With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
OBJECTIVES
Recognize and define high wealth, high touch, high service
Explain with case examples, 12 evidenced-based points to take into consideration when working with high net worth clients
Illustrate how trauma interfaces in their lives
Introduce Collective Intervention Strategies- CIS
Evaluate treatment options for those impaired- Concierge & Inpatient
Develop, Family, Friend Solution Focused Recovery Plan
Objectives:
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
State statistics as it relates to physicians and suicicide including the “July’ Effect
Explain the correlation between depression and addiction as it manifests itself in this population
Demonstrate the efficacy of a robust bi0-psycho-social and questions
Recommend strategies within medical practices and hospitals to reduce risk
As a seasoned interventionist, I’ve seen clients from both sides of the mental illness/substance abuse spectrum as well as clients with an avalanche of additional problems that I describe as the TRIPLE THREAT, those who suffer from a tertiary issue either as a result of a prior condition (i.e. disorder or illness) or that one that is exacerbated by additional factors (i.e. physical, legal, traumatic, etc.). These folks and their families present a diagnostic quandary with their kaleidoscope of competing and equally important issues.
OBJECTIVES:
Demonstrate, Recognize, Define & Identify what we mean by “AGING”
Identify special considerations for this population including :
Substance Abuse (Alcohol & Opioids) Mental Health (Depression & Anxiety), Grief and Loss,( loss of a loved one or function) , Suicide
Other Physical Maladies -Chronic Pain-Knees, Hips, Shoulders , (Heart Diabetes, Hypertension, Cataracts, Glaucoma , Dementia, Alzheimers
Problematic Gambling, Financial Issues
Demonstrate, Recognize, Define and Identify what we mean by aging
Describe Substance Use Disorders (Marijuna, Alcohol & Opioids)
Identify Mental Health Issues (Depression & Anxiety, Grief and Loss, Suicide )
From identifying ethical decision-making models to the top issues, Dr. Louise Stanger of All About Interventions provides ethical guidelines for addiction and marketing professionals
OBJECTIVES
Recognize and define high wealth, high touch, high service
Explain with case examples, 12 evidenced-based points to take into consideration when working with high net worth clients
Illustrate how trauma interfaces in their lives
Introduce Collective Intervention Strategies- CIS
Evaluate treatment options for those impaired- Concierge & Inpatient
Develop, Family, Friend Solution Focused Recovery Plan
Objectives:
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
State statistics as it relates to physicians and suicicide including the “July’ Effect
Explain the correlation between depression and addiction as it manifests itself in this population
Demonstrate the efficacy of a robust bi0-psycho-social and questions
Recommend strategies within medical practices and hospitals to reduce risk
As a seasoned interventionist, I’ve seen clients from both sides of the mental illness/substance abuse spectrum as well as clients with an avalanche of additional problems that I describe as the TRIPLE THREAT, those who suffer from a tertiary issue either as a result of a prior condition (i.e. disorder or illness) or that one that is exacerbated by additional factors (i.e. physical, legal, traumatic, etc.). These folks and their families present a diagnostic quandary with their kaleidoscope of competing and equally important issues.
OBJECTIVES:
Demonstrate, Recognize, Define & Identify what we mean by “AGING”
Identify special considerations for this population including :
Substance Abuse (Alcohol & Opioids) Mental Health (Depression & Anxiety), Grief and Loss,( loss of a loved one or function) , Suicide
Other Physical Maladies -Chronic Pain-Knees, Hips, Shoulders , (Heart Diabetes, Hypertension, Cataracts, Glaucoma , Dementia, Alzheimers
Problematic Gambling, Financial Issues
Demonstrate, Recognize, Define and Identify what we mean by aging
Describe Substance Use Disorders (Marijuna, Alcohol & Opioids)
Identify Mental Health Issues (Depression & Anxiety, Grief and Loss, Suicide )
From identifying ethical decision-making models to the top issues, Dr. Louise Stanger of All About Interventions provides ethical guidelines for addiction and marketing professionals
At the end of this session, participants will be able to:
Identify and define their philosophical orientation
Become Acquainted with Appreciative Inquiry
Identify Intergenerational patterns in their clients
Assess the value of Portraiture as a qualitative mode of inquiry to gain valuable data about an individual and family themes as a nonjudgemental way into story
Demonstrate pictorially family resilience and wounds and use this as broad map for clinical interventions ( in private practice, in interventions and in behavioral health centers
Presentation Objectives:
Review The State of Chronic Pain Today
Discuss the importance of emotions (Anxiety &Depression) with Chronic pain
Discuss the relationship of the Brain to Pain.
