This document provides information on managing stress through establishing routines, avoiding unnecessary change, expressing frustration, negotiating and learning to manage time effectively. It discusses relaxation techniques like breathing exercises, muscle relaxation, autogenic training and meditation. Regular practice of relaxation techniques can help terminate stress reactions. Physical activity can help dissipate built up stress if done for well-being rather than ego purposes. Spirituality and religion can positively impact health through mechanisms like control theory and social support.
Control you anxiety quickly and easily with invaluable tips and suggestions including, breathing exercises, meditation, relaxation techniques and more so that you can finally overcome this debilitating condition.
HAWAIIAN PIKO PIKO BREATHING AND PROGRESSIVE MUSCLE RELAXATIONDr Ian Ellis-Jones
PowerPoint presentation - produced and presented by Ellis-Jones Enterprises Pty Limited - for information purposes only - all rights reserved - not for commercial use except by the copyright holder
Control you anxiety quickly and easily with invaluable tips and suggestions including, breathing exercises, meditation, relaxation techniques and more so that you can finally overcome this debilitating condition.
HAWAIIAN PIKO PIKO BREATHING AND PROGRESSIVE MUSCLE RELAXATIONDr Ian Ellis-Jones
PowerPoint presentation - produced and presented by Ellis-Jones Enterprises Pty Limited - for information purposes only - all rights reserved - not for commercial use except by the copyright holder
Beginner's guide to yoga: healthise yogaAmitaShourie
Healthise.com Yoga Awareness: Your health is YOUR responsibility - no one else's. Remember that prevention is your greatest medicine. The practice of yoga is typically not quick fix, however, with regular practice, you’ll reap the benefits.
Every one of us is aware of Yoga and its benefits. Mainly we all are focusing on the health benefits of Yoga but it also can improvise our psychological balance and it has the capability of rising internal energy.
With the complexity of the world people are being busy with many duties hence many of busy persons suffering from Stress. Meditation is powerful tool, which can be provided relief from stress to many people, belonging to diverse social segments.
I tried to compiled into a slide from the free training course gifted by world renowned Coach Stig Aval Severinsen. Enjoy breathing and sharing. Regards Dr Sudhanshu
Yoga has enormous potential to help expectant mothers prepare themselves physically, mentally, emotionally for this grand experience that can be a very spiritual one for so many. Yoga as a way of life focuses on right living and right thinking while utilizing various tools for the overall psycho-physiological health of the mother and child. The Jathis, Kriyas and Asanas help promote healthy functioning of all body systems while Pranayama creates psycho-somatic harmony with a Pranic energisation of every cell of the body. Various Mudras and Bandhas such as Aswini Mudra and Moola Bandha can help tone up the pelvic musculature while others like the Yoni Mudra induce a sense of inner wellbeing. The various concentrative and contemplative practices help achieve an inner peace with the development of a deep sense of self-understanding. Yogic relaxation practices facilitate a balanced and relaxed anabolic inner environment that promotes the healthy growth and development of the baby with the facilitation of healing at all levels of being. Yogic diet with a stress on natural life-giving foods and adequate hydration helps the mother nurture the child growing within herself and fortify herself for the challenging events to come. A balanced lacto-vegetarian diet rich in calcium, iron and other essential vitamins and minerals is advocated with training in the preparation of soups, salads and sprouts. Foods of the Sattwic nature elevate the mother’s consciousness thus helping to create an uplifting psycho-mental- spiritual inner environment developing the inherent potential of the child in a wonderful manner.
Don't flip out! Guaranteed to make you smile. Created by Bruce Kasanoff and Jim George, author of Time to Make It Stop: The How of Now http://www.amazon.com/Time-Make-It-Stop-How/dp/0615690742
Jacobson Progressive Muscle Relaxation is one of the simplest and easiest techniques of relaxation.
JPMR is a two-step relaxation practice to reduce stress and build awareness of sensations of tension and deep relaxation in various muscle groups.
