Pink bands in a criss- cross pattern on a ten- nis player’s shoulder, blue strips surrounding a cy- clist’s knee, a red streak along a hurdler’s Achilles tendon: clearly athletes, Olympic and otherwise, subscribe to the use of elastic therapeutic, or kinesiology, tape. But is this a fashion statement or does kinesiology tape have a real function?
Elastic Therapeutic Tape and the Foot Care ProfessionalRockTape
As foot care professionals, sometimes our advice and treatment are undermined by patients resuming the same activities that landed them in our offices in the first place. How exciting would it be to have a sticky, stretchy little assistant that reminded our patients for 2-5 days about positional awareness? Enter.... elastic therapeutic tape!
The Evolution of Kinesiology Tape...more than pretty colours?RockTape
Cross-crossing pink bands across a tennis player’s shoulder, blue strips surrounding a cyclist’s knee, and a red streak along a hurdler’s Achilles tendon. Clearly athletes, Olympic and otherwise, subscribe to the use of elastic therapeutic or kinesiology tape. But is this a fashion statement or does kinesiology tape have a real function?
I was at lunch the other day with my medical biller. I am not her only client and she has a long list of specialties that she serves. I found out over salads that she has been suffering with lower back pain for two to three years. When she asked for my opinion, I requested that she give me a little history.
Do We Make Taping More Complicated Than It Needs ToBe?RockTape
Kinesiology tape (K-tape) is gaining popularity with healthcare providers, patients, and athletes. I have used K-tape for more than 10 years, but it wasn’t until the 2008 summer Olympics that my patients started requesting that I use K-tape as a treatment modality. As a sports chiropractor who was also an athletic trainer, I had been using different types of tape already with the main goal of locking down a joint for support.
Pregnant women have frequently been at a loss when looking for answers in respect to pain associated with their growing abdomens. Typical recommendations include from strapping, bracing, compressive garments, and ergonomic pillows, but patient compliance is low for these methods because of comfort and cost issues.
RockTape and Crossfit: Keeping the Athlete 'In The Game'RockTape
CrossFit athletes are different from average weekend warriors. They are of all sizes, ages, and athletic back- grounds. They like to train for fitness and make it a lifestyle. Unlike those who work out in a big box gym, these athletes surround themselves with like-minded individuals, which creates a cool community and “team.”
If you have ever treated runners, having them stop or modify activity during rehabilita- tion is nearly impossible. As someone who specializes in the treatment of endurance
athletes, I am always looking for an edge
to return them to activity as soon as possible.
I find it amusing, if not somewhat disconcerting that so many clinicians and athletes don’t take the time to learn more about kinesiology taping. The number of times I have heard people scoff, with little to no information on which to base said scoff, tells me it is time to start pointing some people in the right direction.
Elastic Therapeutic Tape and the Foot Care ProfessionalRockTape
As foot care professionals, sometimes our advice and treatment are undermined by patients resuming the same activities that landed them in our offices in the first place. How exciting would it be to have a sticky, stretchy little assistant that reminded our patients for 2-5 days about positional awareness? Enter.... elastic therapeutic tape!
The Evolution of Kinesiology Tape...more than pretty colours?RockTape
Cross-crossing pink bands across a tennis player’s shoulder, blue strips surrounding a cyclist’s knee, and a red streak along a hurdler’s Achilles tendon. Clearly athletes, Olympic and otherwise, subscribe to the use of elastic therapeutic or kinesiology tape. But is this a fashion statement or does kinesiology tape have a real function?
I was at lunch the other day with my medical biller. I am not her only client and she has a long list of specialties that she serves. I found out over salads that she has been suffering with lower back pain for two to three years. When she asked for my opinion, I requested that she give me a little history.
Do We Make Taping More Complicated Than It Needs ToBe?RockTape
Kinesiology tape (K-tape) is gaining popularity with healthcare providers, patients, and athletes. I have used K-tape for more than 10 years, but it wasn’t until the 2008 summer Olympics that my patients started requesting that I use K-tape as a treatment modality. As a sports chiropractor who was also an athletic trainer, I had been using different types of tape already with the main goal of locking down a joint for support.
Pregnant women have frequently been at a loss when looking for answers in respect to pain associated with their growing abdomens. Typical recommendations include from strapping, bracing, compressive garments, and ergonomic pillows, but patient compliance is low for these methods because of comfort and cost issues.
RockTape and Crossfit: Keeping the Athlete 'In The Game'RockTape
CrossFit athletes are different from average weekend warriors. They are of all sizes, ages, and athletic back- grounds. They like to train for fitness and make it a lifestyle. Unlike those who work out in a big box gym, these athletes surround themselves with like-minded individuals, which creates a cool community and “team.”
