This document provides 20 tips for strengthening personal resilience at work. The tips include writing down thoughts, imagining positive outcomes, talking positively to oneself, taking a long-term view, reinforcing new habits, having a clear vision for one's life and career, identifying core values, building human capital, establishing a personal brand, engaging others attentively, building commitment, accepting uncertainty, focusing on strengths, practicing self-care, seeking help from others, learning from experiences, celebrating small wins, maintaining perspective, and adapting to change. The overall message is that resilience involves developing a positive attitude and using various strategies to build confidence and inner strength to cope with challenges.
The international bestseller A Compass to Fulfillment is a spiritual business guide particularly relevant to our present day and age.
Kazuo Inamori, founder of Kyocera and KDDI, weaves together his Buddhist faith and personal experience to create a life/business philosophy based on the simplest but most profound of human concepts: do the right thing, always. Inamori credits his and his companies’ extraordinary success to the daily practice of this timeless truth.
Think and Grow Rich Workbook-Week 1 Notescanei2day
I have created a Think and Grow Rich Workbook. There is a separate file for each chapter in the book. This paper is my notes on the first chapter of the book. Specifically about "Andrew Carnegie's Secret."
The international bestseller A Compass to Fulfillment is a spiritual business guide particularly relevant to our present day and age.
Kazuo Inamori, founder of Kyocera and KDDI, weaves together his Buddhist faith and personal experience to create a life/business philosophy based on the simplest but most profound of human concepts: do the right thing, always. Inamori credits his and his companies’ extraordinary success to the daily practice of this timeless truth.
Think and Grow Rich Workbook-Week 1 Notescanei2day
I have created a Think and Grow Rich Workbook. There is a separate file for each chapter in the book. This paper is my notes on the first chapter of the book. Specifically about "Andrew Carnegie's Secret."
It gives you all the theory, instructions, and secrets of 3-Step Neuro-Remapping.
You're going to learn exactly how to REPLAY your past in a way where it's easy to correct any mistakes you've made along the way...
You will know how to REWRITE your way of being... so success becomes guaranteed...
And most importantly... You'll RESET your brain so you are magnetically pulled toward your dreams.
To Promote Entrepreneurial Mindset: A Training Pavitra Joshi
Entrepreneurship is not just a profession, but also an aspect in the form of an entrepreneurial mindset. This training design caters to promoting entrepreneurial mindset by providing an outline of the framework for a training program.
Did you realize that training customers frequently incorporate people who are battling to remain positive and accomplish their objectives? Supervisor and business groups additionally advantage from persuasive instructing, particularly in the midst of crisis and task explicit challenges.
If you constantly wake up tired and stressed and you feel like life is very hard, this guide will change your mindset and apply it to modern life. This is about knowing what you want and going for it. It’s about being tough and it’s about not letting little things get you down.
"Attracting Success; A Goal Planner Primer for High Performing Goal Getters”
An instruction manual to find and put your values and purpose to work for you on the most important areas of your life.
Use the four D’s of Decide, Determine, Do and Deadline to build a successful plan and create goals that work.
Includes a Goal Planner Worksheet
Learn the basics of Positive Thinking and How to Develop a Positive Life to achieve your Goals and Happiness.
- If you want more Useful and Valuable FREE Reports, go to: http://thingsiwant2know.wordpress.com/
Mel feller, mpa, mhr, asks about your passionMel Feller
Mel Feller, MPA, MHR, Asks About Your Passion.
Mel is the President/Founder of Mel Feller Seminars with Coaching for Success 360, Inc. and Mel Feller Coaching. Mel Feller maintains offices in Texas and in Utah.
The dictionary definition of passion is, “a strong or extravagant fondness, enthusiasm, or desire for anything.” Why do people start their own businesses? Is it for money, for freedom – from corporate structure or otherwise, power? What would you want to do it if you did not need to work? Some people might answer that they would want to lie on a beach or watch television, all day that might not pay you! However, is it possible to do something you would want to do whether or not you were making money – and actually make money? Of course – but if it were that easy, everyone would be doing it.
