The document summarizes Community Reinforcement and Family Training (CRAFT), an evidence-based intervention for family members of those with substance use disorders. CRAFT teaches family members strategies to encourage their loved one to enter treatment while also improving their own well-being. Several studies have shown CRAFT is more effective at getting people into treatment compared to traditional support groups. It was developed in the 1990s and further adapted to help parents address a child's substance use. CRAFT provides a scientifically-proven approach for families to play an active role in their loved one's recovery process.
Marijuana legalization is a tricky subject: Nearly half of Americans have tried marijuana, and a growing percentage supports legalization, according to the Pew Research Center. So where does the crop of 2016 presidential candidates stand on the marijuana issue?
Marijuana legalization is a tricky subject: Nearly half of Americans have tried marijuana, and a growing percentage supports legalization, according to the Pew Research Center. So where does the crop of 2016 presidential candidates stand on the marijuana issue?
Nesta apresentação estão mais informações sobre serviços de logística e tecnologias oferecidas pela SHL Logística para seus clientes e-commerce, atacadistas ou varejistas.
JE RÉVÈLE Ma «french touch genevoise !
Bienvenue…
Dans la Région d’Annemasse
Située entre lac et montagne, à quelques minutes du centre de Genève…
La Région d’Annemasse vous réserve un séjour entre découvertes, simplicité et surprises.
Nature, gastronomie, loisirs, culture, sports, shopping… En couple, entre amis, en famille ou en mode affaires… Tous vos désirs deviendront enfin réalité !
I REVEAL MY "FRENCH TOUCH"!
WELCOME...
Near lake and against a backdrop of mountains, just a few minutes from the centre of Geneva...
The Annemasse Region is the perfect getaway for those who love the simple life, but also like surprises and discoveries !
Nature, gastronomy, leisure, culture, sports, shopping... With loved ones, family or friends, or on business – this is where your dreams come true !
Sobre SHL Logística
Infográfico
Terceirização Logística
Logística de Marketing
Gestão e Consultoria Logística
Tecnologias Exclusivas
WMS
Depoimentos dos Clientes
Skylads is an AdTech company providing technological solutions for Real-Time Bidding campaign management. We adapt and further improve the latest theories in Machine Learning and Applied Mathematics to develop the most powerful and easy-to-use products suite for media buyers. Our algorithms enable traders to manage and execute their entrusted campaigns with greater efficiency, while saving time and resources.
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Nesta apresentação estão mais informações sobre serviços de logística e tecnologias oferecidas pela SHL Logística para seus clientes e-commerce, atacadistas ou varejistas.
JE RÉVÈLE Ma «french touch genevoise !
Bienvenue…
Dans la Région d’Annemasse
Située entre lac et montagne, à quelques minutes du centre de Genève…
La Région d’Annemasse vous réserve un séjour entre découvertes, simplicité et surprises.
Nature, gastronomie, loisirs, culture, sports, shopping… En couple, entre amis, en famille ou en mode affaires… Tous vos désirs deviendront enfin réalité !
I REVEAL MY "FRENCH TOUCH"!
WELCOME...
Near lake and against a backdrop of mountains, just a few minutes from the centre of Geneva...
The Annemasse Region is the perfect getaway for those who love the simple life, but also like surprises and discoveries !
Nature, gastronomy, leisure, culture, sports, shopping... With loved ones, family or friends, or on business – this is where your dreams come true !
Sobre SHL Logística
Infográfico
Terceirização Logística
Logística de Marketing
Gestão e Consultoria Logística
Tecnologias Exclusivas
WMS
Depoimentos dos Clientes
Skylads is an AdTech company providing technological solutions for Real-Time Bidding campaign management. We adapt and further improve the latest theories in Machine Learning and Applied Mathematics to develop the most powerful and easy-to-use products suite for media buyers. Our algorithms enable traders to manage and execute their entrusted campaigns with greater efficiency, while saving time and resources.
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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.
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
16. Engaging the Unmotivated in Treatment for
Alcohol Problems: A Comparison of Three
Strategies for Intervention Through Family
Members
William R. Miller, Robert J. Myers, J. Scott Tonigan –
University of New Mexico
(c) 1999 AmericanPsychological Association, Inc.
Community Reinforcement Approach and
Family Therapy (CRAFT): Engaging
Unmotivated Drug Users in Treatment
Robert
J.
Meyers,
William
R.
Miller,
Dina
E.
Hill,
J.
Scott
Tonigan – University
of
New
Mexico
(c)
1999
Elsevier
Science
Inc.
