This document discusses an integrative approach to pain relief using biomedicine, Chinese medicine, and science. It provides an overview of pain management techniques from both Western and Traditional Chinese Medicine (TCM) perspectives, including acupuncture and auricular therapy. TCM aims to treat the whole person and regulate yin and yang, while biomedicine focuses on analgesics. An integrated approach can reduce pain symptoms and side effects while improving recovery and quality of life.
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.
CME presentation made on 10th Nov 2012. Discusses a Radiation Oncologist's perspectives of cancer pain management, shortcomings of WHO pain ladder, ASTRO guidelines for metastatic bone pain.
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.
CME presentation made on 10th Nov 2012. Discusses a Radiation Oncologist's perspectives of cancer pain management, shortcomings of WHO pain ladder, ASTRO guidelines for metastatic bone pain.
An Exploration of Acupuncture Treatment to Meniere’s Disease by Tong Zheng Hong by Advancements in Bioequivalence & Bioavailability
Yin-Yang balance is absolutely the unique concept of traditional Chinese medicine (TCM) that distinguishes TCM from the Western medicine. A disease indicates a loss of the balance of Yin-Yang. The research shows acupuncture combined with western medicine comprehensive treatment (WMCT) can be more effective for the symptoms of Meniere’s disease such as vertigo and dizziness, but it remains uncertain whether acupuncture is good for hearing loss.
Chronic pain: Role of tricyclic antidepressants, dolsulepinSudhir Kumar
Chronic pain is common. Depression often co-exist with chronic pain. This article looks at the pathophysiology, prevalence of chronic pain and depression. The role of TCA, especially dosulepin and amitriptyline has been discussed.
Course 5 psychological aspects of chronic painNelson Hendler
The Power Point outlines the many attempts to explain the co-existence of chronic pain and psychological issues. It list various psychological tests used to assess chronic pain, and compares them.
Unless we aim to correct the manifest psycho-somatic disassociation as well as the underlying ignorant jaundiced perception of reality in the individual, we are not practicing Yoga Chikitsa (Yoga therapy). Managing and suppressing the manifest symptoms with Yoga techniques is just as good or bad as modern Allopathy that focuses on symptomatic management without ever getting close to the real cause of most disorders. How many doctors look at the emotional and psychological issues that are the primary cause of the problem in so many of their patients? When Yoga therapists make the same mistake of merely treating the manifesting symptoms without remedying the cause, it is better referred to as Yogopathy.
This article by Dr Ananda appeared in the Summer 2011 issue of Yoga Therapy Today, an excellent publication of by the International Association of Yoga Therapists (IAYT), USA. www.iayt.org
Effective pain management in terminally ill requires
Understanding of pain control strategies
Ongoing assessment
Diagnosis of pain
Breakthrough pain relief
Fine adjustment of medications
Opioid rotation
Unresolved psychosocial or spiritual issue can be great impact to pain management
An Exploration of Acupuncture Treatment to Meniere’s Disease by Tong Zheng Hong by Advancements in Bioequivalence & Bioavailability
Yin-Yang balance is absolutely the unique concept of traditional Chinese medicine (TCM) that distinguishes TCM from the Western medicine. A disease indicates a loss of the balance of Yin-Yang. The research shows acupuncture combined with western medicine comprehensive treatment (WMCT) can be more effective for the symptoms of Meniere’s disease such as vertigo and dizziness, but it remains uncertain whether acupuncture is good for hearing loss.
Chronic pain: Role of tricyclic antidepressants, dolsulepinSudhir Kumar
Chronic pain is common. Depression often co-exist with chronic pain. This article looks at the pathophysiology, prevalence of chronic pain and depression. The role of TCA, especially dosulepin and amitriptyline has been discussed.
Course 5 psychological aspects of chronic painNelson Hendler
The Power Point outlines the many attempts to explain the co-existence of chronic pain and psychological issues. It list various psychological tests used to assess chronic pain, and compares them.
Unless we aim to correct the manifest psycho-somatic disassociation as well as the underlying ignorant jaundiced perception of reality in the individual, we are not practicing Yoga Chikitsa (Yoga therapy). Managing and suppressing the manifest symptoms with Yoga techniques is just as good or bad as modern Allopathy that focuses on symptomatic management without ever getting close to the real cause of most disorders. How many doctors look at the emotional and psychological issues that are the primary cause of the problem in so many of their patients? When Yoga therapists make the same mistake of merely treating the manifesting symptoms without remedying the cause, it is better referred to as Yogopathy.
