginalized populations in the country.
For example, through collaborations with NGOs focused on mental health, LifeCare Hospitals has been able to provide counseling services to those in need. Mental health is an area that is often neglected, particularly in rural areas where access to mental health professionals is limited. By partnering with NGOs, Jayesh Saini has ensured that mental health services are available to those who need them, helping to break the stigma surrounding mental health issues.
These collaborations have also focused on combating malnutrition, improving maternal health, and providing support for people with disabilities. Jayesh Saini’s partnerships with NGOs reflect his understanding that healthcare extends beyond hospitals and requires the involvement of various stakeholders to create lasting change.
Jayesh Saini’s commitment to community health is evident in the numerous CSR initiatives led by LifeCare Hospitals. From organizing free health camps and school health programs to supporting maternal and child health and combating non-communicable diseases, Saini’s efforts have had a transformative impact on Kenyan healthcare communities. His focus on preventive care, health education, and collaboration with NGOs and local communities reflects a deep understanding of the unique health challenges faced by the people of Kenya.
Under Jayesh Saini’s leadership, LifeCare Hospitals has not only provided quality healthcare within its facilities but has also reached out to underserved populations, ensuring that healthcare is accessible to everyone. His dedication to CSR is a testament to his belief that healthcare providers have a responsibility to contribute to the well-being of the communities they serve.
By bringing healthcare services directly to the people, supporting vulnerable populations, and investing in community health education, Jayesh Saini is transforming the healthcare landscape in Kenya. His initiatives are paving the way for a healthier future, where quality healthcare is a right for all and where communities are empowered to take control of their health.
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PROPAGANDA
TERESA (MAZE RUNNER SERIES)
1.) One of only two relevant female characters in a primarily male cast. In the first book, she is a mysterious ally and potential love interest of the protagonist, which is inoffensive on its own. In the second book, she decides to cooperate with the villains in order to get herself and her friends out of a terrible situation. In practice, a lot of this is framed as her having some secret plan to work against the protagonist, despite the fact that not only was she promised cooperating wouldn’t hurt him, it actually doesn’t! Her choice makes perfect sense, yet the narrative frames her as an almost seductive traitor, disqualifying her from love interest status and replacing her with another underdeveloped female character as the main lead. In the final book, instead of attempting to write anything interesting with her, the author decides she’s worthless if she’s no longer the love interest and barely includes her, only having her in one scene where she sort of makes up with the protagonist and then. Literally three pages before the end of the book. KILLS HER. Because she’s no longer the love interest, she doesn’t get to come with the rest of the cast to the happy ending!! It really seems like this guy doesn’t know how to write a woman the protagonist isn’t into, and it SUCKS.
2.) very quickly became the ‘girl who is just an attachment to the main character and has little to no personality or importance outside of that’
STEPHANIE (EVERYMANHYBRID)
1.) Aw jeez. Starts out as a really interesting peripheral character with a lot of knowledge the main (male) characters don’t have and a unique voice and perspective, but almost as soon as she meets the main guys her role is reduced to Girlfriend, she gets vanishingly little screen time, and almost no attention is paid to her role in the larger plot. The story instead favors the male characters and their relationships. This is despite the fact that she’s metaphysically tied to the guys in the same way they are to each other (past life multiple reincarnations deal) - much attention is paid to the fact that the dude characters have this relationship to each other but this gets almost completely ignored for Steph! And then her boyfriend gets her pregnant (we hear nothing about it or her feelings on the situation until after her death) and THEN her boyfriend gets possessed by an evil murder entity who kills her. Also cannibalizes her infant daughter (yeah, for a misogyny bonus round, we know that the dead baby is a girl). After this, Steph disappears from the story completely - the next time she gets mentioned again is her boyfriend monologuing about how bad he feels about getting possessed and killing her. It’s a horror story, and during that point in the plot a lot of characters get killed off in grotesque and cruel ways - but it’s especially bad to the point of misogyny for Steph because 1. she’s the only woman at that point, every other female character has also been killed and 2. she gets so little focus and is not mentioned after her death except in the context of her boyfriend’s manpain. The other major character that gets murdered concurrent with this gets an eight minute video all to himself - Steph’s last appearance before she’s confirmed dead is less than a minute long and she shares the video with the death of a much more minor male character. It fucking sucks man. And we do know that her actress wanted to leave the project and had to be written out, but doing it in such a shitty, perfunctory way, having it be at the hands of her boyfriend, focusing on her baby and her boyfriend’s pain as if all that matters about women is their reproductive capacity and the fact that men have feelings about them sometimes - it’s bad! They put her in the fucking fridge dude!!! As an addendum - this one can’t be entirely blamed on the series itself because the fans came up with the nickname and the character approved it in the fiction, but still - before we knew her actual name, Steph was known as DAMSEL. christ alive.
