Qué es el Mindfulness y cómo puede ayudar a los pacientes con enfermedades respiratorias como la EPOC.
Presentación del Dr. Jordi Roig Cutillas, doctor en medicina y especialista en neumología, durante el XVI Simposio sobre EPOC, dónde introduce el Mindfulness, la evidencia científica y su uso como complemento en la terapia de pacientes con enfermedades respiratorias crónicas.
Vídeo de la presentación: https://youtu.be/ivkwhxV2vVs?t=1362
Modern Revelations of how the "Meridians Created Us" - We have to look at the Embryological evidence instead of scientific proof for Morphogenetic Intelligence which brought us from the sperm and ovum into this world.
Alterative acupuncture (when nothing works try acupuncture)Ck Raju
A set of Points within the Acupuncturist's Toolbox become friendly to him - so they show an AlterAtive effect each time he attempts a treatment. This is explained here that the Yang natured Metal and Fire Element Points of Acupuncture Meridian system.are always powerfully efficacious in treatments.
Modern Revelations of how the "Meridians Created Us" - We have to look at the Embryological evidence instead of scientific proof for Morphogenetic Intelligence which brought us from the sperm and ovum into this world.
Alterative acupuncture (when nothing works try acupuncture)Ck Raju
A set of Points within the Acupuncturist's Toolbox become friendly to him - so they show an AlterAtive effect each time he attempts a treatment. This is explained here that the Yang natured Metal and Fire Element Points of Acupuncture Meridian system.are always powerfully efficacious in treatments.
Dr. Ashwin Mehta of University of Miami Health System presented "Integrative Approaches to Optimum Sleep" at the 2011 WellBeingWell Conference in Miami.
Acupuncture originates from China and has been practiced there for thousands of years. It is really beneficial to treat diseases like Anxiety , Depression, Infertility, Weight loss , Insomnia , Asthma, Nausea, Digestive problems, Pregnancy care and many other conditions. The practitioners of Northside Acupuncture in Northern Beaches treat these problems very successfully. So If you are looking for the best Acupuncture clinic then feel free to contact us.
The question of how we live longer—and why only a minority of humans have good health and a long life—has confused people for millennia. Over the past few decades, we have learned that human lifespan is determined by both the genes and external influences, and that these factors act, by means of numerous genetic pathways, to regulate the cellular and systemic processes that ultimately cause aging and death.
Kiran and Kawalinder K. Girgla, Richa Ghay and Anterpreet K Arora
International Journal of Basic and Applied Medical Sciences (http://www.cibtech.org/jms/htm), 2011 Vol. 1 (1) September-December, 139-143
Haptic medicine - sustainable, accessible, low-cost0neW0rldT0gether
How we heal is different than we think. Places like Scripps, Stanford, and many more are finding ancient healing arts involving touch bring comfort and effectiveness. We describe some of the science that explains what we experience and how it helps us heal and some of the amazing stories like The Rescuing Hug. We also describe the health education work to take these sustainable methods from hospital to community including the work of American Holistic Nursing Association and www.21stcenturymed.org, a low bandwidth multi-lingual self help site based on methods used at Stanford Hospital. Presented at MIT Alumni Club/Future Health Technology Institute and the NIH International Programs in Washington D.C. 2009 Contact: cindymason@media.mit.edu
Presentación realizada en la Barcelona Cough Conference, Enero 2019. El Mindfulness como terapia complementaria para aliviar a los enfermos con tos en sus distintos grados de cronicidad.
DR SANJAY PHADKE- Introducing Symposium on MIND- BODY MEDICINEDR VANI KULHALLI
The critical importance of mind body medicine as regards
- treatment gap of 80-96pc for mental illness
- proved benefit
- can be administered by non medical professionals
- safe and efficetive
Dr. Ashwin Mehta of University of Miami Health System presented "Integrative Approaches to Optimum Sleep" at the 2011 WellBeingWell Conference in Miami.
Acupuncture originates from China and has been practiced there for thousands of years. It is really beneficial to treat diseases like Anxiety , Depression, Infertility, Weight loss , Insomnia , Asthma, Nausea, Digestive problems, Pregnancy care and many other conditions. The practitioners of Northside Acupuncture in Northern Beaches treat these problems very successfully. So If you are looking for the best Acupuncture clinic then feel free to contact us.
