Modern life has become a strain on millions of Americans. It seems that stress is everywhere we go whether it be work, school, on the road and even at home. For many people it seems nearly impossible to get away from the stress. It seems to be everywhere we turn. Stress can also be a motivator and an encourager for change. Stress is a part of life, this means that we must manage our stress rather than run from it.
It seems like you hear it all the time from nearly every one you know – “I’m SO stressed out!” Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.
It seems like you hear it all the time from nearly every one you know – “I’m SO stressed out!” Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.
ELIMINATE
STRESS AND ANXIETY FROM
YOUR LIFE
It seems like you hear it all the time from nearly everyone you know – “I’m SO stressed out!” Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.
It seems like you hear it all the time from nearly every one you know – “I’m SO stressed out!” Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.
It seems like you hear it all the time from nearly every one you know – “I’m SO stressed out!” Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.
ELIMINATE
STRESS AND ANXIETY FROM
YOUR LIFE
It seems like you hear it all the time from nearly everyone you know – “I’m SO stressed out!” Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.
"I've never seen the weight come off like this. I really LOVE this 'diet'! It's more like a life overhaul! I have more energy than I've had in years and my skin is actually glowing! This is the perfect "Mommy Makeover" I was looking for. In the last few weeks I wasn't hungry at all, and it is the perfect complement to my busy lifestyle. I know that I am losing weight in a healthy way! My husband has started asking me more frequently if I would make him a smoothie, which is wonderful! Thank you times 10 million!" https://bit.ly/3poBhIS
Stress Awareness Month - April 2018
Dubbed the silent killer, stress is prevalent in society today. Mind have published a guide on the signs, causes and coping mechanisms that you, or someone you know, may find useful. It also offers some tips on future proofing your mental health and useful contacts.
It seems like you hear it all the time from nearly every
one you know – “I’m SO stressed out!” Pressures abound in
this world today. Those pressures cause stress and anxiety,
and often we are ill-equipped to deal with those stressors
that trigger anxiety and other feelings that can make us
sick. Literally, sick.
We all know that stress is bad for us and this is something we get told very often. However, it’s all too easy to write this off as being a minor nuisance or frustration rather than anything to really worry about. We all get stressed from time to time, right?
In reality, though, this is the wrong way to think about stress. While it is fairly commonplace, that is not to say that it isn’t serious. In fact, stress is incredibly serious and can cause severe problems both in the short term and long term.
Everything you need to know to combat stress is on our free eBook.
Archivetemp how to eliminate stress & anxiety from your lifeFofoSoso3
It seems like you hear it all the time from nearly every
one you know – “I’m SO stressed out!” Pressures abound in
this world today. Those pressures cause stress and anxiety,
and often we are ill-equipped to deal with those stressors
that trigger anxiety and other feelings that can make us
sick. Literally, sick.
The statistics are staggering. One in every eight
Americans age 18-54 suffers from an anxiety disorder. This
totals over 19 million people! Research conducted by the
National Institute of Mental Health has shown that anxiety
disorders are the number one mental health problem among
American women and are second only to alcohol and drug
abuse by men.
It’s normal to experience changes in your brain throughout your life. As you go through middle age and beyond, your brain will slowly shrink. This is all completely normal and while it sounds frightening, you don’t have to be scared. With the right plan, you can - if you work on it - actually grow your brain even if it’s already started shrinking.
"I've never seen the weight come off like this. I really LOVE this 'diet'! It's more like a life overhaul! I have more energy than I've had in years and my skin is actually glowing! This is the perfect "Mommy Makeover" I was looking for. In the last few weeks I wasn't hungry at all, and it is the perfect complement to my busy lifestyle. I know that I am losing weight in a healthy way! My husband has started asking me more frequently if I would make him a smoothie, which is wonderful! Thank you times 10 million!" https://bit.ly/3poBhIS
Stress Awareness Month - April 2018
Dubbed the silent killer, stress is prevalent in society today. Mind have published a guide on the signs, causes and coping mechanisms that you, or someone you know, may find useful. It also offers some tips on future proofing your mental health and useful contacts.
It seems like you hear it all the time from nearly every
one you know – “I’m SO stressed out!” Pressures abound in
this world today. Those pressures cause stress and anxiety,
and often we are ill-equipped to deal with those stressors
that trigger anxiety and other feelings that can make us
sick. Literally, sick.