Describe, demonstrate the role nutrition, mindfulness, exercise and adventure based therapies has in treatment of chronic pain.
Objectives
Describe and Discuss major
Gen Z issues :
Isolation Bullying, Cutting,
Vaping, Texting ,Self Harm
Teen Suicide
Alcohol, Marijuana and Other
Drug Use
Tips for Parents and Counselors
Identify external motivators and collateral processes for the resistant client
Learn alignment strategies using Motivational Interviewing and Solution Focused Therapy
Practice the art of Crucial Conversations
Practice Parallel Processes
Identify Emotional Attunement
Practice Reflective Listening and Speaking
Identify Ways to Integrate these strategies into your practice
Care Advocacy for the client in treatment
OBJECTIVES:
Examine the history of suicide in the medical professional and how that differs from other groups
Look at variables which contribute to physician burn out
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
Describe how Addiction, Depression and Anxiety and Suicide Effect Families
How do you discover joy and gratitude and move forward in life with purpose and hope? We explore these and other issues related to addiction, mental health, chronic pain, and trauma.
OBJECTIVES
Describe and Discuss what is Pain Recovery
Identify the role Shame has with Chronic Pain
Demonstrate the difference between Acute and Chronic Pain using case examples
Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
This is the guidebook I wish I had when I was first learning about addiction and mental health disorders when I was a young woman.
It’s the book I give to every client who walks through my door. It is Family Focused, Practical, Hopeful and full of real life examples to help you understand and have the courage to change your experience.
OBJECTIVES
To articulate your philosophy of practice
Review Duty to Warn, Duty to Protect & Privilege Communication
Explore Ethics in Todays world-Opioid Crisis - Me Too- Legalization of Marijuana - Medication Assisted Treatment
Explain, Describe & Differentiate Digital Policies and Ethics for Licensed Clinicians
View Social Media & Advertising in Digital Age
Evaluate Tele Psychology
Examine The Emergence of Open Notes as an Ethical Issue
Failure to Launch is a subject I recently addressed at the Innovations in Recovery Conference in April 2016.
According to Psychology Today, the term “failure to launch,” is an increasingly popular way to describe the difficulties some young adults face when transitioning into the next phase of development—a stage which involves greater independence and responsibility. Although this is how it is commonly thought of in industry, from my experience the seedling for this phenomena may have been planted in the early teen and young adult years by over-anxious and well-meaning parents (often called helicopter parents) who wanted a life much easier than they experienced for their offspring.
The effects of FTL can be clearly observed in 49-50-60 and, yes, even 70 years-old individuals who are in need of behavioral health care interventions. These individuals often still live at home or are supported by their parents and do not work. Even if they have been married and have children, they still act as if they were a child and take little responsibility for their financial well-being. My hope is that you find this presentation helpful as we work to reach this fascinating population!
OBJECTIVES
--Describe and Discuss what is Pain Recovery
--Demonstrate the difference between Acute and Chronic Pain using case examples
--Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
--Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
At the end of the presentation, you will be able to:
Identify, Describe and Discuss, How Clients and Families Come to your Practice
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one
Review evidence based strategies
Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span
Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic
Identify and Describe Addiction per ASAM new definition
Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies
At the end of this session, participants will be able to:
Identify and define their philosophical orientation
Become Acquainted with Appreciative Inquiry
Identify Intergenerational patterns in their clients
Assess the value of Portraiture as a qualitative mode of inquiry to gain valuable data about an individual and family themes as a nonjudgemental way into story
Demonstrate pictorially family resilience and wounds and use this as broad map for clinical interventions ( in private practice, in interventions and in behavioral health centers
Presentation Objectives:
Review The State of Chronic Pain Today
Discuss the importance of emotions (Anxiety &Depression) with Chronic pain
Discuss the relationship of the Brain to Pain.
Describe, demonstrate the role nutrition, mindfulness, exercise and adventure based therapies has in treatment of chronic pain.
