Health complications of various forms of tobacco such as Chewing tobacco, Snuff, Creamy snuff, Dipping tobacco, Gutka, Snus, Cigarette, Cigar, Bidi, Kretek and Hookah are discussed in this presentation.
It gives insight into why tobacco smoking is harful and what strategies one should adpot to quit smoking. Some interesting snapshots makes the point clear to all
Health complications of various forms of tobacco such as Chewing tobacco, Snuff, Creamy snuff, Dipping tobacco, Gutka, Snus, Cigarette, Cigar, Bidi, Kretek and Hookah are discussed in this presentation.
It gives insight into why tobacco smoking is harful and what strategies one should adpot to quit smoking. Some interesting snapshots makes the point clear to all
Cigarette smoking is one of the major preventable causes
of morbidity and mortality all over the world.
• According to World Health Organization (WHO, 2018)
Tobacco is the second major cause of death. It is currently
responsible for the death of 1 in 10 adults.
GPCS organised a short awareness programme on World No Tobacco Day on 31st May 2021. Apart from 31 NCC Cadets, more than 50 senior students were also present. The programme was concluded with Pledge taking movement.
It is a slide show about tobacco. It can be used for college seminars & other seminar related to cancer or tobacco......For description you can collect info's from internet of all slides.....A little editing is required as your need....
Cigarette smoking is one of the major preventable causes
of morbidity and mortality all over the world.
• According to World Health Organization (WHO, 2018)
Tobacco is the second major cause of death. It is currently
responsible for the death of 1 in 10 adults.
GPCS organised a short awareness programme on World No Tobacco Day on 31st May 2021. Apart from 31 NCC Cadets, more than 50 senior students were also present. The programme was concluded with Pledge taking movement.
It is a slide show about tobacco. It can be used for college seminars & other seminar related to cancer or tobacco......For description you can collect info's from internet of all slides.....A little editing is required as your need....
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
It is a brief discription of cancer . In this ppt some important key words are discribed. It is very important for everyone.you should download the ppt for your personal and educational purposes.cancer is the two types first one is benins tumor and second one is malignant tumor. Benine tumor is the tumor that where it is originated and at the end it is present here but malignant tumor is that it sperate whole body.
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
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
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
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- 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
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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.
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
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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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. Smoking remains one of the leading causes of
preventable illness, disability and premature death in
Canada.
4 people die every day in Saskatchewan from tobacco
related diseases.
Secondhand and third hand smoke affects others who are
exposed to tobacco smoke including children and pets.
Two thirds of people who smoke are thinking of quitting.
www.makeapact.ca
3. About 77% of people in Saskatchewan
do not smoke.
• Saskatchewan has one of the highest cigarette
smoking prevalence rates in Canada.
• Consistent with national trends, smoking
prevalence is highest among 20-24 year olds.
• Prevalence of smoking among 15-19 year olds
is higher in Saskatchewan than the national
average.
Government of Saskatchewan 2012
4. Teenage smokers are more likely to have seen a
doctor or other health care professionals for an
emotional or psychological complaint.
Teens who smoke are:
3 times more likely than nonsmokers to use
alcohol,
8 times more likely to use marijuana and
22 times more likely to use cocaine.
Smoking is associated with a host of other risky
behaviors such as fighting and engaging in
unprotected sex.
WHO: Tobacco Free Initiative 2014. Health effects of smoking among young people.
5. Impact on Mental Health
• 50-90% of mental health patients smoke
• 50% of all cigarettes smoked are by mental health patients
• 50% of smoking related deaths are mental health patients
• Tobacco smoke affects absorption and metabolism of some
medications
CMHA April 2011
6. 6
Tobacco use is a health issue
affecting the lives of everyone…
and is not “just a habit” but an
• Nicotine - powerful drug, as addictive
as heroin or cocaine for some
ADDICTION
7.
8. Quitting Tobacco
There are many reasons for quitting:
• Health is usually the primary reason
• CO$T can be a factor
Other motivators can play a role, such as the arrival of a new baby or the
purchase of a new home or vehicle….
