Geriatrics pharmacology (prescribing medicines for the elderly)Ravish Yadav
The all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
Silvio E. Inzucchi, MD, prepared useful Practice Aids pertaining to type 2 diabetes management for this CME activity titled "The Role of SGLT2 Inhibitors in Type 2 Diabetes: CV, Metabolic, and Renal Considerations." For the full presentation, monograph, complete CME information, and to apply for credit, please visit us at http://bit.ly/2l4h3Ss. CME credit will be available until June 27, 2019.
Gastroesophageal Reflux Disease (GERD) is a common disorder that has undergone many paradigm changes in the last 15 years. We discuss the current paradigms in the pathophysiology, diagnosis and management of GERD.
Description on definition of pharmacogenetics, role of pharmacogenetics in drug response, role of polymorphism in drug metabolism, drug transporters and drug targets.
Gastroenterology: Peptic Ulcer Disease (Courses in Therapeutics and Disease S...edwinmasai
The presentation is about education on a course of Gastroenterology .
Gastroenterology is a medical specialty that focuses on the digestive system, which includes the esophagus, stomach, small and large intestines, liver, pancreas, and gallbladder. Gastroenterologists are trained to diagnose and treat a wide range of gastrointestinal conditions, including acid reflux, ulcers, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), liver disease, and pancreatic disorders. They may perform procedures such as endoscopies and colonoscopies to diagnose and treat these conditions.
This chapter is specifically for Peptic Ulcer Disease.
Geriatrics pharmacology (prescribing medicines for the elderly)Ravish Yadav
The all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
Silvio E. Inzucchi, MD, prepared useful Practice Aids pertaining to type 2 diabetes management for this CME activity titled "The Role of SGLT2 Inhibitors in Type 2 Diabetes: CV, Metabolic, and Renal Considerations." For the full presentation, monograph, complete CME information, and to apply for credit, please visit us at http://bit.ly/2l4h3Ss. CME credit will be available until June 27, 2019.
Gastroesophageal Reflux Disease (GERD) is a common disorder that has undergone many paradigm changes in the last 15 years. We discuss the current paradigms in the pathophysiology, diagnosis and management of GERD.
Description on definition of pharmacogenetics, role of pharmacogenetics in drug response, role of polymorphism in drug metabolism, drug transporters and drug targets.
Gastroenterology: Peptic Ulcer Disease (Courses in Therapeutics and Disease S...edwinmasai
The presentation is about education on a course of Gastroenterology .
Gastroenterology is a medical specialty that focuses on the digestive system, which includes the esophagus, stomach, small and large intestines, liver, pancreas, and gallbladder. Gastroenterologists are trained to diagnose and treat a wide range of gastrointestinal conditions, including acid reflux, ulcers, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), liver disease, and pancreatic disorders. They may perform procedures such as endoscopies and colonoscopies to diagnose and treat these conditions.
This chapter is specifically for Peptic Ulcer Disease.
Binge eating and metabolic syndrome have a complex relationship. Metabolic syndrome is a cluster of conditions that includes high blood pressure, high blood sugar levels, excess body fat around the waist, and abnormal cholesterol levels. Binge eating disorder (BED) is a type of eating disorder characterized by recurrent episodes of binge eating, which is defined as eating a large amount of food in a short period of time and feeling a lack of control over the eating behavior.
Several studies have suggested that there is a significant association between binge eating and metabolic syndrome. People with BED are more likely to have metabolic syndrome than those without the disorder. In addition, individuals with metabolic syndrome are more likely to have binge eating disorder than those without metabolic syndrome.
The exact mechanisms underlying the relationship between binge eating and metabolic syndrome are not fully understood. However, it is believed that the overconsumption of calories during binge eating episodes can lead to weight gain and obesity, which are major risk factors for metabolic syndrome. Furthermore, binge eating may also contribute to insulin resistance, which is a key feature of metabolic syndrome.
Treatment for binge eating disorder may help to reduce the risk of developing metabolic syndrome. Lifestyle changes such as healthy eating, regular exercise, and weight loss can help to improve metabolic health and reduce the risk of developing metabolic syndrome. In addition, psychological therapies such as cognitive-behavioral therapy and interpersonal therapy can help individuals with binge eating disorder to develop healthier eating habits and improve their overall mental health.
