This document summarizes interviews with 43 newly diagnosed HIV-positive men in Toronto. Many reported experiences with childhood abuse, depression, polydrug use, and partner violence, supporting the "syndemics hypothesis" that these psychosocial problems interact to worsen the HIV epidemic. However, some men acquired HIV through relationships, travel, or other means outside this framework. The researchers aim to understand resilience as well as risks, and how to build healthier communities through addressing trauma, promoting well-being, and fostering social connections rather than pathologizing groups. The study was conducted by researchers from various universities and health organizations, funded by CIHR.
My husband and I had just had dinner at a restaurant when he got a call on his mobile phone. The officer who called said they’d meet us in the parking lot and didn’t say what it was about.
My husband and I had just had dinner at a restaurant when he got a call on his mobile phone. The officer who called said they’d meet us in the parking lot and didn’t say what it was about.
Amazing real life journal entries, solutions for abused ones to find the power, ability to get out and on with your life plus how to see the warning signs etc.
Amazing real life journal entries, solutions for abused ones to find the power, ability to get out and on with your life plus how to see the warning signs etc.
Exploring Implications of the Impact of Mental Health Issues on Those Experiencing Domestic Violence in Same Sex and/or Trans Relationships, Catherine Donovan - a presentation at the A Difficult Alliance? Making Connections between Mental Health and Domestic Violence Research and Practice Agendas on 7 June 2011
Running Head ASSESSING CLIENTS 1ASSESSING CLIENTS 5.docxtoddr4
Running Head: ASSESSING CLIENTS
1
ASSESSING CLIENTS
5
Part 1: Comprehensive client assessment
Demographic Information
LS is 23 year old white male who lives with his parents. His parent moved to the united states from Russia to get a better live for their only son LS. LS had been depressed since the move and feels like he is unable to cope in the new environment . LS struggle with learning English and not doing well at school as a result.
Presenting problem
Depression and suicide
History of present illness
LS is stress out with school and has dropped out several times. His parent have found him on several occasions cutting self and trying to overdose on his pills. He says he is depressed 10/10. He was medically clear after overdosing on his medication 4 weeks ago and now presented for treatment and monitoring. Hopelessness suicidal ideations, and loneliness can contributes to depression, which can result in attempts of suicide Hamet & Tremblay (2005).
Past Psychiatric History
LS denies any past psychiatric History, but his father has been treated for depression before.
Medical History
No medical History, denies any pain.
Substance Use
Ls admits the use of marijuana but deines alcohol, or other drug use.
Developmental History
LS is an immigrant from Russia who is unable to cope in his new environment.
Family Psychiatric history
Father was diagnosed and treated for depression 12 years ego. His grand father also suffered from depression.
Psychosocial History: An only child, no siblings, mostly alone, no close friends or relative apart from parents.
History of abuse /trauma
LS feels he was traumatized by coming to another country unable to understand the lagage and his parent barely making it. LS parent are uneducated and works as farmers. LS feel worried about his parent struggling to make a living.
Review of Systems
General: Denies chiles or malaise, no weakness or fatigue. Appears flat, A/O x 4, weight 120, Height 5’4
Skin, Hair, Nails- Intact
HEENT: Denies head ache, dizziness, syncope. No tinnitus, no changes in vision.
Cardiovascular: No pain on palpation, no heart murmurs on auscultation, pulses palpable.
GI: bowel sound present on all four quadrants, no distention, contour symmetrical.
GU: continent with regular urinary pattern
Musculoskeletal : Normal skeletal structure, no deformities or abnormalities.
Hematology : Denies Anemia, no bleeding or bruising .
Edocrine: No issues, denies increased thirst or urination.
Mental Status Exam
LS presents calm and cooperative during this visit. He appears well groomed with poor hygiene, poor eye contact, flat affect. Speech is clear and presured though minimally engauging probably due to him thinking his English is not very good. Able to state reason for visit and and wants to get help. He denies any thought of self harm at this time, not hearing voices and no visual hallucination. LS is distracted but redirectable. He has poor appetite, parents encouraged to bring him food..
