A white cane is a mobility aid used by visually impaired individuals to navigate the environment by detecting obstacles through sweeping movements of the cane tip. Different types of canes exist for varying levels of visual impairment, with the long cane most commonly used through tapping motions to avoid obstacles for those with little to no vision. Proper technique involves holding the cane with wrist motions to sweep the ground slightly ahead in an arc matching footsteps for safety.
I have made a PowerPoint presentation on ORIENTATION AND MOBILITY.
I have put a relevant and brief introduction about the meaning of the topic.
I have mentioned the tools, techniques and role of a teacher regarding O&M.
THANKYOU
I have made a PowerPoint presentation on ORIENTATION AND MOBILITY.
I have put a relevant and brief introduction about the meaning of the topic.
I have mentioned the tools, techniques and role of a teacher regarding O&M.
THANKYOU
This is a guide for Visual function assessment in low vision. Useful for Optometrists in providing better care to Low vision Patients by assessing the conditions better.
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/vision-therapy/❤❤
Dear viewers Check Out my other piece of works at___ https://healthkura.com
Vision Training/ Vision Therapy (Active/ Passive Vision Therapy)/ Sports Vision/ Computer Vision Syndrome
Contents:
-Vision Training
Overview
Misconception
Tips for success
Office Vision Training
Home Vision Training
Conditions treated by vision training
Sports Vision Training
Computer Vision Syndrome
Controversy
Summary
Summary
• Vision training is active therapy as it requires conscious participation by the pt.
• The achievement of the final goal occurs slowly and progressively
• VT is not a substitute to lenses or surgical therapy, it is an additional treatment
• Variety of BSV related conditions can be treated with VT
• The underlying neuropsychophysiological mechanisms affected by VT are still
under intense investigation
• VT is the most controversial subject in eyecare profession
Magnification is a method of increasing the size of the image
so that enough of the retina is stimulated to send an impulse
through the optic nerve allowing an object to be perceived .
Visual Rehabilitation in low vision. This power point presentation aims to provide an overview of the various modalities available in order to provide rehabilitation to such patients.
These are various structures in an eye , which are changing with age.
# ocular adnexa/ eyelids
# eyelashes / eyelid margin
# tear film
# cornea
# conjunctiva
# anterior chamber
# ciliary body
# pupil /iris
# crystalline lens
# vitreous
# choroid
# retina
This is a guide for Visual function assessment in low vision. Useful for Optometrists in providing better care to Low vision Patients by assessing the conditions better.
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/vision-therapy/❤❤
Dear viewers Check Out my other piece of works at___ https://healthkura.com
Vision Training/ Vision Therapy (Active/ Passive Vision Therapy)/ Sports Vision/ Computer Vision Syndrome
Contents:
-Vision Training
Overview
Misconception
Tips for success
Office Vision Training
Home Vision Training
Conditions treated by vision training
Sports Vision Training
Computer Vision Syndrome
Controversy
Summary
Summary
• Vision training is active therapy as it requires conscious participation by the pt.
• The achievement of the final goal occurs slowly and progressively
• VT is not a substitute to lenses or surgical therapy, it is an additional treatment
• Variety of BSV related conditions can be treated with VT
• The underlying neuropsychophysiological mechanisms affected by VT are still
under intense investigation
• VT is the most controversial subject in eyecare profession
Magnification is a method of increasing the size of the image
so that enough of the retina is stimulated to send an impulse
through the optic nerve allowing an object to be perceived .
Visual Rehabilitation in low vision. This power point presentation aims to provide an overview of the various modalities available in order to provide rehabilitation to such patients.
These are various structures in an eye , which are changing with age.
# ocular adnexa/ eyelids
# eyelashes / eyelid margin
# tear film
# cornea
# conjunctiva
# anterior chamber
# ciliary body
# pupil /iris
# crystalline lens
# vitreous
# choroid
# retina
this topic is on assitive ambulatory devices and their usage.
includes cane walking, walker walking and crutch walking and different types off crutch gaits.
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.
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
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
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.