Objectives
Describe and Discuss major
Gen Z issues :
Isolation Bullying, Cutting,
Vaping, Texting ,Self Harm
Teen Suicide
Alcohol, Marijuana and Other
Drug Use
Tips for Parents and Counselors
Identify external motivators and collateral processes for the resistant client
Learn alignment strategies using Motivational Interviewing and Solution Focused Therapy
Practice the art of Crucial Conversations
Practice Parallel Processes
Identify Emotional Attunement
Practice Reflective Listening and Speaking
Identify Ways to Integrate these strategies into your practice
Care Advocacy for the client in treatment
OBJECTIVES:
Examine the history of suicide in the medical professional and how that differs from other groups
Look at variables which contribute to physician burn out
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
Describe how Addiction, Depression and Anxiety and Suicide Effect Families
How do you discover joy and gratitude and move forward in life with purpose and hope? We explore these and other issues related to addiction, mental health, chronic pain, and trauma.
OBJECTIVES
Describe and Discuss what is Pain Recovery
Identify the role Shame has with Chronic Pain
Demonstrate the difference between Acute and Chronic Pain using case examples
Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
This is the guidebook I wish I had when I was first learning about addiction and mental health disorders when I was a young woman.
It’s the book I give to every client who walks through my door. It is Family Focused, Practical, Hopeful and full of real life examples to help you understand and have the courage to change your experience.
OBJECTIVES
To articulate your philosophy of practice
Review Duty to Warn, Duty to Protect & Privilege Communication
Explore Ethics in Todays world-Opioid Crisis - Me Too- Legalization of Marijuana - Medication Assisted Treatment
Explain, Describe & Differentiate Digital Policies and Ethics for Licensed Clinicians
View Social Media & Advertising in Digital Age
Evaluate Tele Psychology
Examine The Emergence of Open Notes as an Ethical Issue
Failure to Launch is a subject I recently addressed at the Innovations in Recovery Conference in April 2016.
According to Psychology Today, the term “failure to launch,” is an increasingly popular way to describe the difficulties some young adults face when transitioning into the next phase of development—a stage which involves greater independence and responsibility. Although this is how it is commonly thought of in industry, from my experience the seedling for this phenomena may have been planted in the early teen and young adult years by over-anxious and well-meaning parents (often called helicopter parents) who wanted a life much easier than they experienced for their offspring.
The effects of FTL can be clearly observed in 49-50-60 and, yes, even 70 years-old individuals who are in need of behavioral health care interventions. These individuals often still live at home or are supported by their parents and do not work. Even if they have been married and have children, they still act as if they were a child and take little responsibility for their financial well-being. My hope is that you find this presentation helpful as we work to reach this fascinating population!
OBJECTIVES
--Describe and Discuss what is Pain Recovery
--Demonstrate the difference between Acute and Chronic Pain using case examples
--Explain the symbiotic relationship between Chronic Pain-Substance Abuse and Mental Health Disorders
--Identify and Recommend Multidisciplinary Treatment Options for the Behavioral HealthCare Field
At the end of the presentation, you will be able to:
Identify, Describe and Discuss, How Clients and Families Come to your Practice
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one
Review evidence based strategies
Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span
Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic
Identify and Describe Addiction per ASAM new definition
Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies
Dr. Louise Stanger— lecturer, professor, clinician, trainer and international interventionist— has developed and refined her invitational method of mental health and substance abuse interventions using the well-established research methodology of portraiture. She and her teammate have performed thousands of family interventions throughout the United States and abroad.
Discussion of issues related to violence in the workplace, coping with anxieties about violence, and talking to children about reports of violence they see in the media.
Dr. Louise Stanger of All About Interventions describes SFT, motivational interviewing and parallel processes to help addiction professionals integrate these transformational processes into practice.
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
OBJECTIVES:
If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn?
Identify and Describe How Families Arrive at your door.
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture.
Clinical and Reverse Interventions - what are these and how to do?
Share Standard Vocabulary Families need to know Family Change Agreements - What are these - when to use?
Learn about Treatment Without Walls.
We help individuals AND families navigate life’s challenges.
We work in home – to provide support in the family’s environment.
We create healthy long-term dynamics.
We tailor programs that work toward results-oriented living.
We are fully bespoke. We are there for you and your family, wherever and whenever.
We collaborate with the best behavioral health specialists and centers across the globe.
OBJECTIVES:
To describe and explain Gen Z in COVID 19
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
OBJECTIVES
-Who-s Your Family? Describe and Define using Family Maps
-Learn how to have open ended Conversations through the Art & Science of Portraiture
-Teach the us of Memoir as a way to learn to live with Possibility & Affirm Resilience.