I have always suggested you should do what you love, but I had not followed my own advice sometimes. Why is it so important to pursue what is important to you? Here is what I have learned since deciding to focus on my passion:
"The ideas and techniques suggested in this tune-up material are based on my experience as a sales professional and from practical actions that successful salespeople I have interviewed, use to ensure that they quickly return to an acceptable level of business after a long break from work. These techniques are not based on a textbook or some academic theory. They are based on tried and proven behaviors of successful salespeople." - Bill Gibson
Rapid Intake Summaries - Thoughts Are Things by Bob Proctor & Greg S. Reid pr...Ronald A Pascual
It's a concise chapter by chapter summary of the book "Thoughts Are Things: Turning Your Ideas Into Realities" by Bob Proctor and Greg S. Reid into an EBOOK.
"Thoughts Are Things" is a motivational/inspirational text written by Bob Proctor and Greg S. Reid. The contents of this book tells us the many success stories of modern entrepreneurs and gives us practical tools, advice and tips to turning our thoughts into reality.
This is based on thirteen success principles presented in the book, THINK AND GROW RICH by Napoleon Hill, one of the world's top success coaches.As well as, this book is identified as the best book ever written on the acquisition of wealth.The book discusses thirteen principles one should be concerned upon when acquiring wealth. Hope, you will have a great future by referring this. Thank you Napoleon, the genuine author of THINK AND GROW RICH-all the credits go to you. Good luck..
It gives you all the theory, instructions, and secrets of 3-Step Neuro-Remapping.
You're going to learn exactly how to REPLAY your past in a way where it's easy to correct any mistakes you've made along the way...
You will know how to REWRITE your way of being... so success becomes guaranteed...
And most importantly... You'll RESET your brain so you are magnetically pulled toward your dreams.
To Promote Entrepreneurial Mindset: A Training Pavitra Joshi
Entrepreneurship is not just a profession, but also an aspect in the form of an entrepreneurial mindset. This training design caters to promoting entrepreneurial mindset by providing an outline of the framework for a training program.
Did you realize that training customers frequently incorporate people who are battling to remain positive and accomplish their objectives? Supervisor and business groups additionally advantage from persuasive instructing, particularly in the midst of crisis and task explicit challenges.
If you constantly wake up tired and stressed and you feel like life is very hard, this guide will change your mindset and apply it to modern life. This is about knowing what you want and going for it. It’s about being tough and it’s about not letting little things get you down.
"Attracting Success; A Goal Planner Primer for High Performing Goal Getters”
An instruction manual to find and put your values and purpose to work for you on the most important areas of your life.
Use the four D’s of Decide, Determine, Do and Deadline to build a successful plan and create goals that work.
Includes a Goal Planner Worksheet
Learn the basics of Positive Thinking and How to Develop a Positive Life to achieve your Goals and Happiness.
- If you want more Useful and Valuable FREE Reports, go to: http://thingsiwant2know.wordpress.com/
Mel feller, mpa, mhr, asks about your passionMel Feller
Mel Feller, MPA, MHR, Asks About Your Passion.
Mel is the President/Founder of Mel Feller Seminars with Coaching for Success 360, Inc. and Mel Feller Coaching. Mel Feller maintains offices in Texas and in Utah.
The dictionary definition of passion is, “a strong or extravagant fondness, enthusiasm, or desire for anything.” Why do people start their own businesses? Is it for money, for freedom – from corporate structure or otherwise, power? What would you want to do it if you did not need to work? Some people might answer that they would want to lie on a beach or watch television, all day that might not pay you! However, is it possible to do something you would want to do whether or not you were making money – and actually make money? Of course – but if it were that easy, everyone would be doing it.
I have always suggested you should do what you love, but I had not followed my own advice sometimes. Why is it so important to pursue what is important to you? Here is what I have learned since deciding to focus on my passion:
"The ideas and techniques suggested in this tune-up material are based on my experience as a sales professional and from practical actions that successful salespeople I have interviewed, use to ensure that they quickly return to an acceptable level of business after a long break from work. These techniques are not based on a textbook or some academic theory. They are based on tried and proven behaviors of successful salespeople." - Bill Gibson
Rapid Intake Summaries - Thoughts Are Things by Bob Proctor & Greg S. Reid pr...Ronald A Pascual
It's a concise chapter by chapter summary of the book "Thoughts Are Things: Turning Your Ideas Into Realities" by Bob Proctor and Greg S. Reid into an EBOOK.
"Thoughts Are Things" is a motivational/inspirational text written by Bob Proctor and Greg S. Reid. The contents of this book tells us the many success stories of modern entrepreneurs and gives us practical tools, advice and tips to turning our thoughts into reality.
