This document discusses fatigue, including its definition, types, causes, symptoms, and assessment. It defines fatigue as tiredness or diminished energy that interferes with normal activities. Fatigue can be acute or chronic, and local or general. Common causes include lack of sleep, stress, illness, and advancing age. Symptoms include forgetfulness and lack of interest. Assessment involves history, physical exam, and potentially blood tests and imaging. Tests evaluate things like anaerobic capacity, aerobic capacity, and muscle strength and fatigue. Questionnaires can also assess fatigue severity.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Principles of Pathological Investigation and Imaging in Skeletal DisordersPurvi Verma
The current presentation explains about the pathological and pathological investigation required for the skeletal disorders.
The basic requirement for a good prognostic and diagnostic feature which helps in evaluation of any skeletal disorders.
This PPT share the principles used in exercise prescription and the parameters which should be kept in mind while prescribing and progressing the exercise regimen
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Principles of Pathological Investigation and Imaging in Skeletal DisordersPurvi Verma
The current presentation explains about the pathological and pathological investigation required for the skeletal disorders.
The basic requirement for a good prognostic and diagnostic feature which helps in evaluation of any skeletal disorders.
This PPT share the principles used in exercise prescription and the parameters which should be kept in mind while prescribing and progressing the exercise regimen
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Identification of the main targets when quantifying exercise intensities during training in PwMS.
Content:
1.Definitions
2.Introduction
3.Endurance Training
3.1 Maximum Oxygen Consumption(VO2max)
3.2 Maximum Heart rate (HRmax)
3.3 Rating of percieved exertion
3.4 Recommendations
4.
Resistance Training
4.1 Normatives
4.2 Quantification of the training intensity
4.3 Conclusions
5.
Discussion
Clinical exercise testing is used increasingly in clinical practice for two main reasons (Wasserman) -Its impact in the clinical decision-making process -A growing awareness that resting cardiopulmonary measurements do not provide a reliable estimate of functional capacity. The following are the most popular clinical exercise tests, in order of increasing complexity: (a) 6-minute walk test (6MWT), (b) shuttle walk test, (c) exercise-induced bronchoconstriction (EIB), (d) cardiac stress test, and (e) cardiopulmonary exercise test (CPET). The modality is selected on the basis of clinical question to be addressed and the available equipment.
FATIGUE ASSESMENT & MANGEMENT BY- DR. ANJALI RAIGoogle
Fatigue is a complex state characterized by a reduced mental and physical performance and lack of alertness, Lack of energy, difficulty in concentration . Which directly affects on performance of an individual - this document discuss about the fatigue its Definition, Introduction, Types, Causes, Assessment, Different scales to measure, and its Management and physiotherapy management and its prevention.
It’s not only our muscles that get tired during intense exercise; our brains also experience fatigue. Fatigue is also a common and often debilitating symptom in many diseases. Join researcher Guillaume Millet for this webinar to hear key insights from his studies on both exercise-related and chronic fatigue. Learn about the factors that contribute to fatigue and how strategies like regular exercise can actually help alleviate it.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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.
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
2. Fatigue is defined as the subjective complain of
tiredness or diminished energy level to the point
of interfering with normal or usual activities.
Fatigue can be menifested as difficulty or
inability initiating activity ( perception of
generalized weakness) reduced capacity
maintaining activity and difficulty with
concentration , memory and emotional stability.
6. Forgetfulness
Poor communication
Impaired decision-making skills
Lack of alertness
Slow reaction time
Quick of anger
No sense of humor
Lack of interest
Always tired
8. ID : Age, Gender, Nationality, Occupation
Chief complain
Onset : abrupt or gradual, related to event or
illness
Course : stable, improving or worsening?
Factors that alleviate or exacerbate symptoms
Impact on daily life- ability to work
10. When the fatigue is started, how long it lasts,
and what makes it better or worse?
Symptoms or side effects, such as pain, the
patient having from the cancer or the
treatments.
Medicines being taken.
Sleeping and resting habits.
Eating habits and changes in appetite or
weight.
Whether the patient has depression, anxiety
11. Health habits and past illnesses and
treatments.
How the fatigue affects being able to work.
12. General appearance
Posture
patient’s walking
Trouble breathing or loss of muscle strength
Palpation
Analogue scale: describes the fatigue on a
scale 1 to 10
1 5 10
13. Anemia: pallor, tachycardia, systolic ejection
murmur
Goitre or thyroid nodule: dry skin, delayed
deep tendon reflexes, peri orbital puffiness,
Hyperthyroidism: weight loss, hyper reflexia,
fine tremor, atrial fibrillation.
Addison’s disease: hypotension, scar,
pigmentation in skin creases
Heart failure: elevated jugular venous
pressure, ankle edema
15. Anaerobic fatigue:
Assessment of the fatigue during anaerobic
power performance when vigorous exercises
continues for more than few seconds .
Anaerobic fatigue is the percentage decline in
the power output during the test.
16. The various tests which are used for
anaerobic fatigue are following:
Katch test
Wingate cycle
ergometer test
Measurement of
blood lactate level
17.
18. Procedure
Test scores:
• Peak power output = force * distance
(num of revolutions*distance per revolution
divided by time in minutes)(5secs=o.o83min)
• Anaerobic fatigue=high power output – low power
output divided by high power output* 100
19. if a man weighing 73.3 kg performs wingate test
on a Monark cycle ergometer (6.0 m traveled per
pedal revolution) with an applied resistance of
5.5kg (73.3*0.075=5.49 rounded off to 5.5kg),
pedal revolution at 5 secs interval is 12,10,8,7,6,5
(48 total revolution in 30 seconds)
Peak power output= force*distance divided by time
5.5kg*(12*6)divided by 0.083 min
4753kg.m/min or 776.8 watts
20. Anaerobic fatigue=high power output-low power output
divided by high power output * 100
High power output is 776.8 W
Low power output= force*distance divided
by time
5.5 * (5*6) divided by 0.083
1980.8 kg.m/min = 323.7 W
Anaerobic fatigue = 776.8-323.7 divided by 776.8*100=58.3%
21. Fatigue is reached the amount of lactate in
the muscle and blood is maximum.
Measurement of lactate in blood can give an
idea regarding the extent of fatigue.
22. Measurement of aerobic capacity
• vo2 max = co * arteriovenous o2 diffrence
• Arteriovenous o2=arterial o2- venous o2
Measurement of energy expanditure
• Spirometry testing
23. Assessment procedure which indicate a fall in
the strength or firing ability of the muscle
fiber can be used to determine fatigue.
Decremental
studies
EMG
MMT
26. Depending on the findings in the history and
physical examination, blood tests and other
imagine studies may be ordered.
CBC (complete blood count)
Blood sugar
TSH
Tests for deficiency in vitamin B12, D,folic
acid and iron
ESR
27. 1. Exercise physiology. McArdle, Katch and
Katch
2. Physiology of sport and exercise. Jack H.
wilmore, W. Lany Kenney.
3. Physiotherapy in neuro-condition. Glady
