“Weight loss money is money down the toilet” – Dee Edington
Here’s an alternative…Health At Every Size (HAES)
The underlying goal of traditional approaches to weight and health is for individuals to be smaller (i.e., lose weight). Little evidence exists supporting the efficacy of such approaches and concern is mounting that they may be violating the primary health care directive of “first, do no harm.” The basic conceptual framework of the HAES philosophy includes belief in:
The naturally existing diversity in body shapes and sizes.
The ineffectiveness and dangers of dieting for weight loss.
The importance of relaxed eating in response to internal body cues.
The critical contribution of social, emotional, spiritual, and physical factors to health and happiness.
Health For Every Body: At The Worksite
Incorporating the latest research, this webinar will explore the social, political, economic and scientific foundations of the War on Obesity. The philosophical and scientific basis of an alternative, evidence-based approach for helping people with weight- and eating-related concerns to improve their self-care, self esteem and health will be introduced. An example for worksite programming will be introduced.
Zahida Chaudhary, MD leads the discussion on Obesity amongst children and adults.
Want an audio version? Subscribe to our Podcast on iTunes! (Search "S'eclairer Chatterbox!")
Want to join us for the live discussion? Check out our Social Media in the noon hour every Monday as we sit down on Google Hangout OnAir! Follow us on Twitter (@seclairerlife), Facebook, or Google+ to get updated with the link when we start!
PRESENTED BY: AYESHA KABEER
FROM: UNIVERSITY OF GUJRAT SIALKOT SUBCAMPUS
Obesity and Cardiovascular Diseases
1. Causes of Overweight and Obesity
2. Accessing Obesity
-Body Mass Index
3. Cardiovascular Diseases caused by Obesity
Zahida Chaudhary, MD leads the discussion on Obesity amongst children and adults.
Want an audio version? Subscribe to our Podcast on iTunes! (Search "S'eclairer Chatterbox!")
Want to join us for the live discussion? Check out our Social Media in the noon hour every Monday as we sit down on Google Hangout OnAir! Follow us on Twitter (@seclairerlife), Facebook, or Google+ to get updated with the link when we start!
PRESENTED BY: AYESHA KABEER
FROM: UNIVERSITY OF GUJRAT SIALKOT SUBCAMPUS
Obesity and Cardiovascular Diseases
1. Causes of Overweight and Obesity
2. Accessing Obesity
-Body Mass Index
3. Cardiovascular Diseases caused by Obesity
Elson M.Haas M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry. Integrated Medicine Physician Founder/Director, Preventive Medical Center of Marin.
Dr. Haas addresses the RiverMend Health Scientific Advisory Board on the diet and nutrition information needed during the detox process.
To watch lecture visit : http://vimeo.com/100322037
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
The health hazards associated with obesity. Mortality morbidity
Complications related to obesity
type 2 diabetes.
high blood pressure.
heart disease and strokes.
certain types of cancer.
sleep apnea.
osteoarthritis.
fatty liver disease.
The root cause of chronic diseases, cancer and aging is recently understood. It includes 1- A state of chronic low grade inflammation secondary to hyperglycemia and obesity leading to insulin resistance. 2- Mitochondrial dysfunction. Exercise play a significant rule in the salvage of these problems. Exercise is any bodily activity that enhances or maintain physical fitness and overall health, Exercise with its Countless Benefits is the logical salvage for a group of diseases related to inactivity . In view of the prevalence, global reach and health effect of these physical inactivity related diseases, the issue should be appropriately described as pandemic, with far-reaching health, economic, social and Environmental consequences.These diseases include, Obesity, Coronary artery disease, Diabetes, Hypertension, Cancer, Depression and anxiety, Arthritis, Osteoporosis, Etc, etc, etc… I think we have no option except doing regular exercises if we seriously searching for a salvage to escape the bad and serious consequences of these new life style diseases.
This set of fifteen slides tries to share why the morbidly obese are different from the general, non-obese population.
Where other pre-anaesthetic check-ups (PAC) end, it's from there that the PAC of the morbidly or the super-obese individual starts.
