Step-by-step instructions from a physician on how to create an advance directive. I explain what an advance directive includes, how to choose a medical power of attorney (proxy), conversations to have with your family, available popular resources, and legal documents you need to complete. I touch upon a do not resuscitate (DNR) order and a MOLST/MOST/POLST/POST forms.
There are many cases of the elderly persons walking straight into a wall, mistaking it for the door, or falling down in the bathroom due to a wet floor. It is a good idea to install railings or grab rails along the walls, and avoid having sharp edged furniture in the home, to protect the precious elders
Donate Us
https://serudsindia.org/caring-for-the-elderly/
#oldagehome, #donateforeldersinkurnool, #donateforelders, #donationforelders, #sponsorforoldpeople, #middaymealsforelders, #monthlygroceriesforelders #mealsforelders, #sponsormedicineforelders, #seruds, #kurnool
Step-by-step instructions from a physician on how to create an advance directive. I explain what an advance directive includes, how to choose a medical power of attorney (proxy), conversations to have with your family, available popular resources, and legal documents you need to complete. I touch upon a do not resuscitate (DNR) order and a MOLST/MOST/POLST/POST forms.
There are many cases of the elderly persons walking straight into a wall, mistaking it for the door, or falling down in the bathroom due to a wet floor. It is a good idea to install railings or grab rails along the walls, and avoid having sharp edged furniture in the home, to protect the precious elders
Donate Us
https://serudsindia.org/caring-for-the-elderly/
#oldagehome, #donateforeldersinkurnool, #donateforelders, #donationforelders, #sponsorforoldpeople, #middaymealsforelders, #monthlygroceriesforelders #mealsforelders, #sponsormedicineforelders, #seruds, #kurnool
El reporte de Ikea sobre la relación que han tenido las personas con su hogar en este 2020, año en el que estamo redefiniendo nuestra vida dentro de esas 4 puertas.
Difficult Conversations -The Views of Terminally Ill People & Their FamiliesMarie Curie
Dr Phil McCarvill, Head of Policy and Public Affairs at Marie Curie Cancer Care spoke on 8 July 2014 on ‘Difficult Conversations – The Views of Terminally Ill People & Their Families’.
We are continuing to increase our understanding of experiences of end of life using evidence including the Marie Curie Atlas, independent evaluations, user, patient and carer feedback and social media.
Here in his presentation, Dr McCarvill lays out difficult conversation themes that he revealed during interview processes with terminally ill patients, their family members and carers. The themes of a good death, the journey, the family, the system and the carers are presented to encourage communication to help us ensure the right care for terminally ill people and their families.
For more information on commissioning, have a look at our website mariecurie.org.uk/commissioning or get in touch at servicedevelopment@mariecurie.org.uk
This white paper is one of a series of thematic white papers covering various aspects of electrical installations in houses, flats and residential units. They are aimed at architects, designers, specification writers, decision makers and students.
Across the world the number of elderly people (65+) in our society is increasing and this number is growing faster than that of young people. A better quality of life and healthcare mean that the average life expectancy is rising. In addition, the demographic aspect of the baby boom after WWII is also playing its part. The ageing of the population is a fact.
Getting older is not necessarily synonymous with hardship, pain and illness. There are many elderly people who lead an active independent life. However, not everybody will go through the last stages of their life in good health and without infirmities. At a certain point in time everybody needs some kind of help, but that does not immediately mean that we have no other choice than to leave our home for the confines of a room in a rest home or nursing home. A number of electrical functions in the dwelling can ensure that the older person can continue living at home independently for longer. In this white paper we give a few examples of items that can be considered during the design or renovation of a house or apartment.
There are many cases of the elderly persons walking straight into a wall, mistaking it for the door, or falling down in the bathroom due to a wet floor. It is a good idea to install railings or grab rails along the walls, and avoid having sharp edged furniture in the home, to protect the precious elders
Donate Us
https://serudsindia.org/caring-for-the-elderly/
#oldagehome, #donateforeldersinkurnool, #donateforelders, #donationforelders, #sponsorforoldpeople, #middaymealsforelders, #monthlygroceriesforelders #mealsforelders, #sponsormedicineforelders, #seruds, #kurnool
When you are thinking of finding the right caregiver for Senior Care Walnut Creek, we are here to help. We can help your parents or other elderly people in their daily activities making them more comfortable. With us find compassionate and loving caregivers. Contact us for assistance soon!