If you have ever treated runners, having them stop or modify activity during rehabilita- tion is nearly impossible. As someone who specializes in the treatment of endurance
athletes, I am always looking for an edge
to return them to activity as soon as possible.
I find it amusing, if not somewhat disconcerting that so many clinicians and athletes don’t take the time to learn more about kinesiology taping. The number of times I have heard people scoff, with little to no information on which to base said scoff, tells me it is time to start pointing some people in the right direction.
Soft Tissue Treatment of Musculoskeletal Disorders Utilizing Functional and Kinetic Treatment with Rehab, Provocation and Motion (FAKTR-PM) by Thomas E. Hyde, DC, DACBSP, CSTI, ICSSD, FRCCSS (Hon).
Patrick S. Pabian, PT, presents "Rehabilitation Considers of Lower Extremity Tendinopathy" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
Osteopathic Manipulation Treatment (OMT) is growing rapidly as a preferred and natural family medicine. As a treatment, osteopathic manipulation attempts to improve joint range of motion and balance tissue and muscle mechanics in order to relieve pain.
Bryan English - classification of muscle injuries in sportMuscleTech Network
Bryan English
Medical Director Middlesbrough Football Club. Member of Technical Advisory Group in Sports Science. The English Institute of Sport
-
Terminology and classification of muscle injuries in sport: a Munich consensus statement
(6th MuscleTech Network Workshop)
14th October, Barcelona
Dr. Richard Chmielewski, DO, FACEP, NMM/OMM gave a lecture on the ins and outs of Osteopathy and Osteopathic Medicine, including various techniques used by the Doctor on a daily basis.
Case study on lowback pain using Physioball, yoga And Dietry Measures.iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Soft Tissue Treatment of Musculoskeletal Disorders Utilizing Functional and Kinetic Treatment with Rehab, Provocation and Motion (FAKTR-PM) by Thomas E. Hyde, DC, DACBSP, CSTI, ICSSD, FRCCSS (Hon).
Patrick S. Pabian, PT, presents "Rehabilitation Considers of Lower Extremity Tendinopathy" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
Osteopathic Manipulation Treatment (OMT) is growing rapidly as a preferred and natural family medicine. As a treatment, osteopathic manipulation attempts to improve joint range of motion and balance tissue and muscle mechanics in order to relieve pain.
Bryan English - classification of muscle injuries in sportMuscleTech Network
Bryan English
Medical Director Middlesbrough Football Club. Member of Technical Advisory Group in Sports Science. The English Institute of Sport
-
Terminology and classification of muscle injuries in sport: a Munich consensus statement
(6th MuscleTech Network Workshop)
14th October, Barcelona
Dr. Richard Chmielewski, DO, FACEP, NMM/OMM gave a lecture on the ins and outs of Osteopathy and Osteopathic Medicine, including various techniques used by the Doctor on a daily basis.
Case study on lowback pain using Physioball, yoga And Dietry Measures.iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
To Compare The Effect Of Proprioceptive Neuromuscular Facilitation and Static...ijtsrd
Background: Flexibility is an important physiological component of physical fitness and reduced flexibility can cause inefficiency in the workplace and is also a risk factor for low back pain. Increasing hamstring flexibility was reported to be an effective method for increasing hamstring muscle performance.Objective: To compare the effects of modified hold-relax proprioceptive neuromuscular facilitation stretching technique and static stretching on flexibility of hamstring muscle.Materials and Methods: In this comparative study 60 subjects were selected by convenience sampling and research design was comparative and experiment in nature. Subjects were selected on the basis of inclusion criteria. Subjects were divided into two groups, group A and group B allocating alternate subjects to group A and group B, 30 in each group. Group A was treated with Proprioceptive Neuromuscular Facilitation with cryotherapy and Group B was treated with Static Stretching with cryotherapy. Baseline assessment was taken on pre stretch, post stretch and after 24 hours using Active Knee Extension test and Modified back saver sit and reach test.Results: Both the groups showed significant improvement in hamstring flexibility. (p0.05).Conclusion: Thus we concluded that the Proprioceptive Neuromuscular Facilitation Stretching Technique and Static Stretching both are effective to improve flexibility of hamstring muscle and clinically both the interventions are equally effective. Tanu Kapila | Dilpreet Kaur | Jaspinder Kaur"To Compare The Effect Of Proprioceptive Neuromuscular Facilitation and Static Stretching on Flexibility of Hamstring Muscle: A Comparative Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2266.pdf http://www.ijtsrd.com/other-scientific-research-area/other/2266/to-compare-the-effect-of-proprioceptive-neuromuscular-facilitation-and-static-stretching-on-flexibility-of-hamstring-muscle-a-comparative-study/tanu-kapila
While individually prescribed exercise programs are often the bread and butter of a physical therapy plan of care, there is no denying that technological advances in physical therapy tools have a place in the clinic also.