The first step in this practice is to create tension in specific muscle groups and begin to notice what tension feels like in this body part.
The second step is to then release this muscle tension and begin to notice what a relaxed muscle feels like as the tension drains away. By moving through the body by alternately tensing and relaxing different muscle groups in a certain order, one builds awareness of how to recognize and differentiate between the associated feelings of a tensed muscle and a completely relaxed one.
Progressive relaxation meditation is a type of mindfulness meditation that involves focusing on the sensations of different parts of the body and deliberately relaxing them. The aim is to achieve a state of deep relaxation and increased awareness.Today, progressive relaxation meditation is widely practiced as a means of promoting relaxation, improving sleep, and reducing stress and anxiety. It is also sometimes used as a tool for managing chronic pain.
There is a growing body of scientific evidence to support the health benefits of progressive relaxation meditation. A recent study found that the practice can help to reduce blood pressure and heart rate, and improve sleep quality.
If you're interested in trying progressive relaxation meditation, there are a few things you can do to get started. First, find a comfortable place to sit or lie down. Then, begin to focus your attention on your breath.
Beginner's guide to yoga: healthise yogaAmitaShourie
Healthise.com Yoga Awareness: Your health is YOUR responsibility - no one else's. Remember that prevention is your greatest medicine. The practice of yoga is typically not quick fix, however, with regular practice, you’ll reap the benefits.
Every one of us is aware of Yoga and its benefits. Mainly we all are focusing on the health benefits of Yoga but it also can improvise our psychological balance and it has the capability of rising internal energy.
With the complexity of the world people are being busy with many duties hence many of busy persons suffering from Stress. Meditation is powerful tool, which can be provided relief from stress to many people, belonging to diverse social segments.
I tried to compiled into a slide from the free training course gifted by world renowned Coach Stig Aval Severinsen. Enjoy breathing and sharing. Regards Dr Sudhanshu
Yoga has enormous potential to help expectant mothers prepare themselves physically, mentally, emotionally for this grand experience that can be a very spiritual one for so many. Yoga as a way of life focuses on right living and right thinking while utilizing various tools for the overall psycho-physiological health of the mother and child. The Jathis, Kriyas and Asanas help promote healthy functioning of all body systems while Pranayama creates psycho-somatic harmony with a Pranic energisation of every cell of the body. Various Mudras and Bandhas such as Aswini Mudra and Moola Bandha can help tone up the pelvic musculature while others like the Yoni Mudra induce a sense of inner wellbeing. The various concentrative and contemplative practices help achieve an inner peace with the development of a deep sense of self-understanding. Yogic relaxation practices facilitate a balanced and relaxed anabolic inner environment that promotes the healthy growth and development of the baby with the facilitation of healing at all levels of being. Yogic diet with a stress on natural life-giving foods and adequate hydration helps the mother nurture the child growing within herself and fortify herself for the challenging events to come. A balanced lacto-vegetarian diet rich in calcium, iron and other essential vitamins and minerals is advocated with training in the preparation of soups, salads and sprouts. Foods of the Sattwic nature elevate the mother’s consciousness thus helping to create an uplifting psycho-mental- spiritual inner environment developing the inherent potential of the child in a wonderful manner.
Don't flip out! Guaranteed to make you smile. Created by Bruce Kasanoff and Jim George, author of Time to Make It Stop: The How of Now http://www.amazon.com/Time-Make-It-Stop-How/dp/0615690742
Jacobson Progressive Muscle Relaxation is one of the simplest and easiest techniques of relaxation.
JPMR is a two-step relaxation practice to reduce stress and build awareness of sensations of tension and deep relaxation in various muscle groups.
The first step in this practice is to create tension in specific muscle groups and begin to notice what tension feels like in this body part.
The second step is to then release this muscle tension and begin to notice what a relaxed muscle feels like as the tension drains away. By moving through the body by alternately tensing and relaxing different muscle groups in a certain order, one builds awareness of how to recognize and differentiate between the associated feelings of a tensed muscle and a completely relaxed one.