This is based on thirteen success principles presented in the book, THINK AND GROW RICH by Napoleon Hill, one of the world's top success coaches.As well as, this book is identified as the best book ever written on the acquisition of wealth.The book discusses thirteen principles one should be concerned upon when acquiring wealth. Hope, you will have a great future by referring this. Thank you Napoleon, the genuine author of THINK AND GROW RICH-all the credits go to you. Good luck..
Bounce: How to harness your resilience in a changing worldPortia Tung
Are you feeling stressed? Do you feel uncertain about the future? Everyday we find ourselves facing different challenges, accomplishing various tasks and constantly adapting.
As mankind has evolved, we've become more conscious and informed of who we are and how our minds work. Resilience, previously considered a personality trait, is now a vital modern-life skill which can be developed to help us better deal with everyday challenges as well as great adversity.
Join us to better understand how resilient you are and figure out how to become more resilient to overcome your next big challenge.
OBJECTIVES
- Understand what resilience is
- Strengthen your resilience by becoming conscious of how resilient you are
- Come up with ideas to become more resilient
Resilience: how to build resilience in your people and your organizationDelta Partners
"It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change."
- Charles Darwin
Those people who are familiar with our work know that we write quite a lot about the pace of change in our global business environment. It is continual, it is unrelenting, and it appears to be accelerating.
We cannot slow the pace of change, so do we give up? Throw our hands up and succumb to the tidal wave of knowledge that we are adrift and rudderless? And if not, what can we do to make our people and our organizations more resilient in the face of this ongoing pressure?
"Resilience: an ability to recover from or adjust easily to misfortune or change."
- Merriam-Webster Dictionary
It turns out that there are definitely steps that a manager can take to influence the resilience of both the organization and the individual.
The goal of this presentation is to provide a starting point for leaders and managers as they seek ways to battle back against the apathy and exhaustion that builds in everyone. It is not the final word in these matters – rather it is best considered a jumping off point for those who are looking for a different way.
So enjoy it, share it, and use it. Just let everyone know where you found it!
Build or strengthen your resilience with concepts and strategies for stress hardiness and mental flourishing. Discover you are stronger than you think.
Ways to thrive with resilience through self-awareness, personal responsibility and gratitude.
A fun and interactive look into resilience and developing this personally and professionally within an organisation. The games and ideas within the presentation will make you think!
Certainly! Here are some motivational tips to help you stay focused and inspired:
Set clear goals: Clearly define your goals, both short-term and long-term. Make them specific, measurable, achievable, relevant, and time-bound (SMART goals). Having a clear target gives you something to work towards.
To get ways and tips for making a life success is always a challenge for a person. You can get tips and wonderful secret solutions for life lessons and personal development.
The ultimate formula for how to be successful consists of several key principles: know your desired outcome, know what inspires you, take massive action, notice your results and adapt your approach.
Introducing Pool of Positive Thinking – Learn How You Can Tap into Your Own Positive Mind Power. Inside this eBook, you will discover the topics about the meaning of positive thinking, changing your surroundings, confidence and positive thinking, visualizing and affirming, turn it around, understand yourself and others.
Self motivation is the ability to drive oneself to take initiative and action to pursue goals and complete tasks. It’s an inner drive to take action — to create and to achieve. It’s what pushes you to keep going on tasks, especially those you’re pursuing because you want to, not because someone told you to.
The 7 Habits of Highly Effective People (summary).pdfBishwajitSingh6
It's a summary of "The 7 Habits of Highly Effective People" a book written by Stephen R. Covey that is very useful for our life improvement if we can practice.
Our current mental attitudes are habits, put together from the feedback on
Parents, friends, society and self, that form our self-image and our worldimage.
These attitudes are maintained by the interior conversations we constantly have with ourselves, both consciously and subconsciously.
To become positive in our thinking we have to center on things that inspire
and uplift us. If we may alter our outlook and do away with the damaging thoughts that invade our minds we'll become happier.
The first step in modifying our attitudes is to modify our interior conversations. Get all the info you need here.
GEE - The Entrepreneurial Mindset- REPORTING.pptxLilyDumps
The Entrepreneurial Mind. This talks about Reasons why you should start a business. Learn How to start a Business. Compelling reasons to start a Business and motivations to proceed. Also, How to Develop an Entrepreneurial Mindset?
