This case study focuses on the transgender population and the discrimination that they face in the medical community. It also focuses on nutrition and medications and how they play an part in the management of HIV.
This document is a presentation by Dr. Steven Brown for the 4th Annual Transgender Medical Symposium in Fort Lauderdale, Florida. It discusses hormones and their effects on the body, the development of secondary sex characteristics, and considerations for providing hormone therapy to transgender patients. It covers topics like informed consent processes, evaluating patients for hormone therapy, monitoring treatment effects and side effects, and addressing psychosocial factors.
The newsletter provides updates from the farm including an early frost, progress on the water infrastructure project, and thanks volunteers. Recipes are included such as Creamy Swiss Chard with Crisp Bread Crumbs using ingredients available from the farm like Swiss chard. The newsletter also previews items available for next week's harvest and encourages readers to help out on the farm.
- Total body water ranges from 50-60% depending on age and decreases as we age.
- We lose water daily through respiration, urination, and perspiration. As we age, our thirst sensation decreases.
- Dehydration is one of the top 10 reasons for hospitalization. Most fruits and vegetables contain around 90% water.
- It is important to stay hydrated year-round through drinking water and consuming fluids. Proper hydration is necessary for many bodily functions and systems.
The document outlines a group project developed by Emily Moots, Rachel Hudes and the author to create policies and procedures for diabetes education programs. This project focused on developing an 8-week diabetes education group in a southwest Chicago suburb with a primarily Hispanic population. The final manuscript contained various tools and plans to help implement and evaluate the program, including a marketing podcast.
The document warns about the dangers of sharing dirty needles and contracting infectious diseases like hepatitis C and HIV/AIDS. It emphasizes that these diseases can stay with a person for life and urges people to seek help instead of risking their health and future happiness by shooting up with unclean needles. Contact information is provided for confidential assistance.
This newsletter was distributed to the parents of the children that attended a community day care center in Chicago. It includes healthy snacks and why it is so important to instill healthy habits into our children\'s lives.
This presentation was given to RA\'s at North Central College and included numerous tips on nutrition and ways to eat healthy while away at university.
This document is a presentation by Dr. Steven Brown for the 4th Annual Transgender Medical Symposium in Fort Lauderdale, Florida. It discusses hormones and their effects on the body, the development of secondary sex characteristics, and considerations for providing hormone therapy to transgender patients. It covers topics like informed consent processes, evaluating patients for hormone therapy, monitoring treatment effects and side effects, and addressing psychosocial factors.
The newsletter provides updates from the farm including an early frost, progress on the water infrastructure project, and thanks volunteers. Recipes are included such as Creamy Swiss Chard with Crisp Bread Crumbs using ingredients available from the farm like Swiss chard. The newsletter also previews items available for next week's harvest and encourages readers to help out on the farm.
- Total body water ranges from 50-60% depending on age and decreases as we age.
- We lose water daily through respiration, urination, and perspiration. As we age, our thirst sensation decreases.
- Dehydration is one of the top 10 reasons for hospitalization. Most fruits and vegetables contain around 90% water.
- It is important to stay hydrated year-round through drinking water and consuming fluids. Proper hydration is necessary for many bodily functions and systems.
The document outlines a group project developed by Emily Moots, Rachel Hudes and the author to create policies and procedures for diabetes education programs. This project focused on developing an 8-week diabetes education group in a southwest Chicago suburb with a primarily Hispanic population. The final manuscript contained various tools and plans to help implement and evaluate the program, including a marketing podcast.
The document warns about the dangers of sharing dirty needles and contracting infectious diseases like hepatitis C and HIV/AIDS. It emphasizes that these diseases can stay with a person for life and urges people to seek help instead of risking their health and future happiness by shooting up with unclean needles. Contact information is provided for confidential assistance.
This newsletter was distributed to the parents of the children that attended a community day care center in Chicago. It includes healthy snacks and why it is so important to instill healthy habits into our children\'s lives.
This presentation was given to RA\'s at North Central College and included numerous tips on nutrition and ways to eat healthy while away at university.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
2024 State of Marketing Report – by HubspotMarius Sescu
https://www.hubspot.com/state-of-marketing
· Scaling relationships and proving ROI
· Social media is the place for search, sales, and service
· Authentic influencer partnerships fuel brand growth
· The strongest connections happen via call, click, chat, and camera.
· Time saved with AI leads to more creative work
· Seeking: A single source of truth
· TLDR; Get on social, try AI, and align your systems.
