This presentation is a part of webinar on prevention and reversal of chd and type 2 diabetes mellitus . in this presentation prof rahul bansal has emphasised the role of mind body connection and role of stress in causation as well its removal in prevention and reversal of chd.he has given ample evidence of use of meditation, yoga, as well as of prayers and diet in the reversal of chd
Een beknopte kennismaking met Oplossingsgericht Coachen.
1. Als iets niet werkt, stop er dan mee.
2. Als iets niet werkt stop er dan mee EN doe iets anders.
3. Als iets wel werkt, doe er méér van.
4. Als iets werkt, leer het (van) een ander
Impact of religion and spirituality on health and psychologyMichael Changaris
These slides explore the importance of religion in individuals lives. While more the half of Americans identify religion or spirituality as vital to their lives therapists and doctors often do not include these beliefs in their treatment.
Objectives
1. To clarify the differences and similarities between Religion, Spirituality, and Faith
2. To focus on the interactive process among physical, mental, and relational health
3. To offer some thoughts about clinical care that is grounded in an understanding of the relationship between Spirituality/Religion/Faith and Health
Een beknopte kennismaking met Oplossingsgericht Coachen.
1. Als iets niet werkt, stop er dan mee.
2. Als iets niet werkt stop er dan mee EN doe iets anders.
3. Als iets wel werkt, doe er méér van.
4. Als iets werkt, leer het (van) een ander
Impact of religion and spirituality on health and psychologyMichael Changaris
These slides explore the importance of religion in individuals lives. While more the half of Americans identify religion or spirituality as vital to their lives therapists and doctors often do not include these beliefs in their treatment.
Objectives
1. To clarify the differences and similarities between Religion, Spirituality, and Faith
2. To focus on the interactive process among physical, mental, and relational health
3. To offer some thoughts about clinical care that is grounded in an understanding of the relationship between Spirituality/Religion/Faith and Health
Learn how mindfulness-based stress reduction (MBSR) can help relax your body, calm your mind and spirit, and reduce overall stress. Our meditation techniques are ideal for women and men coping with chronic anxiety, illness, and pain.
PPT presentation based on editors Messer & Gurman’s Essential Psychotherapies, Theory and Practice, Third Edition | Guilford Press, 2011, created by Luba Rascheff, MDiv Harvard University, for the Psycho-Spiritual Care and Therapy Practicum, Supervised Pastoral Education (SPE Basic I): Integrative Theory and Practice (EMP3551Y), taken in the Winter term of 2020 at the University of Toronto which explains Cognitive & Behavior Therapy (CBT).
Review of the latest research in the field on grief therapy and practice tips for practitioners. Topics include:
• The difference between normal grief and complicated or prolonged grief
• Research and issues involved in the inclusion of “Prolonged Grief Disorder” in DSM-V
• Cognitive behavioral techniques to treat prolonged grief
• The importance of self-awareness and the necessity of self-care when providing grief counseling
• Different cultural views of death
Presented by Susan Stuber, Ph.D. at the Philadelphia Society of Clinical Psychologists continuing education conference at the Philadelphia College of Osteopathic Medicine, March 22, 2013. A copy of the full presentation notes accompanying these slides may be obtained by contacting Dr. Stuber at sstuber@susanstuberphd.com.
Learn how mindfulness-based stress reduction (MBSR) can help relax your body, calm your mind and spirit, and reduce overall stress. Our meditation techniques are ideal for women and men coping with chronic anxiety, illness, and pain.
PPT presentation based on editors Messer & Gurman’s Essential Psychotherapies, Theory and Practice, Third Edition | Guilford Press, 2011, created by Luba Rascheff, MDiv Harvard University, for the Psycho-Spiritual Care and Therapy Practicum, Supervised Pastoral Education (SPE Basic I): Integrative Theory and Practice (EMP3551Y), taken in the Winter term of 2020 at the University of Toronto which explains Cognitive & Behavior Therapy (CBT).
Review of the latest research in the field on grief therapy and practice tips for practitioners. Topics include:
• The difference between normal grief and complicated or prolonged grief
• Research and issues involved in the inclusion of “Prolonged Grief Disorder” in DSM-V
• Cognitive behavioral techniques to treat prolonged grief
• The importance of self-awareness and the necessity of self-care when providing grief counseling
• Different cultural views of death
Presented by Susan Stuber, Ph.D. at the Philadelphia Society of Clinical Psychologists continuing education conference at the Philadelphia College of Osteopathic Medicine, March 22, 2013. A copy of the full presentation notes accompanying these slides may be obtained by contacting Dr. Stuber at sstuber@susanstuberphd.com.
352 BUMC PROCEEDINGS 2001;14:352–357
The technological advances of the past century tended tochange the focus of medicine from a caring, service-oriented model to a technological, cure-oriented model.
Technology has led to phenomenal advances in medicine and
has given us the ability to prolong life. However, in the past few
decades physicians have attempted to balance their care by re-
claiming medicine’s more spiritual roots, recognizing that until
modern times spirituality was often linked with health care.