OBJECTIVES
- Identify, Describe How Clients and Families Come to your
Practice
- Identify , Describe and Discuss Addiction, Mental Health ,
Chronic Pain and Process Disorders
-Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
-Identify how we as clinicians, behavioral health care professionals identify our clients
OBJECTIVES:
Learning how to care for ourselves and not being attached to the problem to find joy in recovery.
Letting Go of what we cannot control.
Learning about SA, MH, CP and other Disorders and how they effect us all.
OBJECTIVES:
To describe and explain Gen Z
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
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.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
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!
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 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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
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.
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.
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.
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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3. MEET DR. LOUISE
➤ Clinician -Ed.D, LCSW, CDWF,
CIP
➤ Expert- Author Falling Up-A
Memoir of Renewal & Learn to
Thrive-An Intervention
Guidebook, Thrive Global,
Huffington,Recovery Campus ,
Sober world etc.
➤ Educator-Faculty SDSU,
School of Social Work, SDSU
Interwork Institute,NIH_NIAA
researcher, USD Director AOD
➤ Black Box Client and Advocate
4.
5.
6. You Have the Opportunity
To Play a Key Role
With the ongoing opioid epidemic, availability or marijuana
and other drugs addiction has become a problem with no
class lines. The story of pain medication following surgery
leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as
part of your job description , and you are in a unique
position of Influence and Trust to identify and help
intervene when the persons with problems are clients and
their loved ones.
7. Who is your Client ?
As Executive Protection what are
your legal rights in terms of who
you communicate to?
Who is your client?
It’s easier if you represent the
family or the business entity and
have the power to talk to the
family or business manager
Tricker if your client is the
identified love one with the
problem
8. “Make sure your documents put you
in a position to do something”.
Harry Nelson Esq.
Client engagements should provide sufficient power for you to act to speak
in case of a health crisis .
Clients may have Trust documents include “spendthrift”provisions allowing
trustees to adjust or control spending for people with spending problems
and substance abuse and mental health crisis.
Different states offer different degrees of latitude to put controls on funds -
age 21- 25 th and in some cases beyond
Think that addiction is not an age-bound disease and have management -
control mechanisms beyond these dates
These are discussion you may have with families and business managers etc
9. What do you do?
Executive protection
Event management
Surveillance
Security
Companionship
Safe Passage
Safety and Security Training
Interventions
13. Definitions of Trauma
Overwhelming experiencing that
cannot be integrated and elicit
animal defensive mechanisms and
dysregulated arousal
“A stress that causes physical or
emotional harm that you cannot
remove yourself from”
Larke Huang , Director of Health
Care Equity at SAMSHA
14. Trauma is objective
What happened ( My
father killed himself, My
baby dies of SIDS, I was
date raped , humiliated etc
15. Trauma is subjective :
How do I perceive the situation ?
Relationship to early child-
hood experiences -and
Alcoholism
Adverse Childhood
Experience- 17,000 patients -
Kaiser- effects of trauma are
cumulative and one of most
destructive forms is recurrent
calling and humiliation
16.
17. What do your Clients Say about
Trauma ????
Verbal abuse
Physical abuse
Witnessing a tragedy
Not being told about something
Accidents
Divorce
Death
18.
19. Getting Emotionally Hooked
When I Experience X
I Feel- Body Sensation
I Think -Whats my go-to
thought process
Behavior-What do I do?
20.
