Everyone will experience grief at some time in their life.
Grief can accompany many forms of loss. The death of
a loved one can be the most intense grief experience;
however there are many forms of loss that can occur.
This lecture will explore how to cope and manage a
variety of losses. It will also explore how managing
grief and loss is an individual process and the role
compassion can play.
'Loss, Grief and Bereavement Coping with Loss and Grief'Dr Wango Geoffrey
A new dawn has come in our lives in which we must be willing to face the reality of our lives. Part of that reality is the imminence of death. Death can be confusing especially with the advancement of medicine, science and technology and various attempts to make meaning and sense of our world. Ultimately, when death occurs, persons may oscillate between feelings of sadness and anticipation, especially when there is a lot of pain and suffering and hence our love and commitment to our loves ones is juxtaposed with relieve from pain. The interrelationships in our lives affect us all. The fact that death takes away our loved ones can be a panacea for disaster. The purpose of this presentation is to assist persons cope with loss and grief.
http://positivetranceformations.com.au/blog/the-five-stages-of-grief-2/ According to Dr Kübler-Ross, there are five well-defined stages in the grief process, all of which are important parts of the way that we react to the inevitable loss that life brings. If we are unable to express grief during any stage of the process, the grief can become blocked or bottled up, and will need to be released later.
Living and Coping with Grief and Loss - 1.29.18 - Margaret S. Clarke LPC, BC-...Summit Health
Everyone experiences grief at some time in their life. Grief can accompany many forms of loss. The death of a loved one can be the most intense grief experience; however, there are many forms of loss that can occur. This lecture will explore how managing grief and loss is an individual process and the role compassion can play.
SMG's Grief Support Group: https://www.summitmedicalgroup.com/event/grief-support-group/
Review of the latest research in the field on grief therapy and practice tips for practitioners. Topics include:
• The difference between normal grief and complicated or prolonged grief
• Research and issues involved in the inclusion of “Prolonged Grief Disorder” in DSM-V
• Cognitive behavioral techniques to treat prolonged grief
• The importance of self-awareness and the necessity of self-care when providing grief counseling
• Different cultural views of death
Presented by Susan Stuber, Ph.D. at the Philadelphia Society of Clinical Psychologists continuing education conference at the Philadelphia College of Osteopathic Medicine, March 22, 2013. A copy of the full presentation notes accompanying these slides may be obtained by contacting Dr. Stuber at sstuber@susanstuberphd.com.
'Loss, Grief and Bereavement Coping with Loss and Grief'Dr Wango Geoffrey
A new dawn has come in our lives in which we must be willing to face the reality of our lives. Part of that reality is the imminence of death. Death can be confusing especially with the advancement of medicine, science and technology and various attempts to make meaning and sense of our world. Ultimately, when death occurs, persons may oscillate between feelings of sadness and anticipation, especially when there is a lot of pain and suffering and hence our love and commitment to our loves ones is juxtaposed with relieve from pain. The interrelationships in our lives affect us all. The fact that death takes away our loved ones can be a panacea for disaster. The purpose of this presentation is to assist persons cope with loss and grief.
http://positivetranceformations.com.au/blog/the-five-stages-of-grief-2/ According to Dr Kübler-Ross, there are five well-defined stages in the grief process, all of which are important parts of the way that we react to the inevitable loss that life brings. If we are unable to express grief during any stage of the process, the grief can become blocked or bottled up, and will need to be released later.
Living and Coping with Grief and Loss - 1.29.18 - Margaret S. Clarke LPC, BC-...Summit Health
Everyone experiences grief at some time in their life. Grief can accompany many forms of loss. The death of a loved one can be the most intense grief experience; however, there are many forms of loss that can occur. This lecture will explore how managing grief and loss is an individual process and the role compassion can play.