Maintaining a trim midsection benefits you in more ways than just one. It can help you live longer. Heart disease, diabetes, and even cancer are all linked to having a larger waistline. Losing weight, especially belly fat, improves blood vessel function and sleep quality.
Elson M.Haas M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry. Integrated Medicine Physician Founder/Director, Preventive Medical Center of Marin.
Dr. Haas addresses the RiverMend Health Scientific Advisory Board on the diet and nutrition information needed during the detox process.
To watch lecture visit : http://vimeo.com/100322037
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
The health hazards associated with obesity. Mortality morbidity
Complications related to obesity
type 2 diabetes.
high blood pressure.
heart disease and strokes.
certain types of cancer.
sleep apnea.
osteoarthritis.
fatty liver disease.
The root cause of chronic diseases, cancer and aging is recently understood. It includes 1- A state of chronic low grade inflammation secondary to hyperglycemia and obesity leading to insulin resistance. 2- Mitochondrial dysfunction. Exercise play a significant rule in the salvage of these problems. Exercise is any bodily activity that enhances or maintain physical fitness and overall health, Exercise with its Countless Benefits is the logical salvage for a group of diseases related to inactivity . In view of the prevalence, global reach and health effect of these physical inactivity related diseases, the issue should be appropriately described as pandemic, with far-reaching health, economic, social and Environmental consequences.These diseases include, Obesity, Coronary artery disease, Diabetes, Hypertension, Cancer, Depression and anxiety, Arthritis, Osteoporosis, Etc, etc, etc… I think we have no option except doing regular exercises if we seriously searching for a salvage to escape the bad and serious consequences of these new life style diseases.
This set of fifteen slides tries to share why the morbidly obese are different from the general, non-obese population.
Where other pre-anaesthetic check-ups (PAC) end, it's from there that the PAC of the morbidly or the super-obese individual starts.
Maintaining a trim midsection benefits you in more ways than just one. It can help you live longer. Heart disease, diabetes, and even cancer are all linked to having a larger waistline. Losing weight, especially belly fat, improves blood vessel function and sleep quality.
Dr. Stephen Franson of Bonfire Health (www.bonfirehealth.com) presents a new and unique solution to solving our nation's chronic disease burdent - The Bonfire Program
This is a presentation on weight loss we have given here in the community (Port Arthur, Port Neches, Nederland, Bridge City, Groves, Oranges, All of Southeast Texas /tx) It shows how Chiropractic can benefit those who want to lose weight. Dr Kerr, Chiropractor 409-962-3123
Professor Julio Licinio opens the First National Symposium on Translational Psychiatry, 4 -5 April 2011, at The John Curtin School of Medical Research, The Australian National University.
Did you know that the basic, type II diabetic can eliminate their condition through proper nutrition? Did you know it only takes about 30 days to be diabetes free? Watch and learn.
Running header THE MENACE OF OBESTIY1The Me.docxanhlodge
Running header: THE MENACE OF OBESTIY 1
The Menace of Obesity
Rodney Martinez
Columbia Southern University
The menace of obesity: Stern & Kazaks (2009) defined obesity as a health condition that is associated with excess body fat that is gained by environmental and genetic factors that are difficult to control during dieting. Obesity is classified as having a Body Mass Index (BMI) of 30 or above. BMI is a tool that measures obesity in an individual. The personal or community effects of obesity will be discussed. It will include a discussion on one factor that contributes to childhood or adult obesity and two prevention measures that relate to the selected factor. Finally, a discussion on one sociological theory that relates to the selected contributing factor to obesity will be given to provide a better understanding on what we as Americans define being obesity.
Effects of Obesity
The cost of obesity is known to go beyond those pertaining to personal health, including heart diseases, type II diabetes’ and bone and joint disease. Obesity has a lifelong financial impact on the individual, family members and the community at large, because of the medical bills to treat diseases. Kopelman (2010) stated that this worsens the situations since this individual is less productive financially due to the health condition and thus leaving the burden to family members and the community. According to a recent report from the Department of Health Policy at George Washington University's School of Public Health and Health Services, the tangible annual health- and work-related costs of obesity for a woman amount to $4,789 more than a woman of average weight would pay. For an obese man, those added costs are $2,646 annually.