2.) Completely Fridged. she was a promising standalone character and then the actress left the project and she went from Cool Artist with A Bone-Deep Lifelong Struggle with the paranormal to She Gave Birth And Then Died ¯(ツ)/¯ free my girl she should’ve done so much more shit
3.) She was killed by a demon possessing her boyfriend right after having their child and then both she and the child were literally never mentioned again except to underscore the boyfriend’s pain
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flyonthewallmedstudent · 1 year ago
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Disseminated Gonorrhoea
On the theme of disseminated infectious diseases. I've no idea why I've stuck with this theme. Maybe it was catchy.
Going with the topic of infectious diseases does make it easier to source from free resources.
Image from NEJM:
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Basically, disseminated gono presents as fever, reactive arthritis (any arthritis that results from infection), tenosynovitis (inflamed tendons as well as joints) and rash. But use your epidemiology to consider this diagnosis - usually young people with relatively few comorbidities and are they sexually active. Usually. But use your judgement. The simplest thing is getting their consent to rule this out, given the extremes of complications of STIs. I've yet to ever see an ID physician ever squeamish about taking a sexual history because of how important this is. (Phrasing it this way as it's critical to be sensitive and compassionate - but I often find junior doctors over do this to the point where it's awkward for both them and the patient).
Patient in the image was in her 20s, presented with fevers, rash (pustular too) and a painful 3rd digit (tenosynovitis). A cervical swab/culture was positive for Neisseria gonorrhoea.
Investigations: Gram staining gives you pink cocci, or gram negative cocci - which are intracellular
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Kinda easier to remember it's neisseria species, given most cocci are gram positives (staph and streps) and most gram negative bacteria are rods or bacilli (eg Ecoli).
First line investigation, however is the swab of affected or exposed areas for PCR or NAAT (Nucleic acid amplifcation testing) and culture.
Image source also NEJM
Complications in severe disease: Pelvic inflammatory disease and abscess, which can require surgery and drainage and at worst, infertility. Epididymo-orchitis.. I spelt it wrong, I know, but essentially it's painful testicles, ddx with testicular torsion. Rarely: meningitis, conjunctivitis and prostatitis.
Cause for joints being affected - unclear, but mech is due to immune complexes. So, think septic joint (fevers/acute, red hot joint and rash) and on draining the joint, expect a negative gram stain. It's an inflammatory reaction.
Long term - can develop inflammatory arthritis, e.g. long term arthritis and joint pain/disability, requiring rheumatology input and immunosuppression.
In most cases, gono is asymptomatic. Vaginal 80% and penile up to 90%. Hence the importance of routine screening. There is also higher risk of dissemianted gono in HIV patients.
Treatment: IM Ceftriaxone 1-2 g in severe disease and PO Azithromycin typically for chlamydia as they frequently are found together. 90% of chlamydia cases are asymptomatic.
Follow-up and contact tracing: No sexual contact for 7 days and no contact with partners from the last 2 months until screened and/or treated. Contact tracing key, i.e. partners within the last 2 months. Prior infection offers no immunity, so it's possible to get reinfected. Re test in 2 weeks for cure and in 3 months for re-infection.
Screen for other STIs (chlamydia - or assume it's there and treat), HIV and Syphilis.
Special group: pregnancy, which can threaten the pregnancy itself, cause other complications during and more memorable during med school - cause infant gono bacterial conjunctivitis during vaginal delivery. So widely, pregnant women are screened at perinatal clinic.
resources: the gold standard with Australian ID physicians: Australian STI Guidelines which are free.
CDC guidelines
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childrensmedical · 7 months ago
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Benefits of Enrolling in the Fresno WIC Program
The Women, Infants, and Children (WIC) Program is a vital resource for families in Fresno, offering a range of benefits aimed at promoting health and well-being. The Fresno WIC Program is designed to support low-income families. The WIC provides access to nutritious food, nutrition education, and essential support services. It addresses fundamental health and nutritional needs of vulnerable populations, promotes healthy lifestyles, premature newborn care, supports maternal and child health, improves community well-being, empowers families through education, and enhances economic stability. By providing comprehensive support and resources, WIC of Children's Medical Centers of Fresno plays a vital role in ensuring that every child has the opportunity to grow up healthy and thrive.
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The Benefits of Enrolling in the WIC Program:
Access to Healthy and Nutritious Food
One of the primary benefits of the WIC Program is access to nutritious food. Participants receive vouchers or electronic benefits that can be used to purchase healthy staples such as fruits, vegetables, whole grains, dairy products, and infant formula. This support ensures that mothers, infants, and young children have access to essential nutrients crucial for their growth and development.
Nutrition Education
In addition to providing food assistance, WIC Program in Fresno also offers comprehensive nutrition education. Participants receive guidance on healthy eating habits, breastfeeding support, meal planning, and age-appropriate nutrition for infants and children. This education empowers families to make informed choices that promote long-term health and well-being.