Spiritual or compassionate care involves serving the whole per-
son—the physical, emotional, social, and spiritual. Such service
is inherently a spiritual activity. Rachel Naomi Remen, MD, who
has developed Commonweal retreats for people with cancer, de-
scribed it well:
Helping, fixing, and serving represent three different ways of see-
ing life. When you help, you see life as weak. When you fix, you
see life as broken. When you serve, you see life as whole. Fixing
and helping may be the work of the ego, and service the work of
the soul (1).
Serving patients may involve spending time with them, hold-
ing their hands, and talking about what is important to them.
Patients value these experiences with their physicians. In this
article, I discuss elements of compassionate care, review some
research on the role of spirituality in health care, highlight ad-
vantages of understanding patients’ spirituality, explain ways to
practice spiritual care, and summarize some national efforts to
incorporate spirituality into medicine.
COMPASSIONATE CARE: HELPING PATIENTS FIND MEANING IN
THEIR SUFFERING AND ADDRESSING THEIR SPIRITUALITY
The word compassion means “to suffer with.” Compassionate
care calls physicians to walk with people in the midst of their
pain, to be partners with patients rather than experts dictating
information to them.
Victor Frankl, a psychiatrist who wrote of his experiences in
a Nazi concentration camp, wrote: “Man is not destroyed by suf-
fering; he is destroyed by suffering without meaning” (2). One
of the challenges physicians face is to help people find meaning
and acceptance in the midst of suffering and chronic illness.
Medical ethicists have reminded us that religion and spiritual-
ity form the basis of meaning and purpose for many people (3).
At the same time, while patients struggle with the physical as-
pects of their disease, they have other pain as well: pain related
to mental and spiritual suffering, to an inability to engage the
deepest questions of life. Patients may be asking questions such
The role of spirituality in health care
CHRISTINA M. PUCHALSKI, MD, MS
From The George Washington Institute for Spirituality and Health (GWish), The
George Washington University Medical Center Departments of Medicine and
Health Care Sciences, and The George Washington University, Washington, DC.
Presented at Baylor University Medical Center on February 28, 2001, as the Baylor-
Charles A. Sammons Cancer Center Charlotte ...
Abstract— Spiritual or compassionate care involves serving the whole person i.e. physical, emotional, social, spiritual etc dimensions of health. Spirituality has now been identified globally as an important aspect for providing answers to many questions related to health and happiness. The World Health Organization is also looking beyond physical, mental and social dimensions of the health i.e. the spiritual health and its impact on the overall health and happiness of an individual. Spiritual commitment tends to enhance recovery from illness and surgery also. Spiritually is transpired both in order to comfort the dying and to broaden one's own understanding of life at its ending. Spiritual beliefs can help patients cope with disease and face death. So it should be necessarily be add-on in critical stage of disease. Nowadays in some of medical schools in developed countries has included as a curreculam of patient care. Now it is the time that all Medical Colleges should include educating their students about spiritual health care in comprehensive patient care. Medical Council of India should also take some action in this direction.
Bodhi Wellness Care in Mumabi is dedicated to holistic healing for getting relaxation, rejuvenation and relief. I also give Holistic counseling for stress, anxiety, depression and relationship problems. Call me for a healing demonstration at your place in Mumbai and Navi Mumbai in India. Mob/WhatsApp 9895369280
Similar to Bio psycho social and spiritual dimension and chd (20)
Can the health system sustain population explosion in indiaHarivansh Chopra
The present pandemic has taught us many lessons as far as health care delivery system is concerned in india. population growth is a neglected issue for many decades in india and it is well known that till we are able to control the growth ,all remedial action to improve health care go in vain.this presentation is highlighting the existing gaps in the provision of primary health care in india. we definitely need to increase the percentage of GDP on health as well as control the population.
Lesson learned and not learned in COVID -19 PANDEMICHarivansh Chopra
in march 2019 WHO declared covid -19 as pandemic and since than we have come long way to understand the epidemiology of covid -19. we also have learned quite a number of unpleasant/pleasant lessons in the control and management of covod -19. vaccines have been developed by a quite rapid pace across the globe and similarly vaccine hesitancy and utilisation has also been seen across the globe . this is a very simple presentation highlighting the the importance of correct knowledge and strategies to control this pandemic
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
Promotion of child survival -Experiences, innovations and opportunitiesHarivansh Chopra
In this presentation, i have discussed the normal growth in children. the focus of attention must be an infant as it is the time of maximum growth and chances of growth faltering are also high. if one has to reduce underfive mortality and promote child survival than aBIGWIN APPROACH is to be followed. i have also shared few success stories of low birth weight babies attaining the target at one year of age.causes of malnutrition are also discussed and what type of opportunities are there for public health professional in the community settings.focus from under six has to be shifted to ist year of life
crying in infant is a normal phenomenon but can be troublesome when an infant cry excessively. colic is an acronym and it is important to rule out every physiological and pathological cause before making a diagnosis of colic.this presentation will help you in doing so . happy viewing.
