One in five women who survive breast cancer will develop lymphoedema of the upper body at some point in their life. Following breast surgery, women are recommended to follow strategies to minimise their lymphoedema risk (e.g., limiting exposure of the at-risk arm to trauma). Adherence to these strategies is typically less than optimal.
Studies have shown that older women receive less aggressive screening and treatment for breast cancer. Geriatric Oncologist, Meghan Karuturi, of MD Anderson Cancer Center joins us in this webinar to discuss age bias and how it affects older patients.
Developing a cancer survivorship research agenda - Prof Patricia GanzIrish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Developing a cancer survivorship research agenda: challenges & opportunities - Prof Patricia Ganz, UCLA Fielding School of Public Health
Studies have shown that older women receive less aggressive screening and treatment for breast cancer. Geriatric Oncologist, Meghan Karuturi, of MD Anderson Cancer Center joins us in this webinar to discuss age bias and how it affects older patients.
Developing a cancer survivorship research agenda - Prof Patricia GanzIrish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Developing a cancer survivorship research agenda: challenges & opportunities - Prof Patricia Ganz, UCLA Fielding School of Public Health
Politics behind $100 billion cancer industry worldwideRafay Munawar
Following are the facts included in PPT:
Politics behind $100 billion cancer industry worldwide.
Different approaches of cancer treatment and their success ratio
& prevention of cancer through natural foods
Cancer is not all about what we inherit-- it's also about what we eat, how much we move and even how we stay connected. This is good news! This talk reviews the evidence for how we can reduce our risk of cancer through simple lifestyle changes.
This PDF provides the majority of my slides from the statewide Minnesota Cancer Summit from February 28, 2019. The presentation focuses on Clinical Cancer Advances as published and released by consensus expert panels from The American Society of Clinical Oncology (@ASCO).
Self-stigma of Seeking Help and Being Male Predict an Increased Likelihood of...Scoti Riff
To examine whether self-stigma of seeking psychological help and being male would be associated with an increased likelihood of having an undiagnosed eating disorder. A multi-national sample of 360 individuals with diagnosed eating disorders and 125 individuals with undiagnosed eating disorders were recruited. Logistic regression was used to identify variables affecting the likelihood of having an undiagnosed eating disorder, including sex, self-stigma of seeking psychological help, and perceived stigma of having a mental illness, controlling for a broad range of covariates. Being male and reporting greater self-stigma of seeking psychological help were independently associated with an increased likelihood of being undiagnosed. Further, the association between self-stigma of seeking psychological help and increased likelihood of being undiagnosed was significantly stronger for males than for females. Perceived stigma associated with help-seeking may be a salient barrier to treatment for eating disorders – particularly among male sufferers.
The 20th International Congress of Nutrition (ICN) hosted by the International Union of Nutritional Science (IUNS) took place on the 15th-20th September 2013, Granada, Spain. WCRF International held a 2-hour symposium on the Continuous Update Project (CUP) entitled ‘Food, Nutrition, Physical Activity and Cancer – Keeping the Evidence Current: WCRF/AICR Continuous Update Project (CUP).’ It included four presentations exploring the latest updates from the CUP.
Politics behind $100 billion cancer industry worldwideRafay Munawar
Following are the facts included in PPT:
Politics behind $100 billion cancer industry worldwide.
Different approaches of cancer treatment and their success ratio
& prevention of cancer through natural foods
Cancer is not all about what we inherit-- it's also about what we eat, how much we move and even how we stay connected. This is good news! This talk reviews the evidence for how we can reduce our risk of cancer through simple lifestyle changes.
This PDF provides the majority of my slides from the statewide Minnesota Cancer Summit from February 28, 2019. The presentation focuses on Clinical Cancer Advances as published and released by consensus expert panels from The American Society of Clinical Oncology (@ASCO).