Beyond PrEP: Intersectionality, Resilience & the Health of Black MSMJim Pickett
David Malebranche's, University of Pennsylvania, presentation at the Sex in the City II: Men, Sex, Love and HIV conference, held in Chicago on September 25, 2014. Sponsored by AIDS Foundation of Chicago and other partners.
Similar to 1045 1 what new sero-converters in toronto are saying (9)
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
1045 1 what new sero-converters in toronto are saying
1. What new sero-converters in
Toronto are saying about the
contexts of acquiring HIV
Barry D Adam
University Professor
Senior Scientist & Director of Prevention Research
2. Beyond behaviours?
Reckless sex, illicit drug use and other so-called disorders
continue to be the dominant explanations for gay men’s
experience with HIV and other health outcomes in much of
the public health research literature. This individual,
behavioural, reductionist account of health continues to
frame and shape the main interventions used to address gay
men’s health, thereby supporting and extending the
hegemony of the medical model of understanding illness.
From the call for this event
3. The resilience turn
Gleaning narratives of
Successful coping
Surviving and thriving
Overcoming challenges
Contributing to a culture of praxis to make things better
The Rise of a Gay and Lesbian Movement (Twayne)
Experiencing HIV (Columbia University Press)
Protective Factors Against HIV Risk Behaviour Among Gay and
Bisexual Men (Trevor Hart, PI)
Pathways to Resiliency: An exploratory study on strength based
approaches to HIV prevention and health promotion strategies
amongst East and Southeast Asian MSM (Alan Li, PI)
4. New sero-converters study
N = 43
Drawn from 2 downtown Toronto clinics with highest testing
rates for HIV
All male
36 gay, 5 bisexual, 1 heterosexual
Average age: 32
28 single, 10 boyfriend/partner, 3 married to a man, 1 married
to a woman
Education: 8 high school or less, 13 some postsecondary, 22
completed college/university or postgraduate
Multi-ethnic
5. The syndemics hypothesis
“additive psychosocial health problems— otherwise known
collectively as a syndemic— exist among urban MSM and
that the interconnection of these problems functions to
magnify the effects of the HIV/AIDS epidemic in this
population” (Stall et al. 2003, 941)
Childhood sexual abuse
Depression
Polydrug use
Partner violence
7. Abuse/drug use nexus
Abuse = ≥2 (of 5) questions answered sometimes, often, or very true
Drugs = recent use of ≥2 club drugs (K, G, MDMA, crystal meth)
and/or cocaine
14
6
17
6
Abuse & drug use
Drugs only
Neither abuse nor drugs
Abuse only
8. Inside the syndemics profile
I’m always moody and I’m always depressed. I’m
clinically depressed….I take E, MDMA, K and
cocaine. I know it’s a lot….Before I went to rehab I
was doing them every single day. This was when I
was in [city]. I was in a really bad relationship. So I
used drugs to kind of escape it. If I didn’t have like
E when I woke up, I’d break stuff and everything….
she [mother] would come over every weekend to
drink with us and to do drugs with us. Everybody
in my family has been addicted to drugs or alcohol.
253057
9. crystal
So my ex partner who I was with, we were together for four
years. We were together… when I say seven years we were
also on and off seven years with my fuck buddy. So we were
together for four years and halfway through that we decided
to open up the relationship. Then my partner became HIV+. I
don’t want to say I didn’t care about myself or something like
that because it’s not true. But we continually had unsafe sex
but we also had rules and stuff like that with others. So then
we were supposed to be safe about other people. It turned
out not true because he was using meth. 253356
I strongly believe that probably the time I got it I probably
slipped up and was on crystal. 297453
10. Drugs/no abuse
So I came here [from Latin America], I met this guy and he was
positive. My third boyfriend was positive too….I’m somebody
who experience all the drugs and direct all the drugs for sex. So
that help me to understand more about my sexuality.… When I
got infected I was really feeling very lonely and I got in this
sexual addiction I think combined with crystal and just having
sex with different guys…. I was not feeling any connection with
anybody. So every weekend was going to these clubs and after
the bathhouse and fucking and fucking. … when this happened
and if I was on crystal and at that time I was infected, I really let
I think one or two guys fuck me without condom…. My drug
story started in 2005 here and after I broke up with my second
boyfriend. So I experienced being attractive and having all these
success with these guys and like being in this drug thing and
having a lot of sex and just checking my list of all the hottest
guys I have like you know and validating myself I think. 5216
11. One step removed
At the beginning I was using K, not so harsh. Like I didn’t just
get into T until I was like 16 or 17…. It just escalated….When
you’re high... your outlook on the world after a few months of
being stuck in that scene constantly like almost every
day, your brain gets diluted. You start looking at the world
very differently. You just start looking at yourself differently.