Unemployment – and underemployment – has been one of the most significant problems for university graduates and their non-graduate peers alike since the financial crisis of 2008. The unemployment rate for young people has dwarfed that among older people, running at a level nearly three times as high – the largest gap in more than 20 years.
With CMI's full suite of leadership and management apprenticeships, you can offer your management apprentices a recognised professional development pathway ultimately leading to Chartered Manager status.
How can middle managers regain employee trust to ensure the continued success of their organisation?
Following the EU referendum result, our survey of 1,456 CMI members highlights a disturbing disconnect between middle and senior management.
Read on to learn more about the vital role middle managers play in the overall health of an organisation and CMI’s recommendations to keep the heart of UK business pumping.
How can middle managers regain employee trust to ensure the continued success of their organisation?
Following the EU referendum result, our survey of 1,456 CMI members highlights a disturbing disconnect between middle and senior management.
Read on to learn more about the vital role middle managers play in the overall health of an organisation and CMI’s recommendations to keep the heart of UK business pumping.
Connecting employers, further education and training providers.
CMI’s Learning Providing Conference in July 2016 affirmed that the skills landscape is going through significant change – which offers substantial opportunities to deliver employer-led training that can boost skills and performance.
This white paper captures the insights, ideas and perspectives on directions in further education and training shared by speakers at the conference.
MEN 40% MORE LIKELY THAN WOMEN TO BE PROMOTED IN MANAGEMENT ROLES
Analysis of the 2016 National Management Salary Survey of 60,000 UK managers reveals that that men are more likely than women to have been promoted into senior and higher paying management roles in the past year, with no progress made on reducing the 23% gender pay gap.
Employers still rewarding poorly-performing bosses with bonuses.
Data from the 2016 National Management Salary Survey reveal that many managers and professional staff still reap the benefits of bonus pay outs despite falling short of expectations.
Lessons from business leaders who have overcome adversity.
‘Bouncing Back’ is a new interview series with outstanding leaders sharing their hard-earned lessons on how they managed in tough times and triumphed over adversity. Personal conflict, reputation crises, project failure and business collapse. Adversity is part of the job for leaders. But those who succeed learn from failure and bounce back stronger.
Lessons from business leaders who have overcome adversity.
‘Bouncing Back’ is a new interview series with outstanding leaders sharing their hard-earned lessons on how they managed in tough times and triumphed over adversity. Personal conflict, reputation crises, project failure and business collapse. Adversity is part of the job for leaders. But those who succeed learn from failure and bounce back stronger.
Young people’s views on the challenges of getting into
work in 21st century Britain.
Employers across the UK are urged to back a school-to-work agenda in a new report published by the Chartered Management Institute (CMI) and the EY Foundation. This research incorporates the views of over 1,500 16-21-year-olds across the UK and highlights the challenges that young people face preparing for the world of work.
What can employers do today to develop the leadership and management talent of tomorrow?
Our survey of 1,510 16-21-year-olds reveals their aspirations to become the next generation of bosses and team leaders.
Read on to find out the challenges they face, and the steps employers and educators can take to equip young people with work-ready skills.
Nine in 10 people (90%) working in employee-owned companies describe its leadership style as ‘high performing, visionary, democratic and coaching’, compared to just six in 10 (58%) working in non-employee-owned businesses.
That’s according to CMI and MoralDNA™ who explore the performance and productivity benefits to organisations of employee ownership in The MoralDNA of Employee-Owned Companies: Ownership Ethics and Performance.
The report provides employers, and managers and leaders, with compelling, practical insight from research into the positive impact employee ownership makes on how a business is managed.
More at: http://www.managers.org.uk/moraldna
'Always on managers' are now working 29 days extra a year and are suffering rising levels of stress according to the 2016 Quality of Working Life study.
CMI and Work Psychology Group surveyed 1,574 UK managers. Read on to:
Find out what’s driving the long-hours culture and the impact it has on workers and employers
Learn from case studies of progressive businesses finding innovative ways to improve the quality of their employees’ working lives
Take away recommendations on the effective management skills that improve welfare at work
More at: http://www.managers.org.uk/qualityofworkinglife
Research shows that a lack of management skills is responsible for 56% of small business failures, yet just one in three businesses with 5-24 employees have provided management training in the last 12 months.
Growing Your Small Business connects SMEs with their local business schools and provides the information they need to raise their level of professional management and leadership skills to boost productivity and growth.