One of the main contributing factors to childhood or adult obesity is a lifestyle. Eckel (2003) argued that overeating with in a combination with a sedentary lifestyle has been known to contribute to obesity. If you take foods in which a high percentage of calories come from high-fat, refined and sugary foods that will easily make you gain weight and high chances of being obese if you continue with that diet for long without counteracting practices. As more American families consume diets on the go and more people looking for low-cost foods, more people will reach high-calorie and fatty foods and beverages such as fast food.
Preventive Measures of Obesity
One of the preventive measures that can be taken to avoid obesity is changing behaviors which will affect these lifestyle choices. Choosing whole grains such as whole bread and brown rice rather than white rice and while bread. These foods are richer in fiber and nutrients and thus the body absorb them more slowly and therefore will not cause a rapid spike in insulin. Eating less fatty foods will also reduce excess calories in the bath. (Waters, E. 2010) stated that another preventive measure that is recommended is exercising every day, this will help in burning exce.
Understanding how intermittent fasting may not only help weight loss but have multiple other health benefits including life prolongation, preventing cancer and dementia
Place matters for health! A growing body of research over the last several decades has shown the connections between place and health. From obesity and chronic disease to depression, social isolation, or increased exposure to environmental toxins and pollutants, a person’s zip code can be a more reliable determinant of health than their genetic code.
In 2016, Project for Public Spaces compiled a report of peer-reviewed research that found key factors linking pubic spaces and peoples’ health. And public spaces are more than just parks and plazas – our streets represent the largest area of public space a community has!
This webinar will introduce participants to the placemaking process, the research behind the findings linking place and health, and how to envision streets as places – not just their function in transporting people and goods, but the vital role they play in animating the social and economic life of communities.
Using case problems, this webinar will give attendees real-world examples of workplace wellness situations and help attendees learn from those situations so that they can design and implement a compliant wellness program. Through case problems, attendees will review compliance mistakes concerning HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws. Participants will learn how to use those laws to build a better workplace wellness program.
Learning Objectives:
* Understand how to apply laws to specific factual situations.
* Identify red flags in certain common workplace wellness practices.
* Learn the basics of HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws as those laws relate to workplace wellness programs.
Looking for a healthier investment strategy? A new study by The Health Project (THP) finds that a portfolio of stock in companies that have won the prestigious C. Everett Koop National Health Award -- recognizing effective workplace health promotion programs -- has significantly outperformed the Standard & Poor's (S&P) 500 Index over the past 14 years. Since 2000, investing in Koop Award winners would have produced more than double the returns of the S&P 500, according to the new research led by THP President and CEO Dr. Ron Goetzel. Tune in to this webinar to hear more about this and related studies.
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
John Weaver, Psy.D. is a Licensed Psychologist who received his Doctor of Psychology degree from the Wisconsin School of Professional Psychology. He also has a Master of Science degree in Clinical Psychology from Marquette University and a Master of Divinity degree from St. Francis School of Pastoral Ministry.
CDC will provide an overview of their WorkLife Wellness Office services and describe how they used the HealthLead accreditation process to provide a framework to assess the comprehensiveness of their new office and existing programs and processes. Also, how the scoring of framework identified strengths and weaknesses and how the assessment plan of action is used for future strategic planning to drive new connections, data sources, and programmatic gaps as they strive to achieve HealthLead Silver. CDC will share specific examples of what was required and shared as part of the HealthLead audit during the presentation.
The way you communicate, and what you communicate, shapes how your employees feel about working there. Yet organizations often fail to prioritize corporate communication, to the detriment of their entire workplace culture.
Regular communication with employees sends the message that you value them as whole people. And consistent, meaningful communication can strengthen the employee-employer relationship. And when that relationship is strong, everyone wins: the employees, the employer, and the customers, clients, or patients.
You’ll come away from this webinar with immediately-useful tips and insider tricks from our 30+ years of experience producing engaging employee communications and leave with a blueprint of how to produce your own communications, or evaluate a vendor’s options, plus creative options.