Self-stigma of Seeking Help and Being Male Predict an Increased Likelihood of...Scoti Riff
To examine whether self-stigma of seeking psychological help and being male would be associated with an increased likelihood of having an undiagnosed eating disorder. A multi-national sample of 360 individuals with diagnosed eating disorders and 125 individuals with undiagnosed eating disorders were recruited. Logistic regression was used to identify variables affecting the likelihood of having an undiagnosed eating disorder, including sex, self-stigma of seeking psychological help, and perceived stigma of having a mental illness, controlling for a broad range of covariates. Being male and reporting greater self-stigma of seeking psychological help were independently associated with an increased likelihood of being undiagnosed. Further, the association between self-stigma of seeking psychological help and increased likelihood of being undiagnosed was significantly stronger for males than for females. Perceived stigma associated with help-seeking may be a salient barrier to treatment for eating disorders – particularly among male sufferers.
The 20th International Congress of Nutrition (ICN) hosted by the International Union of Nutritional Science (IUNS) took place on the 15th-20th September 2013, Granada, Spain. WCRF International held a 2-hour symposium on the Continuous Update Project (CUP) entitled ‘Food, Nutrition, Physical Activity and Cancer – Keeping the Evidence Current: WCRF/AICR Continuous Update Project (CUP).’ It included four presentations exploring the latest updates from the CUP.
One in five women who survive breast cancer will develop lymphoedema of the upper body at some point in their life. Following breast surgery, women are recommended to follow strategies to minimise their lymphoedema risk (e.g., limiting exposure of the at-risk arm to trauma). Adherence to these strategies is typically less than optimal.
Why are Breast Cancers More Aggressive in Black Women?bkling
There are striking disparities in survival rates between Black and white breast cancer patients. Our guest speakers, Christine Ambrosone, PhD, and Song Yao, MD, PhD, have led a team that has done extensive research to understand the causes of why certain cancers are more aggressive in Black women. They have developed a hypothesis that the higher rate of aggressive tumors in Black women when compared with white women might have something to do with their immune systems. We will get updates from their research and how we can work towards eliminating racial gaps in breast cancer survival.
Jefferson University Hospitals' April 2013 Cancer Survivorship Conference Pre...jeffersonhospital
At Jefferson University Hospitals' Cancer Survivorship Conference on April 12, 2013, Mary McCabe of Memorial Sloan-Kettering Cancer Center gave the keynote address. Jefferson's new Survivorship platform includes biannual conferences featuring keynote speakers and several breakout sessions to give cancer patients, survivors and caregivers a better understanding of survivorship and what comes next after a cancer diagnosis. This is a free event open to all cancer patients and survivors. Learn more: http://www.jeffersonhospital.org/departments-and-services/kimmel-cancer-center/cancer-survivorship-program
Survivorship Care Plans in the U.S.: Current Status and Future ChallengesCarevive
On Q Health's Chief Clinical Officer, Dr. Carrie Tompkins Stricker, gave a presentation on survivorship care plans in Tokyo, Japan during the 1st International Seminar on Cancer Nursing. The seminar theme was "The Role of Cancer Nursing in Improving Quality of Cancer Care: The Current Situation and Outlook for Developments 10 Years from Now".
Learn more about survivorship and On Q Health's Care Planning System™: http://bit.ly/onqcareplans
LRI05 - Self Help for Distress in Cancer - Is It Time For An RCT [Oct 2005]Alex J Mitchell
This is an academic presentation from 2005 outlining the case for a randomized controlled trial of a self-help programme to help people deal with distress and depression following the diagnosis of cancer
Cancer Survivorship Care: Global Perspectives and Opportunities for Nurse-Le...Carevive
The 18th CNSA Annual Winter Congress, held Perth, Australia will featured On Q Health’s co-founder Dr. Carrie Stricker as a keynote speaker. The theme for this year’s edition is “Cancer Nursing: Expanding the Possibilities” and will focus on exploring the opportunities that exist in cancer nursing in 2015 and beyond.