When talking about tobacco use, it is important to ask about all forms of
tobacco such as cigarettes, pipe, cigars, water pipes and spit tobacco….
No matter how tobacco is used, it has immediate & long-term health risks
8
9. 9
5 STEPS FOR QUITTING TOBACCO
1. GET READY
2. GET SUPPORT
3. LEARN NEW SKILLS & BEHAVIOURS
4. GET MEDICATION & USE IT CORRECTLY
5. BE PREPARED FOR RELAPSE
Having a Quit Plan is important to be
successful in quitting tobacco
10. 10 % of
smoking is the
addiction to
nicotine
90% of smoking is:
Habit and Routine
Positive association –
with coffee, on the
phone, lunch breaks,
etc
Socialization –fun with
friends, gives you a
break, a reward, etc.
Coping mechanism –
when you are
stressed, depressed,
angry, etc.
This is actually the
hard part of quitting. If
you do some work on
learning how to make
new habits, routines,
coping mechanisms,
etc. then you have a
better chance of
staying quit.
11. Nicotine Withdrawal
• Fear of withdrawal can be a major barrier to
quitting
• Not all experience withdrawal
• Worst symptoms subside in just 72 hours &
cease in 7-10 days
• Psychological symptoms:
strong cravings mood swings
anxiety crankiness
depression insomnia
11
Source: Ferguson.T. New York:Ballantine Books: Women and Tobacco
12. What about Nicotine Replacement
Therapy (NRT) ?
• Patch, gum, inhaler, lozenge and mist spray are available for
purchase over the counter at supermarkets and
pharmacies.
• Delivers clean nicotine at gradual doses
• Doubles quit rate
• With counseling, quit rate doubles again
• Products have precautions
12
Patient concerns:
• 69% smokers believe NRT products as harmful as cigarettes
• Individuals need to receive accurate advice and clear
reassurance on safety of products
•British Thoracic Society 2004
13. NRT Precautions
• Cardiovascular Disease - caution in patients who have had a heart attack;
physician to review if even recent or disease unstable *
• Diabetes - nicotine affects blood sugar levels so need to monitor *
• Pregnancy - behavioral support first; if not successful in quitting need to
weight risk benefit of NRT. Risks to unborn baby less than from continued
smoking *
• Breastfeeding - NRT reduces infants exposure to nicotine; use gum for
example 2-3 hours prior to bf; if patch, remove at night *
• Adolescent - consider if highly nicotine dependent or history of failed
previous attempt without NRT; combination of counseling, peer and family
support and for some, NRT, is best approach *
Use of NRT should be discussed with physician and closely
monitored with these groups
* literature & research reviews
13
14. Pharmacotherapy available by prescription:
• Champix® (varenicline)
• Zyban® (buproprion)
• Start 7-14 days before quit date: to achieve
steady state of blood levels of the drug
14
Refer to: www.rxfiles.ca
For current information on Tobacco/Smoking Cessation
Pharmacotherapy
15. “ If I quit smoking, I’ll gain weight..”
• 2/3 of people do gain weight: less than 10 lbs
• True Cause of weight gain:
– high fat, high calorie foods
– enhanced taste & smell
– lack of exercise
EAT RIGHT by following “Canada’s Food Guide to Healthy Eating” and stay
active
“ Weight can be lost, lungs cannot”
… Average smoker would have to gain 125 lbs above their
recommended weight to have the same health risk as smoking one
pack of cigarettes per day
15
16. Tobacco Intervention is the single
most effective step to lengthen &
improve patients’ lives
With intervention there will be:
- a significant reduction in number of tobacco users &
reduced exposure to secondhand and third hand
tobacco smoke
- a decrease in tobacco related disease
- a lowering of healthcare costs
16
17. Brief ( 3 – 5 minutes or less) tobacco
intervention encourages smokers to:
• think about their smoking
• consider disadvantages of smoking
• consider benefits of quitting
• Even those not ready to quit benefit from
intervention & self-help materials to increase their
awareness & motivation to quit
17
18. 18
Research shows that just by asking an individual “Do you
smoke?” is not enough to motivate them to quit.