SMG's Grief Support Group: https://www.summitmedicalgroup.com/event/grief-support-group/
Review of the latest research in the field on grief therapy and practice tips for practitioners. Topics include:
• The difference between normal grief and complicated or prolonged grief
• Research and issues involved in the inclusion of “Prolonged Grief Disorder” in DSM-V
• Cognitive behavioral techniques to treat prolonged grief
• The importance of self-awareness and the necessity of self-care when providing grief counseling
• Different cultural views of death
Presented by Susan Stuber, Ph.D. at the Philadelphia Society of Clinical Psychologists continuing education conference at the Philadelphia College of Osteopathic Medicine, March 22, 2013. A copy of the full presentation notes accompanying these slides may be obtained by contacting Dr. Stuber at sstuber@susanstuberphd.com.
It is difficult to come to terms with the loss of a loved one or to deal with a chronic or terminal illness. People often keep all their emotions bottled up, which starts affecting their physical and mental health. To know about ways to acknowledge and accept the loss and to cope with grief more healthily click the link below https://www.icliniq.com/articles/emotional-and-mental-health/grief
SUICIDE:
is the result of an act of self harm
deliberately initiated and
performed in the full knowledge or expectation of its Fatal Outcome.
Suicidal acts with nonfatal outcome are labeled by WHO as "Attempted Suicide”.
Derived from Latin word ,sui = oneself , cidium = a killing
Primary emergency for mental health professional
Major public health problem
More than 8,00,000 people die by suicide every year
Estimated annual mortality is 14·5 deaths per
1,00,000 people
Around one person every 40 seconds
75% of suicides occur in low- and middle-income countries
Tenth leading cause of death worldwide
It is the second leading cause of death in 15-29 year olds globally
suicide belt – (25 per 100,000) Scandinavia, Switzerland, Germany, Austria, eastern European countries (Belarus, Estonia, Lithuania, and the Russian Federation) and Japan
Prime suicide site of the world – Golden Gate Bridge in San Francisco
Japan- reported to have highest number of cases
Every year, more than 1,00,000 people commit suicide in our country. There are various causes of suicides like professional/career problems, sense of isolation, abuse, violence, family problems, mental disorders, addiction to alcohol, financial loss, chronic pain etc
According to NCRB:
A total of 1,39,123 suicides were reported in the country during 2019 showing an increase of 3.4% in comparison to 2018 and the rate of suicides has increased by 0.2% Scerotonergic system: low concentration of HIAA (metabolite of serotonin)
Non adrenergic system: stress-diathesis model
HPA axis: Dexamethasone suppression test- non-suppressors
Genetic:
Molecular biology – polymorphism in TPH gene
(tryptophan hydroxylase enzyme)
2019 over 2018.
Gender differences- Men 4 times > Women Exceptions – India and China , ratio is 1.3:1
Age- Increase with age
men peak age- after 45 years women – 55years
Physical health- loss of motility, Disfigurement, chronic intractable pain , patients on hemodialysis alcohol related illnesses
Mental illness
Previous h/o suicidal attempt
H/O Substance abuse
Marital status
Social isolation
Trouble coping with recent losses, death, divorce, moving, break-ups, etc.
Feelings of hopelessness and despair
Making final arrangements: writing a will or eulogy, or taking care of details (i.e. closing a bank account).
Gathering of lethal weapons
Giving away prized possessions
Preoccupation with death, such as death and/or 'dark' themes in writing, art, music lyrics, etc.
Sudden changes in personality or attitude, appearance, chemical use, or school behavior.Problem-solving
b) Psychotherapy
c) Distress-tolerance skills
d) Outreach
e) Provision of emergency cards
f)Antidepressants- fluoxetine, should be always combined with other therapies
b) Neuroleptics- flupenthixol 20mg for 6 months
c) Lithium
Family therapy
Separation Anxiety Disorder(SAD) is a psychological condition in which an individual has an excessive anxiety regarding separation from home or with whom the individual has a strong emotional attachment.
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
This presentation "What's Love Got to Do With It? Boundaries and Relationships" describes how developing compassionate discipline and by choosing to abdicate our role as hostages and hostage-takers that we can really begin to not take love’s glorious and transcendent name in vain.
Mental illness impacts significantly on relationships. Here we examine the dynamic between mental disorder and relationships by reviewing attachment theory, and using bipolar disorder and schizophrenia as examples to explore the issues. Lecture given to Relate Leicester, August 2013.
