There are more than 100 kinds of arthritis, which literally means joint inflammation. According to the Centers for Disease Control and Prevention (CDC), about 50 million Americans are afflicted, and 27 million have osteoarthritis, by far the most common form, especially among older people.
There are more than 100 kinds of arthritis, which literally means joint inflammation. According to the Centers for Disease Control and Prevention (CDC), about 50 million Americans are afflicted, and 27 million have osteoarthritis, by far the most common form, especially among older people.
Sports injury epidemiology: Its Treatment and Prevention in the Northeast India BhaskarBorgohain4
Love for sports is innate to youths of the north east India. the north eastern region of India is a sports talent pool. Mary Kom from Manipur captured the imagination of the nation by her boxing skills, Somdev Devvarman from Tripura by his tennis, Shiva Thapa by boxing...so on and so forth. There is a felt need but there is no regional sports injury management centre in the north eastern region. Sports injury surveillance is required for understanding, monitoring and formulate prevention strategy.
Juvenile Spondyloarthritis and Fever Syndromes by Reema Syed,MD, Assistant Professor of Internal Medicine and Pediatrics, Division of Adult and Pediatric Rheumatology, Saint Louis University
Penyakit Autoimun penting dikenali masyarakat awam karena gejalanya yang tersamar antar sesama autoimun, bahkan dengan penyakit lain yang bukan autoimun.
Rheumatoid arthritis(RA) is the most common type of autoimmune arthritis. It is triggered by a faulty immune system(the body’s defence system) and affects the wrist and small joints of the hand, including the knuckles and the middle joints of the fingers.
Treatments have improved greatly and help many of those affected. For most people with RA, early treatment can control join pain and swelling, and lessen joint damage.
Perform low-impact aerobic exercises such as walking, and exercises to boost muscle strength. This will improve your overall health and reduce pressure on your joints.
People who receive early treatment are more likely to feel better sooner and lead an active life. They are also less likely to have the type of joint damage that leads to joint replacement.
Expertise is vital to make an early diagnosis of RA and to rule out diseases that mimic RA. Rheumatologists are experts in RA and can design a customized treatment plan that is best for you.
Presentation explaining what rheumatoid arthritis and other RMDs are, their increasing burden, risk factors, diagnosis, and an overview of treatment options.
Sports injury epidemiology: Its Treatment and Prevention in the Northeast India BhaskarBorgohain4
Love for sports is innate to youths of the north east India. the north eastern region of India is a sports talent pool. Mary Kom from Manipur captured the imagination of the nation by her boxing skills, Somdev Devvarman from Tripura by his tennis, Shiva Thapa by boxing...so on and so forth. There is a felt need but there is no regional sports injury management centre in the north eastern region. Sports injury surveillance is required for understanding, monitoring and formulate prevention strategy.
Juvenile Spondyloarthritis and Fever Syndromes by Reema Syed,MD, Assistant Professor of Internal Medicine and Pediatrics, Division of Adult and Pediatric Rheumatology, Saint Louis University
Penyakit Autoimun penting dikenali masyarakat awam karena gejalanya yang tersamar antar sesama autoimun, bahkan dengan penyakit lain yang bukan autoimun.
Rheumatoid arthritis(RA) is the most common type of autoimmune arthritis. It is triggered by a faulty immune system(the body’s defence system) and affects the wrist and small joints of the hand, including the knuckles and the middle joints of the fingers.
Treatments have improved greatly and help many of those affected. For most people with RA, early treatment can control join pain and swelling, and lessen joint damage.
Perform low-impact aerobic exercises such as walking, and exercises to boost muscle strength. This will improve your overall health and reduce pressure on your joints.
People who receive early treatment are more likely to feel better sooner and lead an active life. They are also less likely to have the type of joint damage that leads to joint replacement.
Expertise is vital to make an early diagnosis of RA and to rule out diseases that mimic RA. Rheumatologists are experts in RA and can design a customized treatment plan that is best for you.
Presentation explaining what rheumatoid arthritis and other RMDs are, their increasing burden, risk factors, diagnosis, and an overview of treatment options.
The Singapore Resource For Arthritis Treatment including osteoarthritis, rheumatoid arthritis and related conditions. We aim to be a comprehensive resource on the best available options to help patients with arthritis in Singapore.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
- 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
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
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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
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!
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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.
Return to Work and Arthritis Conditions - Osteo and Rheumatoid
1. Presented by Sheryl Moriarity, CHRP
Return to Work and Arthritis conditions
Osteoarthritis & Rheumatoid Arthritis
2. Goal of this presentation
To help you understand Arthritis & its affect on
the ability to work, absences from work and
return to work.
Also to provide you with this presentation as a
resource for the future.
