Being confronted by our own mortality can bring up a lot of feelings: fear, anger, sadness, helplessness, and few experiences bring us face to face with our own death like a cancer diagnosis. But facing mortality can also be an opportunity to find meaning, live in the moment, and contemplate the mark you want to leave on this world. Attend this program to explore how to acknowledge the inevitable while still allowing yourself to truly live a full life and experience hope.
This presentation is in collaboration with NYU Langone Health.
This presentation by Julie Larson, LCSW, discusses the fear of recurrence for women who have just ended their ovarian cancer treatment, and how you can take control of your thoughts and emotions during this difficult time.
Let's Talk About It: Ovarian Cancer Recurrencebkling
Hearing your cancer has returned can feel scary. Join us as we talk together about facing the road ahead after a recurrence of ovarian cancer. From close communication with your medical team to finding the right type of support so you feel less alone, we will talk together so you can find your footing one step at a time. Join us, Let’s Talk About It!
This slideshow discussion provides tips for women with ovarian cancer on how to navigate your diagnosis in the workplace, from talking to coworkers, paid time off and sick leave, and more.
Caring for yourself throughout the cancer trajectory requires flexibility and awareness. There are different emotions and challenges that occur at the time of diagnosis, during treatment, and months (or even years) after treatment has ended. The way in which you care for yourself surrounded by others, in a professional setting, or in the middle of the night also reinforces the importance of having a wide range of tips and tricks in your toolbox to help you feel more confident and grounded in times of stress. We share practical tips and shared experiences, and build more ideas for the tools you might want to add to your toolbox as you take care of yourself along the way.
Let's Talk About It: Ovarian Cancer - Cultivating Resiliencebkling
Resilience is the ability to recover and adapt in the face of stress. Resilience is also a term that refers to a number of skills and characteristics that contribute to our ability to face hardship. Together we can work to name and strengthen the qualities that not only resonate but that you are discovering within yourself as you navigate cancer survivorship.
Let's Talk About It: Ovarian Cancer - Fear of Recurrencebkling
A diagnosis of recurrent ovarian cancer can bring many uncertainties and anxieties. Our discussion, lead by Julie Larson LCSW, talks through how you can learn to calm your fears.
Let's Talk About It: Ovarian Cancer - Healing the Relationship With Your Bodybkling
Cancer treatment changes the relationship a survivor has with their body. Surgical scars, hair loss, changes in sensitivity, discomfort or pain, and ongoing side effects can be overwhelming and emotional to experience. Feelings of loss, disconnect, anger, and shame are normal to have but can be uncomfortable or complicated to navigate. We discuss the path forward to healing and reclaiming the important relationship with your body post-diagnosis in this presentation.
This presentation by Julie Larson, LCSW, discusses the fear of recurrence for women who have just ended their ovarian cancer treatment, and how you can take control of your thoughts and emotions during this difficult time.
Let's Talk About It: Ovarian Cancer Recurrencebkling
Hearing your cancer has returned can feel scary. Join us as we talk together about facing the road ahead after a recurrence of ovarian cancer. From close communication with your medical team to finding the right type of support so you feel less alone, we will talk together so you can find your footing one step at a time. Join us, Let’s Talk About It!
This slideshow discussion provides tips for women with ovarian cancer on how to navigate your diagnosis in the workplace, from talking to coworkers, paid time off and sick leave, and more.
Caring for yourself throughout the cancer trajectory requires flexibility and awareness. There are different emotions and challenges that occur at the time of diagnosis, during treatment, and months (or even years) after treatment has ended. The way in which you care for yourself surrounded by others, in a professional setting, or in the middle of the night also reinforces the importance of having a wide range of tips and tricks in your toolbox to help you feel more confident and grounded in times of stress. We share practical tips and shared experiences, and build more ideas for the tools you might want to add to your toolbox as you take care of yourself along the way.
Let's Talk About It: Ovarian Cancer - Cultivating Resiliencebkling
Resilience is the ability to recover and adapt in the face of stress. Resilience is also a term that refers to a number of skills and characteristics that contribute to our ability to face hardship. Together we can work to name and strengthen the qualities that not only resonate but that you are discovering within yourself as you navigate cancer survivorship.