Cognitive distortions are the everyday errors that we make in translating the thoughts, ideas, and things we see around us, using words. These are 10 of the top cases of distorted thinking that we have all made, at one time or another. melaniecgallo.com
It is difficult to come to terms with the loss of a loved one or to deal with a chronic or terminal illness. People often keep all their emotions bottled up, which starts affecting their physical and mental health. To know about ways to acknowledge and accept the loss and to cope with grief more healthily click the link below https://www.icliniq.com/articles/emotional-and-mental-health/grief
SUICIDE:
is the result of an act of self harm
deliberately initiated and
performed in the full knowledge or expectation of its Fatal Outcome.
Suicidal acts with nonfatal outcome are labeled by WHO as "Attempted Suicide”.
Derived from Latin word ,sui = oneself , cidium = a killing
Primary emergency for mental health professional
Major public health problem
More than 8,00,000 people die by suicide every year
Estimated annual mortality is 14·5 deaths per
1,00,000 people
Around one person every 40 seconds
75% of suicides occur in low- and middle-income countries
Tenth leading cause of death worldwide
It is the second leading cause of death in 15-29 year olds globally
suicide belt – (25 per 100,000) Scandinavia, Switzerland, Germany, Austria, eastern European countries (Belarus, Estonia, Lithuania, and the Russian Federation) and Japan
Prime suicide site of the world – Golden Gate Bridge in San Francisco
Japan- reported to have highest number of cases
Every year, more than 1,00,000 people commit suicide in our country. There are various causes of suicides like professional/career problems, sense of isolation, abuse, violence, family problems, mental disorders, addiction to alcohol, financial loss, chronic pain etc
According to NCRB:
A total of 1,39,123 suicides were reported in the country during 2019 showing an increase of 3.4% in comparison to 2018 and the rate of suicides has increased by 0.2% Scerotonergic system: low concentration of HIAA (metabolite of serotonin)
Non adrenergic system: stress-diathesis model
HPA axis: Dexamethasone suppression test- non-suppressors
Genetic:
Molecular biology – polymorphism in TPH gene
(tryptophan hydroxylase enzyme)
2019 over 2018.
Gender differences- Men 4 times > Women Exceptions – India and China , ratio is 1.3:1
Age- Increase with age
men peak age- after 45 years women – 55years
Physical health- loss of motility, Disfigurement, chronic intractable pain , patients on hemodialysis alcohol related illnesses
Mental illness
Previous h/o suicidal attempt
H/O Substance abuse
Marital status
Social isolation
Trouble coping with recent losses, death, divorce, moving, break-ups, etc.
Feelings of hopelessness and despair
Making final arrangements: writing a will or eulogy, or taking care of details (i.e. closing a bank account).
Gathering of lethal weapons
Giving away prized possessions
Preoccupation with death, such as death and/or 'dark' themes in writing, art, music lyrics, etc.
Sudden changes in personality or attitude, appearance, chemical use, or school behavior.Problem-solving
b) Psychotherapy
c) Distress-tolerance skills
d) Outreach
e) Provision of emergency cards
f)Antidepressants- fluoxetine, should be always combined with other therapies
b) Neuroleptics- flupenthixol 20mg for 6 months
c) Lithium
Family therapy
Separation Anxiety Disorder(SAD) is a psychological condition in which an individual has an excessive anxiety regarding separation from home or with whom the individual has a strong emotional attachment.
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
This presentation "What's Love Got to Do With It? Boundaries and Relationships" describes how developing compassionate discipline and by choosing to abdicate our role as hostages and hostage-takers that we can really begin to not take love’s glorious and transcendent name in vain.
Mental illness impacts significantly on relationships. Here we examine the dynamic between mental disorder and relationships by reviewing attachment theory, and using bipolar disorder and schizophrenia as examples to explore the issues. Lecture given to Relate Leicester, August 2013.
Cognitive distortions are the everyday errors that we make in translating the thoughts, ideas, and things we see around us, using words. These are 10 of the top cases of distorted thinking that we have all made, at one time or another. melaniecgallo.com
Let's Talk About It: Ovarian Cancer - Working with the Darker Feelings of Can...bkling
eeling sad and building strategies for worry are common and often talked about emotional responses to cancer survivorship. Yet many survivors sit quietly with the unsettled heaviness of resentment, regret, bitterness, or anger. Because these feelings deserve our attention and a safe space to process as well, Let’s Talk About It. Join us as we look at these less often discussed (but just as understandable and normal) ”dark feelings" and find our way to understanding and compassion together.
