Pig Midnight Express-56 Special class Dr. Zainab Vora + Sept 7, 2021‘Wunacademy MIDNIGHT EXPRESS-56 DR. ZAINAB VORA MBBS, MD RADIOLOGY (AIIMS, NEW DELHI)(a2) Access both live and Recorded class ‘Soon, you'd be able to access our recorded classes anytime and ‘enywhere = Study on the device of your choice Benefit rom the exclusive chance ‘of watching your classes ono. bigger screen PLUS subscription Choose the best from the best EE @ Learn from India’s Top Educators ‘Compete in Live for medical exams Tests and Quizzes Personalize your learning experience ‘Test your preparation with our with your favourite educator highly competitive quizzes ‘Access QBank ‘Coming soon Printed Notes with 25,000+ Questions with 12 month & above subscription. High yield clinical questions ‘S00n, you'd be able to access our with effective explanation recorded classes anytime and ‘anywhereIconic subscription Your access to the Best from 2 of the Best Unacademy & PrepLadder: gy With Unacademy All Resources Included in PLUS Subscription © Well-structured Live Batches # Recorded Classes* Covering Full Syllabus © QBank with 25,000+ Questions © Competitive Live Tests & Quizzes ® Comprehensive Printed & Digital Notes* oO GB Unacademy & PrepLadder: With PrepLadder All Resources of 2021 Dream Pack Including # Clinical & Integrated Essentials © Video Lectures from the Dream Team © QBank 3.0 with Active Guidance, System Tags & More Rapid Revision & Snapshot © Treasures & 2021 Dream Notesa NEET PG 1 MONTH PACKAGE Pete ee ee eee re ee fe ees PM esecrenvcon EM costes] Cee ere Deen ree BM screens ME currence |NET PG subscription samen 2manthe nue ese nines am ano aur ano NET PG subscription ~ > 48months 18 months months ner = Ses ner anal | ee mor = bel mor 4 ee = SesMEMORYShort-term memory Reverberating neurons, Presynaptic facilitation/inhibition “Working memory Intermediate LTM LT™M Structural changes-Declarative/explicit/conscious -Semantic -Episodic -Procedural/Implicit/ UnconsciousHippocampal resection AGA >> RGA -Procedural?Priming Associative learning Non-associative learning—©X_8_ _Positive memory -Facilitation, sensitisation Negative memory -Habituation, inhibitionPSM INDICESLE BIRTH INCOME KNOWLEDGEIMR LE AT 1YR LITERACY RATEHuman development Index (HDI) Physical quality of life index (PQLI) Multidimensional poverty index: MPI Knowledge: (Mean & expected years of schooling) Income: real GNI per capita Life expectancy at birth -HDI of India : 0.647 (Rank 129) -To compare standard of living between countries Infant Mortality Rate Literacy rate Life expectancy at age | -To express quality of life Health : Child mortality , Nutrition Budiication : years of schooling , School attendance : Cooking fuel, water, toilet Electricity, floor, assets - To compare deprivation between countries20-33%: vulnerable 33-50%: poverty >50%: severe poverty India-27.5%BPL Rural- Urban-THE GLOBAL HUNGER INDEX IS CALCULATED AS FOLLOWS (1) GHI = (PUN + CUW + CMY/3 with GHI: Global Hunger Index PUN: proportion of the population that is undernourished (in %) CUW: prevalence of underweight in children under five (in %) CM: proportion of children dying before the age of five (in %)HALE: DFLE = DALY: QALY: Based on the framework of WHO"s ICIDH ” (International Classification of Impairments, Disabilities, and Handicaps ) DALY i) , MEASURES COST EFFECTIVENESS OF INTERVENTIONEWA Ea e Quality adjusted life years Disability— Adjusted Life years The DALY is primarily a measure of disease standard in cost-effectiveness _ burden (disability weights measure loss of analysis functioning) but can be used in cost- effectiveness analysis coors DALY incorporates an age-weighting, assigning different weights to life years lived esee wee eeeote at different ages and the origins of disability and quality of life weights differ significantly SEEM ALY calculations tend to be more elaborate, allowing for health DALY calculations are based tend to be simple status changes over time UE een er DAUYs lost is positive outcome positive outcomeNUCLEAR MEDICINE TABLESMPI: Infarct: Cardiac function: Viability/Hibernating/Stunned:Patience! Tc99m-MDP (methylene diphosphonate) Tc99m-HIDA Tc99m Sestamibi Tc99m Sulphur colloid scanTc99m labelled RBC Tc99m HMPAO SPECT DaT SPECT (I-123 ioflupane)Sle) Use Tc99m-DMSA Tc99m-DTPA (a 6x) Tc99m-MAG3 (GR + Tublanw ) Diuretic renography Captopril renographyQ. An infant with Vesico-ureteric reflux presents to you with DMSA scan report. This is the image that is seen now. What is the diagnosis? a) Right renal scarring b) Left renal scarring c) Cannot comment - d) NormalA normal B obstructive eS time fin time {min} C dilated unobstructive D partial obstruction 7 fiat) Keo Secea toomStructure Material X-ray tube Cathode (-) Anode=Target (+) Window Filter Grid Protective housingMammographic xray tube vs normal xray tube end Perry Window FilterAlecObese patientEffects of Radiation Sereno DETERMINISTIC Threshold Dose-dependence Timing ExampleTypes of Radiotherapy eee L ss ECAT = Srrchptareyy Syetemuc oe 7 / : N aT frdo- ——agentihal, MotelDose-Depth curveStereotactic Radiosurgery- Indications(QQ) ‘* High precision guided delivery of large dose of radiation-192 beams © Lars Leksell Indications: -Glomus jugulare -Cavernous hemangiomas -AVM -CP angle schwannomas -Non-functional pituitary adenomas Solitary mets “Trigeminal neuralgia18-FDG. Tc 99 1-123 1-124 1125, 1-131 P-32 Ir-192 Co-60 (Q) Cs-137 Au-198, Yt-90 Radium-226‘Gamma radiation are produced by all except: a. Co-60 b. Caesium-137 P32 4. Iridium-192 e. Ra-226Pure Beta Emitters:Pomanant nplont Gad ‘T-106- * Palloolium ‘G-13| Tenaporney implants © * RA -226 ‘G-to *@ 437Radiosensitizers RadioprotectorsCRANIOSPINAL IRRADIATION *Important one-liners © Most common side effect of RT- © MCRT-induced malignancy- © MC brain tumor after cranio-spinal RT- © MCRT-induced thyroid carcinoma- © MCbone cancer after RT-Q. 5 Rs of fractionated radiotherapy are all except: a) Repopulation 'b) Reoxygenation ©) Repair d) Redistribution e) Radiation recall eee eeHodgkin’s lymphoma RadiotherapyBoron Neutron Capture Therapy (BNCT) Thermal Neutron Boronophenylalanine (BPA) Cancer Cell