Child Abuse Fact for Parents and training
WEDNESDAY 15th, 2pm to 4pm at the Havasupai Tribe Wellness area
Mark will provide a workshop for parents, educators and other professional staff working with Native American populations and an emphases on neglect and abuse with children with disabilities.
Separation, Grief and Loss of Children in Foster Carekimberlykeith
Kimberly Keith, MEd, LPC
Academic Partnerships for Public Child Welfare
Department of Behavioral & Social Sciences
Southern Arkansas University
Magnolia, Arkansas
Child Abuse Fact for Parents and training
WEDNESDAY 15th, 2pm to 4pm at the Havasupai Tribe Wellness area
Mark will provide a workshop for parents, educators and other professional staff working with Native American populations and an emphases on neglect and abuse with children with disabilities.
Separation, Grief and Loss of Children in Foster Carekimberlykeith
Kimberly Keith, MEd, LPC
Academic Partnerships for Public Child Welfare
Department of Behavioral & Social Sciences
Southern Arkansas University
Magnolia, Arkansas
Adolescents, Depression, and Self-Harm: Girls and Boys, Risk, and ResilienceUCSF Dept. of Psychiatry
Keynote presentation by Stephen Hinshaw, PhD, at the UCSF Depression Center's "Adolescent Depression: What We All Should Know" event on November 16, 2015.
E-Book Trauma Safe Schools Educating Adolescents w Trauma Michael Changaris
This E-Book Explores the impact of trauma on education and learning for teens, adolescents and schools. It offers a neurocognitive developmental perspective and skills for educators to enhance effective teaching for adolescents with symptoms of PTSD. The course explores social skills, emotional regulation and neurobiology.
Child Sexual Abuse: Understanding the IssuesJane Gilgun
Many people are sexually abused, girls and boys. This slideshow provides accurate information that is not widely available. Important information for survivors and those who love them.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Warning Signs - Is Your Child Sexually Abused?Kids Live Safe
Watch & share this important video about how to tell if your child is a victim of sexual abuse, brought to you by Kids Live Safe. KidsLiveSafe provides a way for you to protect your children from sex offenders by having access to a registry and various other child protection tools. For more details and review, visit www.kidslivesafe.com
It's important to be aware of sexual abuse of our children.
Know the signs, and stop it now with the review of Kids Live Safe and our advice.
As parents, it's hard to imagine the unthinkable, but it's important to consider the possible.
Review these warning signs brought to you by Kids Live Safe:
1. Dressing habits & hygiene changes: Your child may try to
make themselves less appealing to their abuser by:
- starting to dress shabbily
- not bathing
- not brushing their teeth
- not combing their hair
2. Sexual knowledge: Pay attention to your child's terminology: if they seem to have sexual knowledge beyond their years, or begin to touch themselves or others in a sexual way, have an honest discussion with them about sex.
3. Keeping secrets: If your child has toys, money, or candy that you did not buy them, or if they talk about secrets a new friend told them to keep, you should be concerned. If your child is keeping a secret, you should have a sincere talk with them about what secrets are okay to keep & what secrets should be shared.
4. Regression: If your child suddenly returns to habits they have long outgrown, such as thumb sucking, baby talk, or bed-wetting, pay attention.Show understanding, love, & kindness, & work with your children to address these issues. Visit KidsLiveSafe.com for tips on how to speak to your children about the topic of sexual abuse.
5. Mood swings: If you notice depression, anxiety, poor performance in school, or disinterest in activities your kids normally enjoy, these are red flags.Do not be dismissive if they show these signs -- take it seriously and find out why.
6. Trouble sleeping: Not wanting to be alone, sudden fear of the dark, or nightmares can all be signs of abuse. Talk it over with your child & find out what is causing these fears. These are just a few possible signs that a child may display if abused. As parents, we must all be vigilante & keep a close eye on our children. Watch out for any unusual or disturbing behavior & be open with your children. It is okay to ask your child if anyone has touched them inappropriately. Keep the conversation simple & remain calm, no matter what your child says. If you suspect abuse, seek help from a trusted source, such as a family doctor, or mental health provider.