SUO_HCM4004_W2_A2_Estevez_Maria.docxby Maria Estevez.docxpicklesvalery
SUO_HCM4004_W2_A2_Esteve
z_Maria.docx
by Maria Estevez
FILE
T IME SUBMIT T ED 24 - JUL- 2017 10:22PM
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SUO_HCM4004_W2_A2_Estevez_Maria.docx
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to EDMC
St udent Paper
A. Clements. "Diagnosed with breast cancer
while on a f amily history screening programme:
an exploratory qualitative study.", European
Journal of Cancer Care/09615423, 20080501
Publicat ion
Submitted to Walden University
St udent Paper
P Hopwood. "Surviving breast cancer: can
women expect to 'get back to normal'?", Breast
Cancer Research, 2008
Publicat ion
orca.cf .ac.uk
Int ernet Source
SUO_HCM4004_W2_A2_Estevez_Maria.docxby Maria EstevezSUO_HCM4004_W2_A2_Estevez_Maria.docxORIGINALITY REPORTPRIMARY SOURCES
Diagnosed with breast cancer while on a family history
screening programme: an exploratory qualitative study
A. CLEMENTS, bsc, senior research nurse, Cancer Research UK Primary Care Education Research Group,
University of Oxford, Department of Primary Health Care, Oxford, B.J. HENDERSON, phd, research psycholo-
gist, Institute of Medical & Social Care Research, Ardudwy, Normal Site, University of Wales, Bangor, Gwynedd,
S. TYNDEL, ba, research officer, Cancer Research UK Primary Care Education Research Group, University of
Oxford, Department of Primary Health Care, Oxford, G. EVANS, md frcp, consultant in medical genetics,
Department of Clinical Genetics, St Mary’s Hospital, Manchester, K. BRAIN, phd, senior research fellow,
Institute of Medical Genetics, University of Wales College of Medicine, Heath Park, Cardiff, J. AUSTOKER, phd,
director, Cancer Research UK Primary Care Education Research Group, University of Oxford, Department of
Primary Health Care, Oxford, & E. WATSON, phd, deputy director, Cancer Research UK Primary Care Educa-
tion Research Group, University of Oxford, Department of Primary Health Care, Oxford, UK for the PIMMS Study
Management Group*
CLEMENTS A., HENDERSON B.J., TYNDEL S., EVANS G., BRAIN K., AUSTOKER J. & WATSON E. FOR
THE PIMMS STUDY MANAGEMENT GROUP (2008) European Journal of Cancer Care 17, 245–252
Diagnosed with breast cancer while on a family history screening programme: an exploratory qualitative study
Mammographic screening is offered to many women under 50 in the UK who are at moderate or high risk of
developing breast cancer because of their family history of the disease. Little is understood about the impact
of screening on the emotional well-being of women with a family history of breast cancer. This qualitative
study explores the value that women at increased risk placed on screening, both pre- and post-cancer diagnosis
and the impact of the diagnosis. In-depth inte ...
Caring for all in the last year of life: making a difference.Bruce Mason
Inaugural presentation by Prof. Scott A. Murray, St Columba's Hospice Chair of Primary Palliative Care, Primary Palliative Care Research Group, Centre for Population Health Sciences: General Practice Section, University of Edinburgh. April 21, 2009
Lung cancer stigma: Causes, Prevalence, Impacts and Conceptual Model Andrea Borondy Kitts
Presentation summary of my MPH class paper on Lung Cancer Stigma: Causes, Prevalence, Impacts and Development of a Lung Cancer Stigma Model to Guide Public Health Interventions
An Interactive Discussion On Key Issues Affecting Young Adult Colorectal Cancer Patients and Their Caregivers
Powered By Our Survivor Community and Their Families
A cancer diagnosis and cancer treatment can be traumatic. An experience with cancer can lead to serious psychological distress that should be addressed. In this webinar, Schuyler Cunningham, Clinical Social Worker, talks about what trauma is, how to identify it, and what steps to take next.