We are reminded of the risk of workplace violence every time we hear of a tragic shooting on the news. As wellness professionals, we often have a broad contact with individuals who are struggling and with the structures of organizations that can have an influence on whether those individuals get help or act out their anger and frustration. In this session we will look at risk factors that can be identified to indicate that an individual needs additional assessment and help and at the organizational structures that can be implemented to reduce the risk of violence in your workplace. It is important that, as wellness professionals, we look at how to address this extreme form of unhealthy behavior.
Wellness is who we are, not what we do. As Oklahoma State University’s Chief Wellness Officer, Dr. Suzy Harrington shares a comprehensive, evidence based, wellness strategy model, driving America’s Healthiest Campus®. This model is transferrable to any setting to strategize the collaboration and vision for students, employees, and in the communities in which we live, learn, work, play, and pray. In addition to the model, Dr. Harrington will share the foundational structures that must be in place to support a sustainable culture of wellness.
Have you ever wondered why it is that even people who desperately want to adopt healthier lifestyles don’t stick with them once their initial burst of motivation fades? This provocative webinar will discuss the surprising reasons this is true and also showcase a new science-based paradigm to motivate healthy behavior so it is maintained over time. Dr. Michelle Segar will explain why logic-based reasons for behavior change (e.g., better heath, disease prevention, etc.) keep people stuck in cycles of starting and stopping but not behavioral sustainability. Using story and science, she will describe an easy-to-adopt, novel approach to promoting health, wellness, and fitness behaviors that leading organizations are starting to adopt. Attendees will leave this webinar with a more strategic way to communicate about and promote the sustainable behavior necessary for achieving improved health and well-being.
This webinar will discuss the major federal laws that impact workplace wellness program design, including the Affordable Care Act/HIPAA Nondiscrimination rules on the use of financial incentives, the Americans with Disabilities Act (ADA), the Genetic Information Nondiscrimination Act (GINA), federal tax laws as well as recent EEOC action such as the proposed ADA rules and lawsuits against Honeywell, Flambeau and Orion Energy Systems. Through case examples, the speaker will explain how each of these laws interact with one another, who enforces these laws, what to expect in terms of future guidance, and how health promotion professionals can use these laws as tools in designing more effective and inclusive workplace wellness programs.
Are you looking to refresh your current workplace wellness program or have you thought about starting a workplace wellness program and don't know where to begin? Check out Workplace Wellness 2.0. In 60 minutes, you'll learn the 10 easy steps to create an inexpensive, community-based, volunteer-managed, thriving wellness initiative. Hope Health's managing editor, Jen Cronin, will walk you through the effective strategy based on the custom publisher's 30-plus years of working with hundreds of organizations and their workplace wellness efforts.
Learning Objectives:
How to begin a new program, or add new life to an existing wellness program, with the Workplace Wellness 2.0 concepts
How to take advantage of inexpensive, free and readily available resources to power your wellness program
How to create a program WITH employees vs. FOR employees.
About The Presenter
Jen Cronin
Managing Editor
Hope Health
An avid runner and foodie, Jen's goal is to help others embrace — and enjoy — a healthful lifestyle by creating inspiring, engaging, and fun content that focuses on simple ways people can take care of their mind, body, and spirit. Jen has more than 18 years of writing, editing, and communications project management experience. She has worked as a health reporter, a public relations specialist at a major medical school, and a marketing communications consultant for a Blue Cross Blue Shield affiliate before coming to HOPE Health in 2009.
Samantha Harden discuss provides an overview of the RE_AIM framework which evaluates the effectiveness of interventions based on the following five dimensions:
Reach into the target population
Effectiveness or efficacy
Adoption by target settings, institutions and staff
Implementation - consistency and cost of delivery of intervention
Maintenance of intervention effects in individuals and settings over time.
We will also practice using RE-AIM in planning, implementation, and evaluation and share resources available on RE-AIM.org.
Learning Objectives
1. Understand the five RE-AIM dimensions
2. Practice using RE-AIM for planning, implementation, and evaluation
3. Explore available resources found at RE-AIM.org
Simply applying knowledge we have reliably in hand, we could prevent fully 80% of all chronic disease and premature death in modernized and modernizing countries. Standing between us and that prize is an obstacle course of competing claims, false promises, and profit-driven, pop culture nonsense. The case will be made for True Health Coalition to rally diverse voices to the cause of using what we know, even as we pursue what we do not. The challenges, operations, and promise of the endeavor will be discussed.