Share this Kids Live Safe slideshare & raise awareness of sexual predators and child sexual abuse. Sexual abuse of our children is a very important topic that all parents, grandparents, and family members should know about and take the necessary precautions to avoid.
Children and PTSD Diagnostic Criteria for ChildrenPTSD is n.docxmccormicknadine86
Children and PTSD
Diagnostic Criteria for Children
PTSD is not confined to adults. Children also experience PTSD and manifest symptoms that closely parallel those of adults, with the following notable differences.
The 4th edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) did not have specific criteria for diagnosing PTSD in children, and many of DSM-IV PTSD criteria were not age appropriate for children. As a result, it was difficult (if not impossible) to accurately diagnosis PTSD in children. However, the 5th edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) now includes specific guidelines for diagnosing PTSD in children under the age of 6.
A. Children under the age 6 have been exposed to an event involving real or threatened death, serious injury, or sexual violence in at least one of the following ways:
1. The child directly experiences the event.
2. The child witnessed the event (this does not include events that were seen on the television, in movies, or some other form of media).
3. The child learned about a traumatic event that happened to a caregiver.
B. The presence of at least one of the following intrusive symptoms that are associated with the traumatic event and began after the event occurred:
1. Recurring, spontaneous, and intrusive upset- ting memories of the traumatic event.
2. Recurring and upsetting dreams about the event.
3. Flashbacks or some other dissociative response where the child feels or acts as if the event were happening again.
4. Strong and long-lasting emotional distress after being reminded of the event or after encountering trauma-related cues.
5. Strong physical reactions (e.g., increased heart rate, sweating) to trauma-related remind.
C. The child exhibits at least one of the following avoidance symptoms or changes in his or her thoughts and mood. These symptoms must begin or worsen after the experience of the traumatic event. 1. Avoidance of or the attempted avoidance of activities, places, or reminders that bring up thoughts about the traumatic event. 2. Avoidance of or the attempted avoidance of people, conversations, or interpersonal situa- tions that serve as reminders of the traumatic event. 3. More frequent negative emotional states, such as fear, shame, or sadness. 4. Increased lack of interest in activities that used to be meaningful or pleasurable. 5. Social withdrawal. 6. Long-standing reduction in the expression of positive emotions. D. The child experiences at least one of the below changes in his or her arousal or reactivity, and these changes began or worsened after the trau- matic event: 1. Increased irritable behavior or angry outbursts. This may include extreme temper tantrums. 2. Hypervigilance. 3. Exaggerated startle response. 4. Difficulties concentrating. 5. Problems with sleeping. In addition to the above criteria, these symptoms need to have lasted at least 1 month and result in con- siderable distress or diffi ...
Adolescents, Depression, and Self-Harm: Girls and Boys, Risk, and ResilienceUCSF Dept. of Psychiatry
Keynote presentation by Stephen Hinshaw, PhD, at the UCSF Depression Center's "Adolescent Depression: What We All Should Know" event on November 16, 2015.
E-Book Trauma Safe Schools Educating Adolescents w Trauma Michael Changaris
This E-Book Explores the impact of trauma on education and learning for teens, adolescents and schools. It offers a neurocognitive developmental perspective and skills for educators to enhance effective teaching for adolescents with symptoms of PTSD. The course explores social skills, emotional regulation and neurobiology.
Child Sexual Abuse: Understanding the IssuesJane Gilgun
Many people are sexually abused, girls and boys. This slideshow provides accurate information that is not widely available. Important information for survivors and those who love them.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Warning Signs - Is Your Child Sexually Abused?Kids Live Safe
Watch & share this important video about how to tell if your child is a victim of sexual abuse, brought to you by Kids Live Safe. KidsLiveSafe provides a way for you to protect your children from sex offenders by having access to a registry and various other child protection tools. For more details and review, visit www.kidslivesafe.com
It's important to be aware of sexual abuse of our children.
Know the signs, and stop it now with the review of Kids Live Safe and our advice.
As parents, it's hard to imagine the unthinkable, but it's important to consider the possible.