C H I R O E CO . CO M F e B r u a r y 2 4 , 2 0 1 7 • C H I R .docxclairbycraft
C H I R O E CO . CO M F e B r u a r y 2 4 , 2 0 1 7 • C H I R O P R A C T I C E CO N O M I C S 41
WELLNESSAPPROACH
THE NUMBER OF INDIVIDUALS WHOSUFFER FROM COMPLEX CHRONICdiseases such as heart disease,
diabetes, cancer, and autoimmune
disorders is on the rise. The conven-
tional care provided by allopathic
medicine is oriented toward acute care
and the diagnosis of trauma or disease
of limited duration, such as a broken
limb or heart attack.
Medical physicians practicing in this
model typically prescribe drugs or
surgery with the goal of ameliorating
the immediate conditionand symptoms.
If, as a DC, you are frustrated by
watching your patients suffer from
chronic disease and be cycled through
the system of diagnosis and drugs
without improvement, Functional
Medicine (FM) can provide you with
powerful tools and strategies to help
your patients regain their health.
Why Functional Medicine?
The acute-care approach is ill-equipped
to handle the multifaceted issues that
accompany most chronic diseases. It’s
also a model that fails to address the
unique genetic background of each
individual. It also does not take into
account the impact of modern lifestyles
and environmental factors that can
lead to an increase in chronic diseases.
These factors include diet, exercise,
exposure to toxins, and stress. For
these reasons, most doctors are
unequipped to assess the underlying
causes of disease. They do not know
how to utilize diet, exercise, and
nutrition as preventive factors in
combating chronic disease.
From an allopathic perspective, FM
offers a novel approach and method-
ology to treating andpreventing chronic
diseases. From a chiropractic perspec-
tive, seeking to discover the underlying
cause of disease by examining how
structure impacts function is a foun-
dational principal for the profession.
By joining forces, either through
collaboration or in a more formal
integrative or multidisciplinary practice
setting, allopathic physicians and
chiropractors can help their patients
derive the greatest benefit from both
perspectives. Practitioners of FM
develop individualized treatment
programs that address the interaction
between the external environment and
the internal environment of the body,
The heart of the matter
What you need to know about Functional Medicine.
BY MARK SANNA, DC
A
D
O
BE
ST
O
C
K
http://www.chiroeco.com
42 C H I R O P R A C T I C E CO N O M I C S • F e B r u a r y 2 4 , 2 0 1 7 C H I R O E C O . CO M
WELLNESSAPPROACH
including the immune, endocrine, and
gastrointestinal systems.
How is Functional Medicine
different?
From an FM perspective, the primary
factors considered during a patient
assessment include foundational
lifestyle factors: nutrition, exercise,
sleep, stress level, interpersonal
relationships, andgenetics. These
primary factors are, in turn, influenced
by certain predisposing factors,
ongoing physiological processes, and
discrete events that result in an
imbalance in the body’s ability to
maintain .
As part of the 4th Annual Early Age Onset CRC Summit theNational Colorectal Cancer Roundtable (NCCRT) Family History and Early Onset Task Group hosted a Special Symposium focused on the importance of Family Health History for colorectal cancer, including advanced adenomas, and its importance in preventing colorectal cancer. The Symposium included presentations on the current challenges and opportunities surrounding ascertainment and documentation of actionable family health history information in primary care.
The incidence of lung cancer is the third highest in the United States, and it is the leading cause of cancer-related mortality globally. Rates of lung cancer and deaths from the disease have been falling in the United States over the last two decades, while five-year survival rates have been rising.
Evidence-based guidelines for the nutritional management of adult oncology pa...milfamln
Webinar Objectives
1. The participant will be able to discuss the validity of malnutrition screening and nutrition assessment tools and their utilization in clinical oncology settings
2. The participant will be able to better utilize the Nutrition Care Process to provide appropriate and high-quality nutrition care to oncology patients
3. The participant will be able to describe the evidencebased relationships between nutritional status and morbidity and mortality outcomes in oncology
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Each one of the following patients is presenting with the same signs and symptoms consistent an infection.