· More human marketing, powered by robots
ChatGPT is a revolutionary addition to the world since its introduction in 2022. A big shift in the sector of information gathering and processing happened because of this chatbot. What is the story of ChatGPT? How is the bot responding to prompts and generating contents? Swipe through these slides prepared by Expeed Software, a web development company regarding the development and technical intricacies of ChatGPT!
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
2024 State of Marketing Report – by HubspotMarius Sescu
https://www.hubspot.com/state-of-marketing
· Scaling relationships and proving ROI
· Social media is the place for search, sales, and service
· Authentic influencer partnerships fuel brand growth
· The strongest connections happen via call, click, chat, and camera.
· Time saved with AI leads to more creative work
· Seeking: A single source of truth
· TLDR; Get on social, try AI, and align your systems.
· More human marketing, powered by robots
ChatGPT is a revolutionary addition to the world since its introduction in 2022. A big shift in the sector of information gathering and processing happened because of this chatbot. What is the story of ChatGPT? How is the bot responding to prompts and generating contents? Swipe through these slides prepared by Expeed Software, a web development company regarding the development and technical intricacies of ChatGPT!
Product Design Trends in 2024 | Teenage EngineeringsPixeldarts
The realm of product design is a constantly changing environment where technology and style intersect. Every year introduces fresh challenges and exciting trends that mold the future of this captivating art form. In this piece, we delve into the significant trends set to influence the look and functionality of product design in the year 2024.
How Race, Age and Gender Shape Attitudes Towards Mental HealthThinkNow
Mental health has been in the news quite a bit lately. Dozens of U.S. states are currently suing Meta for contributing to the youth mental health crisis by inserting addictive features into their products, while the U.S. Surgeon General is touring the nation to bring awareness to the growing epidemic of loneliness and isolation. The country has endured periods of low national morale, such as in the 1970s when high inflation and the energy crisis worsened public sentiment following the Vietnam War. The current mood, however, feels different. Gallup recently reported that national mental health is at an all-time low, with few bright spots to lift spirits.
To better understand how Americans are feeling and their attitudes towards mental health in general, ThinkNow conducted a nationally representative quantitative survey of 1,500 respondents and found some interesting differences among ethnic, age and gender groups.
Technology
For example, 52% agree that technology and social media have a negative impact on mental health, but when broken out by race, 61% of Whites felt technology had a negative effect, and only 48% of Hispanics thought it did.
While technology has helped us keep in touch with friends and family in faraway places, it appears to have degraded our ability to connect in person. Staying connected online is a double-edged sword since the same news feed that brings us pictures of the grandkids and fluffy kittens also feeds us news about the wars in Israel and Ukraine, the dysfunction in Washington, the latest mass shooting and the climate crisis.
Hispanics may have a built-in defense against the isolation technology breeds, owing to their large, multigenerational households, strong social support systems, and tendency to use social media to stay connected with relatives abroad.
Age and Gender
When asked how individuals rate their mental health, men rate it higher than women by 11 percentage points, and Baby Boomers rank it highest at 83%, saying it’s good or excellent vs. 57% of Gen Z saying the same.
Gen Z spends the most amount of time on social media, so the notion that social media negatively affects mental health appears to be correlated. Unfortunately, Gen Z is also the generation that’s least comfortable discussing mental health concerns with healthcare professionals. Only 40% of them state they’re comfortable discussing their issues with a professional compared to 60% of Millennials and 65% of Boomers.
Race Affects Attitudes
As seen in previous research conducted by ThinkNow, Asian Americans lag other groups when it comes to awareness of mental health issues. Twenty-four percent of Asian Americans believe that having a mental health issue is a sign of weakness compared to the 16% average for all groups. Asians are also considerably less likely to be aware of mental health services in their communities (42% vs. 55%) and most likely to seek out information on social media (51% vs. 35%).
AI Trends in Creative Operations 2024 by Artwork Flow.pdfmarketingartwork
Creative operations teams expect increased AI use in 2024. Currently, over half of tasks are not AI-enabled, but this is expected to decrease in the coming year. ChatGPT is the most popular AI tool currently. Business leaders are more actively exploring AI benefits than individual contributors. Most respondents do not believe AI will impact workforce size in 2024. However, some inhibitions still exist around AI accuracy and lack of understanding. Creatives primarily want to use AI to save time on mundane tasks and boost productivity.
Organizational culture includes values, norms, systems, symbols, language, assumptions, beliefs, and habits that influence employee behaviors and how people interpret those behaviors. It is important because culture can help or hinder a company's success. Some key aspects of Netflix's culture that help it achieve results include hiring smartly so every position has stars, focusing on attitude over just aptitude, and having a strict policy against peacocks, whiners, and jerks.