Success stories & innovative approach for prevention of childhood malnutr...Harivansh Chopra
in this presentation i have shown few success stories of low birth weight children attaining normal weight by the end of first year by implementing an innovative BIGWIN APPROACH. Bigwin is an acronym for the best practices described aptly in this presentation.if we can shift the strategy to prevent malnutrition in children from under six to under one than we can overcome malnutrition in five years time provided if we are able to reach every pregnant women and newborn child.
This is a most basic presentation on balanced diet and RDA. Unfortunately the basic requirements are easily forgotten and right kind of nutrition education is thus not provided to population. Remembering the right requirement in vulnerable periods is of utmost important to prevent the occurrence of deficiency and its deleterious effects
Vitamin C is a water soluble vitamin and thus is not stored in the body . It is potent antioxidant and in this covid-19 arena ,there is lot of emphasis of its role in enhancing immunity. it is required daily in 40-80 mgm. This requirement can be easily fulfilled by eating food which are the rich sources of this vitamin.Hope this presentation will clear lots of myths which are prevalent like taking tablet 500-1000mgm daily
CORONARY HEART DISEASE is the modern epidemic facing the developing world. Among all the modifiable risk factors ,diet plays an important role in all of them. adequate knowledge is the first step towards behaviour change . in this presentation I have tried to impress upon food items which are beneficial as well as harmful for individuals having risk factors or disease . hope it will stimulate the viewer to understand and change the eating habits in the society.
Nutrition assessment in children- dr harivansh chopraHarivansh Chopra
Assessment of nutritional status especially in vulnerable population is important for taking prompt action. young children are the most affected proportion of the population in the world.In community settings, rapid methods of assessment are important tools to identify children suffering from both macro and micro deficiencies .This is pictorial presentation showing various methods as well as pictures of deficiencies
Nutritional deficiencies are very common in india as well as in other developing countries.both macro and micro nutrients are not eaten in adequate quantities in india due to poverty and ignorance. A number of national program are there to combat these deficiencies.But unfortunately effective implementation is lacking due to which nutritional deficiency is not being overcome in our country. Now due to covid -19 these are bound to increase
Stress is the gift of modern society which has got a lot of bearing on the mental and physical health of the people . the stress can't be eliminated in totality but can be minimised by using this simple presentation and applying it in day to day life .the answer of stress is in the word stress only.kindly view and use and share it further.
Medicine is considered as one of the best profession in the world and Doctors are still considered next to GOD because they save human life. now a days doctors in developing countries are under tremendous stress. lot of changes are happening in medical education and recently national medical commission has started a new initiative to to change the teaching learning practices medical colleges. Now the upcoming doctors are to be trained keeping in mind the necessary attributes and skills which are required to fulfil their responsibility in fitting manner in future.
This presentation is based upon my more than 3 decades of experience in medical college.
Immunization is one of the best public health intervention to reduce mortality and morbidity caused by vaccine preventable diseases. in this part i am going to describe regarding cold chain ,frequently ask questions regarding vaccines and how to manage acute and life threatening adverse reactions at most peripheral level
Immunization is one of the best public health intervention to prevent morbidity as well as mortality. it also help in prevention of malnutrition in young children.still developing countries are trying hard to make it universal. in india lot of changes have taken place in the immunization schedule and number of newer vaccines have been incorporated. still the awareness as well as acceptability is not universal . this presentation is very basic and will help students as well as teachers. we all have to join hands to make it universal
japenese encephalitis is an important vector borne disease which carries a high mortality as well as high disability. it is a preventable disease and an effective vaccine is available for it.the vaccine is an important part of universal immunization program in india. Environmental modification and control of vector will go long way in the control of this disease.
Enhancing child survival means keeping the normal child as normal as well as bringing low birth weight child to normal.this presentation describe four real stories of low birth weight children attaining normal weight by the end of first year. for this intensive child caring practices are to be implemented. in fact a BIGWIN APPROACH is applied. if this strategy is scaled up then we can make india and other developing countries free of malnutrition in five years thereby giving a big boost to child survival.videotalk can be seen at https://youtu.be/7Ey07cV2clw
Tuberculosis infection is very common in the world and the disease manifest when ever either the virulence of the organism increases or the resistance of the host goes down.it can affect any part of the body.the best method of control of tuberculosis is early diagnosis and treatment.despite international cooperation the problem of resistance in tuberculosis is increasing and great efforts are being made to tackle this problem both in diagnostic tools as well as in treatment modalities. the social factors also play a big role in the causation as well as emergence of resistance is concerned . a participatory approach is required to combat the problem.
meningococcal meningitis is a very serious and fatal disease if not treated in time. the case fatality rate can go upto 50% in untreated cases .there are many strains which are responsible for its occurrence .it tend to occur both in endemic as well as in epidemic form. a qudrivalent vaccine is available for protection. recipient of this vaccine are to be given chemo prophylaxis .recently a vaccine against type b strain has been made avialable in canada for use in routine immunization
This presentation describes the Evolution of Community Medicine from the word hygiene to public health to preventive and social medicine to community medicine . It is a very simple presentation which describes difference between doctor ,good doctor and a very good doctor. It also includes recent IAPSM ( INDIAN ASSOCIATION OF PREVENTIVE AND SOCIAL MEDICINE) definition of Community Medicine and what are the key functions of Community Medicine Specialist. it also describes concept of Socialized Medicine.