Is self myofascial release an effective preexercise and recovery strategy?Fernando Farias
Sports participation in youth is on the rise (35). In addi-
tion, paradigms in preventive health care are shifting focus
to the benefits of exercise in the aging population, leading
to exercise prescriptions for a previously sedentary group
(14,23,36). As more individuals become active, the number
of exercise-related injuries and conditions such as delayed-
onset muscle soreness (DOMS) is likely increasing (10).
DOMS can limit physical activity or result in pain that de-
ters individuals from continuing their exercise regimen (10).
Whether the athlete is young or old, novice or elite, regular
and/or strenuous exercise can result in DOMS and forma-
tion of fibrous tissue adhesions, leading to decreased range
of motion (ROM) (4,10,15).
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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
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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
1. 28 • Canadian Chiropractor | DECEMBER 2012 www.canadianchiropractor.ca
feature
The Evolution of
Kinesiology Tape
More than pretty colours?
P
ink bands in a criss-
cross pattern on a ten-
nis player’s shoulder,
blue strips surrounding a cy-
clist’s knee, a red streak along
a hurdler’s Achilles tendon:
clearly athletes, Olympic and
otherwise, subscribe to the
use of elastic therapeutic, or
kinesiology, tape. But is this
a fashion statement or does
kinesiology tape have a real
function?
Despite its recently osten-
sible and technicolored ap-
pearance on the world stage,
kinesiology tape has been in
use for over 40 years. Japanese chiropractor Kenzo Kase is credited as its developer and it took
50,000 free rolls and gold medal beach volleyball athlete Kerri Walsh (2008 Olympic Games)
before eyebrows were raised.
In many areas of medicine, the use of a modality by athletes and practitioners often pre-dates
the scientific explanation of how it “works”. Kinesiology tape seems to be following in those
footsteps. Tape companies claim it “reduces muscle soreness, improves function, decreases
bruising, and decreases pain” amongst other benefits. So where does the rubber meet the road?
How is it usedand how does itwork?
There are differing schools of thought on the methodology for applying kinesiology tape. Early
and persistent reasoning suggested that origin-insertion, muscle innervation and muscle action
taping best serves to support/stimulate external body areas. This “anatomical approach” prob-
ably makes the most intuitive sense to medical practitioners as it follows anatomical “rules of
engagement.”
Dr. Steven Capobianco, chiropractor and developer of the Fascial Movement Taping (FMT)
method, argues kinesiotaping should be “based on the obvious yet largely overlooked concept of
muscles acting as a chain… the body’s integration of movement via multi-muscle contractions as a
means of connecting the brain to the body’s uninterrupted fascial web in order to enhance rehab and
athletic performance via cutaneous (skin) stimulation. By taping movement rather than muscles, FMT
has demonstrated greater improvement in both patient care and sport performance.” (Performance
Taping Chain - Rotational Movement Disfunction)
Dr. Capobianco is not alone in this line of thinking. Leading fascia researcher, Robert Schleip,
PhD, underscores movement and its role in pain and dysfunction. New research in addressing
movement impairment, rather than joint and muscle pain, has initiated a fast growing move-
ment model.1
Additional support for this model comes from Thomas Myers in his groundbreaking book,
Anatomy Trains.2
He offers a template to assess, treat and manage body-wide motor dysfunction
based on myofascial meridans, and movement impairment.
Application models aside, how is kinesiology tape theorized to work and what is the
support?
Dr. Leslie Trotter co-owns a sports
medicine clinic inAncaster,Ontario,
and is Canadian contact for Rock-
Tapebrandkinesiotape.Shecanbe
contacted at leslie@rocktape.com
orbytelephoning289-204-0601.
LeslieTrotter,BSc,DC,MBA,MSc
By stimulating large skin mechanoreceptors, kinesiology
tape can downgrade painful stimuli from the nociceptors to
decrease pain perception.
ChiroDEC2012.indd 28 12-11-27 9:59 AM
2. www.canadianchiropractor.ca Canadian Chiropractor | DECEMBER 2012 • 29
As with anything that touches our
body’s biggest organ, kinesiology tape has
a cutaneous mechanoreceptor effect that
stimulates those receptors to enhance
body kinesthesia, or movement aware-
ness. By stimulating large skin mecha-
noreceptors, kinesiology tape can down-
grade painful stimuli from the nociceptors
to decrease pain perception.
