Strategies to Address Acute Malnutrition and High Mortality Rates in Children Under 5
Malnutrition in children under 5, specifically acute malnutrition, is a pressing issue in the Western Cape. This presentation outlines the current strategies, multisector engagement, causes, and impacts of acute malnutrition. It delves into the classifications of malnutrition, including severe and m
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Acute orofacial pain
Acute orofacial pain is often associated with dental issues, ranging from dentinal pain to periodontal pain. The pain can be moderate to severe, with various triggers such as mechanical stimulation and changes in osmotic pressure. This pain is prevalent in adults and can spread to different areas of
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Overview of Acute Gingival Diseases
Acute gingival diseases encompass various conditions such as Necrotizing Ulcerative Gingivitis, Necrotizing Ulcerative Periodontitis, Necrotizing Ulcerative Stomatitis, and others. Necrotizing Ulcerative Gingivitis (NUG) is a microbial disease primarily affecting the gingiva, characterized by necros
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Managing Acute Chest Syndrome in Sickle Cell Disease
A case study of a 31-year-old male with sickle cell disease presenting in the emergency department with a pain crisis. The patient has a history of avascular necrosis, priapism, NSTEMI, cholecystectomy, and previous acute chest syndrome. Explore the patient's symptoms, past medical history, and reco
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Overview of Serious Adverse Reactions and Transfusion Events
This data compilation covers the reporting trends, breakdown of reports, components issued, and specific types of adverse transfusion reactions experienced within the National Healthcare Organization (NHO) from 2019 to 2022. The information includes statistics on Serious Adverse Events (SAE), Seriou
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Evolution in HDL Hypothesis: CSL-112 Infusions in Acute Myocardial Infarction
This study explores the use of CSL-112 infusions in patients with acute myocardial infarction to enhance high-density lipoprotein (HDL) function. By focusing on improving HDL-C function through ApoA-1 infusions, the research aims to enhance outcomes associated with cardiovascular events. The efficac
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Overview of Acute Cholecystitis: Diagnosis, Severity Grading, and Treatment
Acute calculous cholecystitis is a common digestive disease with varying treatment perspectives. The Tokyo Guidelines 2018 provide criteria and severity grading for the diagnosis of acute cholecystitis. Diagnosis involves local and systemic signs of inflammation along with specific imaging findings.
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Understanding Leukemia: Causes, Types, and Treatment Options
Leukemia is a group of blood disorders characterized by abnormal white blood cell production. Factors like genetics, environment, and mutations in DNA play a role in its development. Acute leukemia requires urgent treatment due to rapid cell growth, while chronic leukemia progresses more slowly. The
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Comprehensive Acute Care at Home Service for Older Adults
This service, led by a dedicated consultant geriatrician and multidisciplinary team, focuses on providing acute care at home for older individuals at risk of hospital admission. The inclusion criteria, referral process, and interventions offered are outlined, emphasizing the aim of maintaining patie
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Global Nutrition Prevalence Rates in Children and Women
This content highlights the prevalence rates of acute malnutrition, severe acute malnutrition (SAM), moderate acute malnutrition (MAM), childhood stunting, acute malnutrition based on MUAC and edema, and acute malnutrition in pregnant and lactating women. The data is based on various criteria such a
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Comprehensive Guide to Acute Knee Examination in Urgent Care
This detailed guide covers the essential components of the acute knee exam conducted in an urgent care setting by Dr. Gregory Jones, including chief complaints, anatomy, examination techniques, ligament assessments, practical aspects, and more. The examination process involves assessing functional l
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Understanding Inflammation and Its Characteristics
Inflammation is the response of tissues to harmful agents, categorized as acute or chronic. Acute inflammation is rapid and short-lived, while chronic inflammation is insidious and prolonged. Chemical mediators play a crucial role in both forms, leading to tissue necrosis. The five cardinal signs of
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Understanding Hypertensive Disorders of Pregnancy
Hypertensive disorders of pregnancy, including gestational hypertension and preeclampsia, pose significant risks to both the mother and fetus. Gestational hypertension is characterized by elevated blood pressure after 20 weeks of gestation, while preeclampsia involves hypertension with end-organ man
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Comprehensive Overview of Acute Abdomen Assessment and Management
This detailed guide covers the definition, general approach, history taking, physical examination, investigations, diagnosis, and management of acute abdomen cases. Learn about common causes, such as acute appendicitis, bowel obstruction, and medical conditions. Real-life scenarios illustrate differ
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Understanding Gout: Pathophysiology, Stages, and Treatment Options
Gout is characterized by acute inflammatory arthritis due to sodium urate crystal deposits. Untreated gout can lead to complications like tophi, nephrolithiasis, and joint inflammation. The disease progresses through stages: acute, asymptomatic hyperuricemia, intercritical, and chronic gout. Treatme
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Understanding Acute Pyelonephritis: Risk Factors, Etiology, and Management
Acute pyelonephritis is a bacterial infection of the kidney associated with serious complications. This article discusses the definition, risk factors, etiology, and pathogenesis of the condition. It also covers the clinical presentation, diagnosis, management, and prevention strategies for acute py
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Cognitive Stimulation Therapy in Post-Acute Care: A Pilot Study
Cognitive Stimulation Therapy (CST) is an evidence-based group intervention designed for individuals with mild to moderate cognitive impairment. It aims to enhance cognitive functioning through various activities such as executive functioning tasks, multi-sensory stimulation, and reminiscence work.