Review these warning signs brought to you by Kids Live Safe:
1. Dressing habits & hygiene changes: Your child may try to
make themselves less appealing to their abuser by:
- starting to dress shabbily
- not bathing
- not brushing their teeth
- not combing their hair
2. Sexual knowledge: Pay attention to your child's terminology: if they seem to have sexual knowledge beyond their years, or begin to touch themselves or others in a sexual way, have an honest discussion with them about sex.
3. Keeping secrets: If your child has toys, money, or candy that you did not buy them, or if they talk about secrets a new friend told them to keep, you should be concerned. If your child is keeping a secret, you should have a sincere talk with them about what secrets are okay to keep & what secrets should be shared.
4. Regression: If your child suddenly returns to habits they have long outgrown, such as thumb sucking, baby talk, or bed-wetting, pay attention.Show understanding, love, & kindness, & work with your children to address these issues. Visit KidsLiveSafe.com for tips on how to speak to your children about the topic of sexual abuse.
5. Mood swings: If you notice depression, anxiety, poor performance in school, or disinterest in activities your kids normally enjoy, these are red flags.Do not be dismissive if they show these signs -- take it seriously and find out why.
6. Trouble sleeping: Not wanting to be alone, sudden fear of the dark, or nightmares can all be signs of abuse. Talk it over with your child & find out what is causing these fears. These are just a few possible signs that a child may display if abused. As parents, we must all be vigilante & keep a close eye on our children. Watch out for any unusual or disturbing behavior & be open with your children. It is okay to ask your child if anyone has touched them inappropriately. Keep the conversation simple & remain calm, no matter what your child says. If you suspect abuse, seek help from a trusted source, such as a family doctor, or mental health provider.
Share this Kids Live Safe slideshare & raise awareness of sexual predators and child sexual abuse. Sexual abuse of our children is a very important topic that all parents, grandparents, and family members should know about and take the necessary precautions to avoid.
Children and PTSD Diagnostic Criteria for ChildrenPTSD is n.docxmccormicknadine86
Children and PTSD
Diagnostic Criteria for Children
PTSD is not confined to adults. Children also experience PTSD and manifest symptoms that closely parallel those of adults, with the following notable differences.
The 4th edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) did not have specific criteria for diagnosing PTSD in children, and many of DSM-IV PTSD criteria were not age appropriate for children. As a result, it was difficult (if not impossible) to accurately diagnosis PTSD in children. However, the 5th edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) now includes specific guidelines for diagnosing PTSD in children under the age of 6.
A. Children under the age 6 have been exposed to an event involving real or threatened death, serious injury, or sexual violence in at least one of the following ways:
1. The child directly experiences the event.
2. The child witnessed the event (this does not include events that were seen on the television, in movies, or some other form of media).
3. The child learned about a traumatic event that happened to a caregiver.
B. The presence of at least one of the following intrusive symptoms that are associated with the traumatic event and began after the event occurred:
1. Recurring, spontaneous, and intrusive upset- ting memories of the traumatic event.
2. Recurring and upsetting dreams about the event.
3. Flashbacks or some other dissociative response where the child feels or acts as if the event were happening again.
4. Strong and long-lasting emotional distress after being reminded of the event or after encountering trauma-related cues.
5. Strong physical reactions (e.g., increased heart rate, sweating) to trauma-related remind.
C. The child exhibits at least one of the following avoidance symptoms or changes in his or her thoughts and mood. These symptoms must begin or worsen after the experience of the traumatic event. 1. Avoidance of or the attempted avoidance of activities, places, or reminders that bring up thoughts about the traumatic event. 2. Avoidance of or the attempted avoidance of people, conversations, or interpersonal situa- tions that serve as reminders of the traumatic event. 3. More frequent negative emotional states, such as fear, shame, or sadness. 4. Increased lack of interest in activities that used to be meaningful or pleasurable. 5. Social withdrawal. 6. Long-standing reduction in the expression of positive emotions. D. The child experiences at least one of the below changes in his or her arousal or reactivity, and these changes began or worsened after the trau- matic event: 1. Increased irritable behavior or angry outbursts. This may include extreme temper tantrums. 2. Hypervigilance. 3. Exaggerated startle response. 4. Difficulties concentrating. 5. Problems with sleeping. In addition to the above criteria, these symptoms need to have lasted at least 1 month and result in con- siderable distress or diffi ...
