Neuropharmachology having difficult conversations about medicationsMichael Changaris
This slideshow explores the neurobiologcial structures under pinning clinical change. Overview of pharmacodynamics and pharmacokenetics, and neurotransmitters. Problem based learning exploration of difficult conversations with patients about psychopharmacology and medication management.
The document summarizes a discussion between health organizations about reducing cardiovascular disease in the Harlem community. It outlines the high burden of heart disease and stroke nationally and among African Americans. High blood pressure plays a large role and disproportionately affects people of color. The Million Hearts initiative was presented as aiming to prevent 1 million heart attacks and strokes over 5 years through community and clinical prevention focused on controlling key risk factors like blood pressure, cholesterol, smoking, diet and sodium intake. Local efforts in Harlem could start by increasing awareness, screening and lifestyle support programs involving faith and community groups.
Integrated Behavioral Health: Approaches to hypertension, toxic stress, ment...Michael Changaris
•TEAM BASED CARE: Team-based care incorporates a multidisciplinary team, centered on the patient, to optimize the quality of hypertension care. •TEAM PLAYERS: Team-based care includes the patient, the primary care clinician, and other professionals such as nurses, pharmacists, physician assistants, dieticians, social workers, and community health workers, each with pre-defined responsibilities in care. •OUTCOMES: Review and Meta-analysis of 100 randomized trials determined that team-based care is highly effective compared with other strategies for BP control.
This document provides information on treating psychotic spectrum disorders in primary care psychology. It discusses the risks of psychosis across the lifespan and describes types of psychotic disorders like schizophrenia and their symptoms. It also summarizes guidelines for treating schizophrenia, the neurobiology of psychosis, and rationales for using cognitive behavioral therapy to treat psychosis symptoms. Key points covered include the roles of dopamine and serotonin in positive and negative symptoms, considerations in pharmacotherapy, relationships between trauma and psychosis, and approaches to CBT for psychosis.
Integrated role of nurses in prevention of cvd during covid 19 pandemicAngel Cardiox
This document discusses the integrated role of nurses in preventing cardiovascular disease (CVD) during the COVID-19 pandemic. It outlines modifiable and non-modifiable risk factors for CVD. It also describes the three levels of CVD prevention: primary, secondary, and tertiary. An example nursing diagnosis of activity intolerance related to imbalance between oxygen supply and demand is provided, along with defining characteristics, desired outcomes, and nursing interventions. The document concludes by emphasizing the importance of educating patients, families, and caregivers on seven simple lifestyle changes to reduce CVD risk.
Integrated Primary Care Assessment SBIRT (Substance Use) and Mental and Refer...Michael Changaris
This is an overview of triage pathway for those with mental health and substance use conditions with clinical cutoffs and referral options based on screening.
- Healthy brain aging is important due to the rising prevalence of age-related cognitive disorders like Alzheimer's disease.
- Brain aging is influenced by both modifiable and non-modifiable risk factors. Engaging in heart-healthy habits, cognitive activities, and social interaction may help promote healthy brain aging.
- When discussing brain health with older patients, physicians should evaluate risk factors and encourage lifestyle changes like exercise, a healthy diet, cognitive stimulation, and social engagement.
Neuropharmachology having difficult conversations about medicationsMichael Changaris
This slideshow explores the neurobiologcial structures under pinning clinical change. Overview of pharmacodynamics and pharmacokenetics, and neurotransmitters. Problem based learning exploration of difficult conversations with patients about psychopharmacology and medication management.
The document summarizes a discussion between health organizations about reducing cardiovascular disease in the Harlem community. It outlines the high burden of heart disease and stroke nationally and among African Americans. High blood pressure plays a large role and disproportionately affects people of color. The Million Hearts initiative was presented as aiming to prevent 1 million heart attacks and strokes over 5 years through community and clinical prevention focused on controlling key risk factors like blood pressure, cholesterol, smoking, diet and sodium intake. Local efforts in Harlem could start by increasing awareness, screening and lifestyle support programs involving faith and community groups.
Integrated Behavioral Health: Approaches to hypertension, toxic stress, ment...Michael Changaris
•TEAM BASED CARE: Team-based care incorporates a multidisciplinary team, centered on the patient, to optimize the quality of hypertension care. •TEAM PLAYERS: Team-based care includes the patient, the primary care clinician, and other professionals such as nurses, pharmacists, physician assistants, dieticians, social workers, and community health workers, each with pre-defined responsibilities in care. •OUTCOMES: Review and Meta-analysis of 100 randomized trials determined that team-based care is highly effective compared with other strategies for BP control.
This document provides information on treating psychotic spectrum disorders in primary care psychology. It discusses the risks of psychosis across the lifespan and describes types of psychotic disorders like schizophrenia and their symptoms. It also summarizes guidelines for treating schizophrenia, the neurobiology of psychosis, and rationales for using cognitive behavioral therapy to treat psychosis symptoms. Key points covered include the roles of dopamine and serotonin in positive and negative symptoms, considerations in pharmacotherapy, relationships between trauma and psychosis, and approaches to CBT for psychosis.
Integrated role of nurses in prevention of cvd during covid 19 pandemicAngel Cardiox
This document discusses the integrated role of nurses in preventing cardiovascular disease (CVD) during the COVID-19 pandemic. It outlines modifiable and non-modifiable risk factors for CVD. It also describes the three levels of CVD prevention: primary, secondary, and tertiary. An example nursing diagnosis of activity intolerance related to imbalance between oxygen supply and demand is provided, along with defining characteristics, desired outcomes, and nursing interventions. The document concludes by emphasizing the importance of educating patients, families, and caregivers on seven simple lifestyle changes to reduce CVD risk.
Integrated Primary Care Assessment SBIRT (Substance Use) and Mental and Refer...Michael Changaris
This is an overview of triage pathway for those with mental health and substance use conditions with clinical cutoffs and referral options based on screening.
- Healthy brain aging is important due to the rising prevalence of age-related cognitive disorders like Alzheimer's disease.