Let's Talk About It: Ovarian Cancer - Fear of Recurrencebkling
A diagnosis of recurrent ovarian cancer can bring many uncertainties and anxieties. Our discussion, lead by Julie Larson LCSW, talks through how you can learn to calm your fears.
Let's Talk About It: Ovarian Cancer - Healing the Relationship With Your Bodybkling
Cancer treatment changes the relationship a survivor has with their body. Surgical scars, hair loss, changes in sensitivity, discomfort or pain, and ongoing side effects can be overwhelming and emotional to experience. Feelings of loss, disconnect, anger, and shame are normal to have but can be uncomfortable or complicated to navigate. We discuss the path forward to healing and reclaiming the important relationship with your body post-diagnosis in this presentation.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain, and suffering. Join this important webinar where Teresa Deshields, Ph.D., will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
Let's Talk About It: Ovarian Cancer - The Power of Traditionsbkling
The holiday season can be a time marked by family and seasonal traditions. Traditions can be comforting and centering in a way that helps us hold onto a sense of normalcy. But this time can also feel hard when the changes in your health seem more obvious compared to other times.
Join us as we talk together about embracing the holiday season with awareness for all the ways you might experience the weeks ahead.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain and suffering. Join this important webinar where Teresa Deshields, PhD, will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
Let's Talk About It: Ovarian Cancer - Treatment Decision Makingbkling
Making treatment decisions are stressful. The work of understanding complex medical information, crafting questions for your medical team, and trusting oneself is hard. Join us as we break down this intense time in ways that may make it feel more manageable and help you regain a sense of calm as you work hard to care for yourself at each turn in the road. Let’s Talk About It.
Responding to Cancer | Tips for Anxiety, Stress | ThymicUK & Dimbleby Cancer ...OliverNeely1
Responding to Cancer. An information session helping us to understand our response to cancer diagnosis, ongoing treatment etc..
Advice and tips for dealing with anxiety, stress and emotions for cancer patients, friends and family.
SHARE Presentation: Sexuality and Intimacy after Cancer with Dr. Mindy Schiffmanbkling
The diagnosis and treatment of breast or ovarian cancer can profoundly affect body image, intimacy, and sexuality, leading to concerns about feeling and being desirable, as well as fears of negative reactions from partners. Dr. Mindy R. Schiffman, Clinical Psychologist and Sex Therapist, NYU Langone Fertility Center, will discuss ways to counter the emotional and sexual fallout of a cancer diagnosis and treatment.
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
Why we all need to practice emotional first aidTED Talks
We go to the doctor when we feel sick. So why don’t we see a health professional when we feel emotional pain: guilt, loss, loneliness? Guy Winch makes a compelling case to practice emotional hygiene — taking care of our emotions, our minds, with the same diligence we take care of our bodies.
When you first get diagnosed with cancer it is confusing and frightening. I had five days to live. Now over four years later I have survived the worst and treat others with the therapy I received in a German integrative clinic. This therapy supported my body through a lot of pain and trauma. It allowed my body to remain strong and accept the toxic treatment which ultimately cured me.You need your body to remain strong at this critical time. soulfullhealing.org
OBJECTIVES
To Talk about Family, Friends, & Recovery
To Show Ways in Which Family and Friends May Engage In Healthy Communications
To Demonstrate ways in which Families, Friends can take care of themselves
OBJECTIVES
- Identify, Describe How Clients and Families Come to your
Practice
- Identify , Describe and Discuss Addiction, Mental Health ,
Chronic Pain and Process Disorders
-Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
-Identify how we as clinicians, behavioral health care professionals identify our clients
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain, and suffering. Join this important webinar where Teresa Deshields, Ph.D., will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
Let's Talk About It: Ovarian Cancer - The Power of Traditionsbkling
The holiday season can be a time marked by family and seasonal traditions. Traditions can be comforting and centering in a way that helps us hold onto a sense of normalcy. But this time can also feel hard when the changes in your health seem more obvious compared to other times.