21. Signs of Unresolved Trauma
Inability to tolerate feeling or
conflicts
Numbness-Movement to intense
feelings or rage
Depression (problems sleeping, loss
of memory, anxiety, low
motivation
Panic, Feeling like you are having
a heart attack or anxiety
22. Out of Control or Injurious Behavior
Addictive behaviors (over-under
eating, gambling, drinking
Repeated patterns of behavior to
avoid
feelings( Promiscuity,Internet,
sleeping)
Chaos in life
Self-harmful behaviors -Cutting
Scratching , Burning
23. Intense Self Blame
Belief that somehow they were
to blame for original trauma
Survivor Guilt
Belief they they are not good
enough
They may induce other people
into treating them badly
24. Stuck in Victim, Perpetrator, or
Rescuer Roles
Seek out Relationships withAbusive
people
Induce abuse from others
Perceive abuse which confirms they
are no good
ActAggressively to others
Compulsively driven to help others
Acts of generosity not in accordance
with what is warranted
26. Black and White Thinking
Childlike, magical,
paradoxical, oxymorons
Collect evidence to maintain
distortions
Generalizations, all or
nothing, discount conclusions,
assuming, labeling ,
emotional reasoning
27. Intrusive thoughts, images, feelings
and nightmares
Loss of long period of times,
dissociated
Appears to switch personalities
Trances, sleepwalking
Voices too much noise in my head
Confusion over personal identity
or new identity
30. Be On The LookOut
Sudden Changes in Spending
Lying- Increased Irritability
Depressed or Overly anxious and
Worried
Legal -restraining orders, Backmail
Health- Physical Maladies- Lethargy
Relationship Failures
Work- Not able to be on Stage ,not
showing up or overly demanding
School- Missing Classes
31. Watch out for
Nodding Off
What inside the red cup-
Purple Drink on Stage
Constantly going to the
bathroom
Screaming at Staff-Hysteria
Betting
Intergenerational Wounds
32. Shame
Shame is that intensely painful
feeling of believing we are
flawed and therefore
unworthy of love and
belonging.
I am not good enough
Brene Brown
33. Guilt
Have you ever stolen
anything ?
Had guilty thoughts ?
Have you ever lied?
Made up a confabulation?
37. Loss and Grieving
Loss -Something of Value is
gone
Grief = Total response to an
emotional experience related to
loss
Breavement- Subjective
response by loved one
Mourning -behavioral response
38. Temporary Incapacity Of
Clients and their families
Accidents keep happening
Money keeps being missed
Missed Appointments
Fall asleep while talking with
you-Distracted not able to
keep focus
Can’t take care of kids
41. Attributes of Healthy Families
McMannis PHD & MacMcMannis MSW
Talking and Loving Balancing Closeness &
Difference
Expressing Language Accepting Difference
Adapting to Change Seeing The Positive
Sharing Time together Effective Problem Solving
Who’s in Charge Parenting Together
42. Keeping The Status Quo
SA. MH, CP etc .
Organizing structure
Unconscious and
Conscious Gratification
Strategies must be
employed that change
usual ways of relating,
categorizing , and thinking
46. Phone Call For Help
Your client calls you in distress or your
client is obviously in distress
The accountant calls you
The estate attorney calls you
Usually they speak with rapid fire and
They want something done -NOW- Fix
It
You lend an ear and Stop- Pause-
Breathe and Listen
Quick answers are not always the best
answer
48. What does this mean in the
Behavioral Health Care Field
A= AGE OF FIRST USE
B=BIG CHANGES
C=CO-EXISTING
MENTAL / BEHAVIORAL
HEALTH ISSUES
DNA-FAMILY HISTORY
50. And You Can Be A You are
You are a Resource
Listen as best you can - You have a position
of Trust and you can reassure the client
with the problem t
Isolate the concerns
Who, What When, How
Share that you will connect with an expert -
Even if you have had first hand experience
with MH or SA or Process Disorders Not
all Treatment Centers are alike and one size
does not fit all
Before Giving out or Commenting on a
Center its best to seek professional
Consultation
52. Professional Interventionists are
Called when
Families are
Fearful ,Angry &Confused
Attached to the Problem
Cognitively and
emotionally Dis-regulated
Attempts have failed
55. Interventions Include a Village of
Potential Change Agents
Participants are experts
Value Driven
Solution Focused
Evidenced Based
Interventionists job is to bring
people together for the common
good and to identify SA, MH
and other issues
60. Traditional Made Modern
The Storti Model Est. 1973
Heart to Heart: The
HonorableApproach to
Motivational
Intervention, 1995
61. Jeff and Debra Jay
Love First ,A Families
Guide to Intervention
2000
Aging &Addiction ,
Colleran and Jay 2010
It TakesA Family, 2014
62. Action Intervention Model
Jean Campell LCSW, Dr.