"Housing is the HUB of Successful Aging in Place" - Your Home is your castle, your sanctuary, and the KEY to being happier, healthier, wealthier, and safer in your own community in your 2nd half of life. Learn the keys to successful aging in place by having us come speak to your convention, conference, or area aging event!
With over 15 years in the healthcare and advertising arena and my relationships in the community, you can count on my knowledge and expertise to get you through this emotionally overwhelming process. Call Today!
#CNMAC14 - Digital Healthcheck with @drbexlBex Lewis
Come and join a discussion around these areas, in a session for #CNMAC14, 1st November 2014. Session description:
Digital health check: The omnipresence of digital can pose challenges. Explore with Dr Bex how to keep your life in balance.
Dr Bex Lewis, CODEC
See more at: http://www.newmediacentreofexcellence.org.uk/cnmac/conference/agenda#sthash.Y6UpJkFe.dpuf
Tonya and Lydia are two senior nursing students assigned to work in .pdffastechsrv
Tonya and Lydia are two senior nursing students assigned to work in the intensive care unit with
a critically ill patient. The patient, Mr. Dunn, is an 87-year-old retired ironworker. He lives alone
in an old two-story frame house. Mr. Dunn is diabetic. He is nearly blind and has moderately
advanced prostate cancer and Alzheimer\'s disease. Mr. Dunn was admitted to the intensive care
unit after he was discovered unconscious in his home by a neighbor. At that time he was
ketoacidotic and had a very severe necrotic wound on his left leg. The surgeon plans to amputate
Mr. Dunn\'s left leg but has been unable to get consent from either Mr. Dunn or his next of kin, a
niece who lives out of town.
Tonya is proud of her efficiency as a nursing student. She makes rapid decisions. Tonya insists
that Mr. Dunn must have the amputation. She boldly suggests to the physician that he have a
surrogate appointed for Mr. Dunn so that the surgery can proceed. The course is clear to her.
Lydia, on the other hand, is not certain of the correct course of action. She talks to Mr. Dunn and
his niece about his condition. She wonders if the amputation is the best solution to his problem.
She thinks about what his quality of life will be after the surgery. She worries about his ability to
care for himself and about his state of mind should he be forced to live in a nursing home. She
thinks about what she would want for her own father if he were in the same situation. Lydia falls
asleep at night pondering these thoughts. She does not know how to go about solving the
problem. Tonya is impatient with Lydia. She sees no benefit to the time and energy spent
worrying about this problem when the solution is apparent to her. She dislikes wasting her time
talking to Lydia about these concerns.
Think about It: Facing Ethical Dilemmas
What alerts you to the presence of an ethical dilemma?
How do you feel when confronted with difficult ethical decisions?
To what degree do you think nurses should become involved in making decisions such as the one
described in the situation presented previously?
With which qualities of each nurse do you identify?
Solution
Ethical dilemma evolves from the concept of ethics, which proposes good and no harm. So a
resolution to a problem lies in doing good and no harm. Professional ethics are a significant part
of a nursing profession and ethical dilemma is a situation when confronted with has a no perfect
all good resolution. It is the nurses conquest to provide care and assure good quality of life to the
patient,
Given situation have the following challenges for the nurse:
Pro-choice vs pro-life: Mr. Dunn has a choice of amputation but with the meager family support
and given physical and psychological condition, a preparation for amputation should be difficult.
Freedom vs Control: Does Mr. Dunn have the freedom to choice and even if he is given the
choice is he in a position, without any kin to make a decision.
Empirical knowledge vs personal belief:.
Presentation about universal design, held April 28 and April 30, 2011 at the Occupational Therapy Center at Jefferson in Second Life,
http://slurl.com/secondlife/Eduisland%202/196/39/23
A new and future proof way for people with Learning Disabilities to live that is sustainable after the death of parents and independent of family carers. The emphasis is on personal happiness, safety and security for the residents who live in their own homes with high quality care.
Marcadis Singer, PA, one of Florida's Largest, Oldest, and Most Succesful Debt collection Attorneys.
Marcadis Singer, PA, focusses their practice on all matters concerning debt collection.
More Related Content
Similar to Cohen & Oalican, LLP introduce the medcottage
El reporte de Ikea sobre la relación que han tenido las personas con su hogar en este 2020, año en el que estamo redefiniendo nuestra vida dentro de esas 4 puertas.