Progressive relaxation meditation is a type of mindfulness meditation that involves focusing on the sensations of different parts of the body and deliberately relaxing them. The aim is to achieve a state of deep relaxation and increased awareness.Today, progressive relaxation meditation is widely practiced as a means of promoting relaxation, improving sleep, and reducing stress and anxiety. It is also sometimes used as a tool for managing chronic pain.
There is a growing body of scientific evidence to support the health benefits of progressive relaxation meditation. A recent study found that the practice can help to reduce blood pressure and heart rate, and improve sleep quality.
If you're interested in trying progressive relaxation meditation, there are a few things you can do to get started. First, find a comfortable place to sit or lie down. Then, begin to focus your attention on your breath.
Progressive relaxation meditation is a form of mindfulness meditation that involves focusing on each muscle group in the body, one at a time, and tensing and relaxing them. The goal is to achieve a state of complete muscle relaxation and to focus on the sensation of the breath.
Body scan meditation is a type of mindfulness meditation in which you focus your attention on different parts of your body, from your toes to your head. As you scan your body, you pay attention to any sensations you feel, such as itching, pain, or warmth. You may also focus on your breath and how it feels as it moves in and out of your body.
The goal of body scan meditation is to increase your awareness of your body and to help you relax. Although it may take some practice to master, body scan meditation can be a helpful tool for managing stress and anxiety.
Explain Simple 3 Mindfulness Exercises And Their Benefits7 Pranayama
Mindfulness exercises can vary, but in general, mindfulness meditation includes breathing exercises, mental imagery, body and mental awareness, and muscle and body tension.
6 Key Relaxation Practices To Find Peace And Serenity epic solutions
Reducing stress and anxiety is an effective method for increasing your overall health and well-being. By practicing stress reduction techniques, you are improving your overall quality of life and longevity.
Deep breathing exercises, and its benefits.pdfKnowing Overt
Deep breathing exercises are a simple yet powerful tool for managing stress and improving overall health. Such exercises involve taking slow, deep breaths to reduce stress, improve mood, and promote a sense of calm. This article will explore the potential benefits of deep breathing exercises and discuss how they can be used as an effective coping mechanism to improve physical and mental well-being. In the following, we will explain how deep breathing exercises work, discuss the research surrounding the benefits of deep breathing, and analyze how it can be used as a tool for stress management.
We cannot always change a stressful situation, but we can change how we perceive it. Learn healthy coping skills and strategies that can help you to better tolerate the discomfort of stressful situations.
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...Zahiruddin Othman
Case Report: Maintenance electroconvulsive therapy augmentation on clozapine-resistant psychosis with neurosyphilis is effective and safe but has never been reported in the literature to the authors' knowledge. It is hoped that this case report would contribute to the scarce literature on this augmentation strategy
Case Report: Schizophrenia patient with prodromal OCS is probably at increased risk of developing TTM while on atypical
antipsychotics treatment. Atypical antipsychotics and SSRI combination therapy is a useful strategy in such patient
Isolated Cerebellar Stroke Masquerades as DepressionZahiruddin Othman
There are numerous reports on neurological conditions masquerading as psychiatric disorders. However, cerebellar
stroke is not established as one of it. The 2 case reports will highlight that this masquerade is possible and the physician's
high index of suspicion is the key to accurate diagnosis.
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.
- 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
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
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.
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
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.
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.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
2. Alleviating Adaptive Stress
Establish Routines
Make sure that your life
is ordered
Daily routines for work
and play
Regular eating and
exercise
Go to bed and get up at
regular hours
Set up regular times for
rest and relaxation
Avoid Change
If the life change
inventory suggests that
you are at risk from too
much change, stop
changing
e.g. don't move now
e.g. don't initiate a
lifestyle change now
3. Alleviating The Stress Of Frustration
Express your frustration
Determine your real outcomes
What do I want?