The question of how we live longer—and why only a minority of humans have good health and a long life—has confused people for millennia. Over the past few decades, we have learned that human lifespan is determined by both the genes and external influences, and that these factors act, by means of numerous genetic pathways, to regulate the cellular and systemic processes that ultimately cause aging and death.
Kiran and Kawalinder K. Girgla, Richa Ghay and Anterpreet K Arora
International Journal of Basic and Applied Medical Sciences (http://www.cibtech.org/jms/htm), 2011 Vol. 1 (1) September-December, 139-143
Haptic medicine - sustainable, accessible, low-cost0neW0rldT0gether
How we heal is different than we think. Places like Scripps, Stanford, and many more are finding ancient healing arts involving touch bring comfort and effectiveness. We describe some of the science that explains what we experience and how it helps us heal and some of the amazing stories like The Rescuing Hug. We also describe the health education work to take these sustainable methods from hospital to community including the work of American Holistic Nursing Association and www.21stcenturymed.org, a low bandwidth multi-lingual self help site based on methods used at Stanford Hospital. Presented at MIT Alumni Club/Future Health Technology Institute and the NIH International Programs in Washington D.C. 2009 Contact: cindymason@media.mit.edu
Presentación realizada en la Barcelona Cough Conference, Enero 2019. El Mindfulness como terapia complementaria para aliviar a los enfermos con tos en sus distintos grados de cronicidad.
DR SANJAY PHADKE- Introducing Symposium on MIND- BODY MEDICINEDR VANI KULHALLI
The critical importance of mind body medicine as regards
- treatment gap of 80-96pc for mental illness
- proved benefit
- can be administered by non medical professionals
- safe and efficetive
As her final thesis topic for London College of Osteopathy and Health Sciences (LCO) Diploma in Osteopathic Manual Practice (DOMP) program, Dr. Fadila Naji examines the effects of osteopathy on patients' psychology.
Have you ever tried to sleep in a brightly lit room with tubes and wires attached to you and people periodically talking to you ! moving you ! and touching you !
CBT is a for of psychological therapy used to alter subjects thoughts to improve behaviors and or feelings. it is great tool to be used for psychological disease or chronic diseases. this presentation cover the basics aspects of CBT with some studies about use of CBT in pulmonary diseases.
Psychotherapy the biological dimensionismail sadek
is it real word can affect your brain?
many people say not and don't believe that the psychotherapy change not only our behavior but also it can change the brain structure
No association between prepulse inhibition of the startle reflex and neuropsyc...Benjamin Cortes
Abstract: Sensorimotor gating deficits are relevant in schizophrenia and can be measured using prepulse inhibition (PPI) of the startle reflex. It is conceivable that such deficits may hinder the cognitive functions in schizophrenia patients. In this study, using PPI and a neuropsychological battery, we studied this possibility in a group of 23 acute, neuroleptic-free schizophrenia patients and 16 controls. A non-significant decrease in PPI was found in the patients as compared to the controls, as well as significant differences in the performance of Trail A and B in Wisconsin
Card Sorting and Digit/Symbol Tests. No statistically significant correlations between PPI and neuropsychological performance were found after the correction for multiple comparisons in any group. Our results suggest that PPI deficits in schizophrenia patients may not contribute to the cognitive deficits typical of that illness, at least in patients with a non-significant PPI decrease.