- Brain aging is influenced by both modifiable and non-modifiable risk factors. Engaging in heart-healthy habits, cognitive activities, and social interaction may help promote healthy brain aging.
- When discussing brain health with older patients, physicians should evaluate risk factors and encourage lifestyle changes like exercise, a healthy diet, cognitive stimulation, and social engagement.
Team Based Care for Hypertension Management a biopsychosocial approachMichael Changaris
This presentation is an overview of the collaborative care model of hypertension management for behavioral health providers, primary care doctors and health care teams. It explored social determinants of health, complex interaction of adverse childhood experiences and treatment and provides a map for integrated care.
The document discusses Clinician Group's My Mind Lab psychological assessment tool. It can be used to screen Medicare patients annually for depression, alcohol use, and other behavioral health issues. The automated assessment evaluates patients for depression, anxiety, PTSD, and bipolar disorder based on DSM-5 criteria. It provides immediate results to help physicians identify underlying mental health conditions contributing to physical symptoms or slowing recovery. Regular screening using this tool can improve early detection, treatment, and patient outcomes.
Healthy Brain Aging: Exercise, Nutrition, and Preventing ADDUKE
This document discusses ways to promote healthy brain aging and reduce the risk of Alzheimer's disease. It emphasizes controlling health conditions like diabetes and high blood pressure through diet and exercise. Regular mental and physical activity are also recommended, such as puzzles, games, and social engagement to exercise the brain and reduce stress. A healthy diet with fruits and vegetables can help protect the brain from oxidative stress and reduce risk of cardiovascular disease.
The document discusses cardiovascular disease and how emotions can impact heart health. It provides the following key points:
1) Cardiovascular disease is the leading cause of death globally, with over 17 million deaths in 2016 representing 31% of all global deaths. The majority of these deaths are from heart attacks and strokes.
2) Emotions like stress, anger, anxiety, and depression can negatively impact heart health by increasing risk of heart attacks. Studies show links between emotional states and cardiac events.
3) Positive emotions and stress management techniques can benefit heart health by reducing risk factors and supporting recovery from heart disease. Cardiac psychology focuses on prevention and rehabilitation through addressing emotional barriers.
Bipolar disorder is a mood disorder characterized by periods of depression and mania. Approximately 2% of the population is affected. Causes include genetics and stressful life events. Symptoms of mania include increased energy, racing thoughts, and decreased need for sleep while depressive symptoms include low mood, loss of motivation, and suicidal thoughts. Treatment involves medication like mood stabilizers and antidepressants as well as psychotherapy. Managing the condition requires education, recognizing early warning signs of episodes, adhering to treatment, and developing a support system.
This document provides an overview of depression including its definition, causes, symptoms, types, risk factors, and treatment. Depression is defined as a persistent feeling of sadness and loss of interest that affects how one feels, thinks, and behaves. It can be caused by genetic, biological, environmental, and psychological factors. Common symptoms include feelings of sadness, hopelessness, and lack of enjoyment. Types of depression include major depressive disorder, persistent depressive disorder, perinatal depression, psychotic depression, seasonal affective disorder, and bipolar disorder. Risk factors include personal or family history of depression and major life changes. Treatment involves medication, psychotherapy, or a combination of both.
This document discusses the application of health psychology to specific physical ailments and unhealthy lifestyles. It covers coronary heart disease, pain, and cancer. For each topic, it discusses risk factors, prevention, rehabilitation, and psychological interventions. For coronary heart disease, modifiable risk factors include smoking, obesity, and sedentary lifestyle. Prevention involves a healthy diet, exercise, and treating conditions like diabetes. Rehabilitation programs encourage risk factor modification and stress management. For pain, risk factors include age, genetics, injury history, mood disorders, and stress. Prevention focuses on diet, exercise, weight management, and quitting smoking. Rehabilitation uses therapies like heat/cold, exercise, and cognitive behavioral therapy. For cancer,
HxRefactored - Kaiser Permanente - David Sobel HxRefactored
This document discusses designing for health and happiness. It begins by asking whether people are truly unmotivated or if environments could be designed to make healthy behaviors more pleasurable and intrinsic. It then explores how pleasure and happiness are important for health outcomes. Various studies are cited showing associations between higher levels of happiness, enjoyment of activities, social connection, and reduced mortality and illness. The document proposes that understanding whole person motivations and aligning with intrinsic pleasures could be more effective than external prescriptions for behavior change. It provides many examples of how small everyday pleasures and social connections are linked to better health. It concludes by discussing ways to design environments and experiences to amplify intrinsic motivations, pleasures, and successes in order to promote sustained
This document provides an introduction and table of contents to the book "Global Mental Health: Principles and Practice". It discusses the emergence of global mental health as a discipline to improve mental health and achieve equity worldwide. Major developments that have shaped the field include demonstrating the global burden of mental disorders, the WHO's Mental Health Gap Action Program, evidence on effective treatments delivered by non-specialists, the emergence of advocacy groups like the Movement for Global Mental Health, establishment of research priorities, and growing political commitment. The book aims to provide principles and practical guidance on global mental health.
Drinking herbal tea daily a life-long commitment to wellnessPanafrickSammy
The document discusses the health benefits of drinking herbal tea daily. It notes that in 2017 the author was in a sub-healthy state and often sick, but introducing herbal tea into their diet helped restore their health and wellness. Specifically, green herbal tea has many benefits like preventing colds and flu, easing allergies, improving bowel regularity, boosting focus and memory, lowering blood pressure and cholesterol, and supporting weight loss. The author concludes by recommending making daily herbal tea drinking a habit for its ability to deliver health, wellness, and happiness.
Depression not only affects your brain and behavior—it affects your entire
body. Depression has been linked with other health problems, including
cancer. Dealing with more than one health problem at a time
can be difficult, so proper
treatment is important.
