The document discusses dizziness and vertigo, their causes, and treatment options. It outlines that 85% of vertigo is caused by inner ear problems, including Meniere's disease, vestibular neuritis, and benign paroxysmal positional vertigo (BPPV). BPPV is the most common cause of vertigo and can be treated through repositioning maneuvers to move calcium carbonate crystals that have migrated to the wrong part of the inner ear. Vestibular rehabilitation exercises can help adapt to inner ear problems and reduce dizziness and imbalance.
A concise presentation about BPPV and Ménière's disease and other causes of vertigo, the difference between central and peripheral vertigo, symptoms and etiology and approach to physical examination and treatment.
A concise presentation about BPPV and Ménière's disease and other causes of vertigo, the difference between central and peripheral vertigo, symptoms and etiology and approach to physical examination and treatment.
HOW TO MANAGE PATIENTS WITH VERTIGO?
Andradi S.
Department of Neurology. University of Indonesia, Jakarta
disampaikan dalam Simposium PIT IDI Kota Bogor
Vertigo is a subtype of dizziness in which a patient inappropriately experiences the perception of motion (usually a spinning motion) due to dysfunction of the vestibular system.
Vertigo is a problem commonly encountered in daily clinical practice.So an uniform approach to a patient with Vertigo is essential to identify the underlying aetiology of Vertigo.
1. Identify the difference between vertigo, disequilibrium,, near-syncope, and Undifferentiated dizziness.
2. Identify helpful tests to distinguish peripheral from central vertigo.
3. Understand how to treat different kinds of vertigo
HOW TO MANAGE PATIENTS WITH VERTIGO?
Andradi S.
Department of Neurology. University of Indonesia, Jakarta
disampaikan dalam Simposium PIT IDI Kota Bogor
Vertigo is a subtype of dizziness in which a patient inappropriately experiences the perception of motion (usually a spinning motion) due to dysfunction of the vestibular system.
Vertigo is a problem commonly encountered in daily clinical practice.So an uniform approach to a patient with Vertigo is essential to identify the underlying aetiology of Vertigo.
1. Identify the difference between vertigo, disequilibrium,, near-syncope, and Undifferentiated dizziness.
2. Identify helpful tests to distinguish peripheral from central vertigo.
3. Understand how to treat different kinds of vertigo
Vertigo or positional giddyness is a very common condition. Ayurveda has a better treatment option for Vertigo. This is how we treat our vertigo patients at Ukkiandas Ayurveda.
meniere disease is the inner ear condition which affect the patient haring and balance this ppt can help the nurses to take care of the patient affected with this disease and can be used as a study material for their examination
Feeling off balance or dizzy after getting off of a ride at the local fair may be normal but if you are experiencing these symptoms in everyday life it may signal a problem with your inner ear, or vestibular system, and you may benefit from vestibular physical therapy.
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INFORMING OTHERS OF YOUR HEARING LOSS
SPEECHREADING
STRATEGIES TO IMPROVE COMMUNICATION
APPROACHES TO COMMUNICATION
HEARING PROTECTION DEVICES
ASSISTIVE LISTENING DEVICES
HOW WE HEAR
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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
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.
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
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Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
1. Dizziness & Vertigo: Evaluation and Treatment Options Al Turri Au.D Hearing and Dizziness Wellness Center Orlando, Clermont and BELLEVIEW www.fixmyhearing.com [email_address]
30. You Do Not have to “Learn to Live With It” www.fixmyhearing.com Hearing and Dizziness Wellness Center
Editor's Notes
Introduction of Desert Sounds, number of years, convenient locations, latest technology, etc. Member of the American Institute of Balance Affiliate Network of vestibular specialists. This means that we use proven ways to not only identify dizziness and balance problems but also treat these problems.
Dizziness is a general word that people use to describe lots of different things that they feel. If I asked 20 of you to explain what dizziness means to them, I would get 20 different answers. It could be a lightheaded sensation. This could be caused by blood pressure medication, but it could also be related to those three glasses of wine last night (May or may not use that one). You might describe dizziness as a spinning sensation that only lasts for seconds and occurs when you get in your bed. You may describe dizziness as a fear of falling that you experience when you are walking outside or going up or down a curbside. The point is that there are many causes of dizziness and it takes someone with special knowledge to determine the exact cause. For example, let me tell you about that spinning type of dizziness – it’s called vertigo
Define Vertigo for them Explain that a lot of physicians don’t know this, but 85% of the time, vertigo is caused by an inner ear problem. Explain that doesn’t come from you, that’s Johns Hopkins University School of Medicine that reported that data.
Let me show you what we’re talking about when I say inner ear. Here is the hearing part of the inner ear, but some people don’t know that the primary function of the inner ear is to help you maintain balance. When there is a problem here, you may become off-balance or experience vertigo. You may even have other types of dizziness. Extra Info: Overview of Auditory & Vestibular System Depiction of outer ear , middle ear , and inner ear . Note that the vestibular structures are located posterior to the hearing structure ( cochlea ).
Here are three common types of inner ear problems that are known to cause vertigo. Explain in brief because you are going into more detail on next few slides.
Menieres disease is only the cause of vertigo in about 20-400/100,000 people. It is not very common. Basically, there is too much fluid in the inner ear. I don’t have to tell you what happens if you fill up a balloon with air and keep on filling and filling. That’s similar to what can happen in the inner ear from too much of this fluid.