We all know that stress is bad for us and this is something we get told very often. However, it’s all too easy to write this off as being a minor nuisance or frustration rather than anything to really worry about. We all get stressed from time to time, right?
In reality, though, this is the wrong way to think about stress. While it is fairly commonplace, that is not to say that it isn’t serious. In fact, stress is incredibly serious and can cause severe problems both in the short term and long term.
Everything you need to know to combat stress is on our free eBook.
Archivetemp how to eliminate stress & anxiety from your lifeFofoSoso3
It seems like you hear it all the time from nearly every
one you know – “I’m SO stressed out!” Pressures abound in
this world today. Those pressures cause stress and anxiety,
and often we are ill-equipped to deal with those stressors
that trigger anxiety and other feelings that can make us
sick. Literally, sick.
The statistics are staggering. One in every eight
Americans age 18-54 suffers from an anxiety disorder. This
totals over 19 million people! Research conducted by the
National Institute of Mental Health has shown that anxiety
disorders are the number one mental health problem among
American women and are second only to alcohol and drug
abuse by men.
It’s normal to experience changes in your brain throughout your life. As you go through middle age and beyond, your brain will slowly shrink. This is all completely normal and while it sounds frightening, you don’t have to be scared. With the right plan, you can - if you work on it - actually grow your brain even if it’s already started shrinking.
Stress at workplace and its control, you should know the process and its measures to control it..........write mail to askme@jagabandhujena.ga for more details
An overview of the topic of how people are affected by Stress and what are the symptoms of it and how body react with stress.
You can take it as a TERM REPORT.
This comprehensive PDF guide, "How To Manage Stress - Stress Management," offers a detailed and practical approach to dealing with stress in various aspects of life. The document provides valuable insights into understanding the sources of stress and offers a range of effective stress management techniques. From practical tips for handling workplace stress to strategies for promoting emotional well-being, this PDF is a go-to resource for individuals seeking actionable steps to navigate and alleviate the challenges posed by stress. Whether you are looking to enhance your mental resilience or seeking holistic approaches to stress reduction, this guide is designed to empower you with the knowledge and tools needed for successful stress management. Download the PDF now and embark on a journey towards a healthier, more balanced lifestyle.
Fashion is a Stressful Business. How Has it Affected You?We Teach Fashion
Free stress-busting tips for fashion professionals and a free COACHING CALL to help fashion professionals realign their lives and get their life back in balance.
Stress management and stress handling hand outEhatsham Riaz
We generally use the word "stress" when we feel that everything seems to have become too much - we are overloaded and wonder whether we really can cope with the pressures placed upon us.
stress is the prevailing phenomenon of modern everyday lives. modern ways of coping with day to day activities, keeping up with the trends, meeting the expectations and the standards set by modern day life is stressful pushing people to the verge of depression, anxiety and suicide
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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
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.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
Follow us on: Pinterest
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
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.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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!
2. Living a Stress Free Life
Table of Contents
LIVING A STRESS FREE LIFE
TABLE OF CONTENTS
INTRODUCTION
CHAPTER 1
Stress is everywhere
Not All Stress is Bad
Causes of Negative Stress
WHAT SO BAD ABOUT STRESS?
Effects of Long-Term Stress
How Much Stress is in Your Life?
CHAPTER 2
3. What’s Causing Your Stress?
The Number #1 Stressor – Our Jobs!
Relationships
Road Stress
CHAPTER 3
Tips for Managing Your Stress
Keep Your Schedule
Don’t Watch Television to Go to Sleep
Take Breaks throughout the Day
Try to Limit Changes in Your Life
Pay Attention to the Time
Eat Healthier
Exercise
Get Some Rest
Spend Some Time with Your Pets
4. Introduction
Modern life has become a strain on millions of Americans. It seems that stress
is everywhere we go whether it be work, school, on the road and even at home.
For many people it seems nearly impossible to get away from the stress. It
seems to be everywhere we turn. Stress can also be a motivator and an
encourager for change. Stress is a part of life, this means that we must manage
our stress rather than run from it.
There are thousands of causes for stress. They can appear anywhere and
everywhere we go. Research readily suggests that there are numerous ways to
reduce stress, but many people are unable to find what those ways are because
life can be so stressful. However, if you find that one thing that works, then you
can lead a fuller, more productive life. You will also be able to escape the
demands of stress and feel relaxed because of it.