A presentation developed through collaboration between the University of Michigan Taubman Health Sciences Library and Pioneer High School in Ann Arbor, MI. This work is discussed in more detail in "Synergism between a Teacher and Librarians in a High School Setting" by Merle Rosenzweig, Anna Ercoli Schnitzer, and Katy Mahraj.
111Impact of Child Homelessness on Mental HealSantosConleyha
1
11
Impact of Child Homelessness on Mental Health and Academic Performance
Literature Review
Iriana Pinto
Department of Counseling, Webster University
COUN 5850: Research and Program Evaluation
Helen Singh Benn, PhD., LMHC
February 8, 2021
Literature Review
Ironically, homelessness itself a kind of mental torture which automatically creates distress in a person's mind and bitterness about life. A person without having shelter feels uncomfortable; unsatisfied with his life that he cannot feed his family, even the state's policies are not fair enough to support homeless families. Here, in this paper, we discuss child homelessness which is a great threat to child health in terms of mental distress and academic performance (Vostanis, 1998). In a recent survey, there were 1.4 million children experienced homelessness worldwide, about 75% of children experienced homelessness by doubling-up with other families. On the other hand, 15% of children were in shelters, hotels/motels percentage calculated as 7%, and those were who didn't have shelter to live were 4%. The data has been collected from 2016-17 survey regarding measuring the child homelessness in all over the world according to which appropriate measures could be taken to ensure the provision of shelters, homes, education to homeless children effectively and efficiently. The data mentioned above is being reported from two sources, i.e. school districts required to report based on the number of homeless students they serve. In contrast, others belong to the consensus of federally funded homeless shelters and temporary housing programs conducted by the U.S. Department of Housing and urban development.
Child Homelessness Statistics and Survey
Furthermore, the most important thing noticed during this survey is that overall child homelessness affects the mental health of the children and their academic performance. They do not feel comfortable while studying with 13-14 other family members, unsatisfied mind creates mental trouble and become the reason of destruction in overall academic performance. The explanations behind vagrancy in this get-together are extraordinary: many are overcomers of local violence, four and the get-together moreover consolidates uprooted individual families, generally in U.S. Homeless young people are on a very basic level more plausible than everyone, or assessment kids in stable housing, to have conceded development, six learning difficulties, seven and higher speeds of mental prosperity issues (social issues, for instance, rest agitating impact, eating issues, ill will, and overactivity, and energetic issues, for instance, despairing, anxiety, and self-harm).6,8–10 Such issues are not express to down and out families. They occur in various families living in trouble. They are related to threatening life events that rush vagrancy, for example, family breakdown, abuse, receptiveness to for ...
1
11
Impact of Child Homelessness on Mental Health and Academic Performance
Literature Review
Iriana Pinto
Department of Counseling, Webster University
COUN 5850: Research and Program Evaluation
Helen Singh Benn, PhD., LMHC
February 8, 2021
Literature Review
Ironically, homelessness itself a kind of mental torture which automatically creates distress in a person's mind and bitterness about life. A person without having shelter feels uncomfortable; unsatisfied with his life that he cannot feed his family, even the state's policies are not fair enough to support homeless families. Here, in this paper, we discuss child homelessness which is a great threat to child health in terms of mental distress and academic performance (Vostanis, 1998). In a recent survey, there were 1.4 million children experienced homelessness worldwide, about 75% of children experienced homelessness by doubling-up with other families. On the other hand, 15% of children were in shelters, hotels/motels percentage calculated as 7%, and those were who didn't have shelter to live were 4%. The data has been collected from 2016-17 survey regarding measuring the child homelessness in all over the world according to which appropriate measures could be taken to ensure the provision of shelters, homes, education to homeless children effectively and efficiently. The data mentioned above is being reported from two sources, i.e. school districts required to report based on the number of homeless students they serve. In contrast, others belong to the consensus of federally funded homeless shelters and temporary housing programs conducted by the U.S. Department of Housing and urban development.