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.
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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/
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
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.
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
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
1. Bio-Psycho-Spiritual
approach in preventing and
reversing Coronary Heart
Disease
Dr. Rahul Bansal
Professor & Head
Department of Community Medicine
Subharti Medical College, Meerut
2. The Biopsychosocial Model and the Spiritual
Dimension
The biopsychosocial model is a modern humanistic
and holistic view of the human being. The model was
brought to medicine by George L. Engel (1913–
1999), a prominent scholar engaged in the
psychosomatic movement.
Medicines (Basel). 2017 Dec; 4(4): 79.
Published online 2017 Oct
31. doi: 10.3390/medicines4040079
3. As Engel stated: “all three levels, biological,
psychological, and social, must be taken into
account in every health care task”
George L. Engel
Medicines (Basel). 2017 Dec; 4(4): 79.
Published online 2017 Oct
31. doi: 10.3390/medicines4040079
4.
5. “Currently, many researchers think the
biopsychosocial model should be expanded to include
the spiritual dimension as well. One such researcher
is Katerndahl, whose study has shown the relevance
of spiritual symptoms and their interactions for
understanding health outcomes.”
Medicines (Basel). 2017 Dec; 4(4): 79.
Published online 2017 Oct
31. doi: 10.3390/medicines4040079
6. Impact of spiritual symptoms and their
interactions on health services and life
satisfaction
David A. Katerndahl
Sep-Oct 2008;6(5):412-20.
doi: 10.1370/afm.886.
7. “Spiritual symptoms were associated with 7 of the
10 outcomes and were particularly important to
extreme use of health care services and life
satisfaction. This study has shown the relevance of
spiritual symptoms and their interactions to
understanding health outcomes.”
David A. Katerndahl
Medicines (Basel). 2017 Dec; 4(4): 79.
Published online 2017 Oct
31. doi: 10.3390/medicines4040079
Impact of spiritual symptoms and their interactions on health
services and life satisfaction
8. The Biopsychosocial Model and the
Spiritual Dimension
“Daniel P.Sulmasy justifies the expansion of the
model to a biopsychosocial–spiritual one by
remembering that genuinely holistic health care
must address the totality of the
patient’s relational existence.”
Daniel P. Sulmasy
Medicines (Basel). 2017 Dec; 4(4): 79.
Published online 2017 Oct
31. doi: 10.3390/medicines4040079
10. A biopsychosocial-spiritual model for the
care of patients at the end of life
This article presents a model for research and
practice that expands on the biopsychosocial model
to include the spiritual concerns of patients.
Daniel P. Sulmasy
(OFM,MD,PhD)
11. Intensive Lifestyle Changes for
Reversal of Coronary Heart Disease
Dean Ornish, MD et al
President & Founder
Preventive Medicine Research Institute
CALIFRONIA
• Randomized controlled trial conducted from
1986 to 1992 using a randomized invitational
design.
JAMA. 1998;280:2001-2007
Dr. Dean Ornish, MD
12. Intervention
• Intensive lifestyle changes (10% fat whole foods
vegetarian diet, aerobic exercise, stress
management training, smoking cessation, group
psychosocial support) for 5 years.
JAMA. 1998;280:2001-2007
Dr.Dean Ornish, MD
13. Conclusions
• More regression of coronary atherosclerosis
occurred after 5 years than after 1 year in the
experimental group. In contrast, in the control
group, coronary atherosclerosis continued to
progress and more than twice as many cardiac
events occurred.
• JAMA. 1998;280:2001-2007
Dr. Dean Ornish, MD
14.
15. More praise for doctor Dean Ornish
The Washington post
• “For Dean Ornish cardiovascular patient, Open
heart does not mean bypass surgery. His is a
spiritual sort of open heart- as in ‘Open your
heart’. Ornish, with his noninvasive techniques,
is accomplishing the same ends as are
his scalpel-welding colleagues.”
16. Author of recovering the soul
Larry Dossey, M.D.
• “This is an epochal Book. It sets a new standard
in our understanding of heart disease, and it is
the template against which all other books on
any disease whatsoever should be judged.”
Larry Dossey, M.D.
17. “For the purity of the science on which it rests, and
for the majesty of its spiritual wisdom, this book
has no equal in the literature of medicine and
health.”
Larry Dossey, M.D.
18. William C. Roberts, M.D.
Editor in chief
American Journal of cardiology
• “Doctor Ornish is on the right road and we need
to get on it also.”
19. Reader’s digest
• “For the first time, we have a carefully done
scientific study that shows, even in advanced
stages, this disease can be reversed with lifestyle
changes. This is a landmark study.”