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Obstetric Patient with Concerns for Weight Gain and Hypertensive States in Pregnancy
A 30-year-old gravid 6 para 4 patient at 36 weeks and 5 days presents with weight gain, headaches, epigastric discomfort, nausea, and swelling. Symptoms started a week ago, with notable pitting edema in hands and feet, blurry vision, and epigastric pain. Past medical history includes chronic hyperte
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Inpatient Management of Severe Acute Malnutrition Training Course 2011
This training course focuses on inpatient management of severe acute malnutrition, teaching procedures outlined in the national Community-Based Management of Severe Acute Malnutrition Guidelines. The training aims to reduce case fatality rates significantly and is designed for physicians, senior nur
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Acute Malnutrition - Fluid Management and Treatment Overview
Acute malnutrition, particularly severe acute malnutrition (SAM), requires careful fluid management and a structured treatment approach involving stabilization, transition, and rehabilitation phases. This condition results from inadequate dietary intake or acute infections, leading to severe wasting
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Comprehensive Treatment Guidelines for Acute Ischemic Stroke
In the management of acute ischemic stroke, the primary goals are to reduce secondary brain damage, maintain adequate perfusion, and prevent recurrent strokes by managing risk factors. Treatment includes maintaining tissue oxygenation, correcting volume status and electrolytes, managing blood glucos
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Overview of Hypertensive Emergencies and Labetalol Use in SIREMS Protocol
Hypertensive emergencies necessitate rapid blood pressure reduction to prevent organ damage such as renal failure, MI, and stroke. Patients may present with symptoms like chest pain, headache, and altered mental status. Non-compliance and illicit drug use are common causes. Physical findings include
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Understanding Abnormal Liver Function Tests: Acute vs. Chronic Approach
Comprehensive discussion on assessing patients with abnormal liver test results, focusing on distinguishing between acute and chronic liver conditions. Covers diagnostic workup, patient cases, and differential diagnosis, emphasizing the importance of patient history, physical examination, and key di
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Understanding Hypertensive Disorders of Pregnancy
Hypertensive disorders of pregnancy encompass conditions like pregnancy-induced hypertension, chronic hypertension, pre-eclampsia, eclampsia, and imminent eclampsia. Pre-eclampsia, affecting around 3% of pregnancies, poses risks such as elevated BP, fluid retention, and various clinical manifestatio
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ASCOT-LLA Trial: 11-Year Follow-up on Atorvastatin Effects
The Anglo-Scandinavian Cardiac Outcomes Trial Lipid-Lowering Arm (ASCOT-LLA) conducted on hypertensive patients investigated the impact of atorvastatin versus placebo on cardiac outcomes. The study revealed a significant reduction in nonfatal myocardial infarction and fatal coronary heart disease wi
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Understanding Hypertensive Disorders in Pregnancy
This educational material discusses the classification of hypertension in pregnancy, different risks associated with hypertensive disorders, pathophysiology of pre-eclampsia, clinical presentation, management principles, long-term risks to mother and baby, and complications like eclampsia. It covers
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Enhanced Eyecare Services for Optometrists in North Staffordshire
North Staffordshire Minor Eye Conditions Service (MECS) has been re-launched to provide a comprehensive managed service for treating common eye problems by local community optometrists. MECS offers a broader scope than the previous Acute Eye pathway, enabling the management of both acute and non-acu
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Review of Care for Patients with Acute Bowel Obstruction: Recommendations and Key Findings
This review assesses the quality of care provided to patients aged over 16 years with acute bowel obstruction. Significant delays were identified in the care pathway, from imaging requests to availability of operating theatres. Recommendations include prompt CT scans with intravenous contrast for de
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Comprehensive Guide to Creating and Understanding Acute Care Plans