Child Homelessness Statistics and Survey
Furthermore, the most important thing noticed during this survey is that overall child homelessness affects the mental health of the children and their academic performance. They do not feel comfortable while studying with 13-14 other family members, unsatisfied mind creates mental trouble and become the reason of destruction in overall academic performance. The explanations behind vagrancy in this get-together are extraordinary: many are overcomers of local violence, four and the get-together moreover consolidates uprooted individual families, generally in U.S. Homeless young people are on a very basic level more plausible than everyone, or assessment kids in stable housing, to have conceded development, six learning difficulties, seven and higher speeds of mental prosperity issues (social issues, for instance, rest agitating impact, eating issues, ill will, and overactivity, and energetic issues, for instance, despairing, anxiety, and self-harm).6,8–10 Such issues are not express to down and out families. They occur in various families living in trouble. They are related to threatening life events that rush vagrancy, for example, family breakdown, abuse, receptiveness to for ...
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!
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.
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
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.
- 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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
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
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
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Module 7 Assignment 2 Psy492
1. The Effects of Military Deployments in Children and Families and the Development Of Post Traumatic Stress Disorder Module 7 Assignment 2PSY 492 Advanced General PsychologyBy Diane Garcia-BeckerAugust 14, 2011
20. They may not fully understand why Dad or Mom is gone and they may worry about their safety.
21. They can also be very perceptive to what the parent at home is feeling. These fears may consciously or subconsciously trouble children.
22.
23. The effects of war can extend far beyond the deployed service member. Children and families can struggle with changes resulting from an absent parent or spouse. Families can also face problems when the absent service member returns.
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25. talk to at least one other adult face-to-face every day. involve yourself in the Family Resource Group if you are near a base.
26. be sure to make at least one friend who also has a deployed loved one – those not in the military may not understand.
27. try to remember other times that were tough, but that you got through.
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29. Military outreach programs are resources that can help families prevent social isolation. Interventions for military families are especially important for younger families and those without a prior history of deployments. Tips for family members to cope with deployment Remind yourself that even though you hear regularly about deaths in the military, the vast majority of deployed troops are not harmed. Keep up routines. Try to stick to everyday routines. Familiar habits can be very comforting. Take time out for fun. Don't forget to do things that feel good to you. Take a walk, spend time with your pets, or play a game you enjoy. Take time to listen to each other. Emotions such as fear, anger, and feeling "numb" are normal and common reactions to stress. Family members need to make sure these emotions aren't turned against one another in frustration. It will help you to manage tension if you share feelings, recognize that they are normal, and realize that most family members feel the same way. Limit watching news media programs. Families should minimize TV, radio and web exposure related to the war. News often uses fearful content and images to create a "story."
30. Deployed military women also undergo the same experiences of saying goodbye to their children and their spouse for extended periods of time. Upon returning from serving, women can find themselves without the same support network that male soldiers rely on. While men returning from service may have wives to help them readjust to civilian life, women returning may find that they must immediately become responsible for the family once againand sometimes with limited help from friends and family…… In families where the mother is the primary caretaker of the children, it can be especially difficult to leave their children behind . A study conducted in female veterans of Operation Desert Storm, who had children reported higher rates of emotional problems and mental illness in their children. They also experienced a greater decrease in their quality of life after deployment than males or women serving without children. The children of these moms in service also showed higher levels of emotional disturbance during her absence(Women Veterans of America, 2011).
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32. 11% of the combat force in Iraq and Afghanistan are female (roughly 212,000 troops)
33. 30,000 Single Mothers have deployed to Iraq and Afghanistan as of March 2009
34. In 2008, 2,908 sexual assaults were reports involving service members (9% increase from 2007); Alarmingly, its estimated that more than half of the assaults go unreported
35. As of September 2009, the Department of Veteran Affairs estimated 13,100 homeless female veterans; Women Veterans are up to 4 times more likely to be homeless than non-veteran women
36. 23% of female Veterans have children under 18 years old According to a 2008 study by the RAND Corporation, women develop Post Traumatic Stress Disorder (PTSD) and/or Depression as a result of traumatic experiences at more than twice the rate of men.