This document provides guidelines for primary care health screenings and prevention for adults. It discusses leading causes of death for adults ages 21-64 and ages 65 and older. It provides recommendations from the USPSTF for various screening tests, including screening all adults for behaviors like alcohol misuse, tobacco use, obesity, and depression. It outlines screening and counseling recommendations for well visits based on age, including immunizations, cancer screening, cardiovascular and metabolic screening, injury prevention, and lifestyle counseling.
Realising the Value Stakeholder Event - Workshop:Prioritising our ‘long list’...Nesta
Workshop C - Prioritising our ‘long list’ of person and community centred approaches
Hear an update from Newcastle’s Health Economics team on interim findings from their evidence review of person and community centred care before participating in discussions to help develop criteria for prioritising which approaches the rest of the programme will ‘deep dive’ into. Criteria will be be evidence driven but also take into account ensuring a good mix of approaches and practice / grey evidence submitted to the consortium.
This document discusses mental health issues affecting older women. It covers demographics showing increasing life expectancy. Having a early-onset mental illness brings additional challenges with aging like interacting medications. Late-life mental illnesses discussed are dementia, delirium, and depression which are underrecognized. Physical changes from aging impact the presentation and treatment of mental illnesses. Stigma is a barrier to care. With appropriate treatment and management of issues, recovery and well-being are possible for older women with mental health conditions.
The document discusses the evolution of mental health services from the 20th to 21st century. It describes how quality of care, community-based services, and clinical governance were prioritized in restructuring an Irish mental health service based on a mission of independent, human rights-based and recovery-focused care. Key metrics like length of stay, readmission rates, and user satisfaction improved under this new model.
The document discusses shopping addiction treatment at The Balance rehabilitation center. The Balance uses a holistic treatment approach incorporating talking therapies, complementary therapies, and medical treatments to help patients identify the underlying causes of addiction and learn skills to change addictive behaviors. The program aims to provide lasting behavioral changes rather than just treating symptoms. A typical weekly schedule includes medical treatment, trauma therapy, and holistic complementary therapies like nutrition counseling and mindfulness techniques.
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
Phone & media addiction treatment the balanceAbdullah Boulad
The document summarizes information about Phone & Media Addiction treatment at The Balance rehabilitation center. The Balance uses a holistic treatment approach that incorporates medical care, counseling, complementary therapies, and lifestyle changes to address addiction and underlying causes. Clients receive personalized care in a luxury 5-star setting with 24/7 support from staff. The goal is to help clients overcome unhealthy behaviors and develop lifelong skills for improved well-being.
How to Handle a DUI Stop in Tennessee: A Guide for Tennessee MotoristsStan Bennett
For every motorist, looking in the rearview mirror and seeing flashing lights is not fun. If, however, you had a couple of beers or maybe a glass or two of wine before you got behind the wheel of your vehicle, the sight of flashing lights in the rearview mirror is much more ominous. Learn more about DUI stop in this presentation.
Team Based Care for Hypertension Management a biopsychosocial approachMichael Changaris
This presentation is an overview of the collaborative care model of hypertension management for behavioral health providers, primary care doctors and health care teams. It explored social determinants of health, complex interaction of adverse childhood experiences and treatment and provides a map for integrated care.
The document discusses Clinician Group's My Mind Lab psychological assessment tool. It can be used to screen Medicare patients annually for depression, alcohol use, and other behavioral health issues. The automated assessment evaluates patients for depression, anxiety, PTSD, and bipolar disorder based on DSM-5 criteria. It provides immediate results to help physicians identify underlying mental health conditions contributing to physical symptoms or slowing recovery. Regular screening using this tool can improve early detection, treatment, and patient outcomes.
Healthy Brain Aging: Exercise, Nutrition, and Preventing ADDUKE
This document discusses ways to promote healthy brain aging and reduce the risk of Alzheimer's disease. It emphasizes controlling health conditions like diabetes and high blood pressure through diet and exercise. Regular mental and physical activity are also recommended, such as puzzles, games, and social engagement to exercise the brain and reduce stress. A healthy diet with fruits and vegetables can help protect the brain from oxidative stress and reduce risk of cardiovascular disease.
The document discusses cardiovascular disease and how emotions can impact heart health. It provides the following key points:
1) Cardiovascular disease is the leading cause of death globally, with over 17 million deaths in 2016 representing 31% of all global deaths. The majority of these deaths are from heart attacks and strokes.
2) Emotions like stress, anger, anxiety, and depression can negatively impact heart health by increasing risk of heart attacks. Studies show links between emotional states and cardiac events.
3) Positive emotions and stress management techniques can benefit heart health by reducing risk factors and supporting recovery from heart disease. Cardiac psychology focuses on prevention and rehabilitation through addressing emotional barriers.
Bipolar disorder is a mood disorder characterized by periods of depression and mania. Approximately 2% of the population is affected. Causes include genetics and stressful life events. Symptoms of mania include increased energy, racing thoughts, and decreased need for sleep while depressive symptoms include low mood, loss of motivation, and suicidal thoughts. Treatment involves medication like mood stabilizers and antidepressants as well as psychotherapy. Managing the condition requires education, recognizing early warning signs of episodes, adhering to treatment, and developing a support system.
This document provides an overview of depression including its definition, causes, symptoms, types, risk factors, and treatment. Depression is defined as a persistent feeling of sadness and loss of interest that affects how one feels, thinks, and behaves. It can be caused by genetic, biological, environmental, and psychological factors. Common symptoms include feelings of sadness, hopelessness, and lack of enjoyment. Types of depression include major depressive disorder, persistent depressive disorder, perinatal depression, psychotic depression, seasonal affective disorder, and bipolar disorder. Risk factors include personal or family history of depression and major life changes. Treatment involves medication, psychotherapy, or a combination of both.