Treating Insomnia in Depression Insomnia Related Factors Pred.docxturveycharlyn
Treating Insomnia in Depression: Insomnia Related Factors Predict
Long-Term Depression Trajectories
Bei Bei
Monash University and Royal Women’s Hospital, University of
Melbourne
Lauren D. Asarnow
Stanford University
Andrew Krystal
University of California, San Francisco
Jack D. Edinger
National Jewish Health, Denver, Colorado, and Duke University
Medical Center
Daniel J. Buysse
University of Pittsburgh
Rachel Manber
Stanford University
Objective: Insomnia and major depressive disorders (MDD) often co-occur, and such comorbidity has
been associated with poorer outcomes for both conditions. However, individual differences in depressive
symptom trajectories during and after treatment are poorly understood in comorbid insomnia and
depression. This study explored the heterogeneity in long-term depression change trajectories, and
examined their correlates, particularly insomnia-related characteristics. Method: Participants were 148
adults (age M � SD � 46.6 � 12.6, 73.0% female) with insomnia and MDD who received antidepressant
pharmacotherapy, and were randomized to 7-session Cognitive Behavioral Therapy for Insomnia or
control conditions over 16 weeks with 2-year follow-ups. Depression and insomnia severity were
assessed at baseline, biweekly during treatment, and every 4 months thereafter. Sleep effort and beliefs
about sleep were also assessed. Results: Growth mixture modeling revealed three trajectories: (a)
Partial-Responders (68.9%) had moderate symptom reduction during early treatment (p value � .001)
and maintained mild depression during follow-ups. (b) Initial-Responders (17.6%) had marked symptom
reduction during treatment (p values � .001) and low depression severity at posttreatment, but increased
severity over follow-up (p value � .001). (c) Optimal-Responders (13.5%) achieved most gains during
early treatment (p value � .001), continued to improve (p value � .01) and maintained minimal
depression during follow-ups. The classes did not differ significantly on baseline measures or treatment
received, but differed on insomnia-related measures after treatment began (p values � .05): Optimal-
Responders consistently endorsed the lowest insomnia severity, sleep effort, and unhelpful beliefs about
sleep. Conclusions: Three depression symptom trajectories were observed among patients with comorbid
insomnia and MDD. These trajectories were associated with insomnia-related constructs after commenc-
ing treatment. Early changes in insomnia characteristics may predict long-term depression outcomes.
What is the public health significance of this article?
This study identified three distinct depression trajectories in patients with comorbid major depression
and insomnia disorders during treatment and 2-year follow-up. Those with the largest and most
sustained improvements in depression consistently scored the lowest on postbaseline insomnia and
insomnia-related cognitions. Early changes in insomnia symptoms and insomnia-related character ...
Breakout 3.4 Asthma and psychological problems - Mike ThomasNHS Improvement
Breakout 3.4 Asthma and psychological problems - Mike Thomas
Professor of Primary Care Research, University of Southampton
Chief Medical Advisor, Asthma UK
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
Brain Derived Neurotrophic Factor increases during recovery from psychologica...inventionjournals
Objective: To study the levels of plasma BDNF during recovering from psychological stress. Methods: Blood samples from thirty eight participants in a stress treatment project were analyzed for BDNF in plasma before and after 3 months treatment. Symptom levels were assessed by SCL92, work ability index and a question on stress. Physiological and behavioral measures were collected, all at baseline and after treatment. Results: BDNF increased significantly during the follow up, but the levels of BDNF were not correlated to blood pressure, se-cholesterol, HbA1C, se-fibrinogen or salivary cortisol even if the two latter decreased significantly. BDNF increase was inversely associated with improvement in depression symptoms contrary to the expected. Conclusion: Plasma BDNF increased during treatment for psychological stress, but was not associated with physiological stressmarkers or improvement of stress symptoms
Brain Derived Neurotrophic Factor increases during recovery from psychologica...inventionjournals
Objective: To study the levels of plasma BDNF during recovering from psychological stress. Methods: Blood samples from thirty eight participants in a stress treatment project were analyzed for BDNF in plasma before and after 3 months treatment. Symptom levels were assessed by SCL92, work ability index and a question on stress. Physiological and behavioral measures were collected, all at baseline and after treatment. Results: BDNF increased significantly during the follow up, but the levels of BDNF were not correlated to blood pressure, se-cholesterol, HbA1C, se-fibrinogen or salivary cortisol even if the two latter decreased significantly. BDNF increase was inversely associated with improvement in depression symptoms contrary to the expected. Conclusion: Plasma BDNF increased during treatment for psychological stress, but was not associated with physiological stressmarkers or improvement of stress symptoms.
R175 Naka, R., Amano, H., & Ito, T. (2014). A case study of healing touch on ...Takehiko Ito
R175 Naka, R., Amano, H., & Ito, T. (2014). A case study of healing touch on Parkinson’s disease in community nursing: Focusing on reducing pain, emotional distress, and insomnia Journal of International Society of Life Information Science, 32(1), 34-37.
