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The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
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Rheumatic fever
Rheumatic fever is an inflammatory disease that can affect the heart, joints, skin, and brain. It is caused by a prior streptococcal infection and can cause long-term damage to the heart if not properly treated. The major criteria for diagnosing rheumatic fever include polyarthritis, carditis, subcutaneous nodules, erythema marginatum, and Sydenham's chorea. Treatment involves long-term antibiotic prophylaxis with benzathine penicillin injections every 4 weeks for 5 years or more to prevent recurrence, and steroids may be used for severe heart involvement.
Linking uric acid metabolism to diabetic complications
This document discusses the relationship between uric acid metabolism and diabetic complications. It begins by providing background on uric acid metabolism and the factors that determine serum uric acid levels. It then discusses how uric acid levels are associated with type 2 diabetes and metabolic syndrome. Higher uric acid levels have been linked to an increased risk of developing type 2 diabetes. The document also reviews evidence that elevated uric acid levels are associated with a higher risk and worsening of diabetic complications, including neuropathy, retinopathy, nephropathy, foot ulcers, and macrovascular complications. Oxidative stress from xanthine oxidoreductase activity may play a role in these relationships through vascular endothelial damage and insulin resistance.
Metabolic syndrome hypertension
Metabolic syndrome is diagnosed when a patient has at least 3 of 5 conditions: high fasting glucose, high blood pressure, high triglycerides, low HDL cholesterol, and increased waist circumference. It is associated with increased risks of heart disease, stroke, diabetes, and kidney disease. Lifestyle changes including weight loss, increased physical activity, and a healthier diet are recommended as first-line interventions to reduce metabolic risk factors.
Hyperuricemia in type 2 dm
The document summarizes a study that assessed plasma levels of uric acid, glucose, adenosine deaminase, and 5'-nucleotidase in type 2 diabetic subjects and normal subjects. The study found significantly higher levels of all parameters in diabetic subjects compared to normal subjects, suggesting the raised plasma uric acid in diabetics is due to increased purine catabolism. No significant variations in parameters were found between male and female diabetics or between diabetics of different age groups or family history status. The results indicate hyperuricemia in type 2 diabetes is associated with increased degradation of purine nucleotides and nucleosides.
Infectious diseases
This study examined preventative measures taken against infectious diseases in Sunga village, Kisumu County. The researcher conducted a cross-sectional study using a questionnaire to survey 150 households about health problems and prevention. Most residents were found to treat water, use pit latrines located away from water sources, and properly dispose of waste. However, many only used mosquito nets for gardening rather than malaria prevention as intended, showing a need for more education on proper net use.
Hepatitis
Viral hepatitis refers to inflammation of the liver caused by viral infection. There are several types of hepatitis viruses, including hepatitis A, B, C, D, E, and others. These viruses are transmitted through food/water (hepatitis A/E) or blood/body fluids (hepatitis B/C/D) and cause acute or chronic liver infection and damage. Symptoms include jaundice and elevated liver enzymes. Some hepatitis viruses like A/E cause only acute infection while others like B/C can become chronic, increasing risk for long-term liver problems.
Hypertensive disorders in pregnancy 2
This document discusses hypertensive disorders in pregnancy. It begins by introducing hypertensive disorders as a major cause of maternal and neonatal morbidity and mortality. It then covers the classification of hypertensive disorders, including gestational hypertension, preeclampsia, eclampsia, chronic hypertension, and superimposed preeclampsia. The document discusses the pathophysiology, symptoms, physical findings, diagnostic testing, and classification of preeclampsia. It also introduces HELLP syndrome as a severe form of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelets.
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Rheumatic fever
Rheumatic fever is an inflammatory disease that can affect the heart, joints, skin, and brain. It is caused by a prior streptococcal infection and can cause long-term damage to the heart if not properly treated. The major criteria for diagnosing rheumatic fever include polyarthritis, carditis, subcutaneous nodules, erythema marginatum, and Sydenham's chorea. Treatment involves long-term antibiotic prophylaxis with benzathine penicillin injections every 4 weeks for 5 years or more to prevent recurrence, and steroids may be used for severe heart involvement.
Linking uric acid metabolism to diabetic complications
This document discusses the relationship between uric acid metabolism and diabetic complications. It begins by providing background on uric acid metabolism and the factors that determine serum uric acid levels. It then discusses how uric acid levels are associated with type 2 diabetes and metabolic syndrome. Higher uric acid levels have been linked to an increased risk of developing type 2 diabetes. The document also reviews evidence that elevated uric acid levels are associated with a higher risk and worsening of diabetic complications, including neuropathy, retinopathy, nephropathy, foot ulcers, and macrovascular complications. Oxidative stress from xanthine oxidoreductase activity may play a role in these relationships through vascular endothelial damage and insulin resistance.