This document discusses the application of health psychology to specific physical ailments and unhealthy lifestyles. It covers coronary heart disease, pain, and cancer. For each topic, it discusses risk factors, prevention, rehabilitation, and psychological interventions. For coronary heart disease, modifiable risk factors include smoking, obesity, and sedentary lifestyle. Prevention involves a healthy diet, exercise, and treating conditions like diabetes. Rehabilitation programs encourage risk factor modification and stress management. For pain, risk factors include age, genetics, injury history, mood disorders, and stress. Prevention focuses on diet, exercise, weight management, and quitting smoking. Rehabilitation uses therapies like heat/cold, exercise, and cognitive behavioral therapy. For cancer,
HxRefactored - Kaiser Permanente - David Sobel HxRefactored
This document discusses designing for health and happiness. It begins by asking whether people are truly unmotivated or if environments could be designed to make healthy behaviors more pleasurable and intrinsic. It then explores how pleasure and happiness are important for health outcomes. Various studies are cited showing associations between higher levels of happiness, enjoyment of activities, social connection, and reduced mortality and illness. The document proposes that understanding whole person motivations and aligning with intrinsic pleasures could be more effective than external prescriptions for behavior change. It provides many examples of how small everyday pleasures and social connections are linked to better health. It concludes by discussing ways to design environments and experiences to amplify intrinsic motivations, pleasures, and successes in order to promote sustained
This document provides an introduction and table of contents to the book "Global Mental Health: Principles and Practice". It discusses the emergence of global mental health as a discipline to improve mental health and achieve equity worldwide. Major developments that have shaped the field include demonstrating the global burden of mental disorders, the WHO's Mental Health Gap Action Program, evidence on effective treatments delivered by non-specialists, the emergence of advocacy groups like the Movement for Global Mental Health, establishment of research priorities, and growing political commitment. The book aims to provide principles and practical guidance on global mental health.
Drinking herbal tea daily a life-long commitment to wellnessPanafrickSammy
The document discusses the health benefits of drinking herbal tea daily. It notes that in 2017 the author was in a sub-healthy state and often sick, but introducing herbal tea into their diet helped restore their health and wellness. Specifically, green herbal tea has many benefits like preventing colds and flu, easing allergies, improving bowel regularity, boosting focus and memory, lowering blood pressure and cholesterol, and supporting weight loss. The author concludes by recommending making daily herbal tea drinking a habit for its ability to deliver health, wellness, and happiness.
Depression not only affects your brain and behavior—it affects your entire
body. Depression has been linked with other health problems, including
cancer. Dealing with more than one health problem at a time
can be difficult, so proper
treatment is important.
This document provides guidelines for primary care health screenings and prevention for adults. It discusses leading causes of death for adults ages 21-64 and ages 65 and older. It provides recommendations from the USPSTF for various screening tests, including screening all adults for behaviors like alcohol misuse, tobacco use, obesity, and depression. It outlines screening and counseling recommendations for well visits based on age, including immunizations, cancer screening, cardiovascular and metabolic screening, injury prevention, and lifestyle counseling.
Realising the Value Stakeholder Event - Workshop:Prioritising our ‘long list’...Nesta
Workshop C - Prioritising our ‘long list’ of person and community centred approaches
Hear an update from Newcastle’s Health Economics team on interim findings from their evidence review of person and community centred care before participating in discussions to help develop criteria for prioritising which approaches the rest of the programme will ‘deep dive’ into. Criteria will be be evidence driven but also take into account ensuring a good mix of approaches and practice / grey evidence submitted to the consortium.
This document discusses mental health issues affecting older women. It covers demographics showing increasing life expectancy. Having a early-onset mental illness brings additional challenges with aging like interacting medications. Late-life mental illnesses discussed are dementia, delirium, and depression which are underrecognized. Physical changes from aging impact the presentation and treatment of mental illnesses. Stigma is a barrier to care. With appropriate treatment and management of issues, recovery and well-being are possible for older women with mental health conditions.
The document discusses the evolution of mental health services from the 20th to 21st century. It describes how quality of care, community-based services, and clinical governance were prioritized in restructuring an Irish mental health service based on a mission of independent, human rights-based and recovery-focused care. Key metrics like length of stay, readmission rates, and user satisfaction improved under this new model.
The document discusses shopping addiction treatment at The Balance rehabilitation center. The Balance uses a holistic treatment approach incorporating talking therapies, complementary therapies, and medical treatments to help patients identify the underlying causes of addiction and learn skills to change addictive behaviors. The program aims to provide lasting behavioral changes rather than just treating symptoms. A typical weekly schedule includes medical treatment, trauma therapy, and holistic complementary therapies like nutrition counseling and mindfulness techniques.
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
Phone & media addiction treatment the balanceAbdullah Boulad
The document summarizes information about Phone & Media Addiction treatment at The Balance rehabilitation center. The Balance uses a holistic treatment approach that incorporates medical care, counseling, complementary therapies, and lifestyle changes to address addiction and underlying causes. Clients receive personalized care in a luxury 5-star setting with 24/7 support from staff. The goal is to help clients overcome unhealthy behaviors and develop lifelong skills for improved well-being.
How to Handle a DUI Stop in Tennessee: A Guide for Tennessee MotoristsStan Bennett
For every motorist, looking in the rearview mirror and seeing flashing lights is not fun. If, however, you had a couple of beers or maybe a glass or two of wine before you got behind the wheel of your vehicle, the sight of flashing lights in the rearview mirror is much more ominous. Learn more about DUI stop in this presentation.
You likely operate under the belief that incapacity won’t happen to you so why would you need to include incapacity planning in your overall estate plan? Learn more about incapacity plan in this presentation.
El aprendizaje colaborativo tiene varias ventajas: estimula las habilidades personales, permite lograr objetivos más ricos en contenido y asegura la calidad de las ideas, y promueve que los estudiantes generen conocimiento en lugar de ser pasivos. También mejora las relaciones interpersonales, aumenta la aceptación de estudiantes con necesidades especiales, y genera un lenguaje común y normas de funcionamiento grupal.
El documento habla sobre una obra de teatro titulada "El Carpintero de Venecia". Brevemente describe la trama de la obra, que trata sobre un carpintero judío que se enamora de una cristiana en la ciudad de Venecia durante el siglo XVI.