Stress is everywhere we go. It can be at the mall, at work, school and even on
vacation. We may become stressed out at home from our marriages or personal
relationships. Even your pets and kids may cause you stress! This eBook is
designed to show you how to deal with all of these stressful situations to make
your life more stress free and relaxed.
5. Chapter 1
Stress is everywhere
We are bombarded on a daily basis by the news of increased stress in our
society and most of you are probably feeling stressed about something right
now. There are many different definitions of stress and there are various
different effects of stress as well. Most people would think that the definition of
stress is one that is completely obvious, but many are actually unable to
recognize when they are feeling stressed and that many ailments are actually
caused by stress.
There are several reasons that a person may not realize they are stressed. One
is that they have been stressed out for such a long period of time that they don’t
event recognize it any more. For these people, stress has become a way of life
that they are unable to shake. They have been stressed for so long that their
bodies and minds have stopped trying to tell them that they are stressed. These
people tend to adjust to the stress in their life and think that this is the way life is.
Stress also doesn’t come from one source. It can come from a variety of
different sources in your life and your responses to situations may also increase
or decrease your stress level. You may find that you handle stress differently
than your friends and family as well. Situations such as heavy traffic may bring
out the road rage in you, while your spouse stays calm and collected.
Because of these variances in stress causing factors, different people will have a
different definition of what stress is. As you can see the definition of stress is
not as easy you may think.
6. Stress was defined by Richard S. Lazarus as “a condition or feeling experienced
when a person perceives that demands exceed the personal and social
resources the individual is able to mobilize.” In other words, we have a “stress
response” of an individual occurs when we feel we cannot control handle or
resolve a situation.
Not All Stress is bad
There are two types of stress, positive and negative. Positive stress might be
when an actor gets nervous before going on stage. This may be his career
choice and he may love it, but he is still getting nervous. This is not necessarily
stress that is unhealthy, as it aids him in keeping him sharp for his performance.
He receives satisfaction at the end of the show, even though he was stressed at
the beginning. Positive stress is good stress. It is a natural, performance
enhancer and it actually heightens your abilities in performance.
Negative stress is the bad stress. This stress is usually your response to a
situation that you are unable to control. It is what causes you to feel moody,
achey and irritable. It causes headaches and a drop in work productivity. It is
estimated that 60 billion dollars per year go to health care costs, accidents, lost
work and productivity.
Causes of Negative Stress
As we know there are a million causes of negative stress in our lives. However,
the number one cause is rapid change. Anything unexpected causes our stress
levels to skyrocket. We have a constant need to continue to adjust to different
demands and new information and responsibilities every hour of every day. We
live in a rapidly changing world and those changes allow us little time to adjust
and absorb to the changes around us.
To understand how negative stress is harmful, we have to understand what
7. happens to our bodies when we are able to not use the “flight and fight”
responses that our body sends us. This response allows a person to recognize
whether they are in danger or being threatened. This response tells you to
either run from it as fast as you can or to stand and fight against it.
Unfortunately, when your employer throws you a short deadline you don’t have
the option to do either. You can’t run from it even though you want to and you
can’t fight your boss without losing your job. This means that this response goes
unused and the negative stress is allowed to build.
Because you receive an adrenaline rush of sorts and you are unable to use it,
the stress on your body builds. Your body exhibits this in a variety of different
ways and we know those expressions your body makes as stress.
What So Bad About Stress?
Our version of stress is much different than the stress our ancestors knew. Our
version of stress is technologically advanced and it includes features such as:
1 Overtime at work
2 Too much responsibility
3 A lot to do and no time to do it
4 Heavy traffic
5 Divorce or Marital Problems
6 Child care issues
7 Elder care issues
8 Too much competition in the workplace
9 Overcrowded cities
10 Familial problems
11 Credit card debt
12 Downsizing companies
13 Lost pension
14 Health care is too expensive, especially for the self-employed
8. 15 Drug addiction
16 Alcoholism
Our bodies respond to these life events as if they are faced with life or death in
the jungles or plains the ancient world. The difference is that they can’t get out
of these situations and you definitely cannot flee or flight them! Because you
are able to neutralize these chemicals that are being sent to your brain, they
build up and cause more strain on your life. We are very overwhelmed and our
brains keep releasing chemicals that you can’t get rid of.