Metabolic syndrome hypertension
Metabolic syndrome is diagnosed when a patient has at least 3 of 5 conditions: high fasting glucose, high blood pressure, high triglycerides, low HDL cholesterol, and increased waist circumference. It is associated with increased risks of heart disease, stroke, diabetes, and kidney disease. Lifestyle changes including weight loss, increased physical activity, and a healthier diet are recommended as first-line interventions to reduce metabolic risk factors.
Hyperuricemia in type 2 dm
The document summarizes a study that assessed plasma levels of uric acid, glucose, adenosine deaminase, and 5'-nucleotidase in type 2 diabetic subjects and normal subjects. The study found significantly higher levels of all parameters in diabetic subjects compared to normal subjects, suggesting the raised plasma uric acid in diabetics is due to increased purine catabolism. No significant variations in parameters were found between male and female diabetics or between diabetics of different age groups or family history status. The results indicate hyperuricemia in type 2 diabetes is associated with increased degradation of purine nucleotides and nucleosides.
Infectious diseases
This study examined preventative measures taken against infectious diseases in Sunga village, Kisumu County. The researcher conducted a cross-sectional study using a questionnaire to survey 150 households about health problems and prevention. Most residents were found to treat water, use pit latrines located away from water sources, and properly dispose of waste. However, many only used mosquito nets for gardening rather than malaria prevention as intended, showing a need for more education on proper net use.
Hepatitis
Viral hepatitis refers to inflammation of the liver caused by viral infection. There are several types of hepatitis viruses, including hepatitis A, B, C, D, E, and others. These viruses are transmitted through food/water (hepatitis A/E) or blood/body fluids (hepatitis B/C/D) and cause acute or chronic liver infection and damage. Symptoms include jaundice and elevated liver enzymes. Some hepatitis viruses like A/E cause only acute infection while others like B/C can become chronic, increasing risk for long-term liver problems.
Hypertensive disorders in pregnancy 2
This document discusses hypertensive disorders in pregnancy. It begins by introducing hypertensive disorders as a major cause of maternal and neonatal morbidity and mortality. It then covers the classification of hypertensive disorders, including gestational hypertension, preeclampsia, eclampsia, chronic hypertension, and superimposed preeclampsia. The document discusses the pathophysiology, symptoms, physical findings, diagnostic testing, and classification of preeclampsia. It also introduces HELLP syndrome as a severe form of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelets.
Leukemia slides
This document provides an overview of leukemia, including:
- Leukemia is a group of cancers that affect the blood and bone marrow, resulting in excess dysfunctional blood cells. It can be fatal if untreated.
- There are several types classified by cell maturity and type of white blood cell affected, including acute myelogenous leukemia, acute lymphocytic leukemia, chronic myelogenous leukemia, and chronic lymphocytic leukemia.
- Causes are often a combination of genetic and environmental factors. Treatment involves chemotherapy and may include bone marrow transplantation to eliminate leukemic cells from the body. Nursing care focuses on managing side effects, educating patients, and providing psychosocial support.
Hypertensive emergencies [4]
This document discusses hypertensive emergencies in children. It provides guidelines for classifying blood pressure levels and determining if a patient is hypertensive. Symptoms of hypertension are outlined, including neurological, cardio-respiratory, and renal symptoms. Common causes of pediatric hypertension like renal issues and endocrine disorders are described. The approach to a hypertensive patient involves taking a thorough history, physical exam, assessments, and treating any underlying causes or using antihypertensive medications. Treatment for severe hypertension may include addressing obstructive uropathy, diuretics for fluid overload, targeted therapies, and medications like labetolol, hydrallazine, or captopril.
Kidney injury vs kidney failure
Kidney injury causes damage to kidney tissue without necessarily causing organ failure, while kidney failure indicates the kidneys are no longer able to adequately filter waste and fluids from the blood. The document discusses markers for detecting kidney injury and failure such as microalbumin, macroalbumin and INGAL in urine. It also provides examples of calculating glomerular filtration rate based on age, weight and serum creatinine. Finally, it defines the stages of acute kidney injury based on increases in serum creatinine and reductions in urine output.
Hyperuricemia in t2 dm
This document discusses hyperuricemia, or high levels of uric acid, in patients with type 2 diabetes mellitus (T2 DM). It notes that insulin deficiency or subnormal insulin function may alter purine metabolism and uric acid turnover. A study assessed uric acid levels in T2 DM patients and found raised levels of enzymes involved in purine catabolism, suggesting increased purine breakdown leads to higher uric acid in these patients.