Risk of pulmonary aspiration with the outpatient electroconvulsive therapy: C...Ahmed Elaghoury
A case study presented at the 2nd International Brain Stimulation in Barcelona.
Cite as: Gad, M., & Elaghoury, A. (2017). Risk of pulmonary aspiration with the outpatient electroconvulsive therapy: Case report. Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation, 10(2), 419.
http://dx.doi.org/10.1016/j.brs.2017.01.244
Similar to Mindfulness aplicada a la EPOC - Dr. Jordi Roig Cutillas (20)
Respiratory disease caused by Aerotoxic SyndromeJordi Roig
Respiratory disease caused by Aerotoxic Syndrome.
Aircraft Cabin Air. International Conference 2019.
J. Roig, MD, PhD, FCCP
Pulmonary Department
Clínica Creu Blanca
Barcelona
Influencia del genero en las enfermedades respiratorias tributarias de rehabi...Jordi Roig
presentación realizada en la Jornada "Enfoc rehabilitador en clau de dona", celebrada en la Acadèmia de Ciències Mèdiques i de la Salut de Catalunya i de Balears
- presentación en lengua catalana -
Mini Keynote Symposium on Translational Research
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Institut de Recerca Contra la Leucèmia Josep Carreras Auditorium
December 14th, 2017
¿Qué es el Síndrome Aerotóxico? – Dr. Jordi Roig CutillasJordi Roig
Síndrome Aerotóxico. Efectos nocivos sobre la salud causados por la inhalación del aire de las cabinas de los aviones.
Conferencia del Dr. Jordi Roig Cutillas, doctor en medicina, neumólogo y experto en el Síndrome Aerotóxico.
www.drjordiroig.com
El Síndrome Aerotóxico se describe como una amplia variedad de síntomas respiratorios y neurológicos que pueden afectar a viajeros frecuentes y personal de vuelo.
En los últimos años se ha hecho énfasis en diversos ámbitos científicos y periodísticos sobre las consecuencias nocivas para la salud, derivadas de la exposición ambiental a diversas sustancias químicas presentes en las cabinas de los aviones, que tienen un potencial efecto tóxico sobre el ser humano.
En diversos países europeos, así como en Australia y USA, se ha destacado el riesgo que para la salud representa la inhalación de sustancias químicas eventualmente tóxicas, en el transcurso de vuelos en avión comercial. Este riesgo se acentúa en aquellos viajeros frecuentes, personal laboral –pilotos, auxiliares de vuelo y trabajadores de mantenimiento–, así como individuos especialmente susceptibles a estos riesgos como son mujeres embarazadas y niños.
Se ha establecido el término de Síndrome Aerotóxico para definir un conjunto de síntomas respiratorios y neurológicos derivados de la exposición a ciertas sustancias del aire que circula en las cabinas del avión. De forma más larvada pero no menos destacable, cabe señalar la negativa interacción de algunas de estas sustancias químicas sobre nuestro sistema endocrino, fenómeno conocido como disrupción endocrina.
Las eventuales implicaciones legales y de imagen corporativa que para la industria aeroespacial representa esta entidad, han influido de forma clara en el hecho de que el Síndrome Aerotóxico no está uniformemente aceptado por los diversos estamentos oficiales y parte de la comunidad científica. La realidad indiscutible es que el aire que respiramos durante los viajes en avión no está exento de sustancias químicas potencialmente dañinas.
No se trata simplemente de los casos de constatación de humo visible en el interior de la cabina, incidencia cifrada hasta en un 0.05% de los vuelos comerciales por el Comité de Toxicidad (COT) del Reino Unido en 2007, hecho de por sí ya preocupante. Estudios ambientales en cabina confirman que diversas sustancias químicas, como una amplia gama de triarilfosfatos o naftilamina (PAN), son detectables en el aire de las cabinas aéreas, si bien generalmente en pequeñas concentraciones. También mediante estudios de detección de biomarcadores en sangre u orina de viajeros en vuelos aparentemente normales, se ha podido constatar la presencia de diversos metabolitos derivados de la inhalación de organofosforados.