More at: http://www.managers.org.uk/growingSMEs
In December 2014 and January 2015, CMI conducted a survey of 535 Chartered Managers to explore the impact of becoming Chartered on their professional development, on their career progression, and the benefits that it has delivered to their employers.
The findings from the research are revealed in this report. They are accompanied by insights from over 20 case study interviews conducted with Chartered Managers, with employers who have used Chartered Manager as part of their management development, and with higher education institutes that offer the accreditation to complement qualifications.
More at: http://www.managers.org.uk/cmgr
Poor performers still reaping rich rewards: Too many managers are flouting the principles of good performance management, as despite being rated as poor performers, they are still being rewarded by their employers according to new research published by the Chartered Management Institute (CMI) and XpertHR.
More at: http://www.managers.org.uk/salarysurvey
Analysis of the 2015 National Management Salary Survey of 72,000 UK managers reveals that women working in equivalent full-time roles earn 22% less than men, meaning that they’re unpaid for 1h 40m a day – a total of 57 working days every year.
More at: http://www.managers.org.uk/mindthepaygap
British managers have the gloomiest outlook for their organisations and the economy since 2012, according to the findings of Future Forecast 2015, CMI’s annual look-ahead survey.
More at: http://www.managers.org.uk/futureforecast
Employers are at risk of making tech-savvy managers ‘switch-off’ from learning new skills with dated digital technology, according to the findings of Learning to Lead: The Digital Potential.
More at: http://www.managers.org.uk/digitallearning
The most difficult conversations the British public face in their lives are all in the workplace. Find out what topics people find hardest to talk about in their personal and professional lives with our difficult conversations infographic.
More at: http://www.managers.org.uk/difficultconversations
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!
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.
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.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
20 tips for resilience
1. MAS
Management Advisory Service
www.mas.org.uk
Wellbeing and Performance
20 Tips to strengthen your Resilience at work
Resilience is the capacity to cope with and become stronger as a result of experiencing and
dealing with difficult events. Strengthening resilience combines building inner strength with
applying personal strength to challenging situations.
What follows are 20 tips that help to strengthen personal resilience and improve our ability to
successfully apply resilience in difficult situations.
Resilience is primarily about attitude towards events.
Our attitude is hugely influenced by our understanding of what an event means, and how we
calculate what the outcome might be for us. The understanding and calculation is largely based
on our confidence in knowing how to deal with the situation.
The 20 tips help build confidence.
Tip 1 – write down important thoughts and ideas
Writing – it is clear that writing down thoughts, ideas, feelings, emotions, plans and grandiose
schemes helps you to achieve what you want. You should write more than a reflective diary of past
events but write what you want from a situation in the present and future. If you do this you stand a
better chance of achieving it. The thinking process in writing involves evaluating what you write, in
particular when you read what you have written. It helps you to think, assess and form an attitude
that accepts, modifies or rejects what you have written. This translates into helping you evaluate
events that you experience.
Your attitude towards yourself, therefore, is to become disciplined in writing things down!
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Tip 2 – always imagine everything positively
Imagination – your imagination is enormously powerful. Your tendency maybe to imagine the worst,
sometimes known as catastrophising, as this provides you rehearsal time if something terrible
actually happens. Catastrophising is common, and is fine so long as the conclusion is something
positive – preventing the catastrophe, for example. If your imagination is positive and constantly
imagines a positive outcome, this transmits itself into a positive stimulus for the mind to work on. It
tends to result in a better outcome for you.
Your attitude towards yourself, therefore, is to use your imagination to produce positive actions and
behaviours.
Tip 3 – talk to yourself out loud and positively
Positive reinforcement – you respond best to positive reinforcement, normally someone else saying
something positive about you. In the absence of this, self talk has a dramatic impact on how you feel
about yourself and the actions you take. Sometimes this is called self affirmation. It is a method that
helps develop motivation, and is key to influencing thoughts, feelings and behaviours. However,
guard against saying negative things to yourself as it will get back to you and you’ll want to know
who made those negative comments about you!
Your attitude to yourself, therefore, is to embrace the idea of talking to yourself.
Tip 4 – take the long view – envisage the future
Take the long view – those of you who know what you want from life (see Tip 6) have a purpose. A
long term purpose enables you to ‘ride over’ adverse events as you are focused on achieving the
long view, and can find it easier not to be deflected from the journey you have set yourself.