This comprehensive guide provides detailed information on creating and understanding acute care plans, including the purpose of an acute plan, who needs one, what information can be written in an acute plan, examples of baseline clinical parameters, alerts to more detailed plans, and insights into c
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Epidemiology of Hepatitis B and C in Florida: 2019 Data Analysis
The Department of Health in Florida has released the 2019 data on the epidemiology of Hepatitis B and C as of January 21, 2021. The report includes information on acute and chronic cases, technical notes on case definitions, and changes in national case definitions in 2020. Acute cases require speci
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Understanding Pain Management: Acute vs. Chronic Pain and Interventional Therapies
Pain is a complex experience that can be acute or chronic, requiring different treatment approaches. Acute pain alerts us to potential injury, while chronic pain lasts longer and affects quality of life. Management options range from medical and psychological treatments to advanced interventions and
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Multicentric Study on the Management of Acute Hypertensive Events in Greece
This study focuses on acute hypertensive events, including hypertensive crises and emergencies, aiming to assess prevalence, characteristics of patients, and management strategies in Greek hospitals. The study involves a national, multicentric, non-invasive approach in collaboration with Hellenic ES
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Understanding Acute Liver Disorders: Causes, Presentations, and Management
Acute liver disorders can have various causes such as drugs, viruses, ischemia, autoimmune conditions, and more. The presentations of acute liver disease can include abnormal liver tests, jaundice, liver impairment, and even liver failure. Management involves removing and treating the underlying cau
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Overview of Acute Liver Failure: Causes, Classification, and Diagnosis
Acute liver failure is a severe condition characterized by rapid liver dysfunction within 6 months of symptom onset, leading to encephalopathy, coagulopathy, and jaundice. This condition can be classified as hyperacute, acute, subacute, fulminant, or sub-fulminant based on the duration from jaundice
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Understanding Acute Visual Loss: Causes and Evaluation
Loss of vision can occur suddenly, affecting one or both eyes and various parts of the visual field. This guide explores the definition, pathophysiology, and evaluation of acute visual loss. Common causes include optic nerve diseases, retinal disorders, and vascular issues. The visual pathway from t
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Approach to Acute Flaccid Paralysis in Children: Evaluation and Management
Acute muscular weakness in children is a neurological emergency defined by sudden onset muscle weakness or paralysis in less than 5 days. When evaluating a child with acute flaccid paralysis, consider factors like onset rhythm, associated symptoms, and past medical history. A thorough physical and n
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Children's Hospital @ Home: Acute Nursing Care in Tower Hamlets
Providing acute nursing care for children at home from 8 am to 10 pm, the Children's Hospital @ Home in Tower Hamlets offers services such as IVABs, NGT re-insertion, acute assessment, wheeze management, and home-based phototherapy. The initiative aims to reduce hospital stays, minimize admissions f
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Innovative Approaches in Scaling Up Community-Based Management of Acute Malnutrition
Scaling up community-based management of acute malnutrition is vital for reaching vulnerable populations. DFID's efforts in countries like Malawi, India, and Ethiopia showcase unique strategies such as local production of RUTF, piloting CMAM in communities, and integrating CMAM into national nutriti
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Understanding Acute Diarrheal Illness and Gastrointestinal Infections
Acute diarrheal illness is a common issue globally, leading to significant morbidity and mortality. This lecture covers the types of acute diarrhea, host defenses, pathogens like E. coli, Campylobacter, and Yersinia, and their management. It also discusses microbiological diagnosis methods, food poi
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Understanding Acute Coronary Syndrome: Diagnosis and Immediate Therapies
A 58-year-old man presents with acute severe chest pain, diaphoresis, dyspnea, and risk factors for coronary heart disease. The most likely diagnosis is acute myocardial infarction. Immediate steps include placing the patient on a cardiac monitor, obtaining an ECG, and administering aspirin. Additio
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