All health professionals need to advise and assist patients
in their attempt to quit.
This is accomplished with the implementation of the 5 A‟s
of Tobacco Cessation Intervention.
5 A‟s
19. 19
Ask - about tobacco use
Advise - to quit in a clear, strong &
personalized manner
Assess - willingness & readiness to quit
Assist - for quitting
Arrange - for counseling & pharmacotherapy
The best way to intervene is with the
Best Practice…..
5 A‟s of Tobacco Cessation
Intervention
* developed by the National Cancer Institute & Agency for Healthcare Research & Quality
supported by the World Health Organization
20. Transtheoretical Model/
Stages of Change
Prochaska and DiClemente 1983
1. Pre-contemplation
• Not really thinking about quitting
• If challenged, will probably defend their smoking
behaviour
• May be discouraged about previous attempts to
quit or believe they're too addicted to ever stop
smoking
– As a clinician you can:
» Raise doubts
» Discuss natural consequences
21. 2. Contemplation
• Considering quitting sometime in the near future
(probably six months or less)
• More aware of the personal consequences and
consider smoking a problem that needs resolution.
• Open to receiving information about smoking and
identifying the barriers that prevent them from
quitting.
– As a Clinician you can :
» Discuss costs and benefits of changing and not
changing
» Explore ambivalence
» Critical thinking
» Develop change options
» Provide education
22. 3. Preparation/Determination
• Made the decision to quit and are getting ready to
stop smoking.
• Taking small steps towards quitting - smoking fewer
cigarettes
• Planning to quit within the next 30 days or have set
a quit date.
–As a clinician you can:
»Set goals and action plans
»Identifying barriers to change and making plans
to deal with barriers
»Provide encouragement and support
»Connect with resources
23. 4. Action
• People are actively trying to stop smoking
• This stage, generally lasting up to six months, is
the period during which smokers need the most
help and support.
–As a clinician you can:
»Normalize loss of comfortable old ways
»Continue to work on step-by-step realistic goals
»Help establishing new routines
»Provide positive reinforcement
24. 5. Maintenance
• Person has learned to anticipate and handle
temptations to smoke and is able to use new ways of
coping with stress, boredom and social pressures
• May slip and have a cigarette, they try to learn from
the slip so it doesn't happen again. This helps to give
them a stronger sense of control and the ability to
stay smokefree.
– As a clinician you can:
» Continue goal planning
» Relapse prevention planning
» Provide support and encouragement for alternative
social and recreational activities
» Reinforce commitment
Adapted from 5 Stages to Quitting Health Canada 2009.
25. 6. Relapse
When the person falls back to an earlier stages of change.
–As a clinician you can:
»Focus on elements of past progress, not present
“failures”
»Recognition of warning signs
»Encourage recovery based activities
»Re-engaging support system
»Back to basics
26. 5Rs of Motivational Interviewing
RELEVANCE
• “Do you feel quitting smoking is an important
thing to do for yourself and others around
you?”
RISKS
• “What effect do you think your continued
smoking will have on you and others around
you?”
27. ROADBLOCKS
• “What is stopping you from quitting?”
REWARDS
• “Can you identify the benefits of quitting for
yourself and not smoking around others?”
REPETITION
• Repeat interventions until smoker expresses
interest in quitting.
28. 28
Some healthcare professionals are
concerned about whether they can
issue credible advice …
•“What if I smoke ?”
•“I’ve never smoked !“
•Ex-smokers
29. But..“ I‟ve Never Smoked…”
May feel uneasy providing advice, but:
• remember overwhelming evidence linked to tobacco
use
• become familiar with resources & tools in your
community to assist your patients to quit successfully
Just as healthcare professionals who
have never been a parent, can support
new mothers.
29
30. “ But I smoke…can I issue credible advice? ”
• You’ve seen death, disease & disability caused by
tobacco
• You have likely experienced the addictive nature of your
own tobacco use
• Whether or not you choose to quit, advising others to
quit will help them move forward in choosing a healthy
lifestyle as well as fill your obligations & expectations as
a health care professional
30
31. Whether or not a healthