An AC drive is a device used to control the speed of an electrical motor. The speed is controlled by changing the frequency of the electrical supply to the motor.
Café, cafeicultores, colheita antecipada, chuvas, MG, Minas Gerais, 18º Simpósio Brasileiro de Pesquisa em Cafeicultura Irrigada, frutificação do café, manejo nutricional e fitossanitário, Governo Federal, estoques públicos, leilão, El Niño, Brasil, soja, café conilon, agronegócio, açúcar, preços, ABN Amro
Il SEO è morto? Scenari attuali e prospettive future.cosenzaLab
La fine dell’Ottimizzazione per i Motori di Ricerca viene ciclicamente annunciata da qualche anno. Come stanno realmente le cose? Ha ancora senso, alla luce degli ultimi cambiamenti, fare SEO? E qual è il ruolo dei social network?
An AC drive is a device used to control the speed of an electrical motor. The speed is controlled by changing the frequency of the electrical supply to the motor.
Café, cafeicultores, colheita antecipada, chuvas, MG, Minas Gerais, 18º Simpósio Brasileiro de Pesquisa em Cafeicultura Irrigada, frutificação do café, manejo nutricional e fitossanitário, Governo Federal, estoques públicos, leilão, El Niño, Brasil, soja, café conilon, agronegócio, açúcar, preços, ABN Amro
Il SEO è morto? Scenari attuali e prospettive future.cosenzaLab
La fine dell’Ottimizzazione per i Motori di Ricerca viene ciclicamente annunciata da qualche anno. Come stanno realmente le cose? Ha ancora senso, alla luce degli ultimi cambiamenti, fare SEO? E qual è il ruolo dei social network?
This workshop, presented at YAI International Conference 2012, provides a brief overview of person-centered planning, particularly essential lifestyle planning.
Better Communication in Nursing - Ending Nursing Violencegriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
How can we speak differently in order to affect policy, public opinion and public will about the importance of affordable, quality homes? This introduction to strategic communication will equip you to have transformative conversations about housing needs in your community. You’ll leave with a new set of tools and a fresh way of thinking about your communications.
Presenters
Patrick Bresette, Public Works
Matt Kinshella, Neighborhood Partnerships
Kym’s expertise and thirst for maximizing love and respect for older adults while striving to improve their daily living has been all-consuming and her mission for over 10 years. This passion has been validated daily by seeing all those beautiful aging adults living happy, healthy lives to their fullest in their chosen environment.
Her knowledge and creativity has made her one of the most respected marketing professionals in the area of Senior Care in Los Angeles. With sustained occupancy of at least 94% between two established assisted living communities and a flagship Medicare only skilled nursing facility, Kym has proven herself a top producer. Cultivating new partnerships and realigning inactive or low-producing community resources has increased healthcare referrals by 58% excluding placement agencies.
When she’s not busy with her career, she enjoys her community involvement as a board member for the Greater Los Angeles Parkinson’s Disease Association, where she helped raise $326K. She averaged 45% growth annually in walkathon fund-raising as event chair since 2008. At home, you can find Kym volunteering at the local senior center or submerging herself in her church callings.
Kym has spent the last 6 years commuting in to the Beverly Hills and Hancock Park areas daily from her home in Simi Valley where she lives with her 20-year-old daughter. The 101 Freeway has won the ongoing challenge; she now spends most of her time assisting the elderly in the San Fernando Valley and Ventura County. Football, cooking and entertaining remain some of Kym’s favorite pastimes as well as jaunts to the beach in her convertible.
Consistent with her commitment to preserve the independence of older adults for as long as possible, she has helped hundreds of seniors and their families find a home where they could live out their lives with dignity and respect while building key healthcare partnerships throughout Los Angeles.
CONTACT KYM AT FOREVER YOUNG TO FIND OUT HOW TO LINK TO SENIOR CARE RESOURCES IN YOUR AREA!
C: 805.490.4076
kym@4everyoungca.com
www.linkedin.com/in/kymeguy
1. Top Caregiver Duties to Know.
2. Caregiving Tips and Tricks to Ease Caregiving Problems.
3. Assisted Living & In-Home Care Compared.
4. Understanding the role of caregivers.
5. Hiring a Private Caregiver.
6. Mistakes to avoid when hiring a caregiver.
Most of us don't think twice about doing our daily life routines, i.e., getting out of bed, walking to the bathroom, brushing our teeth, and eating breakfast. These simple activities we do without much thought or effort are called Activities of Daily Living, or ADLs.
With over 15 years in the healthcare and advertising arena and my relationships in the community, you can count on my knowledge and expertise to get you through this emotionally overwhelming process. Call Today!
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
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!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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
- 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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
3. Who We are B
Community Living Trust Therapy Services
Jackie
Liz
4. L
termInology L
Patients: service users, clients, people we support,
subjects, residents
Helpers: Support people, paid workers, volunteers,
family members, friends, nurses
Leaders: therapists, educators, team leaders,
managers, service co-ordinators
5. PatIent dIgnIty J
Patients are not just loads. They don’t have handles.
They come in different shapes and sizes. They have
feelings. They need to be handled safely, with care
and dignity.
Patient handling and quality of care are dependent on
staff safety and competence.
Quote from Section 2 Why Moving and Handling Programmes are Needed June 2011 Draft.
8. Who IS the clIent? J
Person referred
Person's family
Paid support people – home and vocational
Friends or anyone else who assists transfers
9. JugglIng
PrIorItIeS
Safety
Independence
Maintaining ability to stand
Duty of care
Dignity of risk
Family/ethnic culture
Dignity
Level of understanding
Right to work in a safe environment. A home becomes a
work environment.
Who makes the decision?
10. BehavIoural
ISSueS L
Communication
Timing
Motivation
Medication
Natural rhythms
Hitting, biting, head banging
Underlying issues for Behaviour
12. Peter
L
Peter is very frail and unable to transfer on his own
Lives in own home with family support
Family do not want a hoist in the home
Also has paid carer coming into his home
He needs regular position changes
when the book don't work
challenging the boundaries 2012
13. Sam
J
• Not walking
• Was using standing hoist to remove pants and go to
the toilet
• No longer weight bearing effectively for standing
hoist. Relying on extensor tone.
• Full hoist now required, however cannot get pants
down even in a hygiene sling
• To use the full hoist requires clothing to be managed
on the bed, this now involves many transfers to use
the toilet
when the book don't work
challenging the boundaries 2012
14. mary-Jane
J
Elderly woman with CP
Very frail skin ‘tissue paper’
Decreasing physical and cognitive ability
Too unsafe for standing hoist, has had falls and staff
want/need to use full hoist
Mary-Jane very distressed about change
when the book don't work
challenging the boundaries 2012
15. Jack
L
18 year old man with C.P.
Significant I.D. + P.D. – no reliable communication
Loss of ROM in all joints
Low bone density “density of a 90 yr old”. #’s on
movement. Currently #R patella #L humerus
High pressure risk – currently ulcer on sacrum and
gluteal crease
Frequent seizures
Lives with his mother. Goes to several places for
respite care
when the book don't work
challenging the boundaries 2012
16. BIll
L
Lives in residential service
Varied level of ‘skill’ in the team
“easy to lift”
Refusal from team to use hoist and sling
“hoist too hard, not enough space, takes too long”
Staff’s right to choose to do this?
when the book don't work
challenging the boundaries 2012
17. rangI
J
• Mobile but occasionally falls
• Once on floor difficult to get up
• There is no hoist – and does not meet funding criteria
for one in the home
when the book don't work
challenging the boundaries 2012
18. hoW do you?
B
Transfer from seat onto a prone wedge?
19. Assist a person into a
swimming pool
where there is no
pool hoist?
20. Position
someone in a
contoured
seating system
without lifting,
bending and
twisting?
21. IS there more to
conSIder aBout?......
Physical closeness
“Therapeutic handling”
Essentials of life
Dignity of risk
Fitness of support person
Gender considerations
Cultural considerations
Jackie Families for those living at home + in residential
Jackie – risks for support person -Not evaluating the situation LITE Liz Risks for clients Injury clients losing function Losing independence and Risk of closing peoples lives down Losing opportunity to gain strength and skills e.g. Corey dignity motivation Pressure risks, seizures, medical
Jackie
LIZ Duty of care Dignity of risk - Liz story Right to choose Cognitive ability of client, family, support people Tension between home and work
Liz These effect how we approach MH
Handouts given out here break into groups here Use these as starting points for discussions
Liz Peter does not like it Hoist takes up too much space Family not confident in using hoist What are the concerns? List questions for participants to answer e.g why might they not want a hoist in the home? How can this be resolved? Employer policy is not to lift Who’s concern is priority? Ceiling hoist Size of house Ability of family to learn to use the hoist
Jackie Sam is a woman Mechanical solutions? Look up “she wee” Risk of wheeling person around house in hoist
Jackie What is priority? Can Mary-Jane choose not to use the hoist? Options other than a hoist? “ duty of care”? Friction and shear Sleeves and cuffs (bring example) skin care
Liz Reduced transfers but also needing to change position Need to support legs during transfers – often only one person present. weight of cast put pressure on femur as it became a fulcrum therefore had to support femur to prevent further # at school leg carried How do you get sling on him? Para-silk sling reduced need to put sling under him Spinal rod inserted for scoliosis – not able to lie prone for 1 year. Not able to lie on right due to # humerus or left due to # patella Seizures triggered by pain and stress All ulcers occurred following hospital admission Transported in hoist !!!! From bed to wheelchair in lounge as wheelchair with leg extensions would not go through door. Foot up on battery pack of hoist Used tilt in WC, + tilt to get him seated correctly in WC obtained equipment to use in other settings + lazy-boy, encouraged weight increase by supplementing intake, work with hospital, slide sheet Alternating air increased seizures – sound proof bag Used cushions to support humerus when that was the only #
Spare Is there room to compromise?
Spare What do you do? Decrease option for mobility? Call an ambulance? Staff training on how to get up – maybe a ‘lift’? Jackie to check with Enable re funding question