Sobre el riesgo que para la salud representa la inhalación de sustancias químicas eventualmente tóxicas en el transcurso de vuelos en avión comercial.
Al conjunto de sintomas respiratorios y neurológicos detectados se le define como Sindrome Aerotóxico.
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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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.
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
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.
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Mindfulness aplicada a la EPOC - Dr. Jordi Roig Cutillas
1. Mindfulness aplicada a la EPOC
J. Roig Cutillas
Servicio de Neumología
Clínica Creu Blanca
Barcelona
2. • ¿Cómo vive el paciente su EPOC?
• Base científica de la relación respiración “body&mind”
• Aspectos de EPOC potencialmente mejorables
• Actividad física
• Estudios en EPOC
08/10/18 2
Mindfulness aplicada a la EPOC
3. The EASI model: A first integrative computational
approximation to the natural history of COPD.
RESEARCH ARTICLE
Agusti A et al. PlosOne 2017
E the exposure to inhaled particles and gases (smoking)
A the biological activity (inflammatory response) of the disease
S the severity of airflow limitation (FEV1) and
I the impact of the disease (breathlessness) in different clinical
scenarios
4. Depression and Anxiety in COPD
Montserrat-Capdevila J. Mental disorders
in chronic obstructive pulmonary diseases.
Perspect Psychiatr Care 2018
Miravitlles M. Depressive status explains a
significant amount of the variance
in COPD assessment test (CAT) scores. Int J
Chron Obstruct Pulmon Dis. 2018
Yohannes AM. Depression and anxiety in
patients with COPD. Eur Respir Rev. 2014
5. Self blame & catastrophizing interpretation
• Plaufcan MR. Behavioral and
characterological self-blame in chronic
obstructive pulmonary disease. J Psychosom
Res 2012.
• Solomon BK. A breathlessness
catastrophizing scale for chronic obstructive
pulmonary disease. J Psychosom Res 2015.
• Livermore N. Catastrophic interpretations
and anxiety sensitivity as predictors of panic-
spectrum psychopathology in chronic
obstructive pulmonary disease. J Psychosom
Res 2012.
6.
7. Chen YW. Arch Phys Med Rehabil 2016; COPD 2018
Comorbidities That Cause Pain and the Contributors to Pain in
Individuals With Chronic Obstructive Pulmonary Disease
A Comparison of Pain, Fatigue, Dyspnea and their Impact on Quality of
Life in Pulmonary Rehabilitation Participants with Chronic Obstructive
Pulmonary Disease
• Pain was highly prevalent (71 – 74%)
• Most common causes of pain were musculoskeletal conditions
• Prevalence of dyspnea 93%; fatigue 77%
• Patients with COPD report similar severity scores of the 3
symptoms
• All individually impacted QoL
• All 3 interfere similarly on aspects of daily living
• Assessment and management of pain need to be addressed
8. Shikhbahaer S. Science 2017
Breathing
to inspire
and
arouse
A small population
of brainstem
neurons
connects
breathing
behavior to brain
arousal
Breathing
control
center
neurons
that
promote
arousal in
mice
NEUROSCIENCE
Yackle K. Science 2017
9. The rhythmic activity of a cluster of neurons in the brainstem initiates breathing. This cluster
is composed of distinct, though intermingled, subgroups of neurons. A small, molecularly
defined neuronal subpopulation in this breathing rhythm generator that directly projects to a
brain center that plays a key role in generalized alertness, attention, and stress. Removal of
these cells did not affect normal breathing but left the animals unusually calm. The breathing
center thus has a direct and dramatic influence on higher-order brain function.
The calming effect of breathing
Ascending neural circuit from
preBötC. Cdh9/Dbx1 preBötC
neurons provide monosynaptic
excitatory input to noradrenergic
LC neurons, which project
throughout brain to promote
arousal and active behaviors.
Yackle K. Science 2017
10.
11.
12.
13.