Shannon Polly will lead a webinar on teaching tangible techniques and exercises that help people cultivate presence. The hour-long webinar will also include information on what science is telling us about presence. Shannon Polly brings both her expertise as a professional actor, playwright and Broadway producer and her background in positive psychology as a teacher, facilitator and coach to this somatic approach to well-being and thriving.
“It’s a common myth that you either have ‘executive presence’ – that essence that helps you to command a room – or you don’t”, says Polly, “but that is simply not true. As an actor, I know there are tricks and techniques, and as a Positive Psychology Expert, I also know that how you carry yourself physically has a big impact.”
More from HPCareer.Net / State of Wellness Inc. (20)
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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!
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
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
6. “For the rest of the decade, these dire
warnings continued unabated. Scientists
were unequivocal. Overweight shortened
life. Dieting and weight reduction
lengthened it.” ‘Pleasingly plump’ was not
just unfashionable, it was deadly.”
Seid, Never Too Thin
7. AND MORE RECENTLY…
“When you look at obesity, what I
call the terror within, a threat that is
every bit as real to America as
weapons of mass destruction....”
U.S. Surgeon General Dr. Richard Carmona
8. & MORE RHETORIC…
“The steady rise in life expectancy
during the past two centuries may soon
come to an end…obesity may shave up
to 5 years off the average life spans in
the coming years.”
Olshansky et. Al, NEJM, 2005, 352:1138-1145
9. THE REALITY…
“These are just back-of-the-envelope,
plausible scenarios. We never meant for
them to be portrayed as precise.”
Obesity: An Overblown Epidemic, Scientific American, June, 2005
10. THE OBSESSION
Unique Confluence of Social, Economic
& Political Factors
Diet-Pharmaceutical-Industrial Complex
Fashion, Cosmetic, Fitness, Media
Medical Establishment / Government
11. PUBLIC HEALTH CALAMITY?
The Premise
Overweight leads to premature death
Overweight increases risk for disease
Weight loss improves health / longevity
12. BODY MASS INDEX (BMI)
(weight in kilograms divided by height in meters squared)
“Normal” Weight =
18.5-24.9
“Overweight” =
25-29.9
“Obese” =
30 or greater
CDC
13. LATEST BMI GUIDELINES
All adults with a BMI of 25 or higher
are considered at risk:
64% of adult population
100 million Americans
14. BMI TREATMENT GUIDELINES
Below 25 25 - 29.9 - diet, exercise, b.mod.
> 30
- above plus drugs
> 40
- above plus surgery
15. BODY MASS INDEX
Does not predict percent body fat
Does not predict fitness
Does not predict blood pressure
Does not predict mortality or morbidity
Kline, HWJ, Jan/Feb, 2001
16. BODY MASS INDEX
Does not take into account gender
Does not take into account ethnicity
Does not take into account age
Does not take into account muscle mass
17. NAME
BMI WEIGHT STATUS
George W. Bush
Will Smith
Yao Ming
George Clooney
Johnny Depp
Matt LeBlanc
Tom Cruise
Shaquille O’Neil
Arnold Schwarzenegger
26.3
27
27.7
29
29.8
30
31
31.6
33
Overweight
Overweight
Overweight
Overweight
Overweight
Obese
Obese
Obese
Obese
18. BODY MASS INDEX
“Although BMI is a generally convenient
measure, it lacks a theoretical foundation
and may be compromised by ethnic,
cultural or lifestyle differences”
QJM, Association of Physicians in Great Britain, 2000, Sep;93(9):589-96
19. BODY MASS INDEX
Do You Believe in
Fairies, Unicorns or the BMI?
Stanford University
Dr. Keith Devlin
The “Math Guy” on NPR
20. BODY MASS INDEX
“Since the entire sorry saga of the BMI was
started by a mathematician - one of us - I
think the onus is on us, as the world’s
experts on the formulation and application
of mathematical formulas, to start to
eradicate this nonsense and demand the
responsible use of our product.”