PEPSICO Presentation to CAGNY Conference Feb 2024Neil Kimberley
PepsiCo provided a safe harbor statement noting that any forward-looking statements are based on currently available information and are subject to risks and uncertainties. It also provided information on non-GAAP measures and directing readers to its website for disclosure and reconciliation. The document then discussed PepsiCo's business overview, including that it is a global beverage and convenient food company with iconic brands, $91 billion in net revenue in 2023, and nearly $14 billion in core operating profit. It operates through a divisional structure with a focus on local consumers.
Content Methodology: A Best Practices Report (Webinar)contently
This document provides an overview of content methodology best practices. It defines content methodology as establishing objectives, KPIs, and a culture of continuous learning and iteration. An effective methodology focuses on connecting with audiences, creating optimal content, and optimizing processes. It also discusses why a methodology is needed due to the competitive landscape, proliferation of channels, and opportunities for improvement. Components of an effective methodology include defining objectives and KPIs, audience analysis, identifying opportunities, and evaluating resources. The document concludes with recommendations around creating a content plan, testing and optimizing content over 90 days.
How to Prepare For a Successful Job Search for 2024Albert Qian
The document provides guidance on preparing a job search for 2024. It discusses the state of the job market, focusing on growth in AI and healthcare but also continued layoffs. It recommends figuring out what you want to do by researching interests and skills, then conducting informational interviews. The job search should involve building a personal brand on LinkedIn, actively applying to jobs, tailoring resumes and interviews, maintaining job hunting as a habit, and continuing self-improvement. Once hired, the document advises setting new goals and keeping skills and networking active in case of future opportunities.
A report by thenetworkone and Kurio.
The contributing experts and agencies are (in an alphabetical order): Sylwia Rytel, Social Media Supervisor, 180heartbeats + JUNG v MATT (PL), Sharlene Jenner, Vice President - Director of Engagement Strategy, Abelson Taylor (USA), Alex Casanovas, Digital Director, Atrevia (ES), Dora Beilin, Senior Social Strategist, Barrett Hoffher (USA), Min Seo, Campaign Director, Brand New Agency (KR), Deshé M. Gully, Associate Strategist, Day One Agency (USA), Francesca Trevisan, Strategist, Different (IT), Trevor Crossman, CX and Digital Transformation Director; Olivia Hussey, Strategic Planner; Simi Srinarula, Social Media Manager, The Hallway (AUS), James Hebbert, Managing Director, Hylink (CN / UK), Mundy Álvarez, Planning Director; Pedro Rojas, Social Media Manager; Pancho González, CCO, Inbrax (CH), Oana Oprea, Head of Digital Planning, Jam Session Agency (RO), Amy Bottrill, Social Account Director, Launch (UK), Gaby Arriaga, Founder, Leonardo1452 (MX), Shantesh S Row, Creative Director, Liwa (UAE), Rajesh Mehta, Chief Strategy Officer; Dhruv Gaur, Digital Planning Lead; Leonie Mergulhao, Account Supervisor - Social Media & PR, Medulla (IN), Aurelija Plioplytė, Head of Digital & Social, Not Perfect (LI), Daiana Khaidargaliyeva, Account Manager, Osaka Labs (UK / USA), Stefanie Söhnchen, Vice President Digital, PIABO Communications (DE), Elisabeth Winiartati, Managing Consultant, Head of Global Integrated Communications; Lydia Aprina, Account Manager, Integrated Marketing and Communications; Nita Prabowo, Account Manager, Integrated Marketing and Communications; Okhi, Web Developer, PNTR Group (ID), Kei Obusan, Insights Director; Daffi Ranandi, Insights Manager, Radarr (SG), Gautam Reghunath, Co-founder & CEO, Talented (IN), Donagh Humphreys, Head of Social and Digital Innovation, THINKHOUSE (IRE), Sarah Yim, Strategy Director, Zulu Alpha Kilo (CA).
Trends In Paid Search: Navigating The Digital Landscape In 2024Search Engine Journal
The search marketing landscape is evolving rapidly with new technologies, and professionals, like you, rely on innovative paid search strategies to meet changing demands.
It’s important that you’re ready to implement new strategies in 2024.
Check this out and learn the top trends in paid search advertising that are expected to gain traction, so you can drive higher ROI more efficiently in 2024.
You’ll learn:
- The latest trends in AI and automation, and what this means for an evolving paid search ecosystem.
- New developments in privacy and data regulation.
- Emerging ad formats that are expected to make an impact next year.
Watch Sreekant Lanka from iQuanti and Irina Klein from OneMain Financial as they dive into the future of paid search and explore the trends, strategies, and technologies that will shape the search marketing landscape.