In the midst of all this stress, you are forced to continue life as normal. You
have to go to work, talk with other people and pick your kids up from school in
addition to go to soccer practice, the grocery store, the dry cleaners and you
have to cook dinner. It is hard to focus because you have so many different
thoughts buzzing around in your head and your daily life suffers from it. You are
unable to focus and work effectively because you are so distracted with life’s
stresses. You may even feel physical changes such as tension headaches and
shaky hands.
When we are in such a state, we are unable to think clearly and you have more
accidents. We then get to the point to where we are dealing with long-term
stress all of the time. Here we have to make two decisions:
1. Are we being threatened or endangered by a situation?
2. Are we able to handle and control the effect of this situation?
The amount of stress that you feel in any situation depends how on how much
danger you face and whether or not you can handle that danger. But, what
happens if you can’t get rid of stress?
9. Effects of Long-Term Stress
1 Allergies
2 Indigestion
3 Appetite problems
4 Sleep problems
5 Insomnia
6 Asthma
7 Depression
8 Depression of the immune system
9 Chronic illness
10 Colitis
11 Stomach cramps
12 Heart attack
13 Migraines
14 Tension headaches
15 Loss of memory
16 Thyroid problems
17 Ulcers
18 Constipation
19 Diabetes
20 Stroke
21 Fatigue
22 Anxiety
23 Panic attacks
24 High blood pressure
25 Alcohol abuse
26 Drug abuse
Do any of these sound familiar? Most people can probably pick at least two or
three items off of this list that they suffer from on a regular basis. When you are
10. under long-term stress your brains is unable to release those chemicals that
make you fight or flight and the result is one, two, three or more of the items off
of this list.
There are a variety of brain chemicals that should provide you with a sense of
balance and well-being. These chemicals include:
1 Serotonin
2 Dopamine
3 Cortisol
4 Endorphins
5 Melatonin
6 Noradrenaline
When the balance is off with these chemicals, the body and your life feels
disrupted.
There is a normal cycle of chemical processing that provides your body with
rhythm. This is the 24-25 hour cycle that allows you to sleep at night, eat and
have energy. When you get your work done without stress, you are able to
sleep, eat and maintain good health. When the balance is right you are able to
feel normal.
In short, they are responsible for keeping you on track and synchronized. When
you are synchronized you are able to enjoy life. You are able to work efficiently,
feel happy, socialize with friends and family and enjoy things in your life that you
once enjoyed.
Of course, there are also several physical factors that occur in the body that
cause stress as well. Many people may not consider some of these as stressful
problems, but they do. These include:
1 Puberty
11. 2 Environmental exposure to toxins
3 Smoking
4 Extreme heat
5 Extreme cold
6 Pre-menstrual syndrome
7 Post-partum depression
8 Impotence
9 Menopause
10 Long-term illness
11 Hospitalization
12 Immune System Disorders or Dysfunction
13 Eating disorders
14 Heart disease
15 Lung disease
16 High blood pressure
17 Alcoholism
18 Drug addiction (including prescription drugs)
In many circumstances these can be stress causing and stress related. If stress
has not already caused you to have heart disease, then there is a good chance
that the heart disease is causing you stress. The same goes for just about any
other type of condition.
How Much Stress is in Your Life?
There are numerous “stress scales” that can be used to measure stress. There
are various causes as we have discussed, but there are also various ways to
measure stress.
Many people have a personality that allows them to cope and deal with stress.
These people often think that they are not that stressed out, but these tests tend
12. to show them otherwise. If you are one of these people, you may be shocked by
your results.
If you don’t address the stress in your life, then you are going to experience
some sort of emotional, physical or mental effect. By the time you realize the
cause, you may not be able to solve those problems.
Here is a chart that will show you how many points a stressful event is in your
life.
Stessor Points
Death of a spouse, significant other,
mother or father
75
Death of another family member 50
Divorce, separation with spouse or
significant other
50
Incarceration, significant legal
problems, lawsuit
50
Menopause, puberty, post-partum
depression, impotence
30
Serious illness, injury, or
hospitalization
30
Work termination or retirement 30
Working 50 or more hours per week 30
Getting married or moving in with a
significant other
30
Reconciling with spouse or old mate 30
Pregnancy or adding a new family
member
30
Hospitalization or significant illness of
spouse or family member
30
Impotence or sexual dysfunction 30
Financial troubles, new loan, mortgage
or a repossession of property
30
Change of a job, school, added
responsibility at work, working longer
25
13. Now, total your score and put it aside. Remember that each person is going to
handle stress differently and some of your stress tolerance is developed over the
years. It relates directly back to how you saw your own parents handle and deal
with their stress.