This article by Dr Ananda appeared in the Summer 2011 issue of Yoga Therapy Today, an excellent publication of by the International Association of Yoga Therapists (IAYT), USA. www.iayt.org
Effective pain management in terminally ill requires
Understanding of pain control strategies
Ongoing assessment
Diagnosis of pain
Breakthrough pain relief
Fine adjustment of medications
Opioid rotation
Unresolved psychosocial or spiritual issue can be great impact to pain management
No poison can kill a positive thinker and no medicine can cure a negative thinker. Pain is a complex perceptual experience. Pain is a major public health problem. Beat back pain without surgery and conquer pain without painkillers. Delays have dangerous ends. Knee braces invite injury. Chronic pain affects one in three people in the United States. There are more Americans suffering from chronic pain than with diabetes, heart disease, and cancer combined. Chronic pain is caused by degeneration, illnesses, injuries, surgeries, and treatment side effects. Pain is a major public health problem and is the most common reason why Americans use complementary and integrative health practices. Recent imaging evidence suggests a possible hypothalamic origin for a headache attack, but further research is needed. A migraine is associated with a modest increase in the risk of ischemic stroke.
Pain management: An Interdisciplinary Approach | VITAS HealthcareVITAS Healthcare
Pain management is first and foremost in a hospice patient’s plan of care. Hospice provides comfort and quality of life near the end of life, and hospice providers are experts at managing pain. The goal of this webinar is to help healthcare professionals understand all aspects of a patient’s pain as a symptom near the end of life, and how to utilize an interdisciplinary approach to provide the most effective pain management.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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!
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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.
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Pain relief
1. Pain Relief
Integrative Approach:
Biomedicine/Western Medicine
Chinese Medicine
Science
Presented by:
Dr Katalin Csoka
L.Ac., Diplomate in Acupuncture, Ph.D., M.D. (Hungary)
Website: www.biorient.com
2. Contents:
I. Facts
What is Pain?
Clarification on pain-related terms
Characteristics of pain
Pain management/Facts
Treatment of pain (East-West)
Traditional Chinese Medicine-TCM
TCM Treatment Modalities
Auricular Pain Management
Integration of TCM with Western Medicine
Advantages of TCM
II. Summary
3. What is Pain?
Pain is a feeling triggered in the nervous system.
Pain may be sharp or dull. It may come and go, or it may be constant.
You may feel pain in one area of your body.
Pain can be helpful.
Without pain, you might seriously hurt yourself without knowing it,
or you might not realize you have a medical problem that needs
treatment. Once you take care of the problem, pain usually goes
away. However, sometimes pain goes on for weeks, months or even
years. This is called chronic pain. Sometimes chronic pain is due to
an ongoing cause, such as cancer or arthritis. Sometimes the cause is
unknown.
4. Clarification on pain-related terms
The word pain used without a modifier usually refers to physical
pain, but it may also refer to pain in the broad sense, i.e. suffering
Nociception, the unconscious activity induced by a harmful stimulus
in sense receptors, peripheral nerves, spinal column and brain
Qualifiers, such as mental, emotional, psychological, and spiritual,
are often used for referring to more specific types of pain or suffering
The term unpleasant or unpleasantness commonly means painful or
painfulness in a broad sense
5. Certain characteristics of the pain
Quality
Intensity
Localization
Radiation
Frequency and Duration
Onset and Offset
Exacerbating Factors
Ameliorating Factors
6. Cont….Certain characteristics of the pain
Localization of pain
Referred pain
Pain threshold
Pain tolerance
hyperalgesia
hypoalgesia
pain scale
7. Pain management
Multidisciplinary approach
Pharmacologic measures-analgesics/anesthesia
Physical exercise,
Psychological measures
Medical specialties
Anesthesiologist, Neurologist, Physiatrists or Psychiatrists
Physiotherapists, Chiropractors, and Occupational Therapists
Complementary and Alternative Medicine (CAM)
Traditional Chinese Medicine, herbal medicine, acupuncture
Nutritional Supplements
Hypnosis
8. Fact #1
*Sources:
Pain – 76.2 million people, National Centers for Health Statistics
Diabetes – 20.8 million people (diagnosed and estimated undiagnosed), American Diabetes Association
Coronary Heart Disease (including heart attack and chest pain) and Stroke – 18.7 million people,
American Heart Association
Cancer – 1.4 million people, American Cancer Society
Highlights from the National Center for Health Statistics Report: Health, United States, 2006, Special
Feature on Pain1
9. Fact #2
The annual cost of chronic pain in the United States,
including healthcare expenses, lost income, and lost
productivity, is estimated to be $100 billion.
When asked about four common types of pain,
respondents of a National Institute of Health
Statistics survey indicated that low back pain was
the most common (27%), followed by severe
headache or migraine pain (15%), neck pain
(15%) and facial ache or pain (4%).