Difficult Conversations -The Views of Terminally Ill People & Their FamiliesMarie Curie
Dr Phil McCarvill, Head of Policy and Public Affairs at Marie Curie Cancer Care spoke on 8 July 2014 on ‘Difficult Conversations – The Views of Terminally Ill People & Their Families’.
We are continuing to increase our understanding of experiences of end of life using evidence including the Marie Curie Atlas, independent evaluations, user, patient and carer feedback and social media.
Here in his presentation, Dr McCarvill lays out difficult conversation themes that he revealed during interview processes with terminally ill patients, their family members and carers. The themes of a good death, the journey, the family, the system and the carers are presented to encourage communication to help us ensure the right care for terminally ill people and their families.
For more information on commissioning, have a look at our website mariecurie.org.uk/commissioning or get in touch at servicedevelopment@mariecurie.org.uk
This white paper is one of a series of thematic white papers covering various aspects of electrical installations in houses, flats and residential units. They are aimed at architects, designers, specification writers, decision makers and students.
Across the world the number of elderly people (65+) in our society is increasing and this number is growing faster than that of young people. A better quality of life and healthcare mean that the average life expectancy is rising. In addition, the demographic aspect of the baby boom after WWII is also playing its part. The ageing of the population is a fact.
Getting older is not necessarily synonymous with hardship, pain and illness. There are many elderly people who lead an active independent life. However, not everybody will go through the last stages of their life in good health and without infirmities. At a certain point in time everybody needs some kind of help, but that does not immediately mean that we have no other choice than to leave our home for the confines of a room in a rest home or nursing home. A number of electrical functions in the dwelling can ensure that the older person can continue living at home independently for longer. In this white paper we give a few examples of items that can be considered during the design or renovation of a house or apartment.
There are many cases of the elderly persons walking straight into a wall, mistaking it for the door, or falling down in the bathroom due to a wet floor. It is a good idea to install railings or grab rails along the walls, and avoid having sharp edged furniture in the home, to protect the precious elders
Donate Us
https://serudsindia.org/caring-for-the-elderly/
#oldagehome, #donateforeldersinkurnool, #donateforelders, #donationforelders, #sponsorforoldpeople, #middaymealsforelders, #monthlygroceriesforelders #mealsforelders, #sponsormedicineforelders, #seruds, #kurnool
When you are thinking of finding the right caregiver for Senior Care Walnut Creek, we are here to help. We can help your parents or other elderly people in their daily activities making them more comfortable. With us find compassionate and loving caregivers. Contact us for assistance soon!
"Housing is the HUB of Successful Aging in Place" - Your Home is your castle, your sanctuary, and the KEY to being happier, healthier, wealthier, and safer in your own community in your 2nd half of life. Learn the keys to successful aging in place by having us come speak to your convention, conference, or area aging event!
With over 15 years in the healthcare and advertising arena and my relationships in the community, you can count on my knowledge and expertise to get you through this emotionally overwhelming process. Call Today!
#CNMAC14 - Digital Healthcheck with @drbexlBex Lewis
Come and join a discussion around these areas, in a session for #CNMAC14, 1st November 2014. Session description:
Digital health check: The omnipresence of digital can pose challenges. Explore with Dr Bex how to keep your life in balance.
Dr Bex Lewis, CODEC
See more at: http://www.newmediacentreofexcellence.org.uk/cnmac/conference/agenda#sthash.Y6UpJkFe.dpuf
Tonya and Lydia are two senior nursing students assigned to work in .pdffastechsrv
Tonya and Lydia are two senior nursing students assigned to work in the intensive care unit with
a critically ill patient. The patient, Mr. Dunn, is an 87-year-old retired ironworker. He lives alone
in an old two-story frame house. Mr. Dunn is diabetic. He is nearly blind and has moderately
advanced prostate cancer and Alzheimer\'s disease. Mr. Dunn was admitted to the intensive care
unit after he was discovered unconscious in his home by a neighbor. At that time he was
ketoacidotic and had a very severe necrotic wound on his left leg. The surgeon plans to amputate
Mr. Dunn\'s left leg but has been unable to get consent from either Mr. Dunn or his next of kin, a
niece who lives out of town.
Tonya is proud of her efficiency as a nursing student. She makes rapid decisions. Tonya insists
that Mr. Dunn must have the amputation. She boldly suggests to the physician that he have a
surrogate appointed for Mr. Dunn so that the surgery can proceed. The course is clear to her.
Lydia, on the other hand, is not certain of the correct course of action. She talks to Mr. Dunn and
his niece about his condition. She wonders if the amputation is the best solution to his problem.