If you’re looking to assess your paid search strategy and design an industry-aligned plan for 2024, then this webinar is for you.
5 Public speaking tips from TED - Visualized summarySpeakerHub
From their humble beginnings in 1984, TED has grown into the world’s most powerful amplifier for speakers and thought-leaders to share their ideas. They have over 2,400 filmed talks (not including the 30,000+ TEDx videos) freely available online, and have hosted over 17,500 events around the world.
With over one billion views in a year, it’s no wonder that so many speakers are looking to TED for ideas on how to share their message more effectively.
The article “5 Public-Speaking Tips TED Gives Its Speakers”, by Carmine Gallo for Forbes, gives speakers five practical ways to connect with their audience, and effectively share their ideas on stage.
Whether you are gearing up to get on a TED stage yourself, or just want to master the skills that so many of their speakers possess, these tips and quotes from Chris Anderson, the TED Talks Curator, will encourage you to make the most impactful impression on your audience.
See the full article and more summaries like this on SpeakerHub here: https://speakerhub.com/blog/5-presentation-tips-ted-gives-its-speakers
See the original article on Forbes here:
http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b
ChatGPT and the Future of Work - Clark Boyd Clark Boyd
Everyone is in agreement that ChatGPT (and other generative AI tools) will shape the future of work. Yet there is little consensus on exactly how, when, and to what extent this technology will change our world.
Businesses that extract maximum value from ChatGPT will use it as a collaborative tool for everything from brainstorming to technical maintenance.
For individuals, now is the time to pinpoint the skills the future professional will need to thrive in the AI age.
Check out this presentation to understand what ChatGPT is, how it will shape the future of work, and how you can prepare to take advantage.
The document provides career advice for getting into the tech field, including:
- Doing projects and internships in college to build a portfolio.
- Learning about different roles and technologies through industry research.
- Contributing to open source projects to build experience and network.
- Developing a personal brand through a website and social media presence.
- Networking through events, communities, and finding a mentor.
- Practicing interviews through mock interviews and whiteboarding coding questions.
Google's Just Not That Into You: Understanding Core Updates & Search IntentLily Ray
1. Core updates from Google periodically change how its algorithms assess and rank websites and pages. This can impact rankings through shifts in user intent, site quality issues being caught up to, world events influencing queries, and overhauls to search like the E-A-T framework.
2. There are many possible user intents beyond just transactional, navigational and informational. Identifying intent shifts is important during core updates. Sites may need to optimize for new intents through different content types and sections.
3. Responding effectively to core updates requires analyzing "before and after" data to understand changes, identifying new intents or page types, and ensuring content matches appropriate intents across video, images, knowledge graphs and more.
A brief introduction to DataScience with explaining of the concepts, algorithms, machine learning, supervised and unsupervised learning, clustering, statistics, data preprocessing, real-world applications etc.
It's part of a Data Science Corner Campaign where I will be discussing the fundamentals of DataScience, AIML, Statistics etc.
Time Management & Productivity - Best PracticesVit Horky
Here's my presentation on by proven best practices how to manage your work time effectively and how to improve your productivity. It includes practical tips and how to use tools such as Slack, Google Apps, Hubspot, Google Calendar, Gmail and others.
The six step guide to practical project managementMindGenius
The six step guide to practical project management
If you think managing projects is too difficult, think again.
We’ve stripped back project management processes to the
basics – to make it quicker and easier, without sacrificing
the vital ingredients for success.
“If you’re looking for some real-world guidance, then The Six Step Guide to Practical Project Management will help.”
Dr Andrew Makar, Tactical Project Management
2. Introduction
According to the IOM
Clinicians are faced with incomplete information
about the health status of the LGBT population.
Each population has its own specific health needs
and concerns.
Researchers face numerous challenges in
understanding each populations including a lack of
data.
Institute of Medicine,( March 2011)
3. Introduction Continued
For better understanding, the NIH needs to create an
ample training program to raise awareness of health issues
that the LGBT community is faced with.
The most pressing issues to focus on are:
1. Demographic research
2. Social Influences
3. Intervention Research
4. Transgender specific health needs
Institute Of Medicine,( March 2011)
4. Prevalence of Transgender
There is no reliable data on the number of transgender
individuals in the United States.
Center for Disease Control and Prevention (2011)
7. Terminology
Natal sex: Identified sex at birth
Gender: psychological, social & cultural aspects of female
& male.
Transgender: a self selected term used to describe an
identity that transcend gender norms; an umbrella term.
Transition: a process from being perceived as one gender
to another gender.