21. AMA - BODY MASS INDEX
“Given the existing limitations of BMI to
diagnose obesity in clinical practice, it is
unclear that recognizing obesity as a disease,
…will result in improved health outcomes. The
disease label is likely to improve health
outcomes for some individuals, but may worsen
outcomes for others.”
AMA - The Council on Science and Public Health, June 2013
22. AMA - BODY MASS INDEX
Encourage doctors to have conversations
with patients at risk of obesity
Provide impetus for health insurers to cover
both those conversations and subsequent
weight-loss interventions
AMA - The Council on Science and Public Health, June 2013
23. PUBLIC HEALTH CALAMITY?
The Premise
Overweight leads to premature death
Overweight increases risk for disease
Weight loss improves health / longevity
24. OBESITY KILLS?
“Obesity is the second leading cause of
preventable death in the United States,
exceeded only by cigarette smoking
…and it contributes to 300,000 deaths
annually in the United States.”
Manson, NEJM 1996;335:659
26. CAUSES OF DEATH - U.S. 1990
400,000
300,000
100,000
90,000
60,000
35,000
30,000
25,000
McGinnis, JAMA 1993;270(18):2208
Tobacco
Diet/Activity Patterns
Alcohol
Microbial Agents
Toxic Agents
Firearms
Sexual Behavior
Motor Vehicles
27. OBESITY & MORTALITY
“For overweight and obesity
combined, our estimate was
25,814 excess deaths”
Flegal et al, JAMA 2005;293(15):1861-1867
28. OBESITY & MORTALITY
American Changing Lives Study
“ When socioeconomic and other risk factors
are controlled for, obesity is not a significant
risk factor for mortality; and…for those 55 or
older, both overweight and obesity confer a
significant decreased risk of mortality.”
Soc. Sci. Med. 2010, 70:1558-1566
29. CREATING THE EPIDEMIC
Tues. June 16, 1998: Overweight =
BMI > 27.3 for women, > 27.8 for men
Wed. June 17, 1998: Overweight = BMI > 25
RESULT: 30 million people woke up
overweight on Wednesday !
30. OBESITY EPIDEMIC ??
BMI CHANGES - MOST RECENT DATA
1999 – 2012 - Females - No change
2003 – 2012 – Males – No change
1999 – 2008 – kids & teens – No Change*
2008 – 2011 – kids 2-4 – Slight Decrease
* except heaviest boys 6-19
JAMA,2010;303(3):235-241 & JAMA,2010;303(3):242-249 , JAMA,2012;307:491–497
31. PUBLIC HEALTH CALAMITY?
The Premise
Overweight leads to premature death
Overweight increases risk for disease
Weight loss improves health / longevity
32. WEIGHT & DISEASE
Associated with increased disease risk
Confounding factors reduce or eliminate
the association
Fitness, activity, SES, weight cycling,
nutrient intake, etc.
33. WEIGHT LOSS & DIABETES?
Improvements are usually seen in the first
few days before much weight is lost
Improvements can deteriorate even if
weight loss is maintained
Weight loss is rarely maintained
34. WEIGHT LOSS & DIABETES?
Numerous studies have shown that these so
called ‘weight-related’ health problems
can be treated effectively with lifestyle
interventions without significant weight loss
and in individuals who remain markedly
‘obese’ by traditional medical standards.
35. PUBLIC HEALTH CALAMITY?
The Premise
Overweight leads to premature death
Overweight increases risk for disease
Weight loss improves health / longevity
36. WEIGHT LOSS & HEALTH
“…The ultimate goal of diets is to improve
people’s long-term health, rather than to reduce
their weight.
Our review of randomized controlled trials of
the effects of dieting on health finds very little
evidence of success in achieving this goal.”
Tomiyama, Ahlstrom & Mann. Social &Personality Psychology Compass 7/12 (2013): 861–877.
37. WEIGHT LOSS & HEALTH
“If diets do not lead to long-term weight loss or
long-term health benefits,
it is difficult to justify encouraging individuals
to endure them.”
