This document discusses Asperger's syndrome, including its diagnostic criteria, symptoms, treatment modalities, and nursing management strategies. Asperger's is characterized by difficulties with social skills and restricted, repetitive behaviors. Common symptoms include problems with social interactions, sensory issues, obsessive interests, and a need for routine. Treatment may involve medications, behavioral therapy, social skills training, and creating a structured and predictable environment to support the individual. Nursing care focuses on ensuring safety, administering medications correctly, using visual aids and positive reinforcement, and allowing choices to increase autonomy.
PERVASIVE DEVELOPMENTAL DISORDERS: includes Autism, Asperger's syndrome, Rett's syndrome, Atypical autism, other childhood disintegrative disorders and their screening and management.
Autism Spectrum Disorder (ASD) previously known as pervasive developmental disorder is a childhood disorder characterized by lack of communication skills and social interactions resulting in social withdrawal
PERVASIVE DEVELOPMENTAL DISORDERS: includes Autism, Asperger's syndrome, Rett's syndrome, Atypical autism, other childhood disintegrative disorders and their screening and management.
Autism Spectrum Disorder (ASD) previously known as pervasive developmental disorder is a childhood disorder characterized by lack of communication skills and social interactions resulting in social withdrawal
The word ‘Autism’ is derived from Greek word ‘autos’ means ‘self’.
Autism is a developmental disorder that is characterized by impaired development in communication, social interaction, and behavior.
The word ‘Autism’ is derived from Greek word ‘autos’ means ‘self’.
Autism is a developmental disorder that is characterized by impaired development in communication, social interaction, and behavior.
This presentation was developed for a staff training day for Rainbow Nursery, Tel Aviv to support staff in developing their understanding of working with children with special and additional needs. It is appropriate for anyone working in early years and delivering the EYFS
Autism is a complex developmental condition that typically appears during early childhood and is characterised by difficulties in social interaction, communication, restricted and repetitive interests and behaviours, and sensory sensitivities. It is called a ‘developmental’ condition because symptoms of autism generally appear in the first two years of a child’s life. It is called a ‘spectrum’ disorder because it is most influenced by different combinations of genetic and environmental factors and affects people differently and to varying degrees. Each autistic person has a set of strengths and challenges that are distinct from any other autistic person and the way (s)he/she learns, thinks or solves problems can range from highly skilled to severely challenged. ASD may occur in persons across all ethnic, racial, and economic groups.
This project is about autism. In this project we included general information about autism, intervention plan, diagnose, programs that can be used, and included a research that was done about the effect of using technology in this field.
Definition, characteristics and challenging behaviors in students with autism. It also gives a brief introduction to positive behavior support interventions.
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
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.
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.
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
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
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.
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
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
2. DSM 299.80 Aspergers
An Asperger/HFA screening tool must meet all six areas defined by the DSM-IV description of Asperger Syndrome (A-F below) to qualify for a positive rating
from First Signs:
A. Qualitative impairment in social interaction, as manifested by at least two of the following:
(1) marked impairment in the use of multiple nonverbal behaviors, such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social
interaction
(2) failure to develop peer relationships appropriate to developmental level
(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of
interest to other people)
(4) lack of social or emotional reciprocity
B. Restricted, repetitive, and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:
(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
(2) apparently inflexible adherence to specific, nonfunctional routines or rituals
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)
(4) persistent preoccupation with parts of objects
C. The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.
D. There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years).
E. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than in
social interaction), and curiosity about the environment in childhood.
F. Criteria are not met for another specific pervasive developmental disorder or schizophrenia.
3. what is Aspergers syndrome
Aspergers is classified as one of the Developmental Disorders:
Child with Aspergers exhibit unusual preoccupation or limited interest in a particular subject or
fascination to the point of selective preoccupation with that activity
Regimes are repetitive and ritualistic
Speech and language peculiarities including voice tones and formal inflections, literal interpretation
of speech communication and language delays
Social awkwardness with emotionally inappropriate behaviors and inability to interact with peers in
successful relationships and manor. Socially delayed in relationships
Non verbal communication is limited, facial expression is limited, peculiar and unfazed by
environmental factors or interactions. Staring gaze or unresponsive to others.
Motor movements are clumsy and uncoordinated
4.
5. What Does Aspergers Look like?
A unique individual with a different
focal view.....
Aspergers looks like a child
struggling to be in the world...
A child wrapped up in his own world....
6. symptoms of Aspergers
Difficulties with
Difficulties with social functioning: especially outside their own environment such as school setting
Sensory issues: under or oversensitivity to environmental factors such as bright light, loud sounds and
unpleasant smells, touch, seams in clothing, water or external pressure light or deep pressure
Obsessive interests, with a focus on one subject to the exclusion of all others
Social isolation and struggles to make friends due to a lack of empathy, and an inability to pick up on or
understand social graces and cues (such as stopping talking and allowing others to speak)
A rigid Insistence on routine (unexpected changes any change can cause an emotional and physiological
meltdown)
Structural Obsession/ Dependent : needing to know when everything is happening in order not to feel
completely overwhelmed
7. treatment modalities
Treatment Modalities are not limited but include Multidimensional and Multidisciplinary
Approach
Prescribed Medications:individualized
Special Education :IEP /Advocasey
Behavioral Alterations:social skills/psychologist
Group Therapy
Occupational Therapy:Sensory Needs/tolerance/input
Speech Therapy:Communication needs.