Cervical screening – taking care of your health flipchart (Farsi)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Farsi women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Khmer)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Khmer women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Dari)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Dari women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Nepali)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Nepalese women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Nepali)
Cervical screening – taking care of your health flipchart (Turkish)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Turkish women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Thai)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Thai women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Korean)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to Korean women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to women, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Arabic)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to women of a Arabic background, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Vietnamese)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to women of a Vietnamese background, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Thai)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to women of a Thai background, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Bengali))Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to women from different cultural backgrounds, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Cervical screening – taking care of your health flipchart (Tibetan)Cancer Institute NSW
The flipchart has been developed by the Cancer Institute NSW as a tool to assist in providing information on cervical cancer and cervical screening to women from different cultural backgrounds, particularly those eligible to participate in the National Cervical Screening Program (NCSP).
Staying well and preventing cancer: Community education flipchartCancer Institute NSW
One in three cancers can be prevented through healthy living behaviours.
The Cancer Institute NSW developed the Staying well and preventing cancer flipchart to support health or community workers/educators working with multicultural communities.
The flipchart uses simple text and illustrations to provide information about cancer prevention and healthy living behaviours.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
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
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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
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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.
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.
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.
Factors underlying adherence to lymphoedema risk reduction
1.
2. or "why women won't seek medical assistance"
Factors underlying adherence to
lymphoedema risk reduction strategies;
Sherman, K.A.,1,2 Kilby, C.J.,1,2 & Ridner, S.H.3
1 – Centre for Emotional Health, Department of Psychology,
Macquarie University, Sydney Australia
2 – Westmead Breast Cancer Institute, Westmead Hospital, Sydney, Australia
3 – School of Nursing, Vanderbilt University, Nashville, Tennessee
3. • Breast cancer treatments increase a woman's risk of lymphoedema
• 20% of survivors will develop lymphoedema sometime after treatment
• Simple strategies are recommended to manage this risk
Lymphoedema
3
Importantly: Seeking medical advice at the first signs of lymphoedema
But also: Avoiding extreme temperature (sauna), and avoiding arm trauma
Engagement is less than ideal
Hayes S, Karin J, Prosnitz R, Armer JM, Gabram S, Schmitz KH (2012) Upper-body morbidity after breast cancer. Cancer 118:2237-2249
American Cancer Society (2013) Lymphedema: What every woman with breast cancer should know. http://www.cancer.org/acs/groups/cid/documents/webcontent/002876-pdf.pdf.
Showalter SL, Brown JC, Cheville AL, Fisher CS, Sataloff D, Schmitz KH (2013) Lifestyle risk factors associated with arm swelling among women with breast cancer. Ann Surg Oncol 20:842-849
4. Beliefs and expectancies (beliefs) –
• Belief in ability to do recommendations (self-efficacy)
• Belief in recommendations effectiveness (response efficacy)
• Belief in ability to control lymphoedema (treatment and personal control)