Envisioning the future in a positive way provides motivation and focus when all around you is in
chaos.
Your attitude towards yourself, therefore, is to take the long view.
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Tip 5 – reinforce a new habit or behaviour as frequently as you can
Reinforce new habits – when you wish to adopt new habits that strengthen your resilience you
need to reinforce them several times, the least being twice. This is known as triple loop learning
where a new idea is introduced, and then is reinforced in practical ways at least twice before you
begin to adopt the new idea. After that you should continue to reinforce the new habit, which will
become, eventually, your habit!
Your attitude towards yourself, therefore, is to be determined to acquire habits that strengthen
your resilience.
Tip 6 – work out a long term idea of what you want from life
Have a clear vision – you need to have a reasonably clear idea of what you are trying to achieve in
your life, and have written this down somewhere. You are likely to review the vision from time to
time, particularly when events seek to divert effort away from achieving it. The vision itself might be
blurred; it should not be time constrained, but it should be feasible to achieve. Getting there may
involve several plan B’s. Don’t be put off by the idea of not achieving what you want – it’s the
journey towards the vision that’s important. Once you’ve achieved what you want, you’ll have to
have another vision to keep you resilient.
Your attitude to yourself, therefore, is to work out what you want from life, and go for it.
Tip 7 – work out the key values that drive your choices and decisions
Identify key values ‐ resilient people with high levels of determination have the capacity to achieve
things that others tend not to be able to do. Determination is essentially self driven, although can be
triggered by a reaction to an event, and requires considerable focus on a goal, task or vision. For you
to achieve high levels of determination you will also need to possess high self‐awareness ‐ knowing
yourself very well; high self‐advocacy ‐ being able to articulate your wishes effectively; and high self‐
efficacy ‐ a belief in being able to achieve almost anything you wish to achieve.
You will find that once you have identified your core values (maybe 3 core values) you will
understand how these have driven your life so far. They may explain why you have stuck to doing
something others simply have not understood, like mortgaging your home to invest in wellbeing
and performance support in the workplace, against all the odds. You will find that your core values
and drivers provide you with the determination to see anything through to a conclusion.
Your attitude to yourself, therefore, is the find those core values and drivers, and to use them in
taking decisions and making choices about what you want to do.
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Tip 8 – build up your human capital
Human Capital ‐ human capital is who you are ‐ a combination of skills, knowledge and experience
that can be described under four main ideas:
Cultural capital – knowing, understanding and appreciating music, dance, drama, films, art and other
forms of social culture to an extent that you feel fulfilled by your knowledge and experiences.
Economic capital – building and maintaining personal economic resources that fulfil your sense of
self worth. This doesn’t mean being comparatively wealthy; it means achieving the economic
resources of all types that you feel is sufficient to make you feel great.
Social capital – building and maintaining relationships that are significant and strong, and help you
towards personal success.
Erotic capital – building and maintaining the capacity to be attractive to others; to draw others to
you and help you control the responses that others have to you.
Work out what you need to do to become satisfied with how you’ve built and maintained your
Human Capital.
Your attitude to yourself, therefore, is to deliberately build your human capital so that you feel
fulfilled in all aspects of your life.
Tip 9 – establish a personal brand and show it off
Design brand ‘you’ – what is it that you want to expose to others as representing who you are? If
you’re a psychologist do you want to dress in a particular way, talk in hushed tones, always asking
and hardly ever answering questions? A personal brand is like a corporate brand – it’s about getting
across to others as succinctly as possible what you stand for.
Your attitude towards yourself, therefore, needs to be one of ‘showing off’ to the world what you
want to world to see you as standing for.
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Tip 10 – engage the attention of others without causing distress to them
or to yourself
Be interested in others ‐ you need to explore and respond to the other person’s self‐ interest (as
self‐interest is a prime motivator) and feed that self‐interest to encourage the other person to
reciprocate and feed you with the things that satisfy your self interest. If you manage all this you are
in control of yourself and the situation, and by being in control you build your resilience.
Your attitude, therefore, needs to be one of attentiveness to others at all times.
Interaction is about how you behave towards other people in order the persuade others to provide
you with what you need. The only person you control is yourself, and yet, to survive and grow, you
need to control the reactions of others to your behaviours towards them so that they help you. This
is known as reciprocity. To interact effectively with others you need to understand everything that is
going on in an interaction, almost reading the other person’s mind so that you can adjust your
behaviour to respond to how you think the other person is responding to you.