20. • “I am coming to believe that our emotional and
spiritual health are exceptionally important to the
health of our hearts. I’ll share the latest scientific
research in this exciting new field and explain how my
own background helped to convince
me of its value.”
Dr. Dean Ornish, MD
21. Chapter 7
Opening your heart to your feelings and to
inner peace
“Studies in Boston, New york, California, England
and in other parts of the world were proving, for
example, that meditation can lower blood pressure,
decrease the frequency of irregular heart rhythms,
reduce cholesterol levels, and so on. Yet
almost all of these techniques
ultimately derive from yoga.”
22. “Meditation and imagery, too, are also ancient yoga
techniques. Herbert Benson, MD, a well known
cardiologist at the Harvard medical school, has
spent the past two decades conducting pioneering
research on the beneficial effects of meditation.”
Herbert Benson, MD
Founder
Mind, Body ,Medicine
Institute Of Massachusetts
General Hospital,
BOTSON
23. • He found that regular elicitation of what he terms
the relaxation response (in contrast to the fight-or-
flight response) can lower blood pressure, decrease
premature heartbeats, inhibit gastric acid secretion,
and produce other beneficial effects
24. • Jon kabat-zinn, Ph.D, Director of the stress
reduction clinic at the University of Massachusetts
medical school, has found similar results in using
yoga techniques with his patients.
Jon kabat-zinn, Ph.D
25. Deep Breathing
• Deep breathing is one of the simplest yet most
effective stress management techniques. You can
do it anywhere, at any time. It becomes even
more effective with practice.
Dr. Dean Ornish, MD
26. • The technique of alternate nostril breathing was
developed to “rebalance” the equilibrium of
breathing. Whether or not it works for the reasons
that yoga teachers believe, alternate nostril breathing
is an exceptionally powerful technique for calming
and relaxing your mind and body.
Dr. Dean Ornish, MD
27. Chapter 9
Opening your heart to a Higher self
• Whatever allows you to experience a higher
force- whether through prayer, meditation,
contemplating nature, and so on can be a
powerful means of transcending feelings of
isolation.
Dr. Dean Ornish, MD
28. Contd….
A direct experience of something larger than
ourselves can profoundly transform our lives when
we realize that we are not isolated and we are
never alone.
Dr. Dean Ornish, MD
30. • “There are almost Certainly Cardiovascular risk
factor that Framingham Investigators did not
identify. Some of these factors are likely in the
“psychosocial” domain that Framingham
investigators decided to ignore when the study was
taken over by the NHI in the early 1950s.”
Dr. Sandeep Jauhar
31. “In the early 1970s , Sir Michael Marmot and his
colleagues at the UC Berkeley school of public health
studied nearly four thousand Middle-aged Japanese
men living in the SanFrancisco Bay Area.They found
that immigrants who stayed true to their Japanese
roots had a much Lower prevalence of heart disease,”
Dr. Sandeep Jauhar
32. Contd….
“even when they matched Americans in terms of serum
cholesterol and blood pressure, than Immigrants who
were more integrated into their new culture.
“Traditional” Japanese immigrants had coronary
Disease rates in line with their homeland
counterparts.”
Dr. Sandeep Jauhar
33. If cutting traditional cultural ties increases the risk
of heart disease, then Psychosocial factors must play
a role in cardiovascular health.Today we know this
to be true in many strata of human society. For
example, American blacks in poor urban centers
have a much higher prevalence of hypertension and
cardiovascular disease than other groups.
Dr. Sandeep Jauhar
34. “Peter Sterling, The University of Pennsylvania
neurobiologist, has written that hypertension in
such communities is a normal response to what he
calls “chronic arousal”or Stress.In small
preindustrial communities, he writes, people tend
to know and trust one another.”
Peter Sterling
35. Contd….
“Generosity Is rewarded; Cheating tends to be
punished. When this milieu is disrupted, as in
migration or urbanization, there is often an
increased need for vigilance.People get estranged
from their neighbors.”
Peter Sterling
36. “The chronic arousal triggers release of hormones,
such as adrenaline and cortisol ,that tighten blood
vessels and cause retention of salt. These in turn
lead to long-term Changes like arterial wall
thickening and stiffening that increase the blood
pressure that the body tries to maintain.”
Dr. Sandeep Jauhar
37. • “In sterling’s formulation, nothing is broken
(except perhaps “the system”). The body is
responding exactly in the way it should to the
chronic fight-or- flight circumstances in which it
finds itself. If takotsubo cardiomyopathy proves
that acute psychological disruption can damage the
heart, Sterling’s theories suggest that chronic, low
level Stress may be just as harmful.”
38. Contd….
“His theories put psychosocial factors front and
center in how we think about and approach heart
problems. They show that chronic heart disease,
unloosed from a Framingham cage, is inextricably
linked to the state of our neighborhoods, jobs and
families.”