How will things be different and better in my life
when I get what I want?
What are my useful resources?
What has kept me from reaching this outcome
before?
Choose alternatives
4. Alleviating The Stress Of Overload
Express your feelings
Negotiate
Learn to delegate
Learn to manage time
effectively
Learn to say what you
want and how you feel
Examine personal
beliefs regarding
expectations of self and
others
5. Learn to Manage Time Effectively
Setting goals
Establish personal long term goals (plus plan of action) - 1 to
10 years
Establish medium term goals (plus plan) - 3 to 6 months
Every week, set priorities and plan of action for that week
Prioritize
Some tasks are not important ... do important things first
Scheduling
Break big tasks into smaller ones
Delegating
Don't be a perfectionist on a little task
6. Matrix of Time Management
Important Not important
Urgent
Attending job
interview
Picking up the
phone
Not urgent Exercise
Internet
chatting
9. Diaphragmatic Breathing
Lie on your back on a flat surface or in bed, with your
knees bent and your head supported. You can use a
pillow under your knees to support your legs. Place
one hand on your upper chest and the other just
below your rib cage. This will allow you to feel your
diaphragm move as you breathe.
10. Breathe in slowly through your nose so that your
stomach moves out against your hand. The hand
on your chest should remain as still as possible.
Breathe In
11. Tighten your stomach muscles, letting them fall
inward as you exhale. The hand on your upper
chest must remain as still as possible.
Breathe Out
12. Breathing Down
1. Sit comfortably left hand on
abdomen, right hand against it
2. Imagine a hollow pouch under your
hand ... breathe in so as to fill the
pouch - right to the top (initially 3
sec. inspiration, later 5 sec.) ...
"look" at the air going in
3. Hold your breath and imagine
being calm
4. Slowly exhale until the pouch is
empty
13. Practice 10-15 times a day.
Make it a ritual in the morning, afternoon, and
evening as well as during stressful situations.
After 1-2 of practice, omit the first step ... only
for learning.
Regular, consistent practice of these daily
exercises will lead to a calmer and more
relaxed attitude.
14. Controlled Tempo Breathing
Either sitting or lying with eyes closed
Diaphragmatic breathing
Concentrate on your breathing
Count number of pulses during normal
expiration (5-10?) ... get into a rhythm of equal
pulse beats during inspiration, holding breath
and expiration
16. Introduction
Key point is that we anticipate and when we
anticipate, we tense our muscles in advance ...
problem comes when we tense our muscles
for something which never happens
the longer we hold our muscles in a tense
position, the more likely we are to cause a
physical disorder ... therefore we should be
able to know
a) when they are tense, and
b) how to consciously relax them
17. Neuromuscular Exercise
Since muscles make up a large amount of
body tissue, relaxation of muscle tissue will
contribute greatly to whole body relaxation
Good, 1995: problems helped by muscle
relaxation include:
muscle contraction headaches
neck/back pain
essential hypertension
post surgical recovery
18. The Learning Phase
Need more structured time involvement,
concentration, and commitment.
Once you have perfected/ mastered it,
you will be able to choose the particular
exercise sequence that is most beneficial
and that meet your immediate needs.
19. Preparation
Enhance concentration
Environment
Reduce external noise, soft music, dim lighting etc
Your body
Assume position that does not require muscle action to
maintain it, remove tight clothing
20. Lower Extremities Exercise
Dorsiflexion of ankle joints
Bend up the feet ... pull hard ... harder! And let go
Plantar flexion of ankle joints
Push the feet down as far as you can ... push
harder! And slacken the muscles completely
21. Hold and then relax while concentrating
on the feeling in the muscles on the
anterior side of the lower leg
Synchronize with breathing
Then concentrate on relaxation ... see
the muscle relaxing
22.
23. Extension of knee and hip.
Straighten the knees as much as possible ...