A Randomized Trial of Two Methods for
Engaging Treatment-Refusing Drug Users
Through Concerned Significant Others
Robert J. Meyers, William R. Miller, Jane Ellen Smith, J.
Scott Tonigan
(c) 2002 Journal of Consulting and Clinical Psychology
Engaging resistant adolescents in drug abuse
treatment
Holly Barret Waldron, Sheryl Kern-Jones, Charles W.
Turner, Thomas R. Peterson, Timothy J. Ozechowski
(c) 2007 Journal of Substance Abuse Treatment
Community reinforcement training for family
and significant others of drug abusers: a
unilateral intervention to increase treatment
entry of drug users
Kimberly C. Kirby, Douglas B. Marlowe, David S. Festinger,
Kerry A. Garvey, Vincent LaMonaca
(c) 1999 Drug and Alcohol Dependence
28. CRAFT can help you get
your loved one to
accept treatment
CRAFT WORKS
PROFESSIONAL
HELP IS NEEDED
29. Success rate of getting someone
into treatment
13% · AL-ANON
71% · CRAFT
30% · INTERVENTIONs
National Institute on Alcohol Abuse and Alcoholism (NIAAA) - funded study
Published in the Journal of Substance Abuse, 10, 3, 291-308.
CRAFT WORKS
Engaging resistant adolescents in drug abuse treatment. Holly Barret Waldron, Sheryl Kern-Jones, Charles
W. Turner, Thomas R. Peterson, Timothy J. Ozechowski (c) 2007 Journal of Substance Abuse Treatment
30.
31. “With CRAFT, family members learn ways
to lower loved ones’ defenses and
encourage them to speak candidly. The
advice essentially boils down to simple
steps like asking open-ended questions,
complimenting positive behaviors, and
echoing the person’s concerns in a
nonjudgmental way.”
32. “Next, they learn to devise ways to improve
their home life (without fixing or
minimizing the ill effects of the drinking or
drug use). When the struggling loved one
feels understood and safe, the reasoning
goes, he or she will be more willing to be
vulnerable, to seek help.”
The End of Hitting Rock Bottom, Burt Helm
33. While your loved one is
in treatment and after,
CRAFT helps family
members de-stress and
improve their home life
CRAFT WORKS
While GETTING
PROFESSIONAL HELP
34. 100% of family members and
loved ones reported significant
reductions in anger, anxiety,
depression, and negative
physical symptoms
National Institute on Drug Abuse (NIDA) - funded study
Published in the Journal of Substance Abuse, 10, 3, 291-308.
CRAFT WORKS
41. “Detach felt like crap – even
the most successful parent had
a daughter in danger, freezing
out on the streets.”
Former Al-Anon parent
42. “So precious to me to have some answers
beyond "just detach" and "let him hit
bottom". I feared his bottom was death,
and I am so relieved to know I can do
more to encourage recovery. Bless you Dr.
Meyers for spreading the word.”
Daisy
43. “Perhaps the counselor was having a bad day, but this particular night he
followed his grim opening with: ‘It's nice that you are here and think that you
can do something, but the people you love are going to die’
At that moment, I had one thought and it was: ‘F*** this shit’ If the people I
love are going to die I need to get my ass out of this meeting and spend as
much time with them as I can while they are living.
I found information about CRAFT and it made sense.
Because of your work and CRAFT, I feel at peace with my relationship. He
has not entered treatment, but he keeps in contact with me and he knows
that I support him where he is.
I don't condone the drug use, but I don't let that aspect of his life define him
to me. Maybe he will go to treatment, maybe he won't. But if he dies today,
he will know he was loved and there will be nothing left I wish I had said.
And I think anyone can hope for in any relationship.”
Anonymous letter to Dr. Robert J. Meyers,
Louisville KY
44. CRAFT evolution
CRA CRAFT
1970’s 1990’s 2015
Community
Reinforcement
Approach
Community
Reinforcement
Approach &
Family Therapy
Developed specifically
for parents and available
online to make the
treatment more readily
available
“one of the most
effective alcohol
treatment programs
currently available”
Developed for family
members to play a
powerful role in their
loved one’s treatment
CRAFT for parents
to address their
child’s substance
abuse
PARENT CRAFT
45. In the late 1990’s, CRAFT was
developed at the University of
New Mexico by Dr. Robert
Meyers, Ph.D. and colleagues
Robert J. Meyers PhD
46. In 2015, Parent CRAFT was created
with the help of Dr. Robert Meyers to
empower parents to protect their
children from addiction, accidental
overdose and death