Through : Name change or /and Hormones and/or
Surgery
Transsexual: a medical term used to describe a
transgender individual who has sought formal or informal
medical intervention.
Alegria, (2011)
8. Other terminology
MTF :Male to Female, FTM(female to male), transman (FTM),
transwomen (MTF),
Drag: someone who wears clothing of another gender, often
involving the presentation of exaggerated, stereotypical gender
characteristics.
Gender Queer: a term used by some people who may or may
not fit on the spectrum of trans or be labeled as trans, but who
identify their gender or orientation to be in-between or outside
the binary gender.
Cross Dresser: a person who, on occasion wears clothing
considered typical for another gender, but does not necessarily
desire to change their gender.
Alegria, (2011)
Howard Brown (n.d.)
10. Patient Information
Gender: MTF (male anatomy at present,
w/hormones)
Age: 40
Ethnicity: Caucasian
Height: 5’10”
Weight: 182# (78kg) Wt Change: 27# gain in 5 years
Usual Body Weight: 150-155 # ( as a male)
IBW: F = 150# % IBW = 120%
Deutsch, M.(2010)
BMI: 26.1
ABW: 158#
11. Patient Information
Current diagnoses: HIV+, severe
depression
o HIV+ = diagnosed 2005
o Depression: Childhood
Symptoms: depression
12. Patient Information
Medical tests planned: lipid panel, blood
glucose, continuous CBC, estradiol levels,
mammogram.
Previous Surgery: Breast Implants
Surgery Planned: vaginoplasty.
Jenner, C.O. (2010)
13. Assessment of Nutrition Needs
Using the literature and ABW
Harris Benedict (stress 1.3)
o 1931 kcals per day
1.0-1.4 grams protein/kg for maintenance
o 72 g-101g per day
MVI
(Coyne-Meyer, K., &Trombley, L., 2004)
17. Gender Identity Disorder
Diagnosis in the DSM
A. evidence of a strong and persistent gross-gender
identification, which is the desire to be, or the
insistence that one is of the other sex.
B. This cross-gender identification must not merely
be a desire for any perceived cultural advantages of
being the other sex. there must also be evidence of
persistent discomfort about one’s assigned sex or a
sense of inappropriateness in the gender role of
that sex
18. Criteria for Hormones & Surgery
Psychiatric Evaluation before surgery or
hormones
(A mental health diagnosis rules their life?)
Diagnoses of Gender Identity Disorder
Thinc:
Trans Hormones-Informed Consent
(@Howard Brown)
p://lgbthealth.healthcommunities.com/transgender/gender-identity-disorder.shtml
Howardbrown.org
20. Hormones FTM
Androgen effects:
Deepening of voice
Increased aggression
Increased libido
Cessation of menses
Hirtuism
Clitorial growth
Breast atrophy
Redistribution of fat
Laryngeal prominence
Labs: Fasting lipid profile, liver function tests,
CBC, pap smear, mammogram (breast tissue
present)
Alegria, (2011)
21. Surgeries
MTF
o Vaginoplasty
o Augmentation
o Facial Feminization
o Electrolysis
FTM
o Chest reconstruction
o Hysterectomy
o Penis construction (phalloplasty)
o Metoidioplasty (creation of penis from clitoris)
http://transgendersurgeries.com/
23. Diet & Appearance
Trans persons may use food to help with their
physical appearance
Overeating to increase size
Calorie Restriction
New gender after one year of successful hormone
therapy
Increase for FTM
Do not overlook their needs
Deutsch, 2010
Vancouver Coastal Health, 2010
24. The Literature
Lack healthy lifestyle pattern
Mean nutrient intake below standard value
Eat more or skip meals
Lead to malnutrition
Obesity
Emotions had impact on food consumption
Rejection
Racism
Lack of medical health care
The literature complements the patient
Sivakami, PL & Veena, K.V. (January, 2011)
26. Rates among transgender
Estimated HIV infection rates among
specific transgender populations range
from 14-69%.
Highest among MTF sex workers
Center for Disease Control and prevention (2011)
27. Prevalence of HIV
High Rate of HIV+
o Lack of HIV education
o Lack of medical access
o SES – social isolation
o Mental Health concerns
o Stress
o Many barriers
**LEAD TO ↑ RISKY BEHAVIORS
28. Behavioral Risks for HIV
o Unprotected receptive anal intercourse
o Multiple casual partners
o Sex work
o IV drug/street hormones
o Herbst, J.H. (2008)
29. Lack of education of HIV/AIDS
o Providers lack adequate knowledge to care
for patients.
o Do not lend themselves to “caring”
environments.