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
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
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
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.
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.
2. Introduction
• A white cane is a long rod like device used by blind or
visually impaired travellers to give them information
about the environment they are travelling through
• Using a cane can
– warn them of obstacles in their path
– tell them of stairs they are coming to
– warn them that they are coming up to a curb
– tell them of many other things in the
environment that they must deal with
3. • The basic technique for cane travel, the "touch
technique," requires the cane user to move the tip of
the cane in an arc across the front of his body, thus
assuring a safe space for the next footstep
4. Importance of a Cane
• It is accepted as a symbol of the visually impaired
• It is regarded as the proven mobility aid
• It is inexpensive, handy and has adjustable length
• It plays a vital role in the education, social integration and
comprehensive rehabilitation of the visually impaired
5. Importance of a Cane
• The cane techniques are simple and universal and can be
applied even in a relatively unknown environment
• It enables them to seek a variety of jobs and expedites their
economic rehabilitation
• The white cane can be folded and put in a handbag while
travelling in public transport or while at work
• It gives a visually impaired a new lease of life, a new
dimension of independence and enables him to become
fully contributing members of society
6. Qualities of a Good Cane
• Good conductivity
• Durability
• Light weight
• Low cost
• Strength and resilience
• Cosmetic and elegant appearance
• Easily availability
• Easily repairable
• Meeting the specific length requirements
7. Types of Cane
1. Symbol Cane
• To say you have low but
useful vision
• You hold the symbol
cane in front of you to
let people around you
know that you’re
partially sighted. It’s
particularly useful in
busy places
8. 2. Guide Cane
• To find obstacles before
they find you
• You hold a guide cane
diagonally across your
body and then use it to
find obstacles in front of
you such as kerbs or
steps
9. 3. Long Cane
• To avoid obstacles if you
have restricted or no
vision
• Once you’ve been
trained to use a long
cane, you roll or tap it
from side to side as you
walk, to find your way
and avoid obstacles
10. 4. Red and white banded
cane
• To show you have low
hearing and vision
11. Left: One type of support cane ; provides physical stability
Middle: One type of "probing" cane; probes for and locates
obstacles in your path of travel
Right: Using a support cane and a probing cane for outdoor travel
12. A Support Cane Should:
• Be strong enough to support
your weight. This usually
means that a support cane
is not lightweight
• Be short enough to rest your
hand on top while you hold it
close to your body
• Have a tip that grips the
floor and does not slide
A Probing Cane ("White Cane"
or "Long Cane") Should
• Be lightweight so that you
can hold and move it in front
of you without becoming
tired. This usually means that
a probing cane is not strong.
• Be long enough to reach
ahead and warn you about
obstacles and stairs.
• Have a tip that can
slide easily along the ground
13. Using the Cane
1. Holding the Cane
• The person can hold the cane in either hand
• The thumb should be over the top of the cane, with
the first finger extended on the side of the cane and
the three remaining fingers wrapped around the
under side of the cane
• The first finger is extended along the side of the cane
because in that way the cane acts as an extension of
the finger
14. 2. Hand position
• As the person holds the cane, his elbow should be
slightly bent and near the body
• The hand holding the cane should always be in line
with the middle of the body. This helps him to walk
straighter
3. Wrist movement
• The cane is moved from side to side by using a
movement of the wrist. The arm does not move
15. 4. Arc
• The tip of the cane should touch the ground a litter
wider than the width of the person’s body.
• This way, the cane tip touches the ground where the
person is going to step and protects him from falling
into ditches or tripping over objects that are in his
path
• The tip of the cane should touch the ground lightly.
This will keep the tip from getting stuck as the
person walks forward
16. 5. Rhythm
• As the cane moves to the right, the left foot steps forward.
• As the tip moves to the left the right footsteps forward
6. Identification of objects:
• The different objects that the cane locates will make
different sounds, which the person with visual impairment
will learn to identify
7. Shore line
• Sometimes a person may want to use the cane to follow a
grass line, a fence or a wall. This technique is called shore
lining, or tailing, with a cane