Jim Tracey and Bill
Maher
Psychodrama , sociometry
and other action oriented
strategies for families
63. Thought Leaders in Invitational
Models
Spaere & Raitner -
Systemic
Arise -Garret and Landau
Breakfree- Lamm
73. What makes Good
Treatment
Accreditation of Center- CARF-JACHO
Staff-Credentials
Ethics
Emphasis of Treatment and Treatment
Modalities
Accommodations
Auxiliary Services
How Long In Business
Flexibility They do what they say and say
what they do
74. Types of Treatment
Medical Detoxification
Residential Treatment
Florida Model
Structured Sober Living
Intensive Outpatient
In-Home Treatment Plans
Intensives
Sober Companions
Sober Coaches
MOST IS MULTIFACTED
75. SPECIALITIES
PROFESSIONALS
SENIORS
GENDER SPECIFIC -WOMAN- MEN
LGBT-TRANSGENDER
YOUNG ADULT-WILDERNESS - SCHOOL- DIGITAL
ADDICTIONS-AFFLUENZA
FAILURE TO LAUNCH
GAMBLING
SEX
SHOPPING
DiIGITAL ADDICTION-GAMING
DISCORDED EATING
CHRONIC RELAPSERS
DUAL DIAGNOSIS -MH AND SA OR PD
MENTAL HEALTH- BD, DEPRESSION, ANXIETY
TRAUMA INFORMED
76. Treatment Costs
Inpatient -from $ 300,000 per month-to
o
Average is around $45,00 a month though
there is good treatment at the $15,000.00
a month range
Average length of stay is 45 days
Average length of all treatment types 6
months to 1 year
Insurance -No Insurance
Aston Abernathy COO,AVA Billing and
Consulting - Can check Insurance
949-315-1818 or 949-397-2288
77.
78.
79.
80. Meet Josh
age 52 Embezzlement
A=14 played poker and
Texas hold um in high
school, trips to Vegas
B= Divorce pending , two
sons Fractured family,
C- high strung -anxiety -
Possibly Manic -Cocaine -
alcohol -pills
DNA-, hx of religiosity ,
workaholism MH ,
holocaust three generations
81. Meet Sylvia
age 69 Embezzlement
A= 30 Valium from Mom
B= Suicide adopted son.
Divorce, two daughters,
Fractured family,
C- Cognition Problems /
Mental Health/ SA R/O/
early dementia
DNA- three sisters, hx of
SA, MH three generations
82.
83.
84. Getting Back to the ABC’s and
Failure to Launch
Meet Arthur
Entitled
Never Had to Work
College Education
Enmeshed Family System
93. RESOURCES
Dr. Louise Stanger Ed.D, LCSW, CDWF,CIP, ,http://
www.allaboutinterventions.com, 619-507-1699
Harry Nelson JD. Nelson Hardiman -Behavioral Health Care Law-
http://www:www.nelsonhardiman.com/ 310-203-2800
Dr. James Flowers, LPC -CEO Driftwood Recovery, Austin- https://
www.driftwoodrecovery.com /715-205-1493
Aston Abernathy COO,AVA Billing and Consulting - Can check
Insurance 949-315-1818 or 949-397-2288
Cherylene Short Majors Ph.D- Senior Strategic Advisor, Constellation
Behavioral Health 310-924-9139 http://
www.constellationbehavioralhealth.com
94. Resources
Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY
Brown, Brene, DaringGreatly. Gothom Books 2012
Lawrence Lightfoot,Sarah & Hoffman Jessica .TheArt and Science of
Portraiture. Joey Bass. 1997
LawrenceLightfoot, S. Respect , 1998. Press Books, Mass.
Lawrence, Lightfoot,S. I’ve Known Rivers , Penguin Publishing. Ny 1995
Lawrence, Lightfoot, S Growing Each Other Up, University of Chicago Press.
2016
96. Resources
Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him, 1982. Penguin House
Random House, NY, NY
Stanger, Louise. Falling Up-A Memoir of Renewal 2015, WZY Press
stangerttp://www.huffingtonpost.com/entry/interventions-safety-security-are-the-top-
priority_us_591b5042e4b0f31b03fb9f99S
Stanger,http://www.huffingtonpost.com/entry/tricksters-addiction-
you_us_592f0f7ee4b0d80e3a8a329e
Stanger http://www.huffingtonpost.com/entry/what-are-the-differences-between-
trauma-addiction_us_58f4e7aee4b048372700da27
www.allaboutinterventions.com
98. ASAM Definition of
Substance Abuse 3-11-2015
Addiction is a primary , chronic disease of brain reward ,
motivation , memory and related circusy. Dysfunction in
these circuits leads to characteristic biological,
psychological, social and spiritual manifestations. This is
reflected in an individually pathological;;y pursuing
reward and/or relief by substance abuse use and other
behaviors.