Join us as we talk together about embracing the holiday season with awareness for all the ways you might experience the weeks ahead.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain and suffering. Join this important webinar where Teresa Deshields, PhD, will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
Let's Talk About It: Ovarian Cancer - Treatment Decision Makingbkling
Making treatment decisions are stressful. The work of understanding complex medical information, crafting questions for your medical team, and trusting oneself is hard. Join us as we break down this intense time in ways that may make it feel more manageable and help you regain a sense of calm as you work hard to care for yourself at each turn in the road. Let’s Talk About It.
Responding to Cancer | Tips for Anxiety, Stress | ThymicUK & Dimbleby Cancer ...OliverNeely1
Responding to Cancer. An information session helping us to understand our response to cancer diagnosis, ongoing treatment etc..
Advice and tips for dealing with anxiety, stress and emotions for cancer patients, friends and family.
SHARE Presentation: Sexuality and Intimacy after Cancer with Dr. Mindy Schiffmanbkling
The diagnosis and treatment of breast or ovarian cancer can profoundly affect body image, intimacy, and sexuality, leading to concerns about feeling and being desirable, as well as fears of negative reactions from partners. Dr. Mindy R. Schiffman, Clinical Psychologist and Sex Therapist, NYU Langone Fertility Center, will discuss ways to counter the emotional and sexual fallout of a cancer diagnosis and treatment.
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
Why we all need to practice emotional first aidTED Talks
We go to the doctor when we feel sick. So why don’t we see a health professional when we feel emotional pain: guilt, loss, loneliness? Guy Winch makes a compelling case to practice emotional hygiene — taking care of our emotions, our minds, with the same diligence we take care of our bodies.
When you first get diagnosed with cancer it is confusing and frightening. I had five days to live. Now over four years later I have survived the worst and treat others with the therapy I received in a German integrative clinic. This therapy supported my body through a lot of pain and trauma. It allowed my body to remain strong and accept the toxic treatment which ultimately cured me.You need your body to remain strong at this critical time. soulfullhealing.org
OBJECTIVES
To Talk about Family, Friends, & Recovery
To Show Ways in Which Family and Friends May Engage In Healthy Communications
To Demonstrate ways in which Families, Friends can take care of themselves
OBJECTIVES
- Identify, Describe How Clients and Families Come to your
Practice
- Identify , Describe and Discuss Addiction, Mental Health ,
Chronic Pain and Process Disorders
-Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
-Identify how we as clinicians, behavioral health care professionals identify our clients
‘Loss and Grief’: Emotional Experiences by Terminally Ill PatientsZulfiquer Ahmed Amin
A concept developed by Kubler Ross to identify the emotional responses of the terminally ill patients or their near relatives. Idea, is to adopt appropriate behavior to handle these sensitive situations.
Depression not only affects your brain and behavior—it affects your entire
body. Depression has been linked with other health problems, including
cancer. Dealing with more than one health problem at a time
can be difficult, so proper
treatment is important.
This is the guidebook I wish I had when I was first learning about addiction and mental health disorders when I was a young woman.
It’s the book I give to every client who walks through my door. It is Family Focused, Practical, Hopeful and full of real life examples to help you understand and have the courage to change your experience.
Psychology is the study of human behaviour. It seeks to look at the motivational drives within an individual
and offer an explanation to the behaviour that is demonstrated
Let's Talk About It: Breast Cancer - Our Quality of Life as Long-term Breast ...bkling
Many of us who are 5+ years in our survivorship are still having to navigate through the damage from our toxic treatments and multiple surgeries that impede our quality life. Our guest speaker, Emily M. Beard from Northside Hospital Cancer Institute in Atlanta, GA will discuss things we can actively do as long-term survivors since many of us are at different life stages from our original diagnosis and active treatment days.
Let's Talk About It: Breast Cancer (Survivor’s Guilt)bkling
The question of “Why me?” often exemplifies the experience of survivor’s guilt. Feeling survivor’s guilt is more common than you may think and can be triggered in different ways. Your positive news at a follow-up visit, regaining strength when treatment ends and manageable side effects are all events that may counter-intuitively lead to stress or even shame. Feeling the sting of hurt when others share good news and you feel the anguish of your losses, by comparison, can be hard to acknowledge and know how to manage. The loss of a fellow survivor naturally gives rise to grief which can be compounded by guilt. Let’s Talk About It.
MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Let's Talk About It: Ovarian Cancer (The Emotional Toll of Treatment Decision...bkling
Making treatment decisions is stressful. The work of understanding complex medical information, crafting questions for your medical team, and trusting oneself is hard. We break down this intense time in ways that might feel more manageable and help you regain a sense of calm as you work hard to care for yourself at each turn in the road. Let’s talk about it.
Report Back from SGO: What’s the Latest in Ovarian Cancer?bkling
Are you curious about what’s new in ovarian cancer research or unsure what the findings mean? Join Dr. Elena Pereira, a gynecologic oncologist at Lenox Hill Hospital, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Pereira will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Part I - Anticipatory Grief: Experiencing grief before the loss has happenedbkling
Anticipatory grief is the emotional experience when there is an impending loss that will occur. Often, people associate loss and grief with death, this is just one area in which grief and loss can occur. Anticipatory grief is often a slower grieving process marked by intermittent, small or large losses. In the world of cancer, anticipatory grief may show up in a variety of ways, such as before a major surgery, losing hair from chemotherapy treatment or caring for a loved one with advanced cancer.
Learn about anticipatory grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
See it and Catch it! Recognizing the Thought Traps that Negatively Impact How...bkling
A cancer diagnosis is stressful. Feelings of worry, fear, self-doubt, sadness, and loneliness are normal but can feel exhausting and consuming at times. Cultivating a habit of thought-watching and learning to recognize thought traps that might be contributing to our discomfort can help us respond and care for ourselves in helpful ways. Learn more about the connection between what we think and how we feel and what you can do about it that might impact how you feel today. Let’s talk about it.
Advocating for Better Outcomes: Ovarian Cancer and Youbkling
Many parts of your life can affect your health and your cancer risk. Things like your race, ethnicity, where you live, and your finances matter. Even so, how can you get the health care you need and lower your cancer risk? What should you and your family do if you need to speak up?
Join this special talk about knowing your risk, ovarian cancer care, and ways we can speak up to improve our health. provided by two experts from Memorial Sloan Kettering Cancer Center (MSK) and SHARE.
Do you want to feel empowered and confident in preserving your independence and lowering your risk for injury? Learn how to reduce the risk of injury, how to fall safely, and maximize quality of life. Avoid common pitfalls and connect with others who share this concern!
Speakers: Ayden Jones, Falls Prevention Consultant and A Matter of Balance Master Trainer, and Janvier Hoist-Forrester, OTS.
Embracing Life's Balancing Act: Part 2 - Fall Action Planbkling
Do you want to feel empowered and confident in preserving your independence and lowering your risk for injury? Learn how to reduce the risk of injury, how to fall safely, and maximize quality of life. Avoid common pitfalls and connect with others who share this concern!
Speakers: Ayden Jones, Falls Prevention Consultant and A Matter of Balance Master Trainer, and Janvier Hoist-Forrester, OTS.
Let's Talk About It: Communication, Intimacy, and Sex… Oh My!bkling
Changes to your body are normal to experience related to a cancer diagnosis. But the grief and the learning to live with a changed body take time. But what if you share your body with someone else? What if finding pleasure and connection through intimacy feels like an overwhelming or insurmountable obstacle on your road to healing? Let's talk together about our personal experiences and questions surrounding this important topic of communication and intimacy.
Let's Talk About It: To Disclose or Not to Disclose?bkling
Sharing your cancer diagnosis with others can bring up a range of unexpected feelings and questions. Deciding who you tell, how much to share, and why are all important things to consider. The answer to these questions is personal and it varies not only between survivors but also in different settings and relationships in your life. We talk together about personal experiences and questions surrounding this important topic.
Report Back from SGO: What’s New in Uterine Cancer?.pptxbkling
Dr. Ebony Hoskins, gynecologic oncologist at MedStar Washington Hospital Center, provides a comprehensive update from the Society of Gynecologic Oncology (SGO) Annual Meeting on Women’s Cancer. Dr. Hoskins breaks down the research presented at the conference, discusses new developments, and addresses the most pressing questions.