o Do not understand their needs
o Lack any formal education of this population
o May see this population as having a
diagnosed “Gender Identity Disorder
o Butler, R. (2010)
31. Discrimination Affects Health
o Families : isolation
o Employers : loss of job, loss of health insurance
o Homelessness: lack of support system,
increased risk of HIV.
o Healthcare: uncaring environment, unknowledgeable
staff, lack of care
o Williamson, (2010)
32. Homeless
Lack of
unemployment
homeless insurance
Lack of meds
TRANSGENDER
Lack of
nutrition
Lack of medical care
Risky Poor health status
Behaviors
Operario, D & Nemato, T. (2010)
34. Howard Brown Health Center
Howard Brown exists to eliminate the disparities in health care
experienced by lesbian, gay, bisexual and transgendered people
through research, education and the provision of services that
promote health and wellness.
o Medical center
o Behavioral Services
o Youth Services
o Fund raising events
o Substance abuse programs
o Many, many, more
o www.howardbrown.org
http://www.howardbrown.org/hb_services.asp?id=37
35. TWISTA
Trans Women Informing Sister Trans Women on
AIDS
TWISTA is a group designed to celebrate the strength and
resiliency of transgender women of color (ages 16-24)
Support to deal with struggles like harassment, relationships,
and health.
o Role models
o Love and support
o Education
o Sponsored through Howard Brown –Chicago
twista@howardbrown.org
36. Community Interventions
AIDS Foundation of Chicago
o Supportive Housing
o Food pantries, soup kitchens, and meal
programs
o Prevention Events
o Syringe Programs
o Medication Programs
o Advocacy
o Grantmaking
37. What Can We Do?
Proper gender on questionnaires
Proper pronoun/proper name
Gender neutral restrooms
Work as a multidisciplinary team, know your part
Understand hormones/ART interactions
Understand eating disorders/refer if necessary
Know the risks in this community
Know your patient, do not make assumptions.
Create a caring environment
39. Works Cited
Butler, R. (2010)An assessment of lesbian, gay, bisexual, and transgender curriculum
infusion in U.S. medical schools. Retrieved on May 05, 2011 from
http://www.indiana.edu/~spea/pubs/undergrad-honors/volume-4/butler_rachel.pdf
Center for Disease Control and Prevention. (2011) HIV in the United States. Retrieved from
May 4, 2011 from http://www.cdc.gov/HIV/resources/factsheets/us.htm.
Coyne-Meyers, K., & Trombley, L. (2004). A review of nutrition in Human
Immunodeficiency Virus infection in the era of highly active antiretroviral therapy.
Nutrition in Clinical Practice, 19, 340-355.
Deutsch, M. (2010). Primary care for transgender patients. Proceedings of the 13th Annual
Clinical Conference for the Ryan White HIV/AIDS Program,
http://www.iasusa.org/keyslides/hrsa/2010/index.html
Health Communities.(2011) Gender Identity Disorder. Retrieved on May 06, 2011 from
http://lgbthealth.healthcommunities.com/transgender/gender-identity-disorder.shtml.
Herbst, J.H. (2008). Estimating HIV prevalence and risk behaviors of transgender
persons in the United States: A system review. AIDS and Behavior, 12(1), 1-17.
Howard Brown Health Center Publication. (2009) TWISTA
Institute of omedicine of the national Acadamies. (March, 2011). The health of lesbian, gay,
bisexual and transgender People; Building a foundation for better understanding.
Retrieved on April 15, 2011 from http://www.iom.edu/Reports/2011/The-Health-of-
Lesbian-Gay-Bisexual-and-Transgender-People.aspx.
Jenner, C.O. (2010). Transsexual primary care. Journal of the American Academy of Nurse
Practitioners, 22(8), 403-408.
40. Works Cited
• Jenner, C.O. (2010). Transsexual primary care. Journal of the American
Academy of Nurse Practitioners, 22(8), 403-408.
• Lawrence A. (2001) Vaginal Neoplasia in a Male-to-Female Transsexual:
Case Report, Review of the Literature, and Recommendations for
Cytological Screening. International Journal of Transgender.5,(1).
• Nerad, J., et al. (2003). General nutrition management in patients with
Human Immunodeficiency Virus. Clinical Infectious Diseases, 36(2), S52-
62
• Operario, D. & Tooru, N. (Dec 15, 2010) HIV in Transgender Communities:
Syndemic dynamics and a need for multicomponent interventions. Journal
of Acquired Immune Deficiency Syndromes, 55, p 91-93.