She thinks about what his quality of life will be after the surgery. She worries about his ability to
care for himself and about his state of mind should he be forced to live in a nursing home. She
thinks about what she would want for her own father if he were in the same situation. Lydia falls
asleep at night pondering these thoughts. She does not know how to go about solving the
problem. Tonya is impatient with Lydia. She sees no benefit to the time and energy spent
worrying about this problem when the solution is apparent to her. She dislikes wasting her time
talking to Lydia about these concerns.
Think about It: Facing Ethical Dilemmas
What alerts you to the presence of an ethical dilemma?
How do you feel when confronted with difficult ethical decisions?
To what degree do you think nurses should become involved in making decisions such as the one
described in the situation presented previously?
With which qualities of each nurse do you identify?
Solution
Ethical dilemma evolves from the concept of ethics, which proposes good and no harm. So a
resolution to a problem lies in doing good and no harm. Professional ethics are a significant part
of a nursing profession and ethical dilemma is a situation when confronted with has a no perfect
all good resolution. It is the nurses conquest to provide care and assure good quality of life to the
patient,
Given situation have the following challenges for the nurse:
Pro-choice vs pro-life: Mr. Dunn has a choice of amputation but with the meager family support
and given physical and psychological condition, a preparation for amputation should be difficult.
Freedom vs Control: Does Mr. Dunn have the freedom to choice and even if he is given the
choice is he in a position, without any kin to make a decision.
Empirical knowledge vs personal belief:.
Presentation about universal design, held April 28 and April 30, 2011 at the Occupational Therapy Center at Jefferson in Second Life,
http://slurl.com/secondlife/Eduisland%202/196/39/23
A new and future proof way for people with Learning Disabilities to live that is sustainable after the death of parents and independent of family carers. The emphasis is on personal happiness, safety and security for the residents who live in their own homes with high quality care.
Similar to Cohen & Oalican, LLP introduce the medcottage (20)
Marcadis Singer, PA, one of Florida's Largest, Oldest, and Most Succesful Debt collection Attorneys.
Marcadis Singer, PA, focusses their practice on all matters concerning debt collection.
A quick run though on optimizing the marketing message for your local business for Mobile Devices.
St. Petersburg Web Designers and SEO, StudioHOF
http://www.studiohof.com
“Does Dad want to be in an assisted care facility, or a nursing home?”
“Does Grandma look at life with Alzheimer’s or Dementia to be quality of life?”
“Do you have, and where do you keep legal documentation ensuring someone can act financially on mom or dad’s behalf if they are no longer able to act on their own behalf?”
Sharing of data leads to progress on alzheimers.docStudioHOF
The need was for all researchers and experts to come together to work and evolve a standard data set. But how was this possible? It would entail an incredible collaboration as no one company or researcher could manage to do this alone.
Boston Medicare and Medicaid Attorneys Cohen & Oalican discuss the impact of the Uniform Probate code as it impacts Advanced Directives.
http://www.cohenoalican.com
http://www.cohenoalican.com
THEUNIFORM PROBATE CODEIn Court Pt. 2 off a Series with specific Interpretation for Massachusetts Elder Law.
Presented by Steven M. Cohen, Boston Medicare Attorney, Boston, Raynham and Andover Massachusetts.
The lawyers and attorneys at Cohen & Oalican, LLC service the Boston areas legal needs for guardianships and Conservatorships, as well as Medicaid and MassHealth law, and Supplemental Needs Trusts. We present here a series of discussions around the updated Uniform Probate Code and its impact on the needs of the elder law community specifically in Boston and Massachusetts.
(http://www.cohenoalican.com)
Boston Elderlaw Attorneys, Cohen & Oalican, discuss the Deficit Reduction actStudioHOF
Boston Medicare Attorneys Cohen & Oalican discuss the Deficit Reduction act and its impact on their Elder Law Clients in Boston, Raynham and Andover.
On February 8, 2006, President Bush signed the Deficit Reduction Act of 2005.
The Deficit Reduction Act of 2005 significantly changes Federal Medicaid laws.