Epnone in ccf
This document discusses heart failure, its causes, symptoms, and treatments. It notes that heart failure is a growing concern, with more than 20 million cases worldwide. While treatments like diuretics, ACE inhibitors, and beta blockers are used, aldosterone levels remain high in many patients. The document examines the role of the aldosterone antagonist eplerenone in improving outcomes for heart failure and resistant hypertension patients when added to standard therapy. Clinical trials demonstrate eplerenone reduces mortality, hospitalizations, and blood pressure more effectively than other aldosterone antagonists.
Asthma attack reatment abreviated
This document provides information on the diagnosis and management of asthma. It defines asthma, outlines its pathophysiology involving inflammation, remodeling and hyperreactivity. It discusses assessing and monitoring asthma severity, controlling contributing factors, pharmacological treatments including inhaled corticosteroids and bronchodilators, and the importance of patient education. The document also covers acute exacerbations, assessing severity and treating with oxygen, bronchodilators and corticosteroids which are the mainstay of treatment.
Diuretics in management of ht
56% of Kenyans have never had their blood pressure measured, and only 22.3% of those diagnosed with hypertension were on medication. Chlorthalidone is recommended over hydrochlorothiazide as a first-line treatment for hypertension due to its longer half-life, proven reductions in cardiovascular events in clinical trials, and ability to provide sustained 24-hour blood pressure control, including important nighttime blood pressure control. Guidelines, experts, and textbooks preferentially recommend chlorthalidone over hydrochlorothiazide as an initial treatment for hypertension.
Diabetic emergencies
HHNS is a life-threatening complication of diabetes that occurs when blood sugar levels become very high without ketosis. It is caused by severe dehydration and lack of insulin in the body. Symptoms include confusion, drowsiness, flushed skin, and fruity breath odor.
Ckd icd 9-cm classification
This document proposes revisions to ICD-9-CM codes for classifying chronic kidney disease (CKD). It outlines stages of CKD based on glomerular filtration rate and proteinuria levels. The current codes do not distinguish CKD from end-stage renal disease (ESRD) or capture disease severity. The proposed changes would add codes to classify CKD stages 1-5, indicate presence of proteinuria, and code for underlying etiologies. This enhanced classification system could help determine patient risk, guide treatment, and assess quality of care for CKD.
Clinic patients 05 12 - 2017
The document contains medical notes on four patients seen on June 12, 2017. It records details of each patient's medical history, current symptoms, physical exam findings, lab results, current medications and the doctor's treatment plans. For one patient, the plan is to start new medications and change an existing one to treat an enlarged prostate and elevated prostate-specific antigen. A second patient is advised to continue current medications and start new ones to treat prostate symptoms and arthritis. The third has diabetes and is advised to adjust his insulin regimen and add new medications to improve his blood sugar control and treat kidney disease. The fourth patient discusses her medical and personal situation and the plan is to continue her current medications with some adjustments.
Ckd in kenya
CKD disproportionately affects the population in Kenya compared to the US, where only 0.7% have advanced stages versus higher percentages in Kenya. Risk factors for CKD in Kenya include diabetes, hypertension, older age, family history, male gender, and racial/ethnic background. Strategies to reduce progression of CKD in Kenya include increasing physician awareness, public education for at-risk groups on self-care, and regular screening campaigns. Early intervention can help prevent many cases from progressing to end-stage renal disease.
Acute kidney injury asa guidelines
This document provides clinical practice guidelines for the management of Acute Kidney Injury (AKI). It discusses the definition and staging systems for AKI, epidemiology and outcomes. Prevention, management, treatment facilities and timing of renal replacement therapy are covered. Guidelines are provided on choice of renal replacement modality, dialyser membranes, vascular access, anticoagulation, and prescription of renal replacement therapy. There is a lack of evidence to guide optimal care and timing of renal replacement therapy. The document aims to standardize care and improve outcomes of patients with AKI.
Creating transparency in emerging health systems
SafeCare has developed quality standards and an improvement methodology for benchmarking basic healthcare facilities in low-middle income countries. The standards were approved by ISQua and aim to increase transparency by making medical and financial risks more visible and identifying gaps in quality. This increased transparency builds trust between patients, providers, financers, and governments and paves the way for sustainable investments in quality improvement. By using the SafeCare methodology, key stakeholders are more willing to invest in strengthening health systems. The overall goal is to break the cycle of poor quality and low demand for healthcare by improving scale and access through investments driven by transparency around risks and quality gaps.