Vision & Strategy: Diocese of Ontario Synod 2016 PresentationdioceseOntario
There are three particular areas of growth core to our vision and strategy that we must particularly focus on supporting:
• investing in ministry—supporting and nurturing lay and clergy to fulfil our baptismal covenant.
• serving communities—learning about the needs, partnering for mission and building the Kingdom of God in our neighbourhoods.
• mission driven stewardship—being faithfully led in our use of time, talent and treasure, recognizing that everything comes from our relationship with God.
This short poem discusses different types of pigs including big pigs, small pigs, fat pigs, and skinny pigs. The author expresses their love for pigs in general.
Pediatrician Dr Yogesh P Mehta at Dr L H Hiranandani HospitalKrishna Singh
Our Endeavour at Dr L H Hiranandani Hospital is to give very committed & precise neonatal care, so that childbirth which is the most beautiful, miraculous & probably the single most dangerous event that most of us have to encounter in our lifetime. Visit: https://www.hiranandanihospital.org
El documento describe un circuito educativo sobre dinosaurios para estudiantes dividido en 5 pruebas. Los estudiantes se dividirán en grupos y cada grupo pasará por cada prueba utilizando códigos QR para acceder a información sobre identificar dinosaurios, sus hábitats, su dieta, y la hipótesis sobre su extinción.
1. Krystal McMahan reviewed the medical records of 10-month-old Amy Johnson, who suffered severe brain injury and disabilities after being improperly transported in a car seat by a state worker at 5 weeks old.
2. The car seat had been installed upright instead of at an angle, causing Amy's head to flop forward and resulting in positional asphyxiation. She was hospitalized for 3 weeks in pediatric intensive care.
3. At her 9-month checkup, Amy's development was closer to that of a 3-month-old with major delays. McMahan recommends obtaining additional records, policies, and expert witnesses to assist in developing a negligence case against the state worker and
Este documento describe tres dinámicas para realizar con un grupo: La pelota preguntona, en la que los participantes se presentan mientras pasan una pelota de mano en mano al ritmo de una canción; Melodías, donde los participantes se dividen en equipos para crear melodías con objetos o su propio cuerpo; y El teléfono, un juego donde un mensaje se transmite de oído en oído alrededor de un círculo para ver qué información llega al final.
El documento describe el aprendizaje colaborativo, el cual se refiere a metodologías de aprendizaje que surgen de la colaboración en grupos. Estas metodologías se han aplicado en las aulas desde los años 1970 y promueven la construcción de conocimiento a través de la interacción y el aporte de todos los miembros del grupo. El aprendizaje colaborativo requiere la realización de actividades cognitivas complejas como buscar información y tomar decisiones, y genera una interdependencia positiva entre los estudiantes.
Prevention in Cardiology Myths or RealityShodhan Patel
Dr. Shodhan Patel presented on myths and realities related to prevention of coronary heart disease. Some myths discussed included that CAD only affects wealthy countries, elderly males, and that cholesterol-lowering drugs allow an unhealthy diet. Realities included CAD being common in poor populations, younger adults and females, the harms of trans fats and benefits of exercise. Stress and an unhealthy lifestyle from a young age can increase risk factors for heart disease. Public press can help spread scientific information to help more people make beneficial lifestyle changes for prevention.
Where We Are Going Wrong Your Heart Health Should Be the Priority — Aditi jag...Aditi Jagtap Pune
As a Cardiovascular surgeon, my commitment to heart health extends beyond the clinic. I understand the significance of family support and leading by example. In this context, I would like to mention my daughter, Aditi Jagtap Pune, who shares the same passion for promoting heart health. Together, we hope to raise awareness about heart diseases and inspire individuals to prioritize their well-being.
A heart attack can be life-threatening but survival is possible with prompt medical care and lifestyle changes. The document outlines key steps for surviving a heart attack which include recognizing symptoms and seeking immediate treatment, participating in cardiac rehabilitation, making lifestyle modifications like improving diet and exercising regularly, prioritizing emotional well-being through social support, and maintaining follow-up care with regular medical checkups. Taking these steps can help those who have a heart attack not only survive but thrive afterwards with an improved quality of life.
heart health can be enhanced with few easy lifestyle modification. Prevent is the key. Always medicine is not the key. Eating healthy food, regular activity will help in prevention of many diseases. This Healthy Heart guide will help in achieving healthy heart and prevention of the disease.
Where We Are Going Wrong Your Heart Health Should Be the Priority — Dr Ranjit...Dr Ranjit Jagtap
As a Cardiovascular and Thoracic Surgery specialist, I, Dr. Ranjit Jagtap, am deeply concerned about the declining state of heart health among the global population. Despite significant advancements in medical technology and increased awareness about cardiovascular diseases, heart-related conditions continue to be a leading cause of death worldwide.
Heart care is always on a priority for everyone as we know the heart is one of the precious and delicate organs we have. So if you are worried about how to take care of your heart, then this Ebook with detailed information regarding heart care can be useful for you all.
Stress and social support vs Cardio-Vascular DisordersDr. Neeta Gupta
Cardiovascular disease (CVD) refers to conditions that affect the heart or blood vessels. CVD is the leading cause of death globally and can be prevented by addressing behavioral risk factors like smoking, poor diet, obesity, and alcohol use. Long-term stress can increase risk of CVD by raising blood pressure and cholesterol over time. Building social support systems and engaging in regular exercise can help manage stress levels and reduce CVD risk.
This document proposes a "Healthy Heart Festival" event to raise awareness about heart disease in the Dallas community. It would be a partnership between Central Market grocery store and the American Heart Association. The one-day festival would include a 5k run, cooking demonstrations on healthy meals, kids activities, speakers on heart health, and optional medical checkups. The goals are to educate people about preventing and managing heart disease through diet, stress management, physical activity, and screening/monitoring risk factors. The proposed budget is $11,724 to cover venue, food, printing, programming, and prizes.