PhysicalTherapy:motor/ trunk coordinations/core
strengthening
8. Nursing Assessment: incorporates the child's communication, social, sensory,
and behavioral skills and successful strategies for successful outcomes.
The Aspergers child has special needs that extend beyond
his acute medical diagnosis and problems which need to
be incorporated into his POC.
NOte the child's social, communication, and behavioral strengths
and limitations
DIscuss the child’s abilities with the parents and Identify the child's
strengths
utilize the child's fascination and strengths during assessment to
keep him focused
use childs favorite activity to refocus and distract child when
trying to refocus behaviors
rewards and tokens for good behavior
............Assessment Beyond the Stethoscope
9. Nursing management
Skilled nurse will provide the child a safe environment. Limit external stimuli and be aware of child
sensory concerns. Remove noxious stimuli from child's environment if it causes him discomfort.
( smells, tastes, texture sensitivities)
Give child notice prior to change or event , do not abruptly change routines. Child will not handle abrupt
changes well.
Administer medications as prescribed ,educate family on meds ,report and adverse reactions or
medication concerns to the Physician
Reward child with praise and use Behavioral incentives per Behavioral intervention plan.
Allow child to make choices within safe limits
utilize therapeutic techniques as prescribed to assist child's tolerance of medical procedures.
Provide consistent schedule and let the child know if changes will occur so that the child can modulate
the change. These children do not tolerate abrupt changes and behaviors may escalate
10. STRATEGIC THERAPEUTIC TECHNIQUES
Imitation/role-modeling paired with reinforcement: SN /PCGT demonstrates the
desired action to the child. When the child imitates the action, the parent and/or
nurse gives a "reinforcer" such as verbal praise.
High-Probability requests/ low-probability requests: Requests that have a high
likelihood of compliance; low probability requests (low-p) are those with less
expectation of compliance.
Rewards :positive reinforcer presented immediately following a behavior, causes
the behavior to increase in frequency and reoccur
Token systems. A token is a stimulus . It is paired or associated with another
reinforcer and is sometimes called a back-up reinforcer. Reinforcers that can be
accumulated and exchanged for a back-up reinforcer is called a token system
Shaping: a newer behavioral technique. Shaping involves rewarding a small stride
and slowly increasing the expectation before reward is given. ( extending tolerance
time for procedures such a nebulizer or suctioning)
11. therapeutic Strategies continued
Differential reinforcement: reinforcing desirable behaviors while ignoring
unacceptable one
Choices: It is important for children with ASD to express preferences and make
choices to increase personal autonomy. Allow child to make choices.
Visuals; Children who have ASD are usually visual learners .Present information
with a visual as opposed to verbal cues. Visuals create a higher success rate with
Children with ASD when used to foster accomplishing the presented task.
Distraction techniques: role-playing and distraction techniques are used to
manage behavior and task goals foster better outcomes and decrease anxiety in
Autistic children.
12. treatments
Communication and social skills training
Children with Aspergers syndrome are taught to learn the unwritten rules of socialization and communication .
Techniques are taught in an explicit and rote fashion. Social skills can be like learning a foreign language to
these Children with Aspergers syndrome may also learn how to communicate more effectively speak in a
more natural rhythm, as well as how to interpret communication techniques, such as gestures, eye contact,
tone of voice, humor and sarcasm.
Cognitive behavioral therapy:
Techniques aimed at curbing problem behaviors, such as interrupting, obsessions, meltdowns or angry
outbursts, and developing skills such as recognizing feelings and coping with anxiety. Therapy usually
focuses on training a child to recognize a troublesome situations; change in environment such as a new place
or an event with more social demands. Strategies are taught and learned to navigate and to cope with the
situation.
13. Medications used to treat Aspergers
Medications may improve specific symptoms such as anxiety,
depression or hyperactivity that can occur in many children with
Aspergers syndrome.
1 Aripiprazole (Abilify). may be effective for treating irritability related to Asperger's syndrome. Side effects may
include weight gain and an increase in blood sugar levels.
2 Guanfacine (Intuniv). may be helpful for the problems of hyperactivity and inattention in children with Asperger's
syndrome. Side effects may include drowsiness, irritability, headache, constipation and bedwetting.
3 Selective serotonin reuptake inhibitors (SSRIs). Drugs such as fluvoxamine (Luvox) may be used to treat
depression or to help control repetitive behaviors. Possible side effects include restlessness and agitation.
4 Risperidone (Risperdal). may be prescribed for agitation and irritability. It may cause trouble sleeping, a runny
nose and an increased appetite. This drug has also been associated with an increase in cholesterol and blood
sugar levels.
5 Olanzapine (Zyprexa). Olanzapine is sometimes prescribed to reduce repetitive behaviors. Possible side effects
include increased appetite, drowsiness, weight gain, and increased blood sugar and cholesterol levels.
6 Naltrexone (Revia). may help reduce some of the repetitive behaviors associated with Asperger's syndrome.
However, the use of low-dose naltrexone — in doses as low as two to four mg a day — has been gaining favor
recently. But, there's no good evidence that such low doses have any effect on Asperger's syndrome.