Recent research indicates that kinesiol-
ogy tape has a greater stimulatory effect on
compromised tissue (due to injury and/or
fatigue). Thedon, et al.3
conducted a study
to evaluate body sway in individuals with
and without tape. They found that the tape
showed very little change in the uncom-
promised condition, but when the subjects
were fatigued, the tape provided an added
stimulatory effect to the skin helping to
compensate for the loss of information fed
to the brain from the muscles and joints.
For the pain and performance community,
this study provides insight into the ability
of an “auxiliary” system, such as the skin,
to augment treatment and training out-
comes. Some of the “stickier and stretchier”
kinesiology tape brands remain on the skin
for up to five days thereby extending the
stimulatory effect.
Visual evidence that “something” is
happening occurs when kinesiology tape
is used on bruising. The elastic pull on the
epidermis/dermis layers creates an area of
lower pressure to assist in fluid dynam-
ics (acute/chronic edema4
). The pre-tape
and post-tape photos (please see below)
are most compelling. Where the tape was
applied directly to the skin, bruising dis-
sipates more rapidly than areas without
tape.
Outsidethe box
A 2012 study5
of 32 surgeons, showed a sta-
tistically significant reduction in neck and
low back pain (using Oswestry Low Back
Disability Index and Neck Disability Index)
and functional performance (using neck
and low back range of motion scores) with
the use of kinesiotape during surgery. This
may have far-reaching implications for other
jobs/activities where sustained positions
result in musculoskeletal pain.
A final and anecdotally successful use
for kinesiology tape, also developed by Dr.
Capobianco, is “power taping” during later
pregnancy. An example is the “baby belt”
application, which attempts to offload the
abdominal strain by redistributing the stress
to the upper scapula-thoracic area. The tape
follows a fascial sling Thomas Myers calls
the “spiral and superficial front lines.” He
and other fascial pioneers suggest that skin
stimulation enhances fascial proprioception
and as the fascia encompasses the entire
body in a “neuromyofascial web” a broader
improvement in body posture results.
Clearly the use of kinesiology tape is
popular (millions of users) and the appli-
cations are broad (from athletic injuries
to edema). Specific evidence for efficacy
is scant but growing, and plausible. There
are currently no reported dangers associ-
ated with using this elastic cotton mesh
bandage, and the only significant contra-
indication is on open wounds. Kinesiol-
ogy tape breathes well and flexes like a
second skin, unlike most braces that act
more like abrasive exoskeletons. It with-
stands sweat and/or water and is by most
comparisons a cost-effective treatment
modality.
While science is unlikely to discover
that kinesiology tape is the panacea for all
aches and injuries, health-care practitio-
ners should keep this tool in the chest due
to its vast possibilities in treating patient
complaints. •
References
1. Schleip R, Muller D. Training principles
for fascial connective tissues: Scientific
foundation and suggested practical
applications. J Body Move Ther 2012;1-
13. (full article available at http://
fasciaresearch.de/Schleip_TrainingPrin-
ciplesFascial.pdf)
2. Myers, TW. 2009. Anatomy Trains:
Myofascial Meridans for Manual and
Movement Therapists. New York:
Churchill-Livingston.
3. Thedon T, et al. Degraded postural per-
formance after muscle fatigue compen-
sated by skin stimulation. Gait Posture,
2011 Apr;33(4) 686-9.
4. Chou YH, et al. Case Report: Manual
lymphatic drainage and kinesio taping
in the secondary malignant breast
cancer-related lymphedema in an arm
with arteriovenous fistula for hemodi-
alysis. Am J Hosp Palliat Care. 2012
Aug 9.
5. Karatas N, Bicici S, Baltaci G, Caner
H. The effects of kinesiotape application
on functional performance in surgeons
who have musculo-skeletal pain after
performing surgery. Turk Neurosurg
22(1):83-9, 2012.
Additional Reading
• Konishi Y. Tactile stimulation with kinesi-
ology tape alleviates muscle weakness at-
tributable to attenuation of Ia afferents, J
Sci Med Sport, June, 2012.
• Thelen M, et al. The clinical efficacy of
kinesio tape for shoulder pain. A ran-
domized, double blinded, clinical trial,
volume 38(7), July 2008.Post removal of kinesiotape.
Bruising with kinesiotape freshly applied.
Application of Baby Belt configuration for
later pregnancy.
Fascial sling to offload abdominal strain
by redistributing stress to upper scapula-
thoracic area.
ChiroDEC2012.indd 29 12-11-27 9:59 AM