Tip 11 – build commitment, trust and engagement between yourself and others
Build commitment, trust and engagement with others ‐ the behaviours that inspire commitment,
trust and engagement in others include: attentiveness, encouragement, intellectual flexibility,
reliability and the ability to resolve conflicts.
However, before you exhibit behaviour you think. If you can think in terms of the attributes that are
known to promote commitment, trust and engagement you will almost automatically behave in
those ways.
The attributes that produce behaviours that promote commitment, trust and engagement are:
attentiveness, trustworthiness, wisdom, direction with committed ambition, intelligence with
humour, creating and eliminating tension, addressing individual needs and nurturing.
Once these attributes are embedded into the mind, the behaviours will automatically follow.
Your attitude, therefore, is to always think and behave in ways that build commitment, trust and
engagement when interacting with others.
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Tip 12 – always ask a unique question
Engage with others ‐ an approach to attentiveness and ensuring engagement with others is to ask a
unique question of the other person. If the question is felt to be unique the other person
automatically responds and the interaction commences. A unique question is nearly always about
the other person, what he or she is wearing, where they have travelled from, or their weekend
plans. Asking general questions doesn’t convey attentiveness, and has limited power in
engagement.
Your attitude, therefore, is to take a keen interest in people and to be inquisitive about each person
individually.
Tip 13 – behave assertively when appropriate
Be assertive ‐ assertive behaviour is the capacity to convey a clear message to someone else without
causing any psychological distress. One way of practicing this is to create a context of appreciation
of the person you are talking to before conveying your message. You may then say clearly, almost in
a whisper, what you want to say. Having appreciated the merits of the other person as the context
for the conversation, the message should always be about what you feel and what you want from
the discussion. Never, ever, accuse the other person of anything in an assertive situation; they will
simply disengage and argue, and you’ve lost everything as you will be out of control.
Your attitude, therefore, is to be very considerate of others when you want to convey a strong message
about how you feel and what you would wish to see happen.
Tip 14 – establish strong relationships with those who are important to your
success and happiness
Establish strong relationships ‐ in order for us to survive and prosper we need to forge relationships
that help us survive and grow. Relationships are many and varied that include acquaintances,
friends, lovers, work colleagues, and a mixture, all of whom have a different quality to them in
relation to their strength, importance and power, and each will appeal to a different aspect of our
own need. Work out who, in each category of relationship, is important to your success, and then
challenge yourself as to the strength of the relationship. If you feel an important relationship is
weak, go to work on strengthening that relationship.
Your attitude, therefore, is to deliberately strengthen those relationships which are important to
your personal success.
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Tip 15 – establish at least one relationship with someone with whom
you don’t need to act.
Have a close relationship ‐ as you all act, it is important to include amongst your relationships
someone with whom you have no need to act. Such relationships exist to enable you to recharge
and go forward to act in the world.
Resilient people have relationships that provide the appropriate reinforcement and support at the
time it is required. Resilient people never judge anyone else; they give of themselves to each
relationship and reap the rewards of reciprocated friendship.
Your attitude, therefore, is to seek out and nurture a relationship or two where you have no need to
act.
Tip 16 – try to like problems, even if you find them difficult to solve.
Embrace problems ‐ resilient people like to solve problems and rise to challenges, so long as they
can resolve the problems and meet the challenges successfully. Problem solvers are more likely to
embrace challenges than those who do not like problems, and have no talent for sorting out puzzles
and challenges. Card games players are likely to be more interested in solving problems than others
simply by virtue of their interest in thinking of the opponent and the moves that are being thought
about. Problem solvers also like to delve into the causes of a problem as a means to seeking a
solution.
You should try to like puzzles by browsing through the puzzles in daily newspapers and trying them
out. Over time you will find you begin to get better at working puzzles out.
Your attitude to yourself, therefore, is to try out puzzles, and to keep going until they become
easier, and you begin to enjoy them.
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Tip 17 – structure each day to ensure the ‘rocks of the day’ are tackled in bite
sized steps
Be organised ‐ people who are well organised are able to cope with the chaos of daily life better
than those who do not pay attention to organising themselves, preferring to rely on memory and
luck. Being organised allows individuals to know where they are if their day is disrupted by
unforeseen events.
You should plan your week and your day in ways that ensure you start work immediately when you
arrive at your workplace, and reward completion of nasty tasks by next completing enjoyable ones.