9 infection control_and_prevention
This document discusses infection control and prevention. It begins by defining key terms like host, agent, vector, and vehicle. It then explains how diseases are transmitted, listing the main modes of transmission like direct contact, droplet, indirect contact, vector, vehicle and airborne. Specific examples are given for each mode. The document also discusses factors that influence disease causation in a host. Finally, it reviews important infection control measures that can help prevent or stop the spread of disease through various routes of transmission. These include practices like hand hygiene, respiratory etiquette, isolation, vaccination, and appropriate use of antibiotics.
Slowing progression of ckd general
This document discusses slowing the progression of chronic kidney disease (CKD). It notes that CKD is a growing problem fueled by conditions like hypertension, diabetes, and obesity. Early intervention can help slow CKD progression and add years of life without dialysis. Key risk factors for CKD progression include hypertension, proteinuria, hyperglycemia, and smoking. The document recommends simple screening methods for at-risk populations like measuring blood pressure, weight, and urine tests. Managing comorbidities and controlling blood pressure and proteinuria are emphasized as the most important ways to preserve kidney function.
Myeloprolferative disease
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already have a condition.
Shelly chf
This document provides an overview of congestive heart failure, including:
1. Heart failure results from structural or functional abnormalities that impair the ventricle's ability to pump or fill with blood.
2. A vicious cycle occurs where heart dysfunction causes fluid retention through activation of the renin-angiotensin-aldosterone system.
3. Treatment involves controlling symptoms with diuretics and drugs like ACE inhibitors, beta blockers, and aldosterone antagonists to slow disease progression.
Liver cirrhosis2
This document provides an overview of liver cirrhosis. It discusses that the most common causes in the US are alcoholic liver disease and hepatitis C. Cirrhosis can lead to numerous complications such as ascites, spontaneous bacterial peritonitis, hepatorenal syndrome, and hepatocellular carcinoma. The diagnosis of cirrhosis involves liver biopsy or clinical and lab findings that strongly suggest cirrhosis. Treatment focuses on managing complications and potentially liver transplantation for decompensated cirrhosis.
Migraine
Migraine is a type of headache that causes severe throbbing pain on one side of the head. It is often accompanied by nausea, vomiting, and sensitivity to light and sound. Migraines can last for hours to days and be disabling. They are caused by changes in brain chemicals and activity in the trigeminal nerve. Factors like hormones, foods, drinks, stress, and sensory stimuli can trigger migraines. Treatment involves pain relievers, preventive medications, and lifestyle changes.
Venous thrombo embolism
Venous thromboembolism (VTE) is a condition where a blood clot forms in a vein. Common types of VTE include deep vein thrombosis (DVT), which typically occurs in the legs, and pulmonary embolism (PE), which occurs if part of the clot breaks off and travels to the lungs. Risk factors for VTE include recent surgery, trauma, cancer, prolonged immobility, older age, and genetic predispositions.
A Free eBook ~ Valuable LIFE Lessons to Learn ( 5 Sets of Presentations)...
A free eBook comprising 5 sets of PowerPoint presentations of meaningful stories /Inspirational pieces that teach important Dhamma/Life lessons. For reflection and practice to develop the mind to grow in love, compassion and wisdom. The texts are in English and Chinese.
My other free eBooks can be obtained from the following Links:
https://www.slideshare.net/ohteikbin/presentations
https://www.slideshare.net/ohteikbin/documents
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Plus de MohamedKhamis77
Leukemia slides
This document provides an overview of leukemia, including:
- Leukemia is a group of cancers that affect the blood and bone marrow, resulting in excess dysfunctional blood cells. It can be fatal if untreated.
- There are several types classified by cell maturity and type of white blood cell affected, including acute myelogenous leukemia, acute lymphocytic leukemia, chronic myelogenous leukemia, and chronic lymphocytic leukemia.
- Causes are often a combination of genetic and environmental factors. Treatment involves chemotherapy and may include bone marrow transplantation to eliminate leukemic cells from the body. Nursing care focuses on managing side effects, educating patients, and providing psychosocial support.
Hypertensive emergencies [4]
This document discusses hypertensive emergencies in children. It provides guidelines for classifying blood pressure levels and determining if a patient is hypertensive. Symptoms of hypertension are outlined, including neurological, cardio-respiratory, and renal symptoms. Common causes of pediatric hypertension like renal issues and endocrine disorders are described. The approach to a hypertensive patient involves taking a thorough history, physical exam, assessments, and treating any underlying causes or using antihypertensive medications. Treatment for severe hypertension may include addressing obstructive uropathy, diuretics for fluid overload, targeted therapies, and medications like labetolol, hydrallazine, or captopril.