4. Joint pain is the most common denominator
• Presenting as inflammation = redness,
swelling, heat, pain & degrees of loss of
function
5. Arthritis - Impact
• People aged 55+ - greatest increase of cases in
the future.
• 6% of total hospitalizations in Canada.
• 4.5 Million or 1 in 6 Canadians aged 15 years
older report having arthritis
• One of the most frequent reasons requiring time
off work
6. The proportion of both men and women reporting
arthritis increases with age.
Women report arthritis more frequently than men.
(currently 20% women, 13% men)
Arthritis, often perceived as a condition of the
elderly.
56% of Canadians with arthritis are under 65 years
of age.
Arthritis - Impact
7. Arthritis
Can create long term and degenerative states
but many people can continue to work with
adaptation.
8. Did you know there are over 120 types of arthritis?
12. Rheumatoid Arthritis is……
• An autoimmune disorder, when the immune system
mistakenly attacks the body’s own tissues
• A disease of the entire body, floats around in the blood
• Affecting the lining of the joints, causing a painful swelling
that can eventually result in bone erosion and joint
deformity
• Discovered during blood test RF (Rheumatoid Factor)
• Fast onset – 6 weeks, lifelong from there
• Can cause secondary diagnosis of Osteoarthritis
13. Rheumatoid Arthritis Risk Factors and
possible causes
• Although the cause of RA remains unknown several factors may
play a role in disease development:
– Hyper-reactive immune system
– Specific inherited genes and acquired gene defects
– Hormonal factors
– Environmental exposures
– Previous viral or bacterial infection
14.
15. Rheumatoid Arthritis
Can affect other organs of the body:
Skin – Eyes – Lungs – Blood Vessels
Ashma, Lupus, Allergies & Psoriasis
18. No one-size-fits-all drug treatment
Doctor will make the decision on which
drug(s) to prescribe based on:
•How long individual has had RA
•Disease activity (symptoms, joint involvement,
current status of condition)
•Other health conditions such as hepatitis, heart failure or
cancer.
Rhematiod Arthritis Treatment
19. Rhematiod Arthritis Treatment
• NSAIDS – Non-Steriodal Anti-Inflammatory Drugs, least
potent, relieve pain but do not affect the course of the
disease. Ibuprofen, Naproxen, Celebrex
• DMARDS – Disease Modifying Anti-Rheumatic Drugs – most
effective for slowing the progression of the disease i.e.
Methotrexate, Rheumatrex, Trexall
• CORTICOSTEROIDS – steroids, used to quickly reduce
inflammation ie Prednisone
20. Barriers to RTW
• Good days and very bad days
• Strength
• Stamina/fatigue
• Lifting/carrying/bending/kneeling
• Concentration/focus due to symptoms
• Treatment plan
22. Osteoarthritis is ………
• wear and tear affecting hands, feet, knees, spine,
shoulders
• mechanically related
• worsens with use & alleviated by rest
• erosion of cartilage & bone on bone grinding
• primarily occurring in older people
• can be caused by trauma
27. How Is OA Diagnosed?
A crunching sound/feeling
Joint stiffness/weakness
Pain
No single test can diagnose osteoarthritis. Doctors use several
methods/rule out other problems: medical history, physical exam,
X-rays, blood tests, tests on fluid of joints
28. OA Treatment will depend on the….
co-morbid diagnoses
current severity & length of time diagnosed/affected
amount of involvement/motivation from individual affected
29. OA Treatment
Non-pharmaceutical interventions i.e. due to side effects such as
liver damage
Nutrition
Balancing exercise & rest
Acupuncture
Braces, orthotic insoles & taping
Self Management programs
Attitude
30. OA (Advanced or highly symptomatic)
• Tylenol #3, Acetaminophen, NSAIDS (Aleve, Naproxen,
Ibprophen, Celebrex, Aspirin/ASA) Robaxacet & Robacet
• Very Severe cases - Surgery; Joint replacement (knee,
hip, shoulder) ……..
34. Attribute Rheumatoid Arthritis (RA) Osteoarthritis (OA)
Disease Of the blood, Autoimmune – can cause
OA
Degenerative, trauma induced,
doesn’t cause RA
Treatment Early and aggressive pharmaceutical
TX, higher to lower amounts can
slow/stop progression of disease,
surgery in some cases to correct
deformity.
Exercise, strengthening, non-
pharmaceutical - can slow
progression of disease, surgery
in some cases. Pain RX.
Activity of
Disease
Can go into/out of remission with or
without TX for years
Can progress without symptoms
for many years
Physical
capabilities
Physical capabilities may decrease
rapidly
Physical capabilities will slowly
decrease with time & age
RTW
Sustainability
Job modifications with disease
progression, can limit heavy
labour/repetitive job tasks quickly.
Job modifications with disease
progression, can limit heavy
labour / repetitive job tasks
slowly with time.