Now press the leg down into the mat ...
Hard ... harder! Now relax ...
24. Trunk Exercise
Extensor muscles of the spine
Push the chest forward until you have hollowed the
back strongly ... lift a little more! And let go ...
Abdominal muscles
Pull the abdominal muscle until they are quite flat ...
pull a little bit more! And rest ...
25. Upper Extremities Exercise
Finger and wrist extension
Straighten the fingers and pull back the wrists ...
Pull hard
Repeat 5 times
26. Fingers and wrist flexion
Clench your fists and curl your wrists inward
27. Adduction of shoulder joints
Straighten the arm against your sides ...
press tightly
28. Shoulder shrug
Shrug your
shoulder high ...
higher ... touch
your ears
29. Head, Neck, and Face Exercise
Rotation.
Shut the eyes ... now roll
the head slowly forward,
then slowly back ... roll the
head to the right, then
slowly to the left ... it’s
heavy ... and it’s rolling
easily – front to back, side
to side ...
Now stop, with the face
turned forward, and rest ...
30. Facial exercise
Clench the teeth
together.
Now draw up the
facial muscles very
tightly ... tighter!
And relax ...
31. Autogenic Relaxation Training
A form of relaxation involving self-
directed mental images of of relaxed
states
Simple yet advanced technique centers
on conditioned patterns of responses
that become associated with particular
thoughts
Easier and faster to learn if you already
had other relaxation skills
32. Legs Heavy and Warm
can be done either sitting or lying down
attempt to produce a feeling of warmth
and heaviness in the legs
repeated phrases stressing that the leg is
heavy, warm, relaxed and that you are calm
move to other leg
continue for five minutes and then rest
quietly
33. Example Script
My right leg is heavy
My right leg is heavy and warm
My right leg is warm and relaxed
I am calm and quite relaxed
My left leg is heavy
My left leg is heavy and warm
My right leg is warm and relaxed
I am calm and quite relaxed
I am quiet and at peace
I am relaxed
34. Arms Heavy and Warm
Attempt to generate a feeling of warmth
in one arm
Same set of repeated phrases switch to
the other arm
Continue for five minutes and then rest
quietly
35.
36. Visual Imagery
1. Quiet room with a soft and comfortable chair ...
four deep breaths ... more slowly (with holding
the breath in) each time ... feel the relaxation
2. Count back from 10 to 0 ... total relaxation at 0
3. Go to your special place ... stay for 4 minutes
(guess - don't time it) ... recall the feelings
4. Attention back to you ... count from 0 to 10 ...
total alertness at 10 ... feel how much more
energy you now have
37. Meditation Vs Physical Activity
Meditation = prevention of
stress response
Physical activity = dissipation
of built up stress
To dissipate stress from
fear, ego threat
To decrease reactivity
to future stress
To achieve well-being
and tranquility
38. Exercise For Well-being And Tranquility
Ego-involved exercise:
Competitive golf, tennis
etc
Goal is to enhance one's
ego by beating others
Kriegel, 1984: competition
sometimes creates more
stress than it burns
DeGues et al, 1993:
exercising while holding
"hateful" thoughts = high
HR and BP
39. Ego-void Exercise
Running, biking,
swimming, skiing
BUT ... ego
transcendence does not
come from competing
with oneself
Therefore, don't always
measure performance
(e.g. against your past,
an ideal, etc)
40. Comprehensive Stress Management,
Greenberg, 2004
Religion And Spirituality
Spirituality is a person’s orientation
toward or experiences with transcendent
existential features of life (e.g., meaning,
direction, purpose, connectedness)
Religion is an external manifestation of
spiritual experience or an organized
social entity in which individuals share
some basic beliefs and practices
41. How Spirituality And Religion Affect Health
Control theory
Primary control (similar to problem focused
coping) refers to attempts to change the
situation
Secondary control (similar to emotion-
focused coping) refers to attempts to affect
or control oneself
Social support theory