Learn Tips for Managing Chemobrain or Mental Fogginessbkling
Chemobrain, or mental fogginess, is experienced by many patients during and after cancer treatment. But what are some strategies that help?Dennis Lin, OTD, OTR/L, Occupational Therapist at City of Hope National Medical Center, will provide tips on how you can manage chemobrain and support better engagement in your daily life.
Vaccines: Will they become a form of Secondary and Primary Breast Cancer Prev...bkling
Our guest speaker Lee Gravatt Wilke, MD, Senior Medical Director at the University of Wisconsin School of Medicine and Public Health, explains the current state of vaccine clinical trials in breast cancer followed by a review of the STEMVAC trial, design of the vaccine, and the current state of the accrual and next steps.
Let's Talk About It: Uterine Cancer (Advance Care Planning)bkling
Although it can be a difficult topic, advance care planning is very important for anyone facing a cancer diagnosis. The goal of advance care planning is to set up a plan to make sure you get the care you want in the future. It is critical to prepare for future decisions about your medical care with your family and support system. We discuss how to start and continue those important conversations. Learn about the differences between palliative care and hospice, when to bring up your wishes with your medical team, and how to prepare your family for navigating these decisions.
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
You’ve been treated for uterine cancer. Now what? With surveillance strategies varying from doctor to doctor, it can be hard to know which advice you should follow. Dr. Jennifer Mueller, Head of the Endometrial Cancer Section, Gynecologic Oncology Service at Memorial Sloan Kettering Cancer Center, delves into surveillance guidelines, which tests to consider, and how to keep an eye out for any symptoms which could indicate recurrence.
Understanding and Managing Chemo-Induced Peripheral Neuropathy (CIPN)bkling
Certain chemotherapy drugs can cause chemotherapy-induced peripheral neuropathy (CIPN), which is one of the most common side effects of treatment. Chemotherapy treatments cause peripheral neuropathy by damaging the nerves in the fingers, hands, arms, legs, and feet. This can lead to symptoms including pain, numbness, tingling, and difficulty with mobility, which can greatly impact one’s quality of life. Dr. Anasheh Halabi is an Assistant Clinical Professor in Neuromuscular Medicine at UCLA who specializes in neuropathies and is a leading specialist in caring for patients with neurotoxicities related to cancer drugs. She discusses chemotherapy-related neuropathies, expectations, and management. The perspective of a patient who has experienced CIPN will also be included in the program.
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
- 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
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
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.
2. Living with Mortality and Finding
Meaning
Being confronted by our own mortality can bring up a lot of
feelings: fear, anger, sadness, helplessness, and few
experiences bring us face to face with our own death like a
cancer diagnosis.
But facing mortality can also be an opportunity to find
meaning, live in the moment, and contemplate the mark
you want to leave on this world.
In collaboration with NYU Langone Health.
3. “In this world nothing can be said to be
certain, except death and taxes.”
6. Common Emotional Responses to
serious illness include:
– Facing up to your own mortality
– Anger or frustration as you struggle to come to terms with your diagnosis—repeatedly asking, “Why
me?” or trying to understand if you’ve done something to deserve this.
– Worrying about the future—how you’ll cope, how you’ll pay for treatment, what will happen to
your loved ones, the pain you may face as the illness progresses, or how your life may change.
– Grieving the loss of your health and old life.
– Feeling powerless, hopeless, or unable to look beyond the worst-case scenario.
– Regret or guilt about things you’ve done that you think may have contributed to your illness or
injury. Shame at how your condition is affecting those around you.
– Denial that anything is wrong or refusing to accept the diagnosis.
– A sense of isolation, feeling cut off from friends and loved ones who can’t understand what you’re
going through.
– A loss of self. You’re no longer you but rather your medical condition.
7. No “right” or “wrong” way to
respond
– Give yourself time to process
– Do not bottle up your emotions
– Be patient with the pace of treatment and recovery
Don’t forget to take care of yourself
– Be open to change
Keeping your mind open may help you to find the positives
and better cope emotionally in even the darkest situations.
9. Palliative Care Role
– Interdisciplinary Team Model
Chaplains
Social Workers
MDs/NPs
10. Palliative Care Role
– Pain and Symptom Management
From disease itself
From cancer treatments
11. Palliative Care Role
– Emotional Support
Simple Talk Therapy
Cognitive Behavioral Therapy
12. Palliative Care Role
– Advanced Care Planning
Health Care Proxy
Medical Orders for Life Sustaining Treatment
(MOLST)
13.
