These PowerPoint presentations are intended for use by crime prevention practitioners who bring their experience and expertise to each topic. The presentations are not intended for public use or by individuals with no training or expertise in crime prevention. Each presentation is intended to educate, increase awareness, and teach prevention strategies. Presenters must discern whether their audiences require a more basic or advanced level of information.
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A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
These PowerPoint presentations are intended for use by crime prevention practitioners who bring their experience and expertise to each topic. The presentations are not intended for public use or by individuals with no training or expertise in crime prevention. Each presentation is intended to educate, increase awareness, and teach prevention strategies. Presenters must discern whether their audiences require a more basic or advanced level of information.
NCPC welcomes your input and would like your assistance in tracking the use of these topical presentations. Please email NCPC at trainings@ncpc.org with information about when and how the presentations were used. If you like, we will also place you in a database to receive updates of the PowerPoint presentations and additional training information. We encourage you to visit www.ncpc.org to find additional information on these topics. We also invite you to send in your own trainer notes, handouts, pictures, and anecdotes to share with others on www.ncpc.org.
A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
This documents mostly help to student of social work, because drug addiction is a social problem so, social workers have to know that what is reason behind drug abusing and what should be effect of drug abuser on society, how many common types of drug are in our society etc...
this presentation is based on crimes and drug abuses ... it help learners in enhancing their knowledge about drugs and crimes ... information or data used in this presentation is gathered from different researches made in localities of Pakistan and many other countries...
My name is Megan Johnson. My presentation is on Drug Addiction. The warning signs, Effects on the brain, and how it is possible to recover from addiction.
This documents mostly help to student of social work, because drug addiction is a social problem so, social workers have to know that what is reason behind drug abusing and what should be effect of drug abuser on society, how many common types of drug are in our society etc...
this presentation is based on crimes and drug abuses ... it help learners in enhancing their knowledge about drugs and crimes ... information or data used in this presentation is gathered from different researches made in localities of Pakistan and many other countries...
My name is Megan Johnson. My presentation is on Drug Addiction. The warning signs, Effects on the brain, and how it is possible to recover from addiction.
Heroin addiction treatment programs may very based on individual charachterstics of a patient. See our heroin addiction stories, heroin addiction statistics and road to heroin addiction recovery at www.heroindetoxeurope.com.
The jade mines of Hpakant in Burma’s northern Kachin State Have long been notorious for high rates of drug addiction and HIV infection. There are so many drug dealers, sellers and addicts in the village. It is all done quite openly and it has led to so much stealing and other social problems.
This presentation showcases some basic information regarding the latest drug crazes including alcoholic energy drinks, alcoholic whipped cream, bath salts, pocket shots, cheese, vaporizers, hookahs and #BuyKratom.
Visit my other video site [https://vimeo.com/buykratom] for more information regarding kratom.
Treatment Strategies for Women and Families with Substance AbuseErikaAGoyer
NATIONAL PERINATAL ASSOCIATION 2014 CONFERENCE
Treatment Strategies for Women and Families with
Substance Abuse: The participant will be able to:
Interpret the term “opioid use disorder,” explain the
benefits of Methadone Assisted Treatment (MAT) and
identify the characteristics of Neonatal Abstinence
Syndrome.
The term opioid refers to a group of compounds that includes opium, opium derivatives, and synthetic substitutes. Opioids exert both a sedative and an analgesic effect, and used to relieve pain, cough and treatment of diarrhea. They induce a pleasurable effect on the CNS that promotes abuse. These drugs are capable of inducing tolerance and physiological and psychological addiction.
clinical picture of drug abuse and dependenceMuskaanJoshi4
This presentation aims of understand the clinical picture of drug abuse and dependency. It covers the symptoms, levels of severity, DSM criteria and prevalence of each drug.
ANTI-DRUG CAMPAIGN (TYPES/EFFECTS/HOW TO OVERCOME DRUGS)czarinaCervo
this is all about drugs and on how to avoid or stop drug abuse, through this slideshow, viewers can be aware about the effects and the negative things that drugs can do to our body.
In this webinar, clinicians from two Ryan White clinics with successful buprenorphine programs describe what buprenorphine is, how it works, what opioids do to the brain, how buprenorphine differs from methadone, important drug-drug interactions, the concept of precipitated withdrawal and how to recognize it, how to determine patient eligibility, and clinical aspects of working with opiod-addicted people living with HIV.
Presenters Pamela Vergara-Rodriguez, MD, (CORE Center in Chicago), and Jacqueline Tulsky, MD (University of California at San Francisco and San Francisco General Hospital), also describe the challenges and successes of the SPNS buprenorphine projects at their institutions.