Tomiyama, Ahlstrom & Mann. Social &Personality Psychology Compass 7/12 (2013): 861–877.
38. WEIGHT LOSS & HEALTH
Exaggerated effects of weight on health
NO evidence of wt. loss sustainability
FIRST, DO NO HARM !
39. “IN THE NAME OF HEALTH”
Over the last hundred years medicine
has promoted a wide variety of
potentially dangerous and sometimes
lethal diets, drugs, and surgeries to help
people reduce their weight “in the name
of health.”
40. “IN THE NAME OF HEALTH”
The use of corsets was advocated by the
health establishment though it often
resulted in constricted lungs, squeezed
livers and bladders and dislocated
stomachs.
41. Hollywood’s Dangerous
Slimming Trick
The same
The
powerful
belt
forces the
waist to
just 23
inches,
In Touch, 11/19/07
size as a
soccer
ball, &
the waist
size of
the
average
7-yearold.
43. “IN THE NAME OF HEALTH”
1957
- HCG
1964 - Total Fasting
1969 - Intestinal Bypass
1974 - Jaw Wiring
1977 - Gastric Bypass
1985 - Gastric Balloon
1990’s - Fen-Phen, Redux, Meridia, Xenical
Alli
44. The KEN
Diet
TheKetogenic
most extreme
diet ever?
Enteral
Imagine being fed on a drip
Nutrition
for 10 days solely to lose
Diet even a leading
weight – now
NHS specialist is
recommending it !
Wednesday, March 7, 2012
47. THE LEGACY OF FAILURE
Consequences of “The War”
Eating disorders
Disordered eating
Body hatred
Exercise addiction
Exercise resistance
Weight cycling
Smoking
Discrimination
Shame & isolation
Wasted resources
48.
49. WASTED RESOURCES
40 Billion Dollars!
Could build 2.5 Habitat for Humanity
homes for each of the 2.5 million
homeless people in the U.S.
Marilyn Wann, Fat!So?, 1998
50. WASTED RESOURCES
2011 Update
60.9 Billion Dollars!
75 million dieters (2010)
Typical dieter - 4 times per year
The U.S Weight Loss & Diet Control Market. Marketdata Enterprises, Inc. March 9, 2011
51. SHIFTING THE PARADIGM
Weight-Centered
Everyone needs to
be thin for good
health and
happiness
Health-Centered
Thinness is not
intrinsically healthy
& beautiful, nor is
fatness intrinsically
unhealthy &
unappealing
52. SHIFTING THE PARADIGM
Weight-Centered
People have
different body
shapes & sizes
because they lack
will power, eat too
much & move too
little
Health-Centered
People naturally
have different body
shapes & sizes
53. SHIFTING THE PARADIGM
Weight-Centered
Everyone can be
happy, healthy and
thin by dieting
Health-Centered
Dieting usually
leads to weight
gain, decreased selfesteem and
increased risk for
disordered eating
55. SHIFTING THE PARADIGM
The ill effects of weight on health have
been greatly exaggerated
The relationship of weight loss to health is
questionable
Weight loss is not a sustainable outcome
for the vast majority of people
56. SHIFTING THE PARADIGM
Health can be improved without weight loss
There is growing evidence that promoting
weight loss violates the principle of “first,
do no harm.”
The weight loss industry is really a
weight-cycling industry
58. “HEALTHY WEIGHT”
Not all people are currently at their most
“healthy weight”
Moving towards “normal” eating & physical
activity will produce a “healthy weight”
Focusing on weight loss leads to weight
cycling and increased weight
59. HEALTH AT EVERY SIZE
Self-Acceptance - feeling good about self
60. WEIGHT DISCRIMINATION
“Among all adults in the study, weight
discrimination was more prevalent than
discrimination due to ethnicity, sexual
orientation and physical disability.”
“Among women, weight discrimination
was even more common
than racial discrimination.”
Rudd Center for Food Policy, Yale. Puhl, perceptions of weight discrimination, IJO 2008
61. HEALTH AT EVERY SIZE
Self-Acceptance - feeling good about self
Movement - being comfortably active
62. FIT AND FAT!
“ The often-cited ‘conclusive evidence’ that
obesity decreases longevity comes from
epidemiologic studies of BMI and mortality
without adjustment for fitness.”