14. – Humor, had a patient who says since diagnosis he started doing
stand up
– Another with end stage lymphoma who is writing his own book on
living with this illness/memoir.
– Another man with HIV/Lung Cancer who desperately tried to see
every Broadway play he could.
How do we live with this?
16. Religion and Faith
– Studying scripture
– Church Services/
– Support Groups
– Community
17. – Randy Herbert did a study in 2009 where he followed a group
of women with breast cancer for 8 to 12 months to
determine the relationship between religious coping and
well-being.
– These results are consistent with other studies showing that
negative religious coping predicts worse psychological
adjustment. Similar to my first story, having faith is a good
predictor of quality of life
Positive vs Negative Religious Coping
Thank you for the introduction. I’m Dr. Akash Shah I also would like to thank the organization for allowing me to speak to all of you out there today who are taking time out of their hectic lives to learn, grow, and most importantly to support each-other in this most difficult of times.
The title of our talk today is ….. read
I’ve Been thinking about this talk more and more lately given the events of 2020. A global pandemic (over 100,000 people dead and the count rising daily), rioting, threats of world war.
A message for the audience:
Now I know I may look young to be talking to you all today about finding meaning in the worst of times. Im a NJ kid, raised here since I was 2 years old. I decided to study family medicine as I wanted to be able to care for people of all ages/shapes/sizes. I specialized in palliative care because I realized during my med school life that I wanted to spend my career working with wonderful people who happen to nearing the end of their life.
I saw all around me that doctors in particular tend to focus on little snippets of the whole person. Everything was detail oriented but often the big picture was forgotten and synthesized down to Creatinines and liver function and functional scores. Hours were spent on documentation instead of at bedside with patients and their families. I once got in trouble because I took too long talking to the patient and family… medicine is more a factory life process where the only things that matter are metrics, efficiency, and patient satisfaction scores.
Oftentimes, I am one of the first people they interact with after learning of their new cancer diagnosis aside from their oncologist.
I have had this conversation more times than I care to keep track of. I have had this intimate conversation with strangers, colleagues, and even my own family members.
It was on November 13th, 1789, that Benjamin Franklin wrote in a letter to Jean-Baptiste Leroy a phrase that has reverberated ever since: …..
******************************I really struggled with the prompt we came up with. The first part, living with mortality is something a bit easier to understand.
Since the moment we were born and were first able to think critically, we all have understood that there has been a silent countdown towards the end. We have found ourselves growing older and weaker (sometimes quickly, but usually slowly), we have weathered countless storms (both literal and figurative), and we have all lost family, friends, and other dear loved ones. Mortality is something we find ourselves grappling with constantly.
Now this does not take away the pain/anger/sorry we feel by getting a life altering diagnosis, but when it comes to enduring pain and suffering, we know that to be part of the human condition.
It is not a question of if we will be impacted, but how we choose to respond to it.
Desmond Tutu once said, ***************************************
I want to start with two stories I hope some you can all relate to.
1- Mr M, mid 50s, African American Male saw 2 weeks ago in the hospital, nagging abdominal pain he thought was acidity/gas/etc for a couple weeks. Ended up in hospital for pain controlled, diagnosed with Stage IV Pancreatic Cancer (median survival 3-6 mos), has yet to start treatment due to pain control.
Sitting in PJS which is unusual, pleasant affect, gold chain with cross, glasses. How are you Doc?
Starts to open up, talks about faith, his family (1 biological daughter, a nephew and 2 nieces he is helping raise as they don’t have a father figure) says, “I feel like I got jipped man, life seemed like it was just getting good. Worked in real estate but just got offered a partnership and expanded role in franchising opportunity.”
Asked how he was coping, “Im a spiritual man, I pray to God. My family is always there to support me. Have to keep going, take it day by day.” Going to keep my faith in God, but not going to let this stop me from living my best life. Im going to spend the rest of my life making sure that my family is well taken care of and knows how loved they are.
Let me now tell you more a personal story and my families ongoing struggles with this issue.