Much of how a person deals with stress also relate to your own personality. If
you are a positive person, then you may have better stress tolerance. If you are
a negative thinker, then chances are that you will not deal with stress as well. If
you are juggling several stressors at once you are less likely to be able to cope
as well.
Now, take a look at your totals. If you have a score of 200 or more, then you are
definitely way over the average stress level. If you have a score of 150 or more,
then you are definitely overstressed.
14. Chapter 2
What’s Causing Your Stress?
Okay, so you know you are overstressed, but what’s causing it? If you have
become immune to the feeling of getting stressed then you know that you are
probably really stressed. It is important to remember that stress does not come
from just one source, this means that you need to find out the sources of your
stress.
One way to do this effectively is to journal. Many people have found that their
journals give them surprising insight into where their stress comes from and they
even discover how to deal with it on their own. They are also able to see the
symptoms that it is causing them to suffer from.
Your total stress comes many different factors and these factors build up over a
period of time. These may continue over weeks, months and years. You will
find that a journal is a great way to deal with this stress. Most of us are very
15. busy during the day and something then causes you stress. By keeping a
journal you can vent all the anger, frustration and stress that has built up over
the day. You can then look back over the journal and determine those areas
that need to be dealt with.
In your journal you want to be sure that you rate how stressed you are
throughout the day. Rate your stress on a 1-10 scale. 10 is the most relaxed
and happy. 1 is the most stressed. Use this journal for at least one week.
Describe your comfort zone, your mood, your stressors, your symptoms and your
reaction to stress. Write in the journal morning, afternoon and evening. For
even more detailed information, write in it every hour if you can. You will see the
most detailed information out of the journal if you are able to keep it for two to
four weeks.
When you are ready, sit down and analyze the data that you have gathered
about your stress. Make a list of those stressful events that occur more often
than others. Place the most frequent stressor at the top of a list and build the list
down to the least frequent stressor.
The Number #1 Stressor – Our Jobs!
For most people, the number one stressor is going to be there jobs. It may be
because they are overworked and under paid. They have to many hours to put
in and the environment may be awful. If this sounds like you, begin by writing
down as many job related issues that you have, such as:
1 Low pay
2 50 or more hours in a week
3 Too much noise
4 Jerk of a boss
5 Rude co-workers
16. 6 Short deadlines
Write down as many of these issues that you have. Understand that this list may
get much longer as you go!
Now, perhaps you are stressed because you are overworked. This may be
because you or your boss has poor time management skills or because you
simply have too much work to do. The problem may also be that you do not
have the right skills or you were not trained properly for your job. This may
mean that you have to do re-work because you were not told how to do it right
the first time.
When it comes to workload, some people are simply not overworked, but
inefficient. If it is hard for you to determine which one it is, look at your co-
workers to see how they are handling the job. Do they seem to chug along and
you’re lagging behind? Or, do they all complain about too much work?
Next, look at your time management skills. Are you a procrastinator? If so,
motivation may be able to get your work done with minimal stress. If you are
scatter brained with appointments, meetings, deadlines, etc., try to set a
schedule and follow it diligently.
Schedule your daily events so that you can focus on the task at hand. If you
have a lot of phone calls to make on a daily basis, don’t put them off. Get them
done first thing in the morning so your distractions will be minimal.
Delegate work to your staff if you have one. Many people are prone to doing all
of the work themselves because they know they can do it right the first time.
This is not always the best strategy if there is too much work for you to do.
These situations can also be handled with a little planning and preparation.
17. Don’t be afraid to invest in training or other services that will help you. If you are
able to reduce your stress load then that was money well spent.
Relationships
Relationships are a tough one because you probably really love the person that
is stressing you out. However, there are many types of stress that occur in
relationships. The key is to figure out which one or ones are causing you stress.
Many people simply have conflicts due to different needs and values. This may
mean that you are constantly disagreeing on subjects such as finances, raising
the kids or how and where you spend your time.
Other conflicts arise from not being able to spend enough time together. If you
are both overworked and irritable, there is going to be some stress in your
household. You are both going to want to provide each other with company and
time, but you are unable to because of other stressors in life.
Long-term goals may also be different. Perhaps one of you wants to have a
particular career that would involve moving away, while the other person is
perfectly happy where you are.