When somebody loses someone that is significant in their life they suffer a bereavement. This extends very much to the animals in our lives and for some people losing a pet can be more traumatic and upsetting than losing a fellow human being. For every person loss and grief can present an individual and unique experience. These slides accompanied a 1 hour webinar looking at how loss and grief can effect different people - the physical, mental, emotional and social reactions and implications that can be experienced during the grieving process.
Let's Talk About It: Ovarian Cancer (Dealing with Cancer Treatment Burnout)bkling
The ongoing nature of cancer treatment, follow-up care, blood work, and side effect management can feel overwhelming over time. Join us for this discussion as we talk honestly about feelings of cancer treatment burnout, explore strategies for caring for ourselves over the long term, and work together to name what is helpful as we walk one day at a time.
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...Summit Health
While holiday celebrations and activities are great fun, it’s also a disruptor to the daily routine. Our expert will share tips to help you navigate holiday season stressors to minimize your child’s risk of a potential flare-up. This virtual event is hosted by the Arthritis Foundation.
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...Summit Health
The Covid-19 Pandemic has been a health crises that we have been fighting for the last year and a half. Dr. Accurso’s presentation is focused on reviewing how far we have come as a society and to address the questions, health concerns, and important precautions we need to take as we integrate ourselves back into a healthy community.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options - And...Summit Health
If you are experiencing shoulder pain, a rotator cuff tear could be the issue. Learn about how, and why, rotator cuff tears happen, how the condition and severity is diagnosed, and the non-surgical and surgical treatment options available.
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021Summit Health
Is your child complaining of joint pain? Learn about concerning symptoms and when to seek medical advice. Our expert discusses the various causes of joint pains in children, how a pediatric rheumatologist evaluates musculoskeletal complaints, and available treatment options.
Mildred “Mitch” Bentler, MA, RD, CSP, CDE, presented a virtual lecture at on diabetes prevention. According to Ms. Bentler,
“A combination of small changes can really make an impact on lowering your blood sugar. Increasing physical activity and adopting healthier eating habits can go a long way to reducing your diabetes risk.”
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Summit Health
Do you have stomach issues which are bothering you and you can't figure out why? Learn about conditions that could be causing abdominal pain or discomfort at this virtual program. Our expert will discuss different conditions such as: Irritable Bowel Syndrome; Inflammatory Bowel Disease; Celiac Disease and other conditions that require a gluten-free diet; and GERD (Reflux). He will explain the differences between these various conditions, how they are diagnosed, and treatment options available. Hosted by Morristown & Morris Township Public Library.
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Summit Health
What does your blood pressure, BMI, cholesterol, blood sugar and vitamin levels tell you about your health? Our expert will discuss how these numbers tell a story, and why it’s important to understand what that story means to your overall health. Dr. Im-Imamura will also share tips for helping you get these numbers where they should be, and how increasing physical activity and improving nutrition are key factors that can impact those numbers in a good way.
Presented as part of the Madison Public Library Virtual Seminar Series.
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Summit Health
Many people suffer from pain, swelling, stiffness, and loss of knee function as a result of knee arthritis. Our expert will discuss the causes, symptoms, and nonsurgical and surgical treatment options available. Hosted by Maurice M. Pine Free Public Library.
Pulmonologist, Jenny Kim, MD, FCCP of our Sleep Disorders Center partnered with the Livingston Health Department to present, Can’t Sleep? The ABCs of Your ZZZs to the community. During the session, Dr. Kim discussed tips for improving sleep and treatment options for common sleep disorders.