I went off to Phx for residency in 2014, whereas my fiancé and most of my family were in NJ.
Few months in, mom was diagnosed with breast cancer on top of her preexisting b/l fibrocystic dz which was painful, spite of risks, we chose a B/L mastectomy and then she had reconstruction and was placed on tamoxifen (luckily no chemo/radiation)
Generally speaking, she took that in stride, especially understanding that it was most likely cured (though she hated dealing with the side effects of tamoxifen, luckily, she recently finished her 5 years course). That was a very stressful time in all our lives, esp mom and I was stuck in AZ while my lovely fiancé essentially coordinated her visits and kept me updated. While she struggled with the whole experience, she generally took it in stride due to our amazing family support system and knowing that she likely would not have to worry about this again.
Fast forward to my last year of residency in AZ. I somehow had an off day and was relaxing at home watching TV at like 11am when I got a call from my sister. Immediately I panicked as she would never call me at that time unless it was important.
….. Seizures, ICH that masked an oligodendroglioma required a craniotomy and had to be placed on anti seizure medication for a while. This time, she experienced personality changes, anxiety, maybe even depression refusing much in ways of therapy/psych visit.
She has been more active, more yoga, staying busy, accepting help more often
I apologize for this wordy slide and Im not going to read this all out, but Do any of these concerns reflect people’s thoughts either now or when first diagnosed??
These are just SOME of the things my mother/my family and all of you have been struggling to deal with
As this community is all too aware, many of these diagnosis come out of the blue, often time when things seem to be going well in life. Sometimes, they seem to an avalanche that keeps piling on top of itself.
Allow yourself to feel. It may seem better in the moment to avoid experiencing your emotions, but they exist whether you’re paying attention to them or not. Trying to ignore your feelings will only increase stress and maybe even delay recovery. But if you allow yourself to feel what you feel, you’ll find that even intense, disturbing feelings will pass, the initial distress you felt at news of your diagnosis will start to ease, and some aspects of life will even return to normal.
Be patient with the pace of treatment and recovery. It’s easy to become anxious as you wait for a clearer picture of what your road to recovery will entail. But scouring the Internet and relying on what can often be inaccurate or scary information will only make you feel worse. When you’re faced with a lot of unknowns, you can still care for yourself—eat a healthy diet, exercise, sleep well—and pursue those relationships and activities that bring you joy.
Be open to change. Rationally, no one would consider having a heart attack or receiving a cancer diagnosis as ever having any positive consequences. But it can happen. Some people diagnosed with life-threatening conditions do undergo a change in perspective that focuses them on the important things in their lives—those things that add meaning and purpose. Negative emotions such as anger or guilt can even sometimes have a positive effect, motivating you to meet treatment goals, for example. Keeping your mind open may help you to find the positives and better cope emotionally in even the darkest situations.
Total Pain theory: spiritual/emotional/physical/existential pain
Now I want to take some time to very quickly explore our role - another layer of support, mostly here to listen, unlike most oncologists/primary doctors, we have more time to spend with you
expert cancer pain management and relief of common symptoms including shortness of breath, nausea, fatigue, loss of appetite, weight loss, anxiety, and stress related to cancer and its treatments.
Refer for acupuncture/massage/medical marijuana when appropriate
Coordinate with SW and psych/therapists to deal with psychological ramifications
advance care planning, which allows you to express your values and care preferences so that they can be honored should you lose the ability to make these decisions for yourself.
We provide personalized, goal-oriented care in conjunction with your oncologist and assist with cancer treatment decisions as appropriate.
One of the things my mom has been doing is sending our family an inspirational quote many mornings.
Helps to know there are other overcoming major and even surmounting obstacles when things look bleakest.
Mindfulness is the psychological process of purposely bringing one's attention to experiences occurring in the present moment without judgment,[1][2][note 1][3][4] which one develops through the practice of meditation and through other training.
Clinical psychology and psychiatry since the 1970s have developed a number of therapeutic applications based on mindfulness for helping people experiencing a variety of psychological conditions.[21] Mindfulness practice has been employed to reduce depression,[22][23][24] to reduce stress,[23][25][26] anxiety.
Studies also indicate that rumination and worry contribute to a variety of mental disorders,[40][41][42] and that mindfulness-based interventions can reduce both rumination and worry.