37. Potential Research Some of the questions I would ask, that might benefit the research, are: How do we know that babies are not as effected as older children, is it because they can not verbalize their angst? When it is the mother that deploys would the baby be in danger of shutting down in a way because the first person they bonded with is suddenly not there? Could there be a chance for that baby to become a failure to thrive baby? I believe that when we say that babies are not as affected, we need to dig a little deeper on that part of the research, which would serve to give a better and more accurate report. Asking researchers to describe in depth, the trouble that servicewomen have being separated from their families and what strategies they should use to cope and how they should apply those skills to continue to perform their tasks. Are there support groups in the military for families of deployed soldiers? If so, why is this information not highly publicized? This gentle probing question might prompt the researchers to follow-up with providing information to families who are unaware of this resource.
38. Post traumatic Stress Disorder What is post-traumatic stress disorder? Post-traumatic stress disorder (PTSD) is an anxiety disorder that can occur after someone experiences a traumatic event that caused intense fear, helplessness, or horror. PTSD can result from personally experienced traumas (e.g., rape, war, natural disasters, abuse, serious accidents, and captivity) or from the witnessing or learning of a violent or tragic event. How common is post-traumatic stress disorder “Veterans are perhaps the people most often associated with PTSD, or what was once referred to as "shell shock" or "battle fatigue." The Anxiety Disorders Association of America notes that an estimated 15 percent to 30 percent of the 3.5 million men and women who served in Vietnam have suffered from PTSD” (NAMI, 2003).
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41. Medications Selective Serotonin Reuptake Inhibitors (SSRI's) The medications mentioned below are the only FDA approved medications for PTSD . SSRIs primarily affect the neurotransmitter serotonin which is important in regulating mood, anxiety, appetite, and sleep and other bodily functions. Examples of the SSRI's and some typical dosage ranges are: sertraline (Zoloft) 50 mg to 200 mg daily citalopram (Celexa) 20 mg to 60 mg daily paroxetine (Paxil) 20 to 60 mg daily fluoxetine (Prozac) 20 mg to 60 mg daily Other Newer Antidepressants for PTSD ulmirtazapine (Remeron) 7.5 mg to 45 mg daily venlafaxine (Effexor) 75 mg to 300 mg daily nefazodone (Serzone) 200 mg to 600 mg daily Every patient varies in their response and ability to tolerate a specific medication and dosage, so medications must be tailored to individual needs. Research has suggested that maximum benefit from SSRI treatment depends upon adequate dosages and duration of treatment. Treatment adherence is key to successful pharmacotherapy treatment for PTSD. Mood Stabilizers for PTSD Carbamazepine (Tegretol), Divalproex (Depakote), Lamotrigine (Lamictal). Atypical Antipsychotics for PTSD While originally developed for patients with a psychotic disorder, this class of medications is being applied to patients with many other psychiatric disorders including PTSD. They act primarily on the dopaminergic and serotonergic systems and are being used in PTSD for improving hyper arousal and re-experiencing symptoms. Olanzapine (Zyprexa) Risperidone (Risperdal) Other Medications for PTSD Prazosin (Minipress) Tricyclic Antidepressants (such as Imipramine) Monoamine Oxidase Inhibitors (MAOI's) (such as Phenelzine)
42. References Angeli, E., Wagner, J., Lawrick, E., Moore, K., Anderson, M., Soderland, L., & Brizee, A. (2011, April 19). General Format. Retrieved from http://owl.english.purdue.edu/owl/resource/560/01/ Bayse, Gregory (1998) Treatment of PTSD. This is a student produced page of the Department of Psychology at Houghton College, Retrieved August 6, 2011, from http://campus.houghton.edu/orgs/psychology/ptsd/treatment.htm. Burns, Rachel M. Chandra, Anita. Jaycox, Lisa. Scott, Molly, (2008), Understanding the Impact of Deployment on Children and Families, Retrieved July 08, 2011 from http://www.rand.org/pubs/working_papers/2008. Curtis, Jerry (2002-2010). The Effects of Deployment on Military Children, Retrieved July 092011, from http://www.helium.com/items/1731966-the-effects-of-deployment-on-military-children. Cohen, A. (2002). Gestalt Therapy and Post Traumatic