Christina Lavner, RDN, Nutrition Services, presented Healthy Eating for Cancer Survivorship, as the second session of our Now What? A Cancer Survivorship Speaker Series for patients wanting to learn more about nutrition that will benefit them during and after treatment. Be sure to check out upcoming presenters in this series and pass the word on to any patients you think would be interested in the information. The next presentation in this series is November 16, Coping with Treatment Side Effects, presented by Constance Gore, RN-APN
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Summit Health
An anti-inflammatory diet, along with exercise, can yield many health benefits, such as improved symptoms of many chronic conditions, reduced cancer risk, and a lower risk of obesity, heart disease, and diabetes. Learn more about this healthy way of eating and how to get started.
While most common in teens, the onset of acne can be troubling at any age. Depending on its severity, acne can cause emotional distress and scar the skin. The earlier you start treatment, the lower your risk of such problems. Learn about the causes of acne and effective treatment options for adolescents and adults.
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Summit Health
Heart disease is the leading killer of adults nationwide and it carries a significant morbidity for the population at risk. Learn about traditional and non-traditional risk factors associated with coronary artery disease, and how to modify your risk and prevent heart disease. Also, learn about how heart disease affects different ethnic backgrounds, particularly the high-risk groups, such as South Asians.
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.
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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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. Living and Coping with Grief
and Loss
Margaret S Clarke LPC,BC-DMT, ACT
Behavioral Health and Cognitive
Therapy Center
Mandi Zucker, MSW
Imagine, A Center for Coping with Loss
2. What Is Grief ?
• Grief is a natural and normal reaction to
loss.
• Grief is the emotional response to loss.
• We need to go through grief in order to
heal.
3. Language of Grief
• Bereavement is the specific situation of
a person who has suffered the loss
• Mourning is the social and behavioral
expression of the grief
4. Grief can follow many
types of loss
• Death of someone we love
• Miscarriage / elective abortion
• Learning you or someone you care
about has a chronic and serious illness
• Becoming disabled
5. • Death of a pet
• Loss of a home
• Loss of a career, employment
• Divorce
• Loss of relationships due to familial
conflicts
Grief can follow many
types of loss (cont)
6. Grief brings on a
wide range of emotions
• Sadness
• Anger
• Shock
• Numbness
7. The task of grief is healing
• To find healthy ways to deal with our
pain
• Remember that everyone grieves in
their own way
8. How We Grieve
• Depends on a variety of factors
Circumstances of the loss
Gender
Age and life experiences
Culture and Faith
9. Choice of Rituals
• How one honors someone who has died
• How to manage the dying process
• How to care for the body
• How to care for those who are left
behind
10. Types of grief
• Traumatic Loss
• Complicated grief
• Prolonged grief
11. Traumatic Loss
• When death is sudden or violent
Loss of a child
Suicide
Accidental overdose
Accidental death or dismemberment
12. Element of Fear
No one ever told me that grief felt so like
fear. Not afraid, but the sensation is like
being afraid. Same fluttering in the
stomach. Same restlessness, the
yawning. I would keep on swallowing.
CS Lewis “A Grief Observed”
13. Thoughts & Feelings
• Self blame
• Thoughts that others blame you
especially in the case of a suicide or
accidental death
• Imagining vivid picture images of your
loved one’s last moments
14. • In case of homicide or accident wanting
wishing the perpetrator to suffer to be
punished
• Ruminating thoughts or questions why
did the death happen
• Disbelief
Thoughts & Feelings
15. • Bitterness
• Anger at law enforcement, the courts,
the media and how they handle the
death
Thoughts & Feelings
16. Survivors Guilt
• What could have been done differently
• Actions taken or not taken at the time of
the death
• Thoughts of one’s own death
17. Complicated Grief
• Mental health issues /diagnosis
Major depression
Post traumatic stress disorder
Panic disorder
Generalized anxiety
Substance abuse / dependence
18. Prolonged Grief
• Difficulty adjusting to the loss
• Confusion about one’s role in life
• Feeling or thinking you have lost a part
of yourself
• Avoiding reminders of the loss
• Inability/struggle to trust others
19. • Difficulty moving on
• Numbness, absence of emotions
• Feeling or thinking life is unfulfilling
• Feeling stunned, dazed, shocked
• Separation Anxiety
Prolonged Grief
20. The Journey of Healing
• Let yourself grieve
• Practice Self Compassion
• Allow any thoughts and feelings to
come forth
• Try to express your thoughts and
feelings
21. There are 2 wings of mindfulness. One
wing is to pause and name what’s going on and
the second wing is to be non judgmental and
present to whatever you have named.