Importance of regular check-ups and screening for heart patients — Aditi Jagt...Aditi Jagtap Pune
The benefits of regular heart checkups extend beyond early detection and prevention. They also allow healthcare professionals at Dr. Ranjit Jagtap daughter to develop personalized treatment plans tailored to your specific needs. These plans may include medication, lifestyle modifications, dietary changes, or referrals to specialists if necessary.
The holistic approach to health looks at the body as a whole and not just isolated parts. This approach has been dominant for centuries in many other countries, such as China and India, but is only recently gaining popularity in the US. Holistic healing doesn't just concentrate on treating illnesses or prescribing medicines, but also explores getting to the root of the problem through mindfulness practices.
Importance of regular check-ups and screening for heart patients — Dr. Ranjit...Dr Ranjit Jagtap
These tests use sound waves to create real-time images of the heart, allowing healthcare providers to evaluate the heart’s chambers, valves, and blood flow. Imaging tests also help identify abnormalities, such as enlarged heart chambers, valve defects, or reduced cardiac function, says Dr Ranjit Jagtap. These non-invasive procedures are instrumental in diagnosing various heart conditions and guiding appropriate treatment plans.
COPING STRATEGIES FOR PHYSICAL HEALTH PROBLEMSHarsha Aswani
The document discusses coping strategies for illness. It notes that when faced with illness, individuals will develop coping strategies to try to return to a state of healthy normality. Some key coping strategies mentioned include accepting the reality of the illness, focusing on strengths rather than limitations, exercising appropriately, eating a balanced diet, reducing stress, praying or worshipping, and surrounding oneself with supportive people. The document emphasizes coping with illness in a positive way rather than feeling sorry for oneself.
Welcome to our discussion on the fascinating topic of the difference between cardiac arrest and a heart attack.
While these terms are often used interchangeably, they actually refer to distinct medical emergencies with varying causes, symptoms, and treatments.
Understanding these differences is crucial as it can save lives and provide clarity in medical situations.
So, let's dive into this essential knowledge and shed light on the disparities between cardiac arrest and a heart attack.
This document provides an overview of health and factors that affect it. It discusses maintaining health through habits like laughing, playing sports, and sleeping. It also covers diseases, the World Health Organization, medicine, and alternative medical systems including mind-body interventions, biologically-based therapies, and energy therapies.
Uncovering the Link Between Family History and Heart Health_ Dr. Ranjit Jagta...Aditi Jagtap Pune
By understanding your family history, and visiting Dr Ranjit Jagtap Daughter, you can take steps to reduce your risk of heart disease and potentially prevent it from developing. For example, if you know that heart disease runs in your family, you can make lifestyle changes such as eating a heart-healthy diet, exercising regularly, and quitting smoking to help reduce your risk.
The document provides information on various topics related to health, including maintaining health, factors that influence health, sleep, disease, and alternative medical systems. It states that maintaining health involves controlling habits like not smoking, limiting alcohol, eating healthy, laughing often, playing sports, and getting enough sleep. Not getting enough sleep can compromise immune system function and increase risks of heart disease, stroke and diabetes. It also describes alternative medical systems like acupuncture, ayurveda and traditional Chinese medicine, as well as mind-body interventions, biologically-based therapies, manipulative therapies and energy therapies.
Quitting smoking, maintaining a healthy weight through diet and exercise, monitoring cholesterol levels, and keeping blood pressure normal are some simple tips provided to improve heart health. Regular exercise, even just 10-15 minutes a day, helps strengthen the heart. Factors like genetics, saturated fat intake, and obesity influence heart disease risks, so adopting a heart-healthy lifestyle can help prevent common causes of death like heart attacks.
Heart disease is a global epidemic that is the number one killer worldwide. Some key points made in the document include:
- Coronary artery disease, caused by a buildup of plaque in the arteries, is the most common type of heart disease.
- Risk factors include high cholesterol, obesity, smoking, diabetes, and heredity.
- Symptoms can include chest pain and shortness of breath.
- Taking preventative measures like exercising, eating healthy, and managing stress can help reduce risks.
- Heart disease poses a huge economic burden through healthcare costs globally and lost productivity. Many countries and organizations are working to implement initiatives and policies to address prevention and management of heart disease on national and global scales
Mrs. Archana Morey is an assistant professor of nursing who authored a document about cardiac rehabilitation. The document defines cardiac rehabilitation as measures used to help people with heart disease return to an active life and prevent future cardiac events. It describes the benefits of cardiac rehab such as reducing the risk of death from heart problems and improving quality of life through lifestyle changes like exercise and diet. The document outlines the cardiac rehab process and team as well as expectations, risks, and outlook.
Heart disease life expectancy: Heart disease is the main cause of death in Western countries, but it’s not all doom and gloom. In this article, you’ll learn about how to treat heart disease by looking at the different stages and treatments for heart disease, as well as the various ways you can reduce your risk.
Life expectancy after 1st heart attack: Heart disease life expectancy
If you have heart disease, your life expectancy may be shorter than if you don’t have heart disease. This is because heart disease is a leading cause of death in the United States.
There are several factors that can affect your life expectancy after a heart attack. These include the type and severity of your heart attack, how quickly you received treatment for your heart attack, and your overall health.
However, there are some things you can do to increase your life expectancy after a heart attack. These include getting regular exercise, eating a healthy diet, and maintaining a healthy weight.
You also need to get timely medical care after a heart attack. If you don’t receive timely medical care, your chances of dying from your heart attack will be greater. Heart disease life expectancy.
Life expectancy after heart attack in 20s
If you have suffered a heart attack, your life expectancy may be reduced by up to 15 years. This is according to a study that was published in the British Medical Journal. Heart disease life expectancy
The study looked at data from more than 200,000 people who had suffered a heart attack. It found that those who survived the attack had a life expectancy that was 15 years shorter than those who died as a result of the attack.
The study also found that the length of time spent in hospital after the heart attack was a significant factor in determining life expectancy. People who spent less than two weeks in hospital had a life expectancy that was six years shorter than those who spent longer periods in hospital. Heart disease life expectancy.