The three most important changes concern:
1. The transfer of assets to qualify for Medicaid;
2. Medicaid annuities;
3. Medicaid’s treatment of the primary residence.
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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 a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Cohen & Oalican, LLP introduce the medcottage
1. MEDCottage Boston Elder Law Attorneys Specializing in Medicaid Planning Cohen & Oalican, LLC 617-263-1035- Boston 508-821-5599 – Raynham 978-749-0008 - Andover
2. MEDCottage One of the things that the elderly hate the most and find really upsetting is to be moved from their familiar surroundings to a hospital or nursing home. The clinical, coldblooded ambience of a medical treatment center possibly makes the older lot a bit nervous and also tentative about their future.
3. MEDCottage Priests attending to older people have commented on this feeling and also opined that it appears that closeness to family members and access to their loved ones are most important issues. There was one lady in particular about whom Rev. Kenneth Dupin had talked about when discussing this aspect of caring for senior citizens.
4. MEDCottage Katie was a happy old lady living in her own home, filled with mementos and artifacts from her past and she loved to talk of the days gone by. Rev. Dupin enjoyed listening to her anecdotes when he visited her, but the entire scenario changed when Katie was shifted to a nursing home some time afterwards.
5. MEDCottage Katie’s entire demeanor and happy attitude had just disappeared, which was noticed by Rev. Dupin when he went to see her at the nursing home. She begged and pleaded to be taken back home with tears running down her cheeks. She did not get the chance to go back to her beloved home, as she passed away in the nursing home, but the entire episode had a profound effect on Rev. Dupin.
6. MEDCottage He was extremely moved by Katie’s attachment to her home and her deep melancholy at being moved to a nursing home, away from her loved ones.
7. MEDCottage In a talk with Audie Cornish of the National Public Radio (NPR) he said that Katie and her emotional outpourings had left him thinking about the entire subject of elderly people and their happiness in their last days. He was seriously wondering whether there was some way whereby older people could be kept closer to their families and out of places like hospitals and nursing homes.
8. MEDCottage His concern is now being addressed as a new concept called “granny pods” that is gradually becoming an alternative for the housing of the elderly.
9. MEDCottage The actual name for the “granny pod” is MEDCottage and it is a type of mobile residential unit that can be rented on a monthly basis. It can be parked in your backyard, you can connect your water and electricity to the unit and it transforms into an independent room for your elderly relatives.
10. MEDCottage This innovative concept is becoming quite popular all over the country, especially in the state of Virginia where the zoning restrictions have been relaxed for these hi-tech homes by the government, which are expected to be available next year.
11. MEDCottage The MEDCottage has vinyl siding on the exterior and French doors with a white trim around them, while the interiors are fully equipped with a comfortable suite of rooms, with a kitchen and toilet. In short, the MRDCottage is a complete home in itself with all amenities needed to live a safe, comfortable life and ideal for the elderly.
13. MEDCottage What makes the MEDCottage even more suitable for the elderly is that inside the unit there is state-of-the-art health monitoring equipment and a lift to take an incapacitated person from the bedroom to the bathroom. There is also a camera installed just a foot above the floor that is adequate to view the person’s feet, so if he/she fell down it would immediately be seen.
14. MEDCottage It has been estimated that falls in the home are one of the primary reasons elderly people have to be taken to hospitals and nursing homes, so having this “Feet Sweep” camera would be a big help in the timely assistance in case of such accidents. In addition to these useful conveniences, the MEDCottage has lighting along the floors that would help the elderly in easy movement around the unit.
15. MEDCottage There are monitoring systems that offer regular updates on the medical status of the occupant, like heart rate and temperature and also provide information about medicine intake and other details.
17. MEDCottage The thought of relegating your older relative in a separate unit in the backyard may not sit easy with most people, but Rev. Dupin says that it is in line with the independent nature of most Americans. The space of the MEDCottage with the family and yet apart is symbolic of American self-reliance and independence.
18. MEDCottage It is not that we can declare loudly that we do not want our older family members in our home, but neither would they wish to live with us. The MEDCottage is an acceptable alternative where the elderly are near their family but are not stepping on anyone’s feet in the process.
19. MEDCottage It is a wonderful way for the older generation to remain part of the family, enjoy the company of their grandchildren and feel safe and content, without being any sort of a burden on others.
20. MEDCottage Rev. Dupin does not think that his parents would be living in a “granny pod” but certainly visualizes a future where he might be living in the backyard of one of his children.
21. If you have any further questions please contact, Cohen & Oalican LLP, elderlaw attorneys in Boston, Andover and Raynham Boston Elder Law Attorneys Specializing in Medicaid Planning Cohen & Oalican, LLC 617-263-1035- Boston 508-821-5599 – Raynham 978-749-0008 - Andover