Pribram, V. (2010). Nutrition and HIV. Singapore: Blackwell Publishing
Ltd
Willliamson, C. (2010). Providing care to transgender persons: A clinical
approach to primary care, hormones, and HIV management. Journal of the
Association of Nurses in AIDS Care, 21(3), 221-229
Vancouver Coastal Health. (2011) Transcare medical issues. Retrievedd on
May 5, 2011 from http://vch.eduhealth.ca/pdfs/GA/GA.100.F55.pdf.
Editor's Notes
Now that we have a better understanding about HIV from Molly, I will like to continue on with an understudied population that has a very high prevalence of this chronic disease. There are many things that we as RD’s and future dietitians will be able to do for the trnasgender population to help understand the challenges that this community faces. The Transgender revolution is not new; I am sure most of us have recently heard in the news about Chaz Bono (originally Castity, the daughter of Sonny & Cher). It is these famous celebrity children, as well as the younger generation who are taking this issue into the media and bringing it mainstream in hopes of us all having a better understanding of who this community of people are, what their needs are and what we can do to help them in society, in public health and in the medical field. With this in mind, I would like to briefly go over a health report published by the the Institute of Medicine in March of this yea. This report acknowledged the lack of research that we have on the LGBT community and what needs to be done to improve the needs of these individuals. They have recognized that clinicians are faced with incomplete information about the health status of the lesbian, gay, Bi and Transgender population and acknowledge that each population has its own specific needs and concerns.
The Institute of Medicine, in their report states that a program will be created by the National Intistute of Health so that everyone is equally aware of all of the challenges that the Lesbian, Gay,Bisexua l& Transgender Population Faces. When doing research they will focus on 4 major things that will have to do with this community, the fourth being Transgender specific health needs. Along with the research that I have done-we also will focus on transgender specific health needs!
There presently is no reliable date on the number of transgender individuals in the US. As you may imagine, this is a hard statistic to measure.
Because you may never know and it is quite amazing what hormones, hair dy, surgery and electrolysis can do-you must have the knowledge.
So some terminology – Transgender is an umbrella term that symbolizes how people self identify. It is a population of individuals whose identity differs from the gender assigned at birth.
It is crucial to understand how people self identify in order to build relationships.
My patient is presently a MTF transgender taking hormones, she has had breast augmentation.
HIV + due to long term relationship. The depression had no bearing on transgender status or her sexual identity.
These tests are very important with hormones as well as HIV
My assessment was based on an HIV positive woman since she has been on female hormones successfully for over one year (Deutsch, 2010)
My patient is presently on a hormone regime that consists of three forms of estrogen. The side effects include a fluctuation in weight, change in appetite, decreased bone calcium, an increase in TG, HDL and LDL.
In order to receive hormones and eventually have surgery, a transgender patient must be diagnosed as having a Gender Identity Disorder-not everyone wants to have a disorder and live with a label for the rest of their life.
A patient must be diagnosed from the mental health Diagnostic and Statistical Manual, known as the DSM ,as having a Gender Identity Disorder. Not everyone in the transgender community agrees with this mental health criteria. The American Psychiatric Association defines the criteria for GID as having evidence of the desire to be or the insistence to be one that is the other sex. This cross gender must show discomfort in their present senx and the inappropriate role of the assigned sex. With this in mind, please note that homosexuality was also in the DSM until 1974 and considered too a mental illness-it was then eliminated.
So since not everyone believes in having a mental diagnosis rule their life, there is a new program to empower and support the transgender in the community. My patient is currently enrolled in this program and I was fortunate enough to learn more about this program first hand while visiting Howard Brown Health Clinic. This program allows patients to make choices for them selves based on their own lives and their transitions. It is based on “informed consent”. The program involves 2 medical appointments and one psych-educatrional meeting and not everyone is guanteed hormones but as most other providers requires clients to demonstate “lived experiences” or “a letter” from a therapist, this is not needed here. One thing to keep in mind is that hormones are not provided free of charge, there are no clinics in Chicago that are able to give away hormones. This is one of the issues that needs to be understood as many transgender people are forced to get their hormones off the street which means bad drugs and dirty needles, ultimately this put them at a high risk for many diseases. The Howard Brown Clinic which is the largest LGBT clinic in the Midwest, believes that GID should be a diagnosis of Gender Incongruence which means that the physical body is not matching the body’s internal wishes desires, etc. And should be left out of the DSM all togther. The DSM is reevaluated every 15 years. I personally hope there will be a revision or even a deletion.
Organs must always be screened, the prostate is usually present in MTF. MTF transsexuals should receive annual pelvic examinations following vaginoplasty, but there no evidence to suggest that they would benefit from vaginal cytological screening in most cases. However, if the glans penis has been retained as a neocervix, cytological examination of the neocervix is a reasonable practice. Also, clients need to be aggressively counseled on smoking cessation, maintaining a health weight, consuming a healthy diet and regular exercise.