Kidney injury vs kidney failure
Kidney injury causes damage to kidney tissue without necessarily causing organ failure, while kidney failure indicates the kidneys are no longer able to adequately filter waste and fluids from the blood. The document discusses markers for detecting kidney injury and failure such as microalbumin, macroalbumin and INGAL in urine. It also provides examples of calculating glomerular filtration rate based on age, weight and serum creatinine. Finally, it defines the stages of acute kidney injury based on increases in serum creatinine and reductions in urine output.
Hyperuricemia in t2 dm
This document discusses hyperuricemia, or high levels of uric acid, in patients with type 2 diabetes mellitus (T2 DM). It notes that insulin deficiency or subnormal insulin function may alter purine metabolism and uric acid turnover. A study assessed uric acid levels in T2 DM patients and found raised levels of enzymes involved in purine catabolism, suggesting increased purine breakdown leads to higher uric acid in these patients.
Epnone in ccf
This document discusses heart failure, its causes, symptoms, and treatments. It notes that heart failure is a growing concern, with more than 20 million cases worldwide. While treatments like diuretics, ACE inhibitors, and beta blockers are used, aldosterone levels remain high in many patients. The document examines the role of the aldosterone antagonist eplerenone in improving outcomes for heart failure and resistant hypertension patients when added to standard therapy. Clinical trials demonstrate eplerenone reduces mortality, hospitalizations, and blood pressure more effectively than other aldosterone antagonists.
Asthma attack reatment abreviated
This document provides information on the diagnosis and management of asthma. It defines asthma, outlines its pathophysiology involving inflammation, remodeling and hyperreactivity. It discusses assessing and monitoring asthma severity, controlling contributing factors, pharmacological treatments including inhaled corticosteroids and bronchodilators, and the importance of patient education. The document also covers acute exacerbations, assessing severity and treating with oxygen, bronchodilators and corticosteroids which are the mainstay of treatment.
Diuretics in management of ht
56% of Kenyans have never had their blood pressure measured, and only 22.3% of those diagnosed with hypertension were on medication. Chlorthalidone is recommended over hydrochlorothiazide as a first-line treatment for hypertension due to its longer half-life, proven reductions in cardiovascular events in clinical trials, and ability to provide sustained 24-hour blood pressure control, including important nighttime blood pressure control. Guidelines, experts, and textbooks preferentially recommend chlorthalidone over hydrochlorothiazide as an initial treatment for hypertension.
Diabetic emergencies
HHNS is a life-threatening complication of diabetes that occurs when blood sugar levels become very high without ketosis. It is caused by severe dehydration and lack of insulin in the body. Symptoms include confusion, drowsiness, flushed skin, and fruity breath odor.
Ckd icd 9-cm classification
This document proposes revisions to ICD-9-CM codes for classifying chronic kidney disease (CKD). It outlines stages of CKD based on glomerular filtration rate and proteinuria levels. The current codes do not distinguish CKD from end-stage renal disease (ESRD) or capture disease severity. The proposed changes would add codes to classify CKD stages 1-5, indicate presence of proteinuria, and code for underlying etiologies. This enhanced classification system could help determine patient risk, guide treatment, and assess quality of care for CKD.
Clinic patients 05 12 - 2017
The document contains medical notes on four patients seen on June 12, 2017. It records details of each patient's medical history, current symptoms, physical exam findings, lab results, current medications and the doctor's treatment plans. For one patient, the plan is to start new medications and change an existing one to treat an enlarged prostate and elevated prostate-specific antigen. A second patient is advised to continue current medications and start new ones to treat prostate symptoms and arthritis. The third has diabetes and is advised to adjust his insulin regimen and add new medications to improve his blood sugar control and treat kidney disease. The fourth patient discusses her medical and personal situation and the plan is to continue her current medications with some adjustments.
Ckd in kenya
CKD disproportionately affects the population in Kenya compared to the US, where only 0.7% have advanced stages versus higher percentages in Kenya. Risk factors for CKD in Kenya include diabetes, hypertension, older age, family history, male gender, and racial/ethnic background. Strategies to reduce progression of CKD in Kenya include increasing physician awareness, public education for at-risk groups on self-care, and regular screening campaigns. Early intervention can help prevent many cases from progressing to end-stage renal disease.
Acute kidney injury asa guidelines
This document provides clinical practice guidelines for the management of Acute Kidney Injury (AKI). It discusses the definition and staging systems for AKI, epidemiology and outcomes. Prevention, management, treatment facilities and timing of renal replacement therapy are covered. Guidelines are provided on choice of renal replacement modality, dialyser membranes, vascular access, anticoagulation, and prescription of renal replacement therapy. There is a lack of evidence to guide optimal care and timing of renal replacement therapy. The document aims to standardize care and improve outcomes of patients with AKI.