Vestibular Neuritis is caused by a virus. The virus causes inflammation of the nerve going from the balance part of the inner ear to the brain. This is the second most common cause of vertigo. People with this may have lightheadedness after the vertigo stops. They may also develop the most common caused of vertigo that I will tell you about in a minute.
People with Meniere’s disease need medicine during their worst symptoms. Some of these people need surgery to fix the problem in the inner ear. Either way, once the attacks of vertigo are stopped these folks usually need vestibular rehabilitation. People with vestibular neuritis do need medicine during the worst part, but then they need to get off the medicine. That’s another thing that most doctors don’t understand. Some of these medications for MD or VN actually make people more likely to fall.
Here is one example of a gentleman who experienced VN. Now, when he moves his head, his vision gets blurred. He has trouble walking when it is dark or if he is outside (grass, uneven sidewalks, etc.). This first video clip shows part of the way that this can be treated. The gentleman is having therapy to re-train his brain to deal with the sick ear. Now, he will be able to keep his vision clear, not only when he is moving his head, but driving, walking, etc.
This is another example to help the patient re-learn how to deal with walking on tough surfaces. We are adapting his brain to the sick ear. We are helping him not feel nauseated with head movement while walking and getting him to use information from his feet and lower legs to help him with his balance.
Now, this is a big one. BPPV is the number one cause of vertigo. 50% of people 70 and older will have BPPV at least once. Doctors often tell their patients with BPPV that it will go away on its own or even worse they tell the person, “well, you’ve had a few birthdays so you will just need to learn to live with it.” That’s a horrible thing to say—you do not have to learn to live with positional vertigo because we know how to treat it.
To understand BPPV, we need to look at how the ear works. You basically have some tiny rocks in a certain part of the inner ear. This is your gravity detector area.
Here’s another look at the gravity detector. See how the rocks are all over the top and embedded in this membrane. This is the way it is supposed to be. Otolith Sensory Structure Otoconia Otolithic Membrane Macula
Here is an actual picture of some of these crystals. Otoconia
Now, everything’s fine when the rocks stay where they belong but they can move into a different part of the ear. That’s when the person gets positional vertigo. Why does this happen? Go through reasons. So, if these rocks are in the wrong place, when you move your head, the rocks move and you feel an intense spinning dizziness—vertigo.
These are some of the specific symptoms that people have with BPPV.
It is also interesting to see that people who have BPPV have greater difficulty with daily activities, have twice the depression as people without BPPV, and experience twice the falls of people without BPPV You do not need to wait for this to go away on its own. You do not need to learn to live with it. Desert Sounds can fix this.
Let me tell you about how this can be fixed. Medicine does not work. There are surgery options but they go into your skull to cut the nerve to the inner ear—most people do not want to have this done. Some treatments have the person causing the dizziness over and over again until they get used to it—ridiculous. Repositioning maneuvers are the best treatment. With one 20 minute therapy, we can fix BPPV 80% of the time. We can fix BPPV 96% of the time with a second treatment. The point is that you do not have to learn to live with it.
Here is basically how the treatment works. We move you through a specific sequence of head and body positions to get the rocks back into the place where they belong—the gravity detector part of the inner ear.
Here is a patient who has BPPV affecting the left ear. I want you to watch the eyes of the patient and the treatment.
Here’s another example of a person with BPPV.
This is a different treatment than you just saw, but it works just as well. Again, watch the eyes and the positions of the patient. Gans Repositioning Maneuver Data if you want it. On average, 1.25 treatments needed to clear the 207 patients 80% of 207 patients clear after one treatment, 95.6% cleared after two GRM treatments
Goal with treatment of BPPV is to get rid of the positional vertigo.
What about patients who feel that they are off-balance or maybe have experienced a fall? We maintain balance by using information from our inner ears, our eyes, and our feet and lower legs. The brain puts all this together to keep us from falling. A problem with any of these areas may cause falls. You need to be evaluated by a specialist in inner ear and balance issues to determine where the problem is—that’s the only way to get the person appropriate treatment.
Balance problems and falls are such a huge problem that Congress has even created an Act to deal with it. In 2005, the Keeping Seniors Safe From Falls Act was introduced. This is important because balance problems and falling may lead to (explain problems) Look at the number of hospital admissions just due to hip fractures. This is a very big problem. Many of you may have experienced or no someone who has experienced a fall. Evaluation by a specialist in balance is the only way to ensure that you will get appropriate treatment to help avoid falls.
These are some of the things that we recommend after we’ve determined why a person is having a balance problem or falling.
Here is some video of a person who could not stand on her own when she came in for evaluation. She had a stroke a several months before she came in and also had vertigo. Now, she was having falls a couple of times a week. It was only a matter of time before she became seriously injured. It was determined that she actually had BPPV and a balance problem. The BPPV was fixed immediately like how I showed you in the other videos. Next, she worked with a physical therapist to improve her balance. They worked on strength and balance to get her to a point that she could walk on her own, even outside.
Here she is outside. The therapist is right there with her because you see they are coming to a handicap entrance with a slope—a very tough place for someone with a balance problem.
Now, look at the patient. She is actually able to walk unassisted. – This from a person who had vertigo whenever she would lay down to go to sleep and could not stand up from a chair by herself.
Regardless of your dizziness or balance problem, you do not have to learn to live with it. Hear At Last can determine what the problem is and how to fix it.