Excess hair growth, loss of breast tissue, clitorial overdevelopment
Vagionoplasty creates a vagina from the male genatalia saving the sensitive nerve tissue. Breast Augmentation is quite popular with many male to female transgenders. Facial feminization surgery brings the males face closer to shape and size in many cases, this is not the term used to incorporate hair electrolysis, that would be another procedure that may need to be taken care of from whatever the hormones leave behind. Chest reconstruction – removal of breast tissue to create a male physique.Phalloplasy creates a penis from artificial means. In Metiodioplasty, the clitoris is overdeveloped through the use of hormones and thus made into a small penis.
When we are assessing transgender individuals we need to pay close attention to their physical appearance as well as their diet recalls. Many transgender individuals may increase their intake to help increase their size or vise versa. Many transgender struggle with body image attractiveness and self esteem and food intake is something that they can control. They also have barriers when it comes to physical activity since they have issues with gender specific restrooms, changing rooms, going out in public for exercise and avoiding ridicule. When assessing needs, after one year of successful hormone therapy, fatfree mass is beginning to decrease or increase so the new gender may be used. Never overlook the need for a FTM as the needs have now increased with the increase in muscle mass.
In an assessment of nutritional status done on Transgender in India, the research showed that based on BMI classification status of the World Health Organization, 15 % of the subjects studied were underweight, 63% were ideal and 20% were overweight. 2% were obese due to their hormones. The community as a whole lacked a healthy lifestyle pattern. Their mean intake was below the mena standard value. Their emotions had a big impact on their food consumption. Overall nutrition education plays a vital role in improving their standards of living. Also I wanted to note that this research complemented my patient as well as far as lack of nutrients, emotions and skipping meals.
The rates among transgender individuals, according to the CDC, is between 14 - 69% with the highest being MTF sex workers.
The high prevalence is due to a myriad of challenges that increase the rate of HIV among the transgender population. There is a lack of HIV education that is transgender appropriate, as well as prevention activities. There is the lack of knowledge from medical providers about caring for this population so many choose not to get medical help. There is also discrimination from providers about caring for this population, things such as exclusion from services such as drug rehab programs, as well as continually verbal harrassment & mistreatment). Social isolation plays a large role in the increased risk. Many transgender men and women are rejected from their peers and family as well as isolated from the G, L, B community (They feel they are traders), due to this they lack social support which leads to low self esteem which indeed increases the risk for sex work, substance abuse and overall decrease in safe sex practices. The increased stigma and discrimination that this community faces puts that at an increased risk for more behavioral risks.
Many of these increased behaviors are unprotected sex, especially when they first come out-they are looking for that sexual freedom, this leads to multiple casual partners. Please note that many transgender male and female find it very hard to find a mate to make a commitment, and may end up with numerous partners. Of course there is prostitution in this population as well as IV drug use, street hormones and silicone pumping to increase cheeks, lips buttocks, etc. Many MTF have pumping parties, which may lead to dangers of a less than clean environment and dirty needles.
We must understand that there are no prevention interventions for transgender individuals. There is lack of research and the lack of knowledge from the medical field which is a major concern for this community. The World Health Organization defines ‘health’ as a “state of complete physical, mental, emotional, and social well-being and not merely the absence of disease or Infirmity but from my research sexual orientation appears to play a large role in the lack of care of this community. Medical schools do not train in LGBT health care needs aside from HIV education and a fraction of hours on homosexuality. Aside from the physicians we need to keep in mind that not all people are honest about their sexual history which makes it hard for any physician to form an open and honest relationship as it does take both parties.
Isolated from families. Transgender people are often denied medical care or mistreated by health care providers who are biased or who don't understand transgender issues.
There are many things that inequities and discrimination from families can lead to . Isolation leads to being homeless which can then lead to loss of a job, which leads to lack of insurance, which leads to poor health status and lack of care. Homeless also leads to lack of proper nutrition which may lead to poor health status and may have an impact on medications if they are still being taken. In the end, the poor health status, both mentally and physically will lead to risky behaviors because the individual is feeling isolated and ill and does not have many cares.
When referring, go that extra mile to let the dietitian know how the patient prefers to be addressed. The little things go along way. All these things will make the patient more compfortable, which will lead to better medical access and better overall health.
Lastly-To Angelique, my friend, who helped me better understand the transgender population with an open heart and mind. She has shared her most intimate disappointments and triumphs with me and gave me the passion to learn and want to share the many challenges she faces. For this I love and thank her!