Dr. Sandeep Jauhar
39. • “Friedman and Rosenman’s research was girded
by the idea “that a person’s feelings and thoughts
have an influence on the development of
coronary heart disease.”
Dr.Meyer Friedman Dr.Ray H. Rosenman
40. • “They wrote, “Too many finely executed studies
suggested that neither cholesterol nor the fat
content of various diets could always explain
coronary heart disease. Other factors just had to
be playing a part.”
41. Feasibility of altering type a behaviour pattern
after myocardial infraction
Recurrent coronary prevention project study methods
baseline results and preliminary findings
MEYER FRIEDMAN, M.D.
Ahajournals.org Received June 6,1981 Circulation 66,
No.1,1982
42. SUMMARY
“We studied 1035 consecutive post infarction
patients to determine the feasibility of altering type
A behaviour and the effect such alteration might
have on subsequent rates of infarction and
cardiovascular death.”
Dr.Meyer Friedman
M.D.
43. RESULT
• After the first year of this 5- year study, the rates of
infarction and cardiovascular death were lower
(p<.01 and p<.05, respectively) among subjects who
received both cardiologic and behavioural counseling
than among the control subjects.
Dr.Meyer Friedman
44. Distrust,Rage may be ‘toxic core’ That Puts
‘Type A’ person at Risk
Chris Raymond, PhD
JAMA 1989;261(6):813.
It’s not talking fast, feeling pressed for time, and
putting in long hours that will kill you. It’s being
suspicious of and hostile toward your fellow humans
that will do you in. So finds Duke University medical
centre’s Redford B. Williams, Jr, MD, professor of
psychiatry at the Durham, NC campus.
45. • “We paid little attention to “psychosocial”
factors during fellowship. The focus of our
seminars was on pressure-volume loops, cardiac
work cycles, resistant of fluid-filled pipes, and
capacitance of fluid-filled chambers.”
Dr. Sandeep Jauhar
46. Contd….
We concentrated on clinical trial design, biological
mechanisms, and understanding the heart as a
machine. As with most academic training programs,
the fact that there was an emotional world that
could damage (or heal) this pump was largely
ignored.
Dr. Sandeep Jauhar
47. “Ironically, the view that heart disease results from
unfulfilled social or psychological needs was widely
accepted in primitive societies. That is almost
certainly how people thought about heart disease in
rural Punjab in the 1950s.”
Dr. Sandeep Jauhar
48. • “However, this narrow focus on biological
mechanisms has hurt patients. We have overused
stents and pacemakers. We have moved away from
the emotional heart to a narrow focus on the
biomechanical pump.”
Dr. Sandeep Jauhar
49. • “We need a better way, one that recognizes the
power and importance of emotions that the heart-
the metaphorical heart- was believed to house for
millennia.”
Dr. Sandeep Jauhar
51. Material and Methods
• We evaluated possible role of lifestyle modification
incorporating yoga, on retardation of coronary
atherosclerotic disease. In this prospective, randomized,
controlled trial, 42 men with angiographically proven
coronary artery disease (CAD) were randomized to
control (n=21) and yoga intervention group (n=21) and
were followed for one year.
Dr.S.C. Manchanda
52. Contd….
The active group was treated with a user-friendly
program consisting of yoga, control of risk factors,
diet control and moderate aerobic exercise.
Dr.S.C. Manchanda
53. Results
• At one year, the yoga groups showed significant
reduction in number of anginal episodes per
week, improved exercise capacity and decrease
in body weight. Serum total cholesterol, LDL
cholesterol and triglyceride levels also showed
greater reductions as compared with control
group.
Dr.S.C. Manchanda
54. Contd….
Revascularisation procedures (coronary angioplasty
or bypass surgery) were less frequently required in
the yoga group (one versus eight patients; relative
risk = 5.45; P=0.01).
Dr.S.C. Manchanda
55. Conclusion
• Yoga lifestyle intervention retards progression
and increases regression of coronary
atherosclerosis in patients with severe coronary
artery disease. It also improves symptomatic
status, functional class and risk factor profile.
(JAPI 2000; 48 : 687-694)
Dr.S.C. Manchanda
56. Yoga-Based Cardiac Rehabilitation
After Acute Myocardial Infarction A
Randomized Trial
JOURNAL OF THE AMERICAN
COLLEGE OF CARDIOLOGY
VOL. 75, NO. 13, 2020 ª 2020
Dorairaj Prabhakaran, DM
57. OBJECTIVES
• This study sought to evaluate the effects of yoga-
based CR (Yoga-CaRe) on major cardiovascular
events and self-rated health in a multicenter
randomized controlled trial.
Dr.Dorairaj Prabhakaran
58. METHODS
• The trial was conducted in 24 medical centers across
India. This study recruited 3,959 patients with acute
myocardial infarction with a median and minimum
follow-up of 22 and 6 months. Patients were
individually randomized to receive either a Yoga-
CaRe program (n ¼ 1,970) or enhanced standard
care involving educational
advice (n ¼ 1,989).