Creating transparency in emerging health systems
SafeCare has developed quality standards and an improvement methodology for benchmarking basic healthcare facilities in low-middle income countries. The standards were approved by ISQua and aim to increase transparency by making medical and financial risks more visible and identifying gaps in quality. This increased transparency builds trust between patients, providers, financers, and governments and paves the way for sustainable investments in quality improvement. By using the SafeCare methodology, key stakeholders are more willing to invest in strengthening health systems. The overall goal is to break the cycle of poor quality and low demand for healthcare by improving scale and access through investments driven by transparency around risks and quality gaps.
9 infection control_and_prevention
This document discusses infection control and prevention. It begins by defining key terms like host, agent, vector, and vehicle. It then explains how diseases are transmitted, listing the main modes of transmission like direct contact, droplet, indirect contact, vector, vehicle and airborne. Specific examples are given for each mode. The document also discusses factors that influence disease causation in a host. Finally, it reviews important infection control measures that can help prevent or stop the spread of disease through various routes of transmission. These include practices like hand hygiene, respiratory etiquette, isolation, vaccination, and appropriate use of antibiotics.
Slowing progression of ckd general
This document discusses slowing the progression of chronic kidney disease (CKD). It notes that CKD is a growing problem fueled by conditions like hypertension, diabetes, and obesity. Early intervention can help slow CKD progression and add years of life without dialysis. Key risk factors for CKD progression include hypertension, proteinuria, hyperglycemia, and smoking. The document recommends simple screening methods for at-risk populations like measuring blood pressure, weight, and urine tests. Managing comorbidities and controlling blood pressure and proteinuria are emphasized as the most important ways to preserve kidney function.
Myeloprolferative disease
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already have a condition.
Shelly chf
This document provides an overview of congestive heart failure, including:
1. Heart failure results from structural or functional abnormalities that impair the ventricle's ability to pump or fill with blood.
2. A vicious cycle occurs where heart dysfunction causes fluid retention through activation of the renin-angiotensin-aldosterone system.
3. Treatment involves controlling symptoms with diuretics and drugs like ACE inhibitors, beta blockers, and aldosterone antagonists to slow disease progression.
Liver cirrhosis2
This document provides an overview of liver cirrhosis. It discusses that the most common causes in the US are alcoholic liver disease and hepatitis C. Cirrhosis can lead to numerous complications such as ascites, spontaneous bacterial peritonitis, hepatorenal syndrome, and hepatocellular carcinoma. The diagnosis of cirrhosis involves liver biopsy or clinical and lab findings that strongly suggest cirrhosis. Treatment focuses on managing complications and potentially liver transplantation for decompensated cirrhosis.
Migraine
Migraine is a type of headache that causes severe throbbing pain on one side of the head. It is often accompanied by nausea, vomiting, and sensitivity to light and sound. Migraines can last for hours to days and be disabling. They are caused by changes in brain chemicals and activity in the trigeminal nerve. Factors like hormones, foods, drinks, stress, and sensory stimuli can trigger migraines. Treatment involves pain relievers, preventive medications, and lifestyle changes.
Venous thrombo embolism
Venous thromboembolism (VTE) is a condition where a blood clot forms in a vein. Common types of VTE include deep vein thrombosis (DVT), which typically occurs in the legs, and pulmonary embolism (PE), which occurs if part of the clot breaks off and travels to the lungs. Risk factors for VTE include recent surgery, trauma, cancer, prolonged immobility, older age, and genetic predispositions.
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A Free eBook ~ Valuable LIFE Lessons to Learn ( 5 Sets of Presentations)...
A free eBook comprising 5 sets of PowerPoint presentations of meaningful stories /Inspirational pieces that teach important Dhamma/Life lessons. For reflection and practice to develop the mind to grow in love, compassion and wisdom. The texts are in English and Chinese.
My other free eBooks can be obtained from the following Links:
https://www.slideshare.net/ohteikbin/presentations
https://www.slideshare.net/ohteikbin/documents
English - The Book of 1st Samuel the Prophet.pdf
The Book of Samuel is a book in the Hebrew Bible, found as two books in the Old Testament. The book is part of the Deuteronomistic history, a series of books that constitute a theological history of the Israelites and that aim to explain God's law for Israel under the guidance of the prophets.
The Enchantment and Shadows_ Unveiling the Mysteries of Magic and Black Magic...
This manual will guide you through basic skills and tasks to help you get started with various aspects of Magic. Each section is designed to be easy to follow, with step-by-step instructions.