You start not caring about yourself. You lose these sort of
things. It’s almost like you put yourself in situations to try to
harm yourself. I know that I’m not the only one who’s
experienced this. I know that this is in general when it comes
to drugs and that scene. You put yourself and misery
becomes company, right? Before you know it, you’re
surrounded by that….I was selling drugs. It was like I ended
up going to jail. They busted down my door. It was hectic.
294606
12. Reckless sex, illicit drug use redux
How do we acknowledge drug use that is
Pleasurable, recreational, not harmful
Painful, isolating, dangerous, out of control?
How do we contribute to a culture of praxis to enhance the
health of our communities?
13. Outside syndemics: relationships
He wanted it open; I didn’t want it open. When I finally agreed
to open it, because stupid is in love, the agreement was safe
sex no matter what, lube, condom and they’ve got to be
negative. If they say they’re positive, don’t even go near
these people. If they say they don’t know if they’re negative
or positive, don’t go near these guys. I’ll do the same thing.
Even if they say they’re negative, condoms and lube. I stuck
to the deal for the full 17 months and I came to read and
understand that he basically said I have nothing to worry
about, it’s my life, it’s my body, what do I care. For the full 17
months he was doing positive guys, negative guys, bareback
condom and no condom. 278487
14. Travel
Maybe I got it in Mexico….I was… I don’t know. I was not
safe. I was not… how should I say this? I was not careful.
5282
Well I was in New York, my first time in New York. I went with
a friend. We had an acquaintance there that he played with in
previous occasions. But he’s a top. It seems like tops don’t
seem to care as much. We had a threesome. He came in
me….I immediately fired an email off to him to find out if he
was. I didn’t initially get a response and then explained that it
had to do with my meds treatment, if I could pinpoint it better.
That’s when he admitted that he was and not on meds. 5274
15. And other
We started with condoms but then… I don’t know. It just
became… the condom just… I don’t know. I took it off, he
took it off and it just became bareback. 269589
I don’t know how that happened. Otherwise I would feel
guilty, blame myself. 5284
I was sexually assaulted….I don’t have enough evidence to
fucking put him away either. I filed a police
report, everything….. I had the guy over for like an S&M toys
session sort of thing, like no sex or anything like that. 5294
16. Balance or dialectic?
How do we enhance the health of our communities
Including reducing HIV transmission?
How do we address syndemics?
Can we document and promote a culture of resilience?
Personal, social, community levels
How do we face trauma, trouble, turmoil
Not to affirm yet another construction of the pathological gay men
But find pathways to better quality of life?
17. How might we create a
collectivity that we would want
to belong to?
Winning citizenship rights, a great accomplishment, but not
enough
Rise of neoliberal ethic of the marketplace
Rational, consenting, contract-making individual with no interest
or concern for the well-being of community, care for the
vulnerable, or relation to “unmasculine” realms of feeling.
Hyper-individualism—isolation, disconnection
App-based sexual consumerism disconnected from work and
social lives
Whitman’s aspiration for a community of adhesive comrades
18. The research team
PIs
Barry D Adam, University of Windsor & OHTN
Greta Bauer, Western University
James Brooks, National HIV & Retrovirology Laboratories
Co-Is
Vanessa Allen, Public Health Ontario
Chris Archibald, Public Health Agency of Canada
Jean Bacon, Ontario HIV Treatment Network
Colin Kovacs, Maple Leaf Clinic
Lynne Leonard, University of Ottawa
Frank McGee, Ontario Ministry of Health and Long Term Care
Eric Mykhalovskiy, York University
Sean Rourke, University of Toronto & OHTN
Paul Sandstrom, National HIV & Retrovirology Laboratories
Rita Shahin, Toronto Public Health
Zavare Tengra, Hassle Free Clinic
Funded by CIHR