If you have suffered a heart attack, it is important to speak to your doctor as soon as possible about your health prospects. There are treatments available that can help you survive and enjoy a long and healthy life.
Life expectancy with coronary artery disease
The life expectancy for those with coronary artery disease (CAD) has increased in recent years, but it is still not as good as that of those without the condition. In fact, the average life expectancy for someone with CAD is now around 78 years. This improvement is due to a number of factors, including better treatments and improvements in lifestyle. However, there is still a lot of work to be done to improve the life expectancy of those with CAD.
One important area of focus is reducing the risk of heart attack and stroke. By understanding your risk factors and taking steps to reduce them, you can help ensure a longer life. Additionally, continuing education about heart health is important for all individuals, regardless of their risk factors.
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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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
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12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
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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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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1. I N T R O D U C T I O N
Less than a century ago heart disease was an
extremely rare disease. However, today it is the
cause of death of more people in the world than all
other deadly diseases taken together. The most
encompassing researches and studies on heart
health have indicated that lack of happiness and
gratification is by far the biggest risk factor resulting
in heart problems. Since happiness is amongst the
principal expressions of love, only those medicines
that are love-based can truly and completely heal
the heart and protect one from disease and ageing.
If fear is the motivating factor that compels someone to go for a particular
treatment or initiate major changes in life style or diet the chances of disease
prevention or recovery are minimized. The current approaches for achieving
heart’s health, free from any life threatening condition, are primarily
symptom-orientated and do not deal with the underlying causes.
In many developed countries fatality rate from heart conditions have
decreased a bit. This has happened due to breakthroughs in medical
education and new medicines, the bypass surgeries and the angioplasties.
Now the beneficiaries of these advancements are living, but with consequences. The less healthy hearts still beat, but they are not
strong enough for living and enjoying a good quality of life.
Apart from giving a wide range of side effects most presently used treatments for heart diseases transfuse enormous fear in body
cells, which react by releasing large amounts of the stress hormones. This by itself can threaten the healing system. Until lately,
these treatments were conceived to be more or less safe but are now distinguished by leading heart centers and resources to be
the primary cause of a new ailment known as chronic heart failure. Chronic heart failure is a gradual death-experience that has
attained epidemic ratios. The inability of the science systems to make this organ healthy again instills the obligation for healing back
to where it always belonged. That is the heart, body, mind and spirit of every being. It opens the way for alternative healing.
Believe it or not but the tendency to think that one will have a healthy heart all life lone without any extra effort is inherent by birth.
Have u been taking your heart for granted? Are you waiting for something tragic to happen to realize how fragile this human organ
truly is? The chances are the answer is a big yes. The sooner one takes the waking call and stops expecting the heart to perform
well in spite of all one does the better.
The heart is merely not a pump - it is the headspring of every feeling and emotion, whether it is delight and excitement or
gloominess and frustration. Mental and emotional tenseness disrupts the emotional heart. Whereas, a junk diet, insalubrious
lifestyle and absence of physical excises weakens the physical heart. Several illnesses such as high blood pressure, diabetes, high
blood cholesterol and obesity are also known to be the contributing factor for heart ailments. Smoking is also a major contributor to
coronary diseases. Smoking may accentuate coronary spasms where the blood vessels of the heart are pinched or narrowed,
causing chest pain or a heart attack.
We at Dr L H Hiranandani Hospital have a holistic approach to keeping the heart healthy. Prevention, as known, is always better
than cure, however, in case of health of the heart there is less possibility of a complete cure. However, the possibility remains but
only possible with an holistic approach. Salubrious diet plans and an active lifestyle coupled with emotional freedom will lay a
strong foundation and ensure that the heart beats with life till the very end.
Dr. Ganesh Kumar
HealthyLifeIssue-01 (December ‘08)
News Letter www.hiranandanihospital.org
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24x7
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2. Cardiac disease is no longer a disease of old age but increasing number of younger people are also being affected. As per the
data culled from the WHO reports and medical journals like Lancet and Indian Heart Journal, there are 30 million patients
in India (cardiac related diseases) and the toll would rise to 100 million by 2010. This would constitute to 60% of world cardiac
patients‚ making India the world capital for cardiac disease.
Cardiac Rehabilitation: Building Healthy Life
What is Cardiac
Rehabilitation
Program?
Cardiac Rehabilitation has two arms:
1. Primary Prevention / Wellness program
2. Secondary Prevention
Primary prevention/ wellness program is designed to help those,
who are not cardiac patients, but are at the risk of having cardiac
diseases in future. This program helps in reducing the cardiac risk
factors.
Secondary prevention (Rehab) program is designed to help
cardiac patients to recover faster and build up self–confidence,
regain physical and psychological well-being and return to full and
productive lives. Cardiac Rehabilitation includes exercise,
education, counseling, risk factor reduction, and learning ways to
improve health related quality of life.
Major risk factors such as smoking, abnormal blood lipids, high
blood pressure, diabetes, physical inactivity, obesity and
overweight can be controlled or modified with exercises, medicines
and life style modification, thus reducing the risk of cardiac
diseases.
Recovery after heart attack and heart operations often presents
patients with a much greater challenges. Many patients experience
psychological distress following cardiac event. This underscores
the need of well structured Cardiac Rehabilitation program.
Dr L H Hiranandani Hospital took the initiative to establish Cardiac
Rehabilitation / Wellness Centre
3. Medical Evaluation: Initial and ongoing thorough evaluation helps
cardiac rehabilitation team to assess patient's physical abilities,
medical limitations and other psychological conditions, and keep
track of progress over time throughout the program. Cardiac
Rehabilitation team explores risk factors for cardiovascular
diseases, such as high cholesterol, blood pressure, smoking,
stress, excess body weight etc.