“Obese men and women who are fit are at no
higher risk for CVD and all-cause mortality
then their normal weight and fit counterparts.”
McAuley, Blair, Obesity Paradoxes, J of Sports Sciences 2011;29(8):773-782
63. HEALTH AT EVERY SIZE
Self-Acceptance - feeling good about self
Movement - being comfortably active
Normal Eating - natural, relaxed eating
64. NORMAL EATING:
Based on internal cues:
Hunger
Appetite
Satiety
Fuel & Nutrients
Pleasure
Connection
Fulfillment
65.
66. NORMAL EATING
Is Being Able To:
Eat
when you are hungry and continue eating
until you are satisfied.
Choose food you like, eat it and truly get
enough - not just stop eating because you think
you should.
Use some constraint on your food selection,
but not miss out on pleasurable foods.
67. NORMAL EATING IS:
Giving
yourself permission to eat sometimes
because you are happy, sad or bored, or just
because it feels good.
Three meals a day, or choosing to munch along.
Leaving some cookies on the plate because you
know you can have some again tomorrow, or
eating more now because they taste so
wonderful.
68. NORMAL EATING:
Is
overeating at times: feeling stuffed and
uncomfortable.
Is undereating at times and wishing you had
more.
Takes up some of your time and attention,
but keeps its place as only one important
area of your life.
69. NORMAL EATING:
Is flexible. It varies in response to your
emotions, your schedule, your hunger
and your proximity to food.
Ellyn Satter, How To Get Your Kid To Eat...But Not Too Much, 1987.
70. HEALTH AT EVERY SIZE
Self-Acceptance - feeling good about self
Movement - being comfortably active
Normal Eating - natural, relaxed eating
71. HEALTH AT EVERY SIZE
An
End to Weight Prejudice -
Recognition that body shape, size and/or
weight are not evidence of any particular way
of eating, level of physical activity,
personality, psychological issue or moral
character; confirmation that
there is beauty and worth in EVERY BODY.
72. Health for Every Body® The Program
Health for Every Body® is an on-site, 10-week
program based upon the principles of Health At Every
Size® (HAES®)
offering employees an alternative, evidence-based
approach for
making peace with food
and their bodies.
73. Health for Every Body® 10 Weeks
1. Current research on dieting, weight & health
2. Examine the social & cultural pressures to be thin
3. Discuss the health consequences of body hatred
4. Improving body acceptance & self esteem
5. Pleasurable movement: Fit at any size
74. Health for Every Body® 10 Weeks
6. Reduce disordered eating - mindful, intuitive eating
7. Health benefits of relationships & social support
8. Managing stress, mindfulness, meaning & purpose
9. Improving health in presence of a chronic condition
10. Solidifying & protecting improvements
Culture of Inclusion
75. Health for Every Body® 10 Weeks
“I feel empowered to make healthy choices for my own sake,
not to fulfill other's expectations. A lot of that weight (pun
intended) was lifted off me, and with it removed, I was really
able to examine what I wanted from life. It turns out that I do
not care so much about my weight, but I fervently care about
being active and healthy. The series shifted my focus from
unhealthy weight-obsessed practices
to pleasurable movement and mindful
eating. I would whole-heartedly
recommend it.”
76. Health for Every Body® 10 Weeks
“If it were offered tomorrow, I would sign up again for it
exactly as is. It was really an amazing experience to go to
week after week. I really think the fantastic part was the focus
of doing things based on what feels good and right to you, and
the lack of focus on expectations. I feel like the Company
really offered something innovative and outstanding, and I am
never going to sit through another program that tells me that I
must lose weight and how. I'm going to
look for programs that focus on
health as a happy, exciting thing.”
77. Two-Day Intensive Training:
WEIGHT & HEALTH
Helping Without Harming
Clinical, Worksite and Community Applications
for Adults and Children
Where: National Wellness Conference, Minneapolis, Minn.
When: Sat. and Sun. - June 21,22 - 8:00 a.m. – 5:30 p.m.