The first wing is to be aware and the
second is to meet what you are aware of, what
you have named with heartfulness, tenderness
and compassion.
Tara Brach
22. • Reach out to people you trust
• Look for people who accept your
feelings and thoughts
• Try simply telling people what you need
• Acknowledging your reactions and
giving them expression is important to
the healing process
24. Rituals can help
• Think about your loved ones wishes
• Take an active part in planning the
funeral or other ceremonies
• Help accept the death the loss
25. “We find a place for what we lose. Although we
know that after such a loss the acute stage of
mourning will subside, we also know that we
shall remain inconsolable and will never find a
substitute. No matter what may fill the gap even
if it be filled completely, it nevertheless remains
something else.”
E. L Freund
26. • Helps to remember memories about
your loss is an important part of healing
• Can bring mourners together
• Can bring peace and a sense of order
Memories
27. The present moment is filled with joy and
happiness. If you are attentive you will
see it.”
Thich Nhat Hanh
28. Resources
• Bearing the unbearable Love, Loss and the Heartbreaking Path
of Grief Joanne Cacciatore , PhD
• Living life after losing a child beyond tears Ellen Mitchell
• Loving Someone Who Has Dementia Pauline Boss, PHD
• Widow to Widow thoughtful Practical ideas to rebuilding your life
Genevieve Davis Ginsburg M.S.
29. Additional Resources
• Living a Healthy Life with Chronic Conditions Kate
Lorig, Dr.PH Halsted Holman MD et al
• In this moment Five steps to transcending stress
using mindfulness and Neuroscience Kirk D.
Strosahl, PHD Patricia J. Robinson ,PHD
• A Delicate Balance Living Successfully with a
Chronic Illness Susan Milstrey Wells
30. Other steps on the journey
• Put any regrets in perspective
• Try to put off major decisions
• Keep memories alive
31. • Think about continuing a project your
loved one started
• Look to your faith
• Consider attending a support group
• Think about helping others
Other steps on the journey
33. Grief never ends, but it changes.
It’s a passage, not a place to stay.
Grief is not a sign of weakness,
nor a lack of faith.
It is the price of love.
Author unknown
We experience bereavement and mourning because we become attached as part of our neurobiological makeup.
We have a universal need for meaning to find a way to narrate our grief to tell our stories about our loss.
We all will at some time in our lives lose someone we love. Some women/ couples have experienced multiple miscarriages. Some women have had to choose to have an abortion for various reasons and will grieve. A person can lose their limbs, eye sight, ability to function due to all types of medical conditions. Or have a family member inflicted and grieve the loss of their family member's personality and functioning due to Alzheimer's, ALS, MS, Cancer etc. Can be Real a recognizable specific event Imagined assumption re having a disabled child , fantasying about the future a hoped for reward that may not come, Anticipatory looking ahead predicting expecting a loos, terminal illness divorced, someone missing ie the recent Naval vessel that got damaged sailors lost
We come to cherish our pets, they often represent unconditional love and acceptance. They may be the longest relationship we have experienced with minimal disruption. Our home can represent stability and memories of accomplishments. We dream of being successful in career and when that is taken away due to retirement , changes in the workplace etc. it can be devastating for some individuals. Divorce loss of connection to in-laws , loss of community. Families are complicated and sometimes relationships
are ended and cut off due to conflicts that aren't resolved.
Yearning for and searching for answers disorganization and despair difficulty making sense of the emotions and coping with daily tasks. In the past discussions have focused on specific feelings who have a specific function denial, function is to serve to numb us to the feelings of loss as to not be too overwhelmed, anger function is the self defense emotion, demanding the world be predictable when it isn't, Guilt explores if we are at fault and our we effective ..about appraising our competence, anxiety reminds us of our inability to control events, Depression causes us to withdraw from outside stimulation to turn inward and reflect fear is an alarm system and warns survivors of major changes in our assumptions regarding ourselves and relationship others
There are multiple ways to process grief
Can be intense complicated protracted due to if the loss is someone close to us, spouse, child ,parent, life partner. Or sudden, violent or due to suicide (will discuss further due to how serious a violent and sudden loss can impact all of us).