Visit the Integrating HIV Innovative Practices webpage to learn more about integrating buprenorphine into HIV primary care settings and to access additional training materials.
1.Opiates
Common signs of opioid addiction
2.Morphine
3.Heroin
. Biological effects of morphine and heroin
. Social effects of morphine and heroin
. Causal factors in opiate abuse and dependence
. Addiction associated with psychopathology
. DSM-5 Diagnostic criteria For OUD
. Treatment
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
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.
3. ADDICTION, ABUSE, DEPENDENCE
3 distinct terms: reflect the state of the body and mind of an individual
in relation to an addictive substance
Addiction: 1) when a lot of time is spent in obtaining a substance,
using a substance or recovering from it 2) Important social,
occupational and recreational activities are given up because of it 3)
the use is continued despite having a physical or psychological
problem
Abuse: 1) Recurrent substance use severely impacts obligations and
responsibilities at work, school or home 2) Legal problems due to
over use 3) Recurrent use despite social, interpersonal problems 4)
Absence of Dependence
Dependence: 1) Tolerance 2) Withdrawal 3) Unsuccessful urge,
effort to quit
4. OPIATES
Opiates belong to the large biosynthetic group of
benzylisoquinoline alkaloids
Naturally occur in the opium poppy
5. OPIATES
Major psychoactive opiates are morphine, codeine and thebaine
Semi synthetic opioids are hydrocodone, hydromorphone,
oxycodone and oxymorphone
Heroin is a synthetic substance that converts into 6 acetyl
morphine in the body
Heroin is colloquially known as H, smack, horse, brown, black, tar
etc.
6. PHARMACODYNAMICS
Reward pathway: modifies the action of dopamine in the nucleus
accumbens and the ventral tegmental area of the brain
Powerful agonist at the mu opioid receptors subtype
Binding inhibits the release of GABA from the nerve terminal,
reducing the inhibitory effect of GABA on dopaminergic neurons
Increased activation of dopaminergic neurons and the release of
dopamine into the synaptic results in sustained activation of the
post-synaptic membrane
Continued activation of the dopaminergic reward pathway leads to
the feelings of euphoria and the ‗high‘ associated with heroin use
Also binds to areas involved in the pain pathway (including the
thalamus, brainstem, and spinal cord) which leads to analgesia
7. ROUTES OF ADMINISTRATION
Heroin is usually injected, sniffed/snorted, or smoked
Typically, a heroin abuser may inject up to four times a day.
Intravenous injection provides the greatest intensity and most
rapid onset of euphoria (7 to 8 seconds)
Intramuscular injection produces a relatively slow onset of
euphoria (5 to 8 minutes)
When sniffed or smoked, peak effects are usually felt within 10 to
15 minutes
8.
9. SHORT TERM EFFECTS
Mitotic ―pinpoint‖ pupils: Less than 2.9 mm; stimulates the
oculomotor nuclei and affecting the sphincter muscle of the iris
which cause narrowing of pupils
10. SHORT TERM EFFECTS
Nausea and vomiting occur because heroin stimulates the area
postrema equaling chemoreceptor trigger zone in the medulla and
affects gastrointestinal receptors
Heroin affects the sphincter pylori, sphincter urethrae, and sphincter
ani externus
Warm, flushed skin; dry mouth; severe itching
Binds to the u-receptors that decrease gut motility and cause severe
constipation
Urinary retention
Bradycardia
Badypnea and respiratory depression
CNS depression
Spontaneous abortions
11. LONG TERM EFFECTS
Physical dependence and withdrawal as well as addiction
Infectious diseases, for example, HIV/AIDS and hepatitis B and C
Collapsed veins
Bacterial infections- pneumonia, TB
Abscesses
Infective endocarditis
Arthritis and other rheumatologic problems
13. WITHDRAWAL
Restlessness
muscle and bone pain
insomnia,
diarrhea, vomiting,
cold flashes with goose bumps ("cold turkey")
leg movements
Withdrawal is not fatal in healthy adults
14. TREATMENT
Naloxone for acute overdose management
Detoxification — controlled and medically supervised withdrawal
from the drug
Naltrexone for management: : opioid antagonist
Methadone maintenance
Clonidine is sometimes added to shorten the withdrawal time and
relieve physical symptoms
Buprenorphine- partial opioid agonist
Behavioral therapy, contingency management therapy and
cognitive-behavioral interventions
15. METHADONE MAINTENANCE
Specialized clinics for methadone
Taken daily in liquid form; a single dose lasts 24–36 hours
Some methadone clinics also provide other services, including vocational and
educational aid, referrals to other medical and social service agencies, help
for the families of addicts, and treatment for cocaine or alcohol abuse.