Kala jadu (black magic) expert,Black magic specialist in Dubai vashikaran spe...
For all problem solutions just contact with Amil baba Fareed Bangali +923217066670 #vashikaranspecialist #astrologer #palmistry #amliyaat #taweez #manpasandshadi #horoscope #spiritual #lovelife #lovespell #marriagespell#aamilbabainpakistan #amilbabainkarachi #powerfullblackmagicspell #kalajadumantarspecialist #realamilbaba #AmilbabainPakistan #astrologerincanada #astrologerindubai #lovespellsmaster #kalajaduspecialist #lovespellsthatwork #aamilbabainlahore#blackmagicformarriage #aamilbaba #kalajadu #kalailam #taweez #wazifaexpert #jadumantar #vashikaranspecialist #astrologer #palmistry #amliyaat #taweez #manpasandshadi #horoscope #spiritual #lovelife #lovespell #marriagespell#aamilbabainpakistan #amilbabainkarachi #powerfullblackmagicspell #kalajadumantarspecialist #realamilbaba #AmilbabaiAmitabha in the United Kingdom, Amitabha in Spain, Amitabha in Dubai, Amitabha in Norway, Amitabha in Krachi, Amitabha in Lahore, Amitabha in Gujranwalan, Amitabha in Islamabad #blackmagicforlove #blackmagicformarriage #aamilbaba #kalajadu #kalailam #taweez #wazifaexpert #jadumantar #vashikaranspecialist #astrologer #palmistry #amliyaat #taweez #manpasandshadi #horoscope #spiritual #lovelife #lovespell #marriagespell#aamilbabainpakistan #amilbabainkarachi #kalajaduspecialist #realamilbaba #AmilbabainPakistan #astrologerincanada #astrologerindubai #lovespellsmaster #kalajaduspecialist #lovespellsthatwork #aamilbabainlahore
#kalajadu #Kalailam #BangaliAmilbaba #Blackmagic #Astrologer
Protector & Destroyer: Agni Dev (The Hindu God of Fire)
So let us turn the pages of ancient Indian literature and get to know more about Agni, the mighty purifier of all things, worshipped in Indian culture as a God since the Vedic time.
Sanatan Vastu | Experience Great Living | Vastu Expert
Santan Vastu Provides Vedic astrology courses & Vastu remedies, If you are searching Vastu for home, Vastu for kitchen, Vastu for house, Vastu for Office & Factory. Best Vastu in Bahadurgarh. Best Vastu in Delhi NCR
How to Stop a Divorce and Save Your Marriage: Divorce Spells That Really Work...
How to Stop a Divorce and Save Your Marriage: Divorce Spells That Really Work...Traditional Healer, Love Spells Caster and Money Spells That Work Fast
The forces involved in this witchcraft spell will re-establish the loving bond between you and help to build a strong, loving relationship from which to start anew. Despite any previous hardships or problems, the spell work will re-establish the strong bonds of friendship and love upon which the marriage and relationship originated. Have faith, these stop divorce and stop separation spells are extremely powerful and will reconnect you and your partner in a strong and harmonious relationship.
My ritual will not only stop separation and divorce, but rebuild a strong bond between you and your partner that is based on truth, honesty, and unconditional love. For an even stronger effect, you may want to consider using the Eternal Love Bond spell to ensure your relationship and love will last through all tests of time. If you have not yet determined if your partner is considering separation or divorce, but are aware of rifts in the relationship, try the Love Spells to remove problems in a relationship or marriage. Keep in mind that all my love spells are 100% customized and that you'll only need 1 spell to address all problems/wishes.
Save your marriage from divorce & make your relationship stronger using anti divorce spells to make him or her fall back in love with you. End your marriage if you are no longer in love with your husband or wife. Permanently end your marriage using divorce spells that work fast. Protect your marriage from divorce using love spells to boost commitment, love & bind your hearts together for a stronger marriage that will last. Get your ex lover who has remarried using divorce spells to break up a couple & make your ex lost lover come back to you permanently.
Visit https://www.profbalaj.com/love-spells-loves-spells-that-work/
Call/WhatsApp +27836633417 for more info.Trusting God's Providence | Verse: Romans 8: 28-31
Trusting God's Providence.
Providence - God’s active preservation and care over His creation. God is both the Creator and the Sustainer of all things Heb. 1:2-3; Col. 1:17
-God keep His promises.
-God’s general providence is toward all creation
- All things were made through Him
God’s special providence is toward His children.
We may suffer now, but joy can and will come
God can see what we cannot see
A375 Example Taste the taste of the Lord, the taste of the Lord The taste of...