• Expected lymphoedema consequences (perceived consequences)
• Expected lymphoedema timeliness (chronicity and cyclical)
Cognitive (thoughts and beliefs)Encoding (thoughts) –
• Perceived risk of developing lymphoedema (perceived risk)
• Knowledge about lymphoedema (knowledge)
• Perceived coherency of understanding lymphoedema (illness coherence)
Self-regulation (feelings and emotions) –
• Lymphoedema-related distress
Negative emotions about lymphoedema risk (emotional distress)
Ability to control negative emotions (self-regulation)
Affective (feelings and emotions)
4
Psychological Factors
Miller SM, Diefenbach MA (1998) C-SHIP: A cognitive-social health information processing approach to cancer. In: Perspectives in Behavioral Medicine. Lawrence Erlbaum, New Jersey, pp 219-244
Leventhal H, Weinman, J., Leventhal, E. A., Phillips, L. A. (2008) Health psychology: The search for pathways between behavior and health. Annu Rev Psychol 59:477–505
5. To what extent do these cognitive and affective factors influence a woman’s
willingness to engage with the following risk management recommendations
in women from both Australia and the US:
• Seeking medical advice at the first signs of lymphoedema
• Avoiding extreme temperatures (e.g., sauna)
• Avoiding trauma to the at-risk arm
Aim
5
6. Methodology
6
Participants (N = 597)
• A combined sample of women from Australia (n = 551) and the US (n = 46)
Recruited from:
Community breast cancer centers
Breast Cancer Network Australia
• Breast cancer diagnosis at least 12 months prior
• Completed active treatment
• Undergone breast and lymph node surgery
7. Measures:
Cognitive and affective factors –
• Illness perception questionnaire
• Items previously used in our research
Engage in risk management recommendations –
• Yes/No questions
Physical wellbeing (FACT-B physical subscale)
Demographics and medical variables
“Lymphoedema will last for a short time”
“I get depressed when I think about lymphoedema”
“Overall, how would you rate your risk for developing
lymphoedema”
“To what extent do you believe that you can calm
yourself down when anxious or worried about
developing lymphoedema”
Methodology
7
“Are you consulting with the doctor immediately
if you have any slight increase of swelling in the
affected arm, hand, fingers, or your chest wall?”
“Are you avoiding extreme temperature changes
when bathing, washing dishes, etc?”
“Are you avoiding any trauma in the affected arm?”• Age
• Country of residence
• Level of education
• Urban/rural living
• Symptom severity
• Chemotherapy use
• Radiotherapy use
• Type of breast surgery
• Type of lymph node surgery
Moss-Morris R, Weinman J, Petrie K, Horne R, Cameron L, Buick D (2002) The Revised Illness Perception Questionnaire (IPQ-R). Psychol Health 17:1-16
Sherman KA, Koelmeyer L (2013) Psychosocial predictors of adherence to lymphedema risk minimization guidelines among women with breast cancer. Psycho-Oncology 22 (5):1120-1126.
doi:10.1002/pon.3111
Brady M, Cella D, Mo F, Bonomi A, Tulsky D, Lloyd S, Deasy S, Cobleigh M, Shiomoto G (1997) Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J
Clin Oncol 15 (3):974-986
Procedure – Online survey
8. Most women were in their mid 50’s, reported low symptom severity,
and highly knowledgeable about lymphoedema
Age (Mean = 56 years, SD = 10 years)
Symptom severity (Mean = 2.43 out of 15, SD = 2.86)
Knowledge (Mean = 3.90 out of 5, SD = 0.92)
Most
12 years or less schooling
Living in urban environments
Taking anti-oestrogen
Having undergone: a mastectomy
Having undergone an axillary clearance
Having undergone chemo
Having undergone radiotherapy
More AUS than USAMore USA than AUSwomen also reported:
Results
8
Descriptives
(70.1%)
(56.2%)
(74.9%)
(52.4%)
(vs lumpectomy; 55.3%)
(vs SNLB; 54.4%)
(66.2%)
(AUS = 57.1% US = 45.2%)
(AUS = 75.8% US = 63.6%)
(AUS = 54.3% US = 68.3%)
(AUS = 56.1% US = 31.7%)
(AUS = 71.9% US = 46.3%)
9. Results
9
Engagement in risk management recommendations (%)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Seeking medical advice Avoiding extreme heat Avoiding trauma
Australia
USA
Combined
11. Results
11
Seeking medical advice (logistic regression)
Variables entered into this analysis
• Perceived risk
• Knowledge
• Illness coherence
• Response efficacy
• Self-efficacy
• Chronicity
• Cyclical
• Personal control
• Treatment control
• Perceived consequences
• Self-regulation
• Emotional distress
• Urban vs rural
• Country of residence