Outside family and friend influences can also cause stress. Perhaps your
mother in law wants grandchildren, but you don’t want children at all. Perhaps
your partner’s family just doesn’t like you all together. Or maybe you don’t care
for one of them and you are constantly fighting over it.
Write down as many of these issues that you may have and begin to analyze
what you can do to manage and change them. There are a variety of issues at
hand when it comes to relationships such as:
18. 1 Sex
2 Trust or lack thereof
3 Constant fighting
4 Constant disagreeing
5 Spending too much time together
6 Not spending enough time together
7 Family influences
8 Personal problems
When you are looking at conflicting needs it is important that you realize you
can’t change the other person, nor should you try. If you are very different
people, you may not be able to live happily with each other without
disagreements. These may be problems that are simply irresolvable.
Before you give up on your relationship, visit a professional therapist or
psychologist for help. You may need the view of an outsider to help you both
understand your relationship issues. This means that if there are no other
options other than parting and going your separate ways, then at least you can
rest with the fact that you sought professional help.
If you can work through your problems, a professional will teach you to be a
better communicator. You must learn to do this so you don’t feel as though you
are constantly under attack or having to defend yourself.
Write down your thoughts and try to organize them. Stick to the facts and do
your best to be objective. Do your best not to downgrade the other persona nd
cause them even more stress and emotion.
You may simply need to focus. If you do agree on something, begin there and
focus on that. If you feel as though you are neglecting each other, you both may
need to learn how to shift your focus.
19. Stress for other sources may also be pulling you apart. The foundation of you
home life is much more important than those other things and it is important that
you are able to maintain balance at home. If you are unable to do this then you
will suffer from even more stress. Just like your body does when it is unable to
deal with the imbalance of chemicals in your brain.
Road Stress
One of the most taxing times during the day is both on your way to work and on
your way home from work. Rush hour and heavy traffic are probably the number
2 stressor on many people’s list. Many people commonly know this as road
rage.
The stress usually begins in the morning. It’s morning rush hour and even
though you left early enough to get to work on time, you are still stuck in traffic
that is going to make you late. The stress of being late is one of the most
overwhelming stressors.
The next overwhelming stressor in your day, besides work, is coming home from
work. It’s 5pm and everybody is heading to day care to pick up kids or they are
heading home like maniacs. They switch lanes, cut you off, slam on your breaks
and you are screaming at the top of your lungs trying to figure out why these
people can’t just drive normally. You probably barely avoid about 10 accidents
before you even make it to the day care to pick up your child who sitting alone
playing by himself because you are late again. The look of your kid plus the
stress of the drive just adds to your total stress for the day.
Driving is a huge cause of stress. Most people, especially in crowded cities like
New York City and Los Angeles, spend almost an hour trying to get to work or
get home safely. In many cities, this traffic also causes several public safety
20. issues as well. As your stress builds, so does the stress of those who are
traveling around you as well. With this stressor you are not alone and
everybody is feeding off of everybody else’s stress and anxiety.
Once you are able to get your kids picked up you may have another stressful
situation. Perhaps they are separated in the car because you’re tired of playing
referee while you drive, but they still seem to annoy each other one way or
another. One way to deal with this is to keep them as occupied as possible.
To deal with this type of stress, you may first want to try out some relaxing
music. Invest in classical music that will make it more soothing as you drive.
You may also consider nature sounds that will lighten up rush hour.
Another option is to change your daily route. Look for a way that is not as
stressful, perhaps take residential streets instead of busy highways. You might
find that this route is longer, but you will appreciate the reduced stress in your
life by taking this route.
Another technique is to simply start your drive five or ten minutes early. This
keeps you from having such a time crunch in the mornings. This can actually
make a less stressful drive as well.
21. Chapter 3
Tips for Managing Your Stress
Here are several tips that can help make your life stress free, or at least stress-
reduced.
Keep Your Schedule
If you are able to get on a schedule and stay on one then you’re going to find
that life is a lot less stressful. It is very important to get on a daily, regular
schedule. This will ensure that your body gets enough sleep and that your daily
rhythms remain consistent.
If you have problems sleeping, it may take about a month for your body to get
back on a regular sleeping pattern. If you keep to a normal schedule by going to
bed at the same time every night and getting up at the same time every morning,
your body will adjust much more quickly.