35. Attribute Rheumatoid Arthritis (RA) Osteoarthritis
Age at which condition
starts
It may begin at anytime 15
year old +
Majority of cases appear
later in life 40 -50 year old
+
Speed of onset Relatively rapid, over
weeks to months
Slow, over years
Pattern of joints affected Small/large joints usually
bi-laterally, hands, feet,
knees, shoulders
Starts - one set of joints
and moves usually fingers,
thumbs, hips & knees
Duration of morning
stiffness
Lasts longer than 1 hour Lasts less than 1 hour,
returns at end of day or
after periods of activity
Joint symptoms Painful, swollen and stiff Ache and may be tenders
but have little or no
swelling
Symptoms affecting the
whole body
Frequent fatigue & general
feeling of being ill are
present
In general symptoms are
felt in affected joints only
38. Arthritis – RTW Statistics
44 % report working with job limitations
33 % require job modifications
55 years+ will account for high proportion of reduced
participation in the workforce in the future
39. Sustainable RTW will rely on
Flexibility
Varying, reducing, supporting
Adaptation
Devices providing assistance to perform tasks
40. RTW considerations
• New onset cases (with today's disease modifying
treatment ) have higher chance of staying at work
than in the past.
• 10 years + RA diagnosis may be permanently unable
to do heavy work
• The pattern of remissions and exacerbations all
affect the length and reoccurrence of disability
41. RTW considerations
• Ability to complete tasks and meet deadlines
• Nature of job and physical requirements
• Employers Drug policies
• Bona fide and/or safety sensitive positions
• RA affects normal ADL’s such as standing, walking,
washing, dressing, preparing food, and performing
household chores – pacing is important
42. Limitation examples
• Opening door knobs, jars
• Gripping, fine finger manipulation
• Shifting gears
• Heavy lifting
• Prolonged sitting, standing, walking,
kneeling, bending, twisting
• Range of motion (ROM)
• Many repetitive tasks
44. RTW sustainability
Individuals with work autonomy, flexibility and a
supportive employer are more likely to remain
working longer than those without.
45. MD Guidelines RTW averages
• Sedentary 0–7 days
• Medium - Light 0-14 days
• Heavy to Very Heavy 0-indefinite
• Timeframe of absence is heavily dependent on body
part affected, advanced symptoms in knees and hips
seem to totally disable more individuals from Heavy
to Very Heavy positions than shoulders and wrists.
46. Can you share a story or information of your
own?
Do you have any questions?
Weight is the most changeable risk factor
Occupatons with activities that require frequent bending or carrying heavy loads, significant repetitive activities
Prior Injury – trauma, sports related injuries
Muscle weakness
Viewing the difference between a normal joint and one with Osteoarthritis
Viewing the difference between a normal spine and one with Osteoarthritis
Osteoarthritis of the hip
A crunching feeling or the sound of bone rubbing on bone
Joint stiffness: After getting out of bed or sitting for a long time, swelling or tenderness in 1 or more joints
Pain that can be elevated by rest and brought on by activity of the joint or prolonged physical activity
& aimed at controlling pain & inflammation while maintaining mobility
Exercise program: address loss of motion & strength
Nutrition - maintaining a balanced diet – weight Loss
Exercise & strengthening programs - stamina
Acupuncture
Braces, orthotic insoles & taping
Balancing exercise & rest - pacing
Self Management programs – education, motivation, proven methods
Attitude – Counseling – Change - What I could do and what I can’t do now
There are hundreds of types of arthritis that require time off work but they all do not always require permanent time off.
Some can create chronic and degenerative states but many people can continue to work for years.
Varying or reducing prolonged physical or very sedentary work
Flexibility to stop activity with the onset of pain, fatigue, or increased swelling/pain.
Avoidance of prolonged stooping, lifting, kneeling and standing
Alter work duties and or body repositioning or changing tasks ½ hour, hourly or when needed
Avoiding heavy lifting or high grip force, tight gripping or pinching. Used adaptive/assistive devices
Lower mobility may necessary
Modern medicine and the success of DMARDS
Ability to complete tasks and meet deadlines becomes more difficult with disease advancement - flexibility
Nature of job and requirements determine how much it will affect job performance – altering job duties
A physically demanding job involving lifting, carrying, walking, or a lot of standing would likely be impacted more than a desk job – altering job duties
A Heavy job may become difficult or impossible to continue at some point – changing job tasks
A review of drug policies may be necessary for performance or ability to drive and/or operate machinery – ie Tylenol #3, narcotic pain medication
Construction now requires levers on doors rather than door knobs
Those individuals with work autonomy, flexibility and a supportive employer are more likely to remain working longer than those without.
Adaptive changes along the way are crucial for RTW longevity too.