Religion/Faith is a very strong source of strength for many people dealing with illness. Some people accomplish this by learning/spreading their beliefs and others by relying on faith to shield/overcome their fears.
I know that not everyone believes in God, but there are many people who do.
Some of you may be familiar with the Old Testament Story of Job, a man who God considered one of his most faithful subjects.
In Job, we see a man who God allows to be directly attacked by Satan. God told Satan, “Behold, all that he has is in your power, only do not put forth your hand on him” (1:12). Through Job’s trials, all is lost including his health, his wife even tells him to curse God and commit suicide, but he remains strong and faithful, “Through all this Job did not sin nor did he blame God.” (1:22).
Job’s friends give him plenty of bad advice, in rounds of discussion. They mistakenly blame his sufferings on his personal sins rather than God testing and growing Job. One of them was half-correct in that God wanted to humble him, but this was only a part of God’s test.
God speaks to Job and restores him. God knows that Job has received incorrect guidance from his friends, “Who is this that darkens counsel by words without knowledge?” God fittingly declares that humans do not know everything. Then He humbles Job by asking a series of questions that could never be answered by anyone other than Almighty God; for example, “Have you understood the expanse of the earth? Tell Me, if you know all this”. God then brings him to an understanding that believers don’t always know what God is doing in their lives.
In the end, Job answers God by saying, “I have declared that which I did not understand”. God then blessed Job with twice as much as he had before his trials began.
I decided to look into the literature to see whether religion had an effect with quality of life in patients, particularly cancer patients. Heres what I found.
One thing I have learned and that studies bear out is that there is a difference between positive vs negative religious coping.
Positive religious coping (i.e., partnering with God or looking to God for strength, support, or guidance)
Negative religious coping (i.e., feeling abandoned by or anger at God)
***************************
Randy Herbert did a study in 2009 ……
The Major findings emerged:
1. negative religious coping, conceptualized as Cope Anger (i.e., wondering if God has abandoned me and expressing anger at God) predicted worse overall mental health, more depression, and less life satisfaction. Changes in Cope Anger predicted worsening mental health, increases in depressive symptoms, and decreases in life satisfaction over time. The effect sizes demonstrated (i.e., negative religious coping explained approximately 2% of the variance in well-being) were consistent with those found with other coping strategies and health outcomes.30
2. although the early stage patients had improved physical health and depression from study entry to follow-up, cancer stage did not moderate the relationships between religious coping and well-being.
These results are consistent with other studies showing that negative religious coping predicts worse psychological adjustment. Similar to my first story, having faith is a good predictor of quality of life
Man's Search for Meaning is a 1946 book by Viktor Frankl chronicling his experiences as a prisoner in Nazi concentration camps during World War II, and describing his psychotherapeutic method, which involved identifying a purpose in life to feel positive about, and then immersively imagining that outcome. According to Frankl, the way a prisoner imagined the future affected his longevity.
Find meaning in the most dire of circumstances. “He who has a why to live for, can bear almost any how.” If you find your why/purpose, you can overcome any chanllenge.
You will always have a freedom of choice between a stimulus (accident, receiving bad news) and your response – only thing you can always control is your attitude
Quick story from work, as you all know everyone in the hospital was recently overwhelmed. A lot of us are talking to therapists, meditating, etc. The amount of burnout/fear/confusion over the last few months was so overwhelming that many of my colleagues and myself all felt “broken.”
Met a patient last week in the cancer center who I had no pre-existing relationship with. 44 yo M patient with Glioblastoma patient who was just told he has 3-6 mos. Got consulted to discuss goals with him. So as I mentioned earlier we started by making sure his symptoms are controlled, and what it would mean for him if symptoms worsen and options to treat those symptoms.
Then we shifted to quality of life and I will never forget what he said. He told me that, despite everything and COVID, this is the happiest he has ever been in life. Shocked to hear that. He said, due to COVID, I get to spend more time with my family than ever before, especially when I have so little left.
In the end, having a positive attitude and finding a meaning/purpose are the two things that I have found that give people the greatest chance at coping with the fear, anger, sadness, helplessness that often comes hand in hand with a cancer diagnosis.