Males and females may be socialized differently and taught different ways to handle grief. Stress and their emotions. Age, and life experiences can affect ones understanding of death and sense of self and Influences your beliefs about death and your response
Memorials, scholarships , Hospice, hospitals medications pain management burials within 24 hours, memorial service versus a funeral , bringing meals to the family of the deceased , sitting Shiva, having a wake , versus a service that is typical of a religious practice, story telling ,versus eulogies etc. social media etc., Facebook now plays a prominent role in loss and tragedies of all sorts and can be difficult if one is social (caretaking of others) or tends to be isolating (not being social and also not being cared for by others
Strong reactions are common and normal . Preoccupations with thoughts of the worthlessness. Depressed mood slowing down of movements, difficulty functioning and completing daily tasks. Possible sometimes experiencing hallucinatory images or thoughts believing that once he has the image hears the voice the deceased
What if’s? Fear about losing another fear that you won’t recover fear if you do recover . Catastrophic thinking anxiety about not being able to cope with what lies ahead
Thoughts that you are responsible caused the death the suicide, that other’s and you believe that you failed your loved one somehow . Imaging their last moments vividly , their suffering
Acceptable thoughts to have not acceptable to act on. Going over the details and trying to figure out what you could have done to intervene . Thoughts they are not truly gone they will walk in the door or pick up their cell phone of send you a text, it’s a mistake it didn't really happen
Why haven't they punished the perpetrator, why is it taking so long to go to trial , why isn’t there a trial, etc. The media got the story wrong , why wasn’t my family member my love done protected. How unfair the circumstances are and the outcomes.
Why didn’t I know, stop them, been there, been more careful, Why didn't I know, why didn’t “god” etc take me in stead. Maybe I would be better of dead with the deceased person.. How can I go on ? This is common for most deaths. Why did they have to die and not me…
Loss of motivation loss of appetite depressed mood lasting for a prolonged period difficulty functioning
Episodes of thinking one will pass out, heart racing, difficulty breathing . Worrying about little thing's and big things overestimating dangers and underestimating ones ability to cope. Increasing use of alcohol or other drugs self medicating if last longer than 2 months or more or if you become worried get help
Making new friends socializing with old friends isolating pursuing interests. Life is empty meaningless anxiety about forgetting the person’s voice smell touch questioning how one will live with out the person and cope
In a way that feels natural to you . Allow yourself to take more or less time and work through your pain If you notice you are grieving differently than others allow that to be okay . Mindfulness compassion acceptance of your thoughts feelings and sensations let go of judgment and negative self talk, again and again speak to yourself as if you were talking to a friend, a loved one a child . Journaling art music writing engaging in physical activity even dance yoga exercise running hiking crying
Time to lean on friends and loved ones . People don’t always know what to say or do .Make a list of people with whom you can share your thoughts and feelings.
Explore your thoughts, identify feelings triggered and behaviors engaged in Explore a more balanced perspective to help one cope, create coping statements coping and self soothing skills to help one move forward through the grief process
People gather photos create videos tell stories
My family we tend to find joy and laughter amiss our tears of sadness, I also find in groups and individual sessions often there will be laughter and in a memory or some thought
…Explore by evaluating your thoughts and feelings finding another perspective Changing jobs, retiring , moving etc. making any significant life changes maybe something's you want to take time to decide and not rush into .. As stste searleir Journaling art..all ow your self to tell stories about
SMG Behavioral health Cognitive Therapy Center staff in Integrated Behavioral health will be providing monthly Grief and Loss Support Groups for the loss of a loved one beginning Although the group will be free, we will still need sign up in advance . All group meetings will be held in the IBH office at Berkeley Heights Diamond Hill office initially , starting 3rd Tuesday of the month from 5 – 6 pm. Facilitators may need to swap here or there due to unforeseen circumstances but the dates will remain. The group schedule will be as follows: 9/19 10/17
11/21 12/19
There are other support groups at other locals as well Imagine offers their programming and I know many faith base organizations offer a variety of support groups and community and other mental health organizations and individual providers.