Dr. Dorairaj Prabhakaran
59. CONCLUSIONS
• Yoga-CaRe improved self-rated health and
return to pre-infarct activities after acute
myocardial infarction
Dr. Dorairaj Prabhakaran
60. Bimal Chhajer et al
Biomedical and pharmacology Journal
• This multi-centric prospective study was held in
the Saaol heart center in different cities (Delhi,
Kolkata, Bangalore, Chennai, and Mumbai) of
India from 1995 to 2015.
61. • In this study, total 5,000 CAD patients having co-
morbidity of obesity, hypertension, and diabetes were
enrolled. A yoga-based lifestyle modification
counseling (consist the essential components; cardiac
education, plant-based balanced diet, regular walk,
yoga, and meditation) was administrated to study
subjects .”
Bimal Chhajer
62. • The results of this study demonstrate a
significant improvement in angina with
reduction of New York Heart Association
(NYHA) angina classification score from
3.08±0.56 (mean±SD) to 2.45±0.70 and also
reduce the intake of anti-anginal drugs from
4.36±1.35 to 3.82±1.20.
Bimal Chhajer
63. • In this study, a significant improvement was also
observed in heart attack protection score from
56.68±13.53 to 104.13±14.55.
Bimal Chhajer
64. Positive Thinking Helps
Heart Patients
Courtney Ware
• Positive Expectations About Recovery May Increase
Survival in People With Coronary Artery Disease
• Hospitalized patients diagnosed with coronary
artery disease who had a positive outlook about
their recovery were less likely to die over the next 15
years and had better physical functioning after one
year, according to a new study.
65. Positive Outlook, Longer Survival
Study author John C. Barefoot
• Researchers at Duke University Medical Center
followed 2,818 heart patients after they had
coronary angiography to evaluate blood flow in
the coronary arteries of the heart.
Courtney Ware
66. Meditation and coronary heart disease: a
review of the current clinical evidence
Ochsner J. Winter 2014;14(4):696-703.
et al
67. • During the past few decades, multiple studies
have demonstrated the beneficial effects of
meditation on various CV risk factors. In
addition to decreasing CV mortality, meditation
has also been shown to improve conditions such
as hypertension, type 2 diabetes mellitus,
dyslipidemia, and high cortisol levels.
68. Women, Loneliness, and Incident
Coronary Heart Disease
Rebecca C. Thurston, PhD and Laura D. Kubzansky, PhD, MPH
Psychosom Med. 2009 Oct; 71(8): 836–842.
Rebecca C. Thurston Laura D. Kubzansky
69. • Among women, high loneliness was associated
with increased risk of incident CHD (high:
hazard ratio = 1.76, 95% Confidence Interval =
1.17â2.63; medium: hazard ratio = 0.98, 95%
Confidence Interval = 0.64â1.49; reference:
low),
70. Contd….
• controlling for age, race, education, Income,
marital status, hypertension, diabetes,
cholesterol, physical activity, smoking, alcohol
use, systolic and diastolic blood pressures, and
body mass index. Findings persisted additionally
controlling for depressive symptoms.
71. Social Integration and Reduced Risk of
Coronary Heart Disease in Women
The Role of Lifestyle Behaviors
Shun-Chiao Chang et al
• Seventy-six thousand three hundred and sixty-
two women in the Nurses Health Study, free of
CHD and stroke at baseline (1992), were
followed until 2014.
72. • Social integration was assessed by a simplified
Berkman–Syme Social Network Index every 4
years. End points included nonfatal myocardial
infarction and fatal CHD.
Shun-Chiao Chang
73. • Adjusting for demographic, health/medical risk
factors, and depressive symptoms, being socially
integrated was significantly associated with
lower CHD risk, particularly fatal CHD.
Shun-Chiao Chang
74. Contd….
The most socially integrated women had a hazard
ratio of 0.55 (95% confidence interval, 0.41–0.73) of
developing fatal CHD compared with those least
socially integrated (P for trend <0.0001).
Shun-Chiao Chang
75. THE ROSETO STUDY
“Those with the conventional risk factors are more
likely to develop myocardial infarction [heart attacks]
Than are those without the risk factors, but an even
larger proportion of the population may have the risk
factors and not succumb to myocardial infraction
over a period of nearly three decades” if they are
protected by a strong sense of connection
and community.
AUTHOR: DR.DEAN ORNISH
76. The Heart’s Code
DR. Paul Pearsall, Ph.D.
“You know that the heart loves and feels, but did you
know that the heart also thinks, remembers,
communicates with other hearts, helps regulate
immunity, and contains stored information that
continually pulses through your body?”
77. In the heart’s code, Dr. Paul Pearsall explains the
theory and science behind energy cardiology, the
emerging field that is uncovering one of the most
significant medical, social, and spiritual discoveries
of our time: The heart is more than just a pump; it
conducts the cellular Symphony that is the very
essence of our being.
78. What Doctors Don’t Get to study in Medical
School
Has cardiology lost its heart?