• Lymph node surgery
• Symptom severity
• Physical wellbeing
Significant cognitive and affective factors:
• Illness coherence +
• Response efficacy +
• Emotional distress +
Significant demographic and medical variables:
• Country of residence (USA)
• Type of lymph node surgery (axillary)
12. Avoiding trauma to the at-risk arm
Results
12
Avoiding extreme temperature and trauma
Avoiding extreme temperature
Perceived risk
Knowledge
Illness coherence
Response efficacy
Self-efficacy
Chronicity
Cyclical
Personal control
Treatment control
Perceived consequences
Self-regulation
Emotional distress
Education level
Country of residence
Lymph node surgery
Radiotherapy status
Age
Perceived risk
Knowledge
Illness coherence
Response efficacy
Self-efficacy
Chronicity
Cyclical
Personal control
Treatment control
Perceived consequences
Self-regulation
Emotional distress
Urban vs Rural
Education level
Country of residence
Lymph node surgery
Radiotherapy status
Chemotherapy status
Age
+
+
+
+
+
+
+
+
+
+
- +
(axillary)
(axillary)
(lower)
(undergone)
+
13. Conclusion
13
Evidence that psychological response influences willingness to engage with the
risk management recommendations
Specifically:
Women who understand lymphoedema, perceive lymphoedema as a serious
condition, and believe that there are things they can do to minimise their risk
We need to:
Empower women to understand that they can self-manage their risk
Reinforce the ease and effectiveness of the risk management recommendations
Ensure women understand the seriousness of the condition
Things to add: references
Direction: 30 seconds max
Highlight that the ‘but also’ are empirically verified
Words: Extensive body of research suggests that there are two vitally important psychological factors about illness which may underlie the way a woman manages that illness: These include their *click* cognitions– that is, their thoughts and beliefs – about their risk, as well as *click* their affective responses – their feelings and emotions – about their risk.
Each of these two factors are comprised of a number of components that better help us to evaluate exactly what thoughts and feelings a woman is experiencing. *click* For cognition, this includes the woman’s thoughts about her personal risk of developing lymphoedema, as well as both her knowledge of lymphoedema and how coherent her understanding of lymphoedema is – how much she understands, or gets, lymphoedema (does she think that lymphoedema makes sense to her, or is she confused by it). *click* We also look at the specific beliefs the woman holds about lymphoedema. Does she believe that she can manage her risk effectively, does she believe that she can control her risk, be it on her own or with medical treatments, does she believe that lymphoedema is a chronic or acute condition, and does she believe that lymphoedema comes and goes, or does she believe that once someone develops lymphoedema it stays with them forever.
*click* In regards to a woman’s feelings towards her risk, we focus in on how distressed her risk makes her feel, as well as how well she believes she can control this distress.
The majority of our sample were in their mid 50’s, low symptomatic, relatively knowledgeable about lymphoedema, had at least completed high school, lived in an urban environment, had undergone chemotherapy, radiotherapy, a mastectomy and axillary clearance, and were on an anti-oestrogen treatment
It is worth noting that our Australian sample, compared to our US sample, had a greater number of people who had completed high school, who lived in urban environments, who had undergone radiotherapy, a lumpectomy, and had an axillary clearance
Adherence across the board was around 60 to 70%, with women mostly avoiding trauma, and only about 40% avoiding extreme heat
Interestingly, American women were more likely to seek out medical advice than our Australian sample
IPQ scales have different ranges
Chronic 30
Consequences 30
Personal control 30
Treatment control 25
Cyclic 20
Emotional representation 30
Illness coherence 25
IPQ scales have different ranges
Chronic 30
Consequences 30
Personal control 30
Treatment control 25
Cyclic 20
Emotional representation 30
Illness coherence 25
Results provide clear evidence that a woman’s psychological response to her risk of lymphoedema plays a role in motivating her willingness to engage with the risk management recommendations
Of primary interest was a womans willingness to seek medical advice