Stress Disorder: The Potential and its (lack of) Fulfillment. Gestalt vol.6 No.1, retrieved August 10, 2011, from http://www.g-gej.org/6-1/gestaltptsd.html. Department of Veterans Affairs. (2009).How Deployment Stress Affects Children and Families: Research Findings, Retrieved July 09, 2011, from http://www.ptsd.va.gov/professional/pages/pro_deployment_stress_children.asp. Duckworth, Darrel Colonel Lieutenant (2009), Affects of Multiple Deployments on Families, Retrieved July 09, 2011, from http://www.dtic.mil/cgi-bin/GetTRDoc?Location=U2&doc=GetTRDoc.pdf&AD=ADA498029. Fairbank, J.A., DeGood, D.E., & Jenkins, C.W. (1981). Behavioral treatment of a persistent post-traumatic startle response. Journal of Behavior Therapy and Experimental Psychology, 12, 321-324. http://www.nacbt.org/whatiscbt.htm Frank JB, Kosten TR, Giller EL Jr, Dan E. A randomized clinical trial of phenelzine and imipramine for posttraumatic stress disorder. Am J Psychiatry. 1988; 145:1289-1291. Korn, M. (2002) Recent Developments in the Science and Treatment of PTSD from Medscape .P 4 Para 1&2, retrieved August 10, 2011, from http://www.medscape.org/viewarticle/436398 Mel nick, J. & Nevis, S. M. (1992). Diagnosis: The struggle for a meaningful paradigm. In E. C. Nevis (Ed.), Gestalt Therapy. New York: Gardner Press
Editor's Notes
The deployment of a loved one can impact the entire family. Included will be the signs and symptoms of stress and PTSD within the family, changes in family dynamics, and the treatment for the resulting Post Traumatic Stress Disorder. Children going through a parent’s deployment often experience several of the similar effects as children of divorced families. They are concerned about what will happen to them and they also worry about the non-deployed parent leaving them as well. This paper will also introduce the effectiveness of three therapeutic approaches that can help assist a client and will provide pertinent information that can help develop good coping skills and manage the symptoms of PTSD. Most families are capable of overcoming adversities through family supports, friends, and community. While, others require supplementary assistance from their service providers to help them strengthen resilience, access to needed services, and readjustment to life post-deployment. Service members themselves recognize the need for such services and reducing the stigma of the diagnosis and its treatment is the focus of this review.
Let’s assume that most people are aware of the tribulations that can occur during a deployment of a loved one, but only a few people really know how deep the problem can go. According to Burns, Chandra, Jaycox and Scott (2008) “Caregivers from active component families may benefit the most from assistance in addressing child behavioral and mental health needs. On the other hand, reserve component caregivers may need support with respect to their own mental wellbeing, as they reported slightly more mental health difficulties. During deployment, reserve component caregivers cited more child disengagement, and more challenges with financial well-being. Active component caregivers often conferred more responsibilities on the child (e.g., care of siblings), and these caregivers described having more home responsibilities as well”, (Para 8). The mental and emotional stress that primary caregivers experience can often reach out to their children and the same for the children as they are also dealing with their own stressors of their parent that is caring for them.
One of the most common themes found in the articles selected was the complexity of the emotional and mental tribulations that families suffered during a parent’s deployment. Babies are known to have little difficulty with a parent’s deployment process because of their current age; babies are more concerned about their mechanical needs being met. Older children react in a more observable way when the deployment occurs and thus run into emotional and behavioral problems such as isolation and poor performance at work. The Department of Veteran Affairs states, “Especially for young children, the mental health of the at-home parent is often a key factor affecting the child's distress level. Parents reporting clinically significant stress are more likely to have children identified as "high risk" for psychological and behavioral problems”, (2010, Para 5). Children with pre-existing mental/emotional problems are at greater risk in the process of a parent deploying to have incidents surrounding both issues now.