It seems that current missionary work requires spending a lot of money, preparing a lot of materials, and traveling to far away places, so that it feels like missionary work. But what was the result they brought back? It's just a lot of photos of activities, fun eating, drinking and some playing games. And then we have to do the same thing next year, never ending. The church once mentioned that a certain missionary would go to the field where she used to work before the end of his life. It seemed that if she had not gone, no one would be willing to go. The reason why these missionary work is so difficult is that no one obeys God’s words, and the Bible is not the main content during missionary work, because in the eyes of those who do not obey God’s words, the Bible is just words and cannot be connected with life, so Reading out God's words is boring because it doesn't have any life experience, so it cannot be connected with human life. I will give a few examples in the hope that this situation can be changed. A375
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English - The Book of Ruth - King James Bible.pdf
The Book of Ruth is included in the third division, or the Writings, of the Hebrew Bible. In most Christian canons it is treated as one of the historical books and placed between Judges and 1 Samuel.
312 A Wise Woman of Abel Beth Maakah Saves The Town
Sermon adapted from, Discovering Christ Day by Day, David Fortner
Heartfulness Magazine - June 2024 (Volume 9, Issue 6)
Dear readers,
This month we continue with more inspiring talks from the Global Spirituality Mahotsav that was held from March 14 to 17, 2024, at Kanha Shanti Vanam.
We hear from Daaji on lifestyle and yoga in honor of International Day of Yoga, June 21, 2024. We also hear from Professor Bhavani Rao, Dean at Amrita Vishwa Vidyapeetham University, on spirituality in action, the Venerable BhikkuSanghasena on how to be an ambassador for compassion, Dr. Tony Nader on the Maharishi Effect, Swami Mukundananda on the crossroads of modernization, Tejinder Kaur Basra on the purpose of work, the Venerable GesheDorjiDamdul on the psychology of peace, the Rt. Hon. Patricia Scotland, KC, Secretary-General of the Commonwealth, on how we are all related, and world-renowned violinist KumareshRajagopalan on the uplifting mysteries of music.
Dr. Prasad Veluthanar shares an Ayurvedic perspective on treating autism, Dr. IchakAdizes helps us navigate disagreements at work, Sravan Banda celebrates World Environment Day by sharing some tips on land restoration, and Sara Bubber tells our children another inspiring story and challenges them with some fun facts and riddles.
Happy reading,
The editors
The Hope of Salvation - Jude 1:24-25 - Message
Jude gives us hope at the end of a dark letter. In a dark world like today, we need the light of Christ to shine brighter and brighter. Jude shows us where to fix our focus so we can be filled with God's goodness and glory. Join us to explore this incredible passage.
The_Chronological_Life_of_Christ_Part_104_Repentance_and_Restoration
The heart of the Father is to restore those who come with repentance.
Dernier (19)
A Free eBook ~ Valuable LIFE Lessons to Learn ( 5 Sets of Presentations)...
A Free eBook ~ Valuable LIFE Lessons to Learn ( 5 Sets of Presentations)...
The Enchantment and Shadows_ Unveiling the Mysteries of Magic and Black Magic...
The Enchantment and Shadows_ Unveiling the Mysteries of Magic and Black Magic...
Kala jadu (black magic) expert,Black magic specialist in Dubai vashikaran spe...
Kala jadu (black magic) expert,Black magic specialist in Dubai vashikaran spe...
Protector & Destroyer: Agni Dev (The Hindu God of Fire)
Protector & Destroyer: Agni Dev (The Hindu God of Fire)
Sanatan Vastu | Experience Great Living | Vastu Expert
Sanatan Vastu | Experience Great Living | Vastu Expert
How to Stop a Divorce and Save Your Marriage: Divorce Spells That Really Work...
How to Stop a Divorce and Save Your Marriage: Divorce Spells That Really Work...
Trusting God's Providence | Verse: Romans 8: 28-31
Trusting God's Providence | Verse: Romans 8: 28-31
A375 Example Taste the taste of the Lord, the taste of the Lord The taste of...
A375 Example Taste the taste of the Lord, the taste of the Lord The taste of...
312 A Wise Woman of Abel Beth Maakah Saves The Town
312 A Wise Woman of Abel Beth Maakah Saves The Town
Heartfulness Magazine - June 2024 (Volume 9, Issue 6)
Heartfulness Magazine - June 2024 (Volume 9, Issue 6)
A Practical Guide to Qabalistic Symbolism bk 1.pdf
A Practical Guide to Qabalistic Symbolism bk 1.pdf
The_Chronological_Life_of_Christ_Part_104_Repentance_and_Restoration
The_Chronological_Life_of_Christ_Part_104_Repentance_and_Restoration