Switching from illicit opiates to methadone avoid the highs and lows and the
medical risks of intravenous injection and the criminal behavior that supports
it.
less depressed, more likely to hold a job and maintain a family life, less likely
to commit crimes, and less likely to contract HIV or hepatitis
Methadone can be continued indefinitely, or the dose can be gradually
reduced in preparation for withdrawal.
estimated that about 25% of patients eventually become abstinent, 25%
continue to take the drug, and 50% go on and off methadone repeatedly.
16. BUPRENORPHINE (SUBOXONE)
partial opioid agonist
Taken three times a week as either a tablet or film, sublingually
It occupies opiate nerve receptors and produces a mild opiate-like
effect.
In a person who is physically dependent on opiates, buprenorphine causes a
withdrawal reaction.
There is some risk of abuse if the tablet is dissolved and injected
buprenorphine has been made available in combination with naloxone, which
has little effect when absorbed under the tongue but neutralizes the effect of
injected opiates.
The main advantage of this is that patients do not have to come to clinics to
take it, because there is no illicit market and no danger of diversion.
Since 2002, individual physicians with proper training and certification have
been allowed to prescribe buprenorphine in their offices for patients to take
home
17. THERAPY
Residential behavioral therapy most effective.
Contingency management therapy uses a voucher-based system,
where patients earn "points" based on negative drug tests. They
can exchange these for retail items or e allowed to take home
methadone instead of coming to the clinic
Cognitive-behavioral interventions are designed to help modify
the patient's expectations and behaviors related to drug use, and
to increase skills in coping with various life stressors.
18. AS A PHYSICIAN…
Perform HIV, Hepatitis B S Ag, Hepatitis C Ab screening tests on
opioid dependent patient
Watch out for Latent TB infection
Immunizations Hep A, Hep B and Tetanus are up to date
Counsel patient, provide information
Remember, drug seeking behavior is not a personality trait; do not
judge your patients
Because there is a risk of diversion to the illicit market, addicts must come to specialized clinics for methadone, which they take daily in liquid form. A single dose lasts 24–36 hours, and there are few side effects. Some methadone clinics also provide other services, including vocational and educational aid, referrals to other medical and social service agencies, help for the families of addicts, and treatment for cocaine or alcohol abuse.Addicts who switch from illicit opiates to methadone avoid the highs and lows and the medical risks of intravenous injection and the criminal behavior that supports it. Studies show that they are less depressed, more likely to hold a job and maintain a family life, less likely to commit crimes, and less likely to contract HIV or hepatitis. Methadone can be continued indefinitely, or the dose can be gradually reduced in preparation for withdrawal. It has been estimated that about 25% of patients eventually become abstinent, 25% continue to take the drug, and 50% go on and off methadone repeatedly.Buprenorphine:A promising approach to maintenance is the partial opioid agonist buprenorphine. This drug is taken three times a week as a tablet held under the tongue. It occupies opiate nerve receptors and produces a mild opiate-like effect. At higher doses, it continues to produce the same weak effect while displacing more potent drugs. In a person who is physically dependent on opiates, buprenorphine causes a withdrawal reaction. There is some risk of abuse if the tablet is dissolved and injected, so buprenorphine has been made available in combination with the short-acting opiate antagonist naloxone, which has little effect when absorbed under the tongue but neutralizes the effect of injected opiates.The main advantage of this combination, sold under the name Suboxone, is that patients do not have to come to clinics to take it, because there is no illicit market and no danger of diversion. Since 2002, individual physicians with proper training and certification have been allowed to prescribe buprenorphine in their offices for patients to take home. It could be a solution for opiate addicts who will not or cannot attend a methadone clinic because of the inconvenience, the stigma, or a long waiting list. And switching some addicts to buprenorphine could free places in methadone clinics for others.Behavioral therapy: residential most effective. Contingency management therapy uses a voucher-based system, where patients earn "points" based on negative drug tests, which they can exchange for items that encourage healthy living. Cognitive-behavioral interventions are designed to help modify the patient's expectations and behaviors related to drug use, and to increase skills in coping with various life stressors. Both behavioral and pharmacological treatments help to restore a degree of normalcy to brain function and behavior, with increased employment rates and lower risk of HIV and other diseases and criminal behavior.