Exercise Training: Monitored exercises improve cardiovascular
fitness through walking, cycling, rowing, jogging and other
endurance activities. Patients are taught proper exercise
techniques, such as warming up and stretching before exercise
and relaxation technique at the end of session. Nutritional
education promotes high fiber diet with whole grains, fruits and
vegetables. Guidance about diet and nutrition helps to shed excess
weight and learn to make healthier food choices aimed at reducing
fat, sodium and cholesterol intake.
Life style Modification: Patients are educated on making lifestyle
changes and breaking unhealthy habits, such as smoking. They
also learn how to manage pain or fatigue that may accompany their
heart condition. Cardiac Rehabilitation also gives ample
opportunity to ask questions about various doubts, such as
resuming work, driving or sexual activity.
The Cardiac Rehabilitation/ Wellness centre in Dr L H Hiranandani
Hospital is located on the second floor, next to ICU. It has all the
modern amenities & exercise equipments (electronic treadmill,
elliptical, rowing machine, cycle, multi-gym etc). Exercise sessions
are continuously supervised by trained nurses, exercise specialist &
fitness trainer. Throughout the exercise session, patient's heart rate
and rhythm are monitored with the help of portable telemetry
equipment.
Cardiac
Rehabilitation
has mainly four
components: The benefit of cardiac rehabilitation is to help to rebuild life both
physically and emotionally. It helps to stabilize, slow or even
reverse the progression of cardiovascular disease, thereby
reducing the risk of heart disease, another cardiac event or death.
1. Improves physical fitness and exercise tolerance.
2. Reduces future risk of heart disease.
3. Increases one's awareness of heart disease.
4. Improves dietary habits and life style.
Older adults with heart disease often are less able to exercise and
have a high disability rate. They can benefit the most from cardiac
rehabilitation.
The benefit of Cardiac Rehabilitation
4. Dr L H Hiranandani Hospital
Hiranandani Hospital
‘ ’
Tel.: 6799 8555 / 6799 8444
Hillside Avenue, Hiranandani Gardens, Powai, Mumbai - 400 076. Tel: 2576 3300 / 3333 Fax: 2576 3344 / 3311
Email: wecare@hiranandanihospital.org
•
Hamilton B , Hiranandani Estate, Off Ghodbunder Road, Patlipada, Thane (W) - 400 607.
2545 8666 / 67, • E-mail: info@hiranandanihospital.org
E N D O R P H I N S D O Y O U K N O W
• Patient: My Orthopaedician swore he’d have me
walking within 6 months.
Patient’s friend: And did he?
Patient: He certainly did. He sent me three bills so far
and I’ve had to sell my car!!!
• Love is one long sweet dream.
Marriage is the alarm clock.
• Son: How much does it cost dad to get married?
Father: Dear son…I am still paying for it.
•
getting sick.
• Govt. earns about Rs. 2000 crores for making them sick.
• Nearly Rs.5000 crores tax payer’s money is spent on
treating sickness.
• Almost Rs. 5000 crores worth of working loss during
sickness every year
• Healthy people work and pay for smokers, is’nt it
ridiculous!
Tobacco smokers spend more than Rs. 2000crores for
Making sure your heart is healthy may add years to your life. idlis, corn cob, fruits etc lying in your kitchen.
A healthy diet can help to reduce the risk of developing heart • Limit your fat intake, especially saturated fat. Instead of using
disease. If you already have coronary heart disease, eating a well
deep frying as a method of cooking opt for healthier options
balanced diet can also help protect your heart from further
such as grilling or baking.problems. People who are interested should be willing to give up
• Limit your salt (sodium) intake. Remove the salt shaker fromgreasy and fattening foods. The goal of a heart-healthy diet is to eat
foods that reduce your risk factors for heart disease by: the table. Packed and processed food should be largely
• Achieving and maintaining a healthy weight avoided.
• Reducing and maintaining a low cholesterol level, reducing • Increase your fibre intake. Ensure your diet is rich in fresh fruit
and maintaining an appropriate blood pressure and vegetables.
Since being overweight, having high cholesterol, and having high
• Choose lean meats over red meats. Fish is a healthier option,
blood pressure are all risk factors for heart disease, following a
though crustaceans such as crabs and lobsters should beheart-healthy diet is a great way to take control of your health.
avoided as they contain high level of fat.
General tips to help you get started:
• Limit your alcohol intake. Predefine the number of drinks and• Be in sync with your dietician, physiotherapist and
stick to the regime. In diseases such as Diabetes it isyour doctor.
contraindicative and must be totally avoided.• Drink plenty of water or other calorie-free beverages. People
sometimes confuse thirst with hunger, so you can end up • Order small portions at restaurants. Ordering a small /
eating extra calories when an ice-cold glass of water is really all medium-size meal is a great way to cut calories and keep your
you needed.
portions reasonable.
• Be choosy about nighttime snacks. A low-calorie snack, like
• Make breakfast a mandatory habit. A nutritious breakfast
a fruit or a cup of skimmed milk is a healthier option to snack
ensures a productive day and a sound start in the morning.on.
• Switch over to skimmed milk . It contains lesser fat as opposed• Stock your kitchen with healthy foods. You'll be less likely to
eat junk food if you have some food such as sprouted dals, to buffalo milk but gives you the desired protein content.
Be realistic.
D I E T S E C T I O N
Editorial Team
• Dr. Sujit Chatterjee
• Dr. Suvin Shetty
• Dr. Joyce Regi
• Dr. Devdutt Desai
• Dr. Shakha Agarwal
• Dr. Vijay Shetty
• Dr. Ganesh Kumar
• Dr. Roli Dave
• Ms. Richa Anand
• Mr. Manish Joshi
• Ms. Debashree Sanyal
Contact Us
Board: 2576 3300, 2576 3333
Reception: 2576 3485, 2576 3486
Casualty: 2576 3322, 2576 3323, 2576 3328
Laboratory: 2576 3366, 2576 3365
Home Care: 2576 339, 98190 34365
Ambulance: 2576 3323, 2576 3328
Health Check: 2576 3355 2576 3356
Thane: 2530 8666