Don’t Watch Television to Go to Sleep
The best thing you can do when you’re stressed is to relax your mind. TV keeps
22. you thinking and doesn’t allow your brain to relax. Sleeping in the same position
every night will help you as well. This will allow both your mind and body to
relax. You also want to learn to breathe deeply and fully, pulling the air deep
into your lungs. Take long deep breaths and consciously relax your muscles.
Start with your neck and jaw and work your way down to your feet. If you are
unable to fall asleep after about 45 minutes, then go ahead and try to do some
reading.
Don’t do anything that really wakes you up. Don’t exercise, watch an intense
movie or play video games. This will just cause you to get a “second wind” and
you won’t be able to calm down and rest. After you ready for about 30 minutes
or so, try to go back to sleep. Try not to get frustrated because you can’t sleep,
as you will only make it harder on yourself.
Take Breaks Throughout the Day
Don’t work hard and heavy all day long. Take those breaks for coffee or to walk
around a bit. Many companies allow their employees to take two 15-minute
breaks per day and these are something you should definitely take advantage
of. If you are feeling sleepy, get up and walk around the building for a bit. This
will help you get your blood pumping and energy flowing.
Plan at least one day a week to do something that you really enjoy doing. This
may be visiting with friends over coffee, watching a movie or going horseback
riding. You could even sit down and really get into that book you’ve been
reading.
Be sure that each day you do your “To Do” list so you don’t have things flow into
your one special day of things you like to do. You also do not want to
procrastinate and overload yourself on one day.
23. Try to Limit Changes in Your Life
Remember, rapid change causes you excess stress. Try to limit the amount of
change in your life. Patterns are good and stress free. If you are able to keep
your life as change free as possible the better. Don’t schedule any changes that
are not absolutely necessary. Also, if you are getting a new job, don’t take on
any other responsibilities at the same time. If you must make changes, give
yourself time to adjust to those changes that you are experiencing. Once you
are acclimated, then you can decide on any new changes that you want to add.
Pay Attention to the Time
Don’t overwork yourself if you don’t absolutely have to. For example, if you don’t
have to stay late at work then don’t do it. Resist the urge to finish up and go
home. Block off your schedule into specific times for specific things. If you are
in school and working, block out some time to study.
Eat Healthier
Try to eat as healthy as you can. If you can avoid eating fast food at lunch then
don’t eat it. Try to get healthy foods such as fruits and vegetables into your diet.
That greasy hamburger might fill you up now, but it is full of empty calories. Eat
foods that will take some time to digest, but won’t make you bloated.
Vegetables will increase your brain’s production of Serotonin and will help keep
your brain in balance. Meat contains tryptophan, which will help you to relax.
It’s also the stuff in milk and turkey that makes you sleepy.
Stress also affects your blood sugar. When your blood sugar gets low, you may
begin to get headaches and feel shaky. Eat a little snack and you will be
surprised at how much better you will feel. Also drink a lot of water to stay
hydrated. Water can help ward of headaches as well.
24. Exercise
Exercise is one of the best ways to deal with stress. Many people resist exercise
because they don’t feel like they have enough time, but if they tried it once they
would be shocked at how much better it makes them feel. If you can find one
type of exercise that you like and do it three times a week for 20-30 minutes you
will be able to work off a lot of that stress.
There are a variety of stress relieving exercises including:
1 Jogging
2 Walking (Don’t forget your dog!)
3 Yoga
4 Biking
5 Swimming
Most people need to get more exercise anyway, so this is a great way to kill two
birds with one stone. Not only are you relaxing and relieving stress, but you are
also getting in shape. Exercise can also help you increase your productivity and
focus by more than 30%.
Get Some Rest
When you think of resting, you need to think about the physical and mental
aspects of rest. You may not necessarily need to sleep, but you need to give
your mind a break. This will help keep your day from becoming a blur and you
will be able to remain clear-minded and more efficient. If you are fatigued, you
will lose your short-term memory and feel exhausted.
Spend Some Time with Your Pets
Pets are simplistic and they have an easygoing life. Psychologists report that
25. pets can be very beneficial to our mental health. They provide unconditional
love and they always seem to be there for you. Just petting your pet can be a
stress relieving activity. Animals to be content with a little of attention, so you
don’t have to commit a lot of time trying to please them. You can spend as much
time as you want giving them attention to help relieve your stress levels.
If you owned a pet as a child, then you know they are relatively easy to care for.
If you have a pet now, then you should consider spending a little more time with
them and trying to see how much they can help you relieve your stress.
Relaxing,calming,support