Always make room during the day to complete a bite sized chunk of a big task, one that will
normally take several days, or weeks, to complete.
Your attitude towards your working day is, therefore, to organise it in ways that enables you to hit
the ground running, completing ‘rocks of the day’ in bite sized steps, and do nasty tasks before easy
ones.
Tip 18 – control your own anxiety when faced with being outside your
‘comfort zone’
Think positive ‐ one way of doing this is to think of an event when you felt stressed – write down
how you thought, felt and behaved at the time. Take a look at those thoughts and challenge them
to see if they were logical, realistic or helpful. Now write down some more helpful thoughts about
the event. You may need help from someone who will help you see things in a better light.
Controlling your own anxiety is an essential aspect of confidence. You can do this with breathing
exercises, where you breath in to your diaphragm over, say 6 seconds, hold your breath for 12
seconds and breath out over 6 seconds. You will find this helps slow you down and provides you
with control over your breathing. If you’re anxious you’ll find your breathing becomes quicker, and
you need to slow it down.
Your attitude towards yourself, therefore, is to control your anxiety by regularly engaging in
breathing exercises. Lowering your anxiety about anticipated events, for example, raises your
confidence, and once you have experienced a new challenging event and come through it
successfully, this (the success) adds to your esteem which adds to your resilience. You will know
that you can experience a similar event again in the future without, necessarily, experiencing a
similar degree of anxiety.
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Tip 19 – try something different each day to build your confidence
Be self confident ‐ self confidence, demonstrated in a subtle manner, is very attractive, and draws
others to you, reinforcing your success with others and contributing significantly to your resilience.
Be careful to ensure that your self confidence doesn’t turn to arrogance as this has the effect of
causing dis‐engagement between people.
To build your confidence you should try and do a new and challenging task almost every day. A
challenging task is one that you know you will feel slightly uncomfortable about, and one that you
haven’t done before. It may be something that confronts your shyness, for example.
Your attitude to yourself, therefore, is one of being ‘game for anything’!
Tip 20 – make an appointment with yourself each month to do some resilience
training on yourself
Monitor your resilience ‐ in your calendar make regular appointments with yourself to review your
progress and be disciplined in keeping these appointments! If you find your resilience is slipping, or
you have struggled to deal in a resilient way with a particular event, go back over these tips and
work out why.
Make an appointment with yourself to review these tips and your progress in strengthening your
resilience. You should consider an appointment with yourself every month for half an hour.
Your attitude to yourself, therefore, is to be determined to strengthen your resilience, and to
monitor your progress by reviewing it every month.
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About Derek Mowbray
Derek Mowbray, is a Chartered Psychologist and Scientist, with a doctorate in
leadership. Dr Mowbray focuses on the behaviour of leaders and managers in
relation to their employees, and helps them to develop the behaviours that
encourage commitment, trust and staff engagement.
Derek’s techniques include problem focused coaching, cognitive coaching,
group work and consultancy. Professor Mowbray combines the unique features
of working on the big picture as a strategist as well as facilitating effective
leader and manager performance. He combines applied academic research with a career as a leader in
ground breaking organisations, including MAS, OrganisationHealth and the Stress Clinic.
He is a visiting Professor of Psychology at Northumbria University, and works for the European
Commission as an Independent Technical Expert.
Recently, Professor Mowbray has been working on the development of a 'Manager's Code', a new
Code of Conduct for the NHS, which has the aim, once implemented, of developing positive work
cultures and the behaviours required to implement them. This is linked to two further Codes, a Code
for Ethical Leadership and a Code for Engagement.
Derek is a regular contributor to HSJ, HSE, CIPD and LinkedIn communities, and has made national
presentations at the International Stress Management Association, NHS Employers Conference, HSJ’s
World Class Workforce Conference and HSJ’s Tackling Staff Sickness and Absenteeism Conference. In
2011, Derek was been invited to speak at the Health and Wellbeing @ Work Conference, the South
West Employer Network / Mindful Employer Conference in Exeter where he spoke with Dame Carol
Black, SOLACE South East Spring Conference, and still to come, the 2011 Wales Branch HPMA
Conference ‘Resilience’ – Building High Performing Cultures, the Wales Public Service Summer School
2011 ‐ Leading for Engagement and the RCGP Annual Primary Care Conference.
Derek.mowbray@mas.org.uk
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