Several factors are taken into consideration when attempting to research a topic like this for one most people would consider the situation complicated; however, what is not recognized is the inner workings of the change that can take place in the dynamics of the family and how all members of the family are gravely affected. Jerry Curtis a retired Navy Officer writes, “On the other hand…ask any former “Army brat,” to find out whether there is an upside to one-parent absence. Children of military families tend to mature earlier in the face of challenges not normally experienced by other children. They have to be, and are, more independent and resourceful and cope better with transitory friendships. They discover the true strength of family lifeand quickly learn how to tap into the resources of their larger military family”, (2009, Para 9). I was pleased to see that there is an upside to all of this and that when the children get older, they will appreciate what their deployed parent did for their country.
Duckworth (2009) a lieutenant in the US Army during the ongoing efforts in Afghanistan and Iraq reported that balancing a workload while in service and supporting a family is not easy. Most often individuals join the service to expand a brighter future for their country and consequently their families; but in most cases fail to realize the high deployment rates and end up feeling as if they may have gotten in over their heads, (Para 2). Soldiers need to be alert and focused on what they are doing and the strategy of knowing when they can relax and think about their families and write letters home is difficult at best.
Presently there are three counseling theories that are particularly effective in the treatment of PTSD in Veterans Cognitive Behavior Therapy, which includes techniques, designed to manage anxiety. Such as relaxation training, stress inoculation training, cognitive restructuring, breathing retraining, biofeedback, social skills training, and distraction techniques (Fairbank, De Good, & Jenkins, 1981; Foa, et al., 1995; Hyer, 1994; Muse, 1986)”, (Bayse, G. 1998 Para 5). Cohen describes problems associated with PTSD by stating, “From a Gestalt therapy perspective, PTSD characteristics may be viewed as indications of "unfinished business.” Specifically, because of the indicated symptoms of the trauma that seem to demonstrate the following:
An attempt to assimilate an experience that is not assailable. Repeated unsuccessful attempts in completion of the cycle of experience. Dissatisfaction with one's responses to the unusual circumstances. An existential reminder of one's mortality. This author continues to suggest that Gestalt therapy could be used to assist the client in coping with their disorder and how they can strive to achieve to have a better quality of life. “Therapy should focus, first, on enabling the client to turn away from the traumatic figure (perhaps the memory of a loved one, addiction, or the concept of invulnerability). In the second stage, therapy should guide the client gradually through the process of assimilation in which emotions could be discharged at a proper pace simultaneously with the development of a proper repertoire for energy draining. Working through the third stage, encountering the void, is most difficult, but when completed, leads to acknowledgement of the emergence of something new about the self. Thus, according to Mel nick and Nevis, after successful therapy, the client will not only be symptom free, but will also acknowledge a gain from the traumatic experience,” (Cohen, A. 2002). The focus of this therapy is to allow the client to go through the traumatic events in these stages so that he/she can learn to live life in the here and now without fear or isolation.
Using a Psychopharmacology approach to treatment is also very useful and according to Korn, M (2002) “Numerous psychopharmacological treatment interventions have been tried in patients with PTSD, including tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), benzodiazepines, and mood stabilizers. Although all have been effective to some degree, the SSRIs may be particularly effective and only paroxetine and sertraline are FDA approved for the use in this disorder. Frank and colleagues demonstrated that both imipramine and phenelzine decreased symptoms of PTSD; however, the difficulties in utilizing these agents as well as their inferior safety profile limit their utility. Connor and colleagues demonstrated that fluoxetine was superior to placebo in a civilian population. Fluoxetine was helpful in alleviating many symptoms associated with PTSD, including emotional numbing, intrusive thoughts, hyper arousal, and avoidance. This indicates that this medication is going beyond the alleviation of one’s anxiety and depression; which are associated symptoms frequently present in this disorder”, (P 7 Para 1&2).