14. Aging-Related Systemic Manifestations in COPD Patients
and Cigarette Smokers
Boyer L. PlosOne 2015
• Cross-sectional study: 301 individuals (100 with COPD, 100
smokers without COPD, and 101 nonsmokers without COPD)
• Compared to control smokers, patients with COPD had shorter
telomere length, …
DNA damage response at telomeres contributes to lung aging
and COPD
Birch J. Am J Physiol Lung Cell Mol Physiol 2015
• Smoke accelerates telomere dysfunction via reactive oxygen species
• Telomere dysfunction may underlie decline of lung function observed
during aging and in COPD
15. Can meditation slow rate of cellular aging?
Cognitive stress, mindfulness, and telomeres
Epel E. Ann NY Acad Sci, 2009.
16. Jacobs et al. Psychoneuroendocrinology 2011.
A schematic depiction of how meditation practice might influence
telomerase activity by increasing perceived control and
decreasing neuroticism
17. Intensive meditation training, immune cell telomerase activity,
and psychological mediators
Telomerase Activity higher in the Retreat Group post- Jacobs et al. Psychoneuroendocrinology 2011.
18. Mindfulness During Pregnancy Linked To Healthier Birth Weight In Newborns
Nyklíček I. Mindfulness skills during
pregnancy: Prospective associations
with mother's mood and neonatal birth
weight. J Psychosom Res 2018
Savran O. Early life insults as
determinants of chronic obstructive
pulmonary disease in adult life. Int J
COPD 2018
19. Troosters T. Respir Research 2013
…addressing
emotional and
behavioural aspects
of COPD may be an
effective way to
increase physical
activity and improve
health status in the
long term.
20. When analyzing individual intervention types, cognitive behavioral
therapy appeared to be effective (g = 0.39, CI = 0.15–0.62; p =
0.001) for improving psychological outcomes. In contrast for
physical outcomes, only mind-body interventions (e.g. mindfulness
based therapy, yoga, and relaxation) revealed a statistically
significant effect (g = 0.40; CI = 0.01–0.79; p = 0.042).
Physical (dyspnea + exercise capacity + fatigue + lung function)
Farver-Vestergraard I. Psychother Psychosom 2015
22. Mularski RA. JACM 2009.
Change in dyspnea at entry and completion of the study, by treatment
group. MBBT, mindfulness-based breathing therapy.
23. • Veterans
• Elderly men
Aryal S. COPD and gender differences: an update. Transl Res 2013.
• Severe COPD
• Breathing ?
• >40 % drop out
Blackstock FC. Why don’t our COPD patients listen to us? The enigma of
nonadherence. Ann Am Thorac Soc 2016.
• Motivation?
Mularski RA. JACM 2009.
24. Mindfulness-based cognitive therapy in COPD:
a cluster randomised controlled trial
Farver-Vestergraard I. ERJ 2018
• COPD patients eligible for PR were cluster randomised to receive either an
8-week, group-based MBCT programme as an add-on to an 8-week PR
programme (n=39), or PR alone (n=45)
• The primary outcomes of psychological distress and physical health status
impairment were measured with the Hospital Anxiety and Depression Scale
(HADS) and the COPD Assessment Test (CAT)
• Before randomisation (T1), mid- (T2) and post-intervention (T3), and at 3
(T4) and 6 (T5) months’ follow-up
25. Mindfulness-based cognitive therapy in COPD: a cluster randomised controlled trial
Farver-Vestergraard I. ERJ 2018
MBCT: mindfulness-based cognitive therapy; PR: pulmonary rehabilitation; HADS:
Hospital Anxiety and Depression Scale total score; CAT: COPD Assessment Test
26. Mindfulness-based cognitive therapy in COPD: a cluster randomised controlled trial
Farver-Vestergraard I. ERJ 2018
Tumour necrosis factor
(TNF)- mRNA foldα
change. *p<0.05.
27. La historia no contada del movimiento
Mindfulness de Norteamérica
New York Society for Ethical Culture
2017
28. Mindfulness aplicada a la EPOC
• Optimizar diseño estudio
• Selección adecuada pacientes: prejuicios, estereotipos
• Definir opción Mindfulness MBSR
• Valorar dificultad en fase inicial de respiración
• Innovar outputs: incluir dolor
• Énfasis en obviar “lo estoy haciendo bien o mal”
• Mindfulness es un aprendizaje en el que se progresa
• Instructores titulados