“Studies have shown that the human mind plays a
vital role in cardiological disease scenario, as in any
other field.In a manner of speaking every single
disease is slightly “mental”.
Author: Dr. BM Hegde
cardiologist,
professional educator and author
Co-Chairman of the TAG-VHS Diabetes Research Centre, Chennai
chairman of Bharatiya Vidya Bhavan, Mangalore.
79. While we fret and fume about the diet for the
patient, a recent very large prospective study
revealed that it is not what one eats that kills him
but it is what eats him (negative thoughts) that kills
him more often.
Chapter -61
Dr. BM Hegde
80. Heart disease: Creating New Meanings
Heart disease is the number one killer in the United
States. It causes more deaths than all other diseases
combined. It is perhaps in heart disease that the
power of belief and meaning- of what we feel and
think about the disease- is most vivid.
LARRY DOSSEY,M.D.
81. “The meanings and beliefs of persons who have heart
disease are not set in stone. They are malleable, and
new ones can be created that are health giving and
lifesaving. With changes in meaning can come,
literally, a change of heart.”
LARRY DOSSEY,M.D.
82. Association of psychosocial risk factors with risk of
acute myocordial infarction in 11119 cases and 13648
controls from 52 countries(the INTERHEART
study):case cantrol study
Annika Rosengren et al
The Lancet vol 364 september 11 2004
We used case control design with 11119 patients with a first
myocardial infarction and 13648 age matched and sex matched
controls from 262 centres in Asia Europe,
MiddleEeast,Africa,Australia, and North and South America.
83. Contd….
Association of psychosocial risk factors with risk of
acute myocordial infarction in 11119 cases and 13648
controls from 52 countries(the INTERHEART
study):case cantrol study
Annika Rosengren et al
The Lancet vol 364 september 11 2004
People with myocardial infarction reported higher
prevalence of for all four stress factor(p< -
0001).Odds ratio were 1.38 (99% CI 1.19-1.61) for
several period of work stress and 2.14(1.73-2.64) for
permanent stress at work adjusted for age sex
geographical region and smoking.
84. Contd….
Association of psychosocial risk factors with risk of
acute myocordial infarction in 11119 cases and 13648
controls from 52 countries(the INTERHEART
study):case cantrol study
Annika Rosengren et al
The Lancet vol 364 september 11 2004
Presence of psycosocial stressors is associated with
increased risk of myocardial infarction suggesting
that approaches aimed that modifing these factors
should be developed.
85. The Effect of Two Methods of Relaxation and
Prayer Therapy on Anxiety and Hope in Patients
with Coronary Artery Disease: A Quasi-
Experimental Study
Iran J Nurs Midwifery Res. 2019 Mar-Apr; 24(2)
Soudabeh Sadeghimoghaddam et al
86. • A quasi-experimental study was conducted in
three groups of 25 subjects (i.e., two groups of
relaxation and prayer therapy and one control
group) and two stages (i.e., pretest and posttest)
in hospitals affiliated to Isfahan University of
Medical Sciences, Iran.
Iran J Nurs Midwifery Res. 2019 Mar Apr; 24(2)
Soudabeh Sadeghimoghaddam et al
87. • The results showed that there was a significant
difference between the mean score of anxiety
after intervention in the three groups which was
related to each of the relaxation and prayer
therapy group with the control group.
Iran J Nurs Midwifery Res. 2019 Mar Apr; 24(2)
Soudabeh Sadeghimoghaddam et al
88. Positive therapeutic effects of intercessory
prayer in coronary care unit
population
RANDOLPH C. BYRD, MD, San Francisco. Calif et al.
July 1988. Southern Medical Journal. Vol 81. NO 7
To evaluate the effects of intercessory prayer(
IP) in a coronary unit population, a prospective
randomized double blind protocol was followed.Over ten
months 393 patients admitted to CCU were randomized to
an intercessory prayer group(192 patients) or to a control
group (201 patients).
89. Positive therapeutic effects of
intercessory prayer in coronary care unit
population
RANDOLPH C. BYRD, MD, San Francisco. Calif et al.
“The control patients required ventilatory assistance,
antibiotics and diuretics more frequently than patients in
the IP group. These data suggest that intercessory prayer
to the Judeo-Christian God has a beneficial therapeutic
effect in patients admitted to CCU”.
July 1988. Southern Medical Journal. Vol 81. NO 7
RANDOLPH C. BYRD
90. A Randomized, Controlled Trial of the
Effects of Remote, Intercessory Prayer on
Outcomes in Patients Admitted to the
Coronary Care Unit
William S. Harris PhD et al.
•
“Remote, intercessory prayer was associated with
lower CCU course scores. This result suggests that
prayer may be an effective adjunct to standard
medical care”.
Arch Intern Med. 1999.159:2273-2278
91. • The evidence is simply overwhelming that prayer
functions at a distance to change Physical processes in
a variety of organisms, from bacteria to humans.These
data , which we will later examine, are so impressive
that I have come to regard them as among the best-
kept secrets in medical science.
- Healing Words by Larry Dossey
M.D.