If symptoms (e.g. pyrosis) are not frequent or troublesome, it is usually not considered to be gastroesophageal reflux disease (GERD).
Many people experience occasional pyrosis (heartburn)
- It can occur in all ages, but most frequently in adults over 40 years old
Pregnancy causes an increase in intra-abdominal pressure particularly in the 3rd trimester
Infants have lesser developed lower esophageal sphincters and are frequently in a recumbent position, both of which increase their risk of GERD
Obese patients are 3 times more likely to develop GERD than non-obese patients
Ethanol decreases lower esophageal sphincter pressure causing it to relax.
Nicotine decreases lower esophageal sphincter pressure causing it to relax.
Caffeine decreases lower esophageal sphincter pressure causing it to relax.
- Decreased clearance can happen due to decreased esophageal peristalsis and/or decreased salivary production. Salivary flow down the esophagus helps to clear gastric contents. Also, saliva contains bicarbonate which helps to buffer gastric contents.
- Examples of decreased mucosal resistance include decreased mucous production and decreased bicarbonate secretion
Delayed gastric empyting can occur when there is a high gastric volume and a decreased gastric emptying rate. For example, fatty foods can increase gastric volume and decrease gastric emptying rate. In addition, fatty foods can decrease LES pressure.
GERD is often described and classified in multiple ways. First is by symptoms, which is discussed in the next several slides.
GERD is also described if tissue injury is present (erosive disease) or absent (non-erosive disease). This is also discussed in later slides.
If a patient gets occasional pyrosis, they do not necessarily have GERD. Many people get heartburn occasionally.
- Not everyone with tissue injury from reflux will present with the “classic” symptoms such as pyrosis.
There are many situations that can aggravate GERD symptoms. Avoiding situations, medications, food, etc. that exacerbate symptoms is common and important strategy in GERD management.
Common things that can increase intra-abdominal pressure include obesity, pregnancy, tight clothing, belts, bending over)
There are multiple foods and medications that can decrease LES tone or pressure
There are multiple foods and medications that are direct irritants to the esophageal mucosa
- There are a variety of foods and medications that can decrease LES pressure and hence aggravate or exacerbate GERD symptoms such as pyrosis.
- There are foods and medications that are very irritating to the esophageal mucosa and hence can exacerbate pyrosis
Erosions and ulcerations may have bleeding. The blood loss is usually low grade and chronic in nature and may lead to anemia
Strictures of the esophagus are most common in the distal esophagus. They are usually 1 to 2 cm in length.
Barrett’s esophagus may occur after long-standing disease
About 1/3 of those with Barrett’s esophagus have minimal or no symptoms
- The frequency of endoscopy depends on biopsy results.
- Invasive testing such as endoscopy is not necessary in these circumstances
- Many patients with GERD (presenting with typical or atypical symptoms) will have normal appearing esophageal mucosa on endoscopy. That doesn’t mean they don’t have GERD. It means at that point in time they do not have any esophageal tissue injury present.
- OTC = over the counter or nonprescription medications
Endoscopic therapies include endoscopic sewing devices, the Stretta procedure, and the LINX system.
- To elevate the head of the bed, it is preferable to place a wedge or blocks between the mattress and the box spring as opposed to stacking pillows under the patient’s head
- Remember both alcohol and nicotine decrease LES pressure and can exacerbate symptoms
- Antacids can interact and decrease the effectiveness of other medications through a various mechanisms including increasing gastric pH with resulting decreased absorption of some medications, increasing urinary pH, adsorbing other medications, acting as a physical barrier to the absorption of other medications, forming insoluble complexes with some medications.
- There is a correlation between the percentage of time that the gastric pH remains above 4 and healing of erosive esophagitis.
- Rebound acid secretion following discontinue of a PPI as described could be one reason why some people find it hard to stop a PPI
- Either of these 2 strategies is appropriate to use to successfully discontinue a PPI in a patient who is experiencing rebound acid secretion symptoms after discontinuing a PPI
- Supportive therapy includes dietary adjustments, postural management, thickened feedings