10. Treatment of Pain
Fortunately, there are many ways to treat pain.
Treatment varies depending on the cause of pain.
P a in R e lie v e r s
TC M , A c u p u nc tu re
S urg e ry
11. 1. Pain Relievers
The major classes
Paracetamol and NSAIDs
COX-2 inhibitors
Opiates and morphinomimetics
Specific agents
Combinations
Topical or systemic
Psychotropic agents
Atypical and/or adjuvant analgesics
ADDICTION! ADVERSE EFFECTS! INTERACTIONS!
12. 2. TCM, Acupuncture
Zhou dynasty (1128-220 BC) for orthopedic pain conditions
Ming/Qing dynasties (1368-1644)
Diagnostic techniques + physical rehab + physical modalities:
Heat Therapy
Moxibustion
Massage and Manipulation of tissues and joints
New Millennium:
Transdisciplinary Assessment
13. What is Traditional Chinese Medicine (TCM)?
TCM is defined as a medical science governing the theory and
practice of traditional Chinese medicine. It includes:
Chinese medication,
pharmacology/herbalogy, acupuncture,
Massage,
Qigong.
There are fundamental differences in TCM and the western medical
system. With some understanding of Chinese culture and
philosophies, it may help one to see through and start to appreciate
the value of TCM.
Colleges of traditional Chinese medicine and acupuncture have been
founded in France, US, Italy and Australia.
Cooperation in TCM has been established between China and Japan,
the United State and Germany.
14. Traditional Chinese Medicine
Traditional Chinese medicine is a range of traditional medical
practices used in China that developed during several thousand years.
It is a form of Oriental medicine, which includes other traditional
East Asian medical systems such as Japanese and Korean medicine.
TCM says processes of the human body are interrelated and
constantly interact with the environment. Therefore the theory looks
for the signs of disharmony in the external and internal environment
of a person in order to understand, treat and prevent illness and
disease. TCM theory is based on a number of philosophical
frameworks including the Theory of Yin-Yang, the Five Elements,
the human body Meridian system, Zang Fu theory, and others.
Diagnosis and treatment are conducted with reference to these
concepts. TCM does not usually operate within a scientific paradigm
but some practitioners make efforts to bring practices into an
evidence-based medicine framework. (From Wikipedia, the free
encyclopedia)
15. What is PAIN by Traditional Chinese Medicine
(TCM)?
Qi and Blood stagnation!
Qi stagnation - distension
Blood stagnation - PAIN
16. C o n t …. T C M , A c u p u n c t u r e
N e w S t u d ie s C o n f ir m
A c u p u n c t u r e R e lie v e s P a in
MRI Scans Provide Objective Evidence that Treatment Works
"I t is important for W estern medicine to recognize that these
acupoints really mean something in regard to pain relief,"
"So many people with pain, whether from cancer, headache or
a chronic, unexplained condition, rely on medications such as
morphine, which can become addicting.
A c u p u n c t u r e a s n o s id e e f f e c t s ,
and other studies have shown the pain relief it provides can
last for months."
17. C o n t …. T C M , A c u p u n c t u r e
Pain related conditions commonly treated by licensed
acupuncturist:
Anxiety/Depression
Arthritis/Joint problems (TMJ, etc)
Back and Neck pain
Colds/Influenza
Cough/bronchitis
Effects of chemotherapy
Fibromyalgia
GI problems (IBS, Crohn’s disease, etc)
Headache/Migraine
Muscolosceletal injuries
PMS
Paralysis/Numbness
Sciatica
Skin problems
Tendonitis
…..many MORE
20. Integration of
TCM with Western Medicine
Western biomedicine emphasizes:
Analgesics (pain relievers)
TCM aims:
Overall condition of patient
Regulating Yin and Yang
Treating the disease by pattern identification
Side effects are minor
Less invasive
Generally more acceptable to patients
21. cont. Advantages of TCM
TCM has certain advantages:
Enhancing the immune system
Reinforcing the body’s Vital Qi
Cultivating the Root
Preventing, correcting, reducing iatrogen pain
due to surgery, radio-and chemotherapy
22. cont. Advantages of TCM
The combined approach shows significant improvement
in the efficacy of Western medicine:
Reduces symptoms associated with pain
Treats the side-effects of Western interventions
Enhances recovery time
Raising Quality of life
Reducing recurrence
Alleviating sufferings (pain)
23. Q&A
Is pain preventable?
Examples from my practice
Q&A
24. Summary
Chinese medicine can
be used as part of an
overall treatment
strategy to bring new
hope to patients with
PAIN.