Support Services
Beyond food and nutrition education, the Fresno WIC Program offers a range of support services to enhance overall family health. These services may include breastfeeding support and counseling, referrals to healthcare and community resources, growth monitoring and assessments, and immunization screening. By connecting families with these resources, WIC helps ensure that children receive comprehensive care that supports their physical and developmental needs.
How to get Enrolled in the WIC Program
Enrolling in the Fresno Program is straightforward and accessible. Eligibility is based on income level, residency, and nutritional risk criteria. Qualified applicants, including pregnant women, breastfeeding mothers, infants, and children up to five years old, can apply at local WIC offices or community health centers.
Frequently Asked Questions:
1. Where to get a WIC store in Fresno?
WIC establishments or grocery stores authorized by WIC are all nearby Fresno. You may get nutrition information and redeem your WIC benefits for healthy foods at these locations. You can get assistance with the procedure and information about local WIC outlets from CMC Fresno.
2. Is there any particular form for pediatric patients?
Yes, pediatric patients have a unique WIC referral form. It guarantees that WIC benefits and services are suitable and catered to the unique requirements of families with small children. This form is one that our pediatricians at CMC Fresno are familiar with and can assist you with filling out.
The Fresno WIC Program plays a crucial role in promoting the health and well-being of low-income families by providing access to nutritious food, nutrition education, and essential support services. By enrolling in WIC, families gain valuable resources that support healthy growth and development from pregnancy through early childhood. If you or someone you know may benefit from the WIC Program, pediatrician in Fresno CA is available. Considered exploring enrollment to access these vital benefits and support services.
For more information about eligibility requirements, application processes, or specific benefits offered by the WIC Program, visit Children's Medical Centers of Fresno today.
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moreliacliinic · 8 months ago
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Understanding Your Healthcare Providers: A Comprehensive Guide
People see several doctors because health care is so comprehensive. Individual doctors specialise in various areas of treatment. Many sorts of physicians assist people's health. Obgyn doctor el monte, family physicians, and family specialists are crucial. We should take a tour to learn about these healthcare providers' professions, talents, and services.
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OBGYNs:
Ob/Gyns specialise in reproduction, including pregnancy and delivery—OBGYNs study obstetrics and gynaecology.
Job and Service:
Reproductive Health Care: Full reproductive health care for women of all ages is available to OBGYNs. This involves regular pelvic and Pap testing to detect issues.
Prenatal Care: Obgyn doctor el monte can monitor pregnant women and their babies. Regular checkups, ultrasounds, and screenings ensure pregnancy safety and address issues.
Labor and Delivery: If the baby is born naturally or by C-section, the OB/GYN handles labour and delivery. They monitor the birth to ensure mother and infant safety.
Reproductive Health Problems: OB/GYNs diagnose and treat period issues, impotence, pelvic discomfort, and STIs. They may prescribe medication, do minimally invasive procedures, or perform surgery.
Family Planning and Birth Control: OB/GYNs can help you plan a family and remain pregnant. They advise individuals and couples on the optimal birth control option for their lifestyle, preferences, and childbearing objectives.
Family doctors:
Family doctors el monte, or GPs, treat various health issues of all ages. Healthcare workers are the first to seek medical treatment and can help with many concerns.
Job and Service:
Preventive Care: Family doctors el monte prioritises preventative care and health education. Nearly daily wellness testing, health checkups, and immunisations detect and treat problems early.
Diagnose and Treat: Family doctors can diagnose and treat diabetes, hypertension, asthma, colds, and infections.
Chronic Disease Management: Family physicians oversee chronically ill patients. They manage their patients' medications, assist them in adjusting their lifestyles, and schedule follow-up sessions to improve their health and quality of life.
Care Continuity: Family doctors know their patients well and may provide personalised treatment programmes.
Referral and Coordination of Care: Family physicians refer patients to specialists. They also arrange care across various disciplines to ensure the patient gets all the treatment they need and keep it consistent.
Family physicians:
Family physicians el monte care for patients and their families forever. During their training, they learnt to handle many health concerns and provide attentive treatment that considers the patient's physical, mental, and social well-being.
Job and Service:
Comprehensive Primary Care: Family physicians treat acute and chronic illnesses, prevent disease, and give health assistance.
Patient-Centered Care: Family physicians prioritise their patients' needs and build trust through honest, empathetic, and respectful communication.
Lifespan Care: Family physicians provide age-appropriate medical care, fitness evaluations, and preventative health services to elderly adults, children, and people of all ages.
Diagnostic Expertise: Family physicians are skilled at identifying many health issues. They can diagnose and treat these disorders in several organ systems.
Continuity of Care: Family physicians are patients' key health advisors and liaisons between hospitals, clinics, and specialist offices.
Finally, OBGYNs, family physicians, and family practitioners help provide superior medical treatment and improve health. By understanding each healthcare worker's position, abilities, and services, patients may make better healthcare decisions and obtain the treatment they need. Whether they require sexual health, basic care, or family medicine, these doctors will assist their patients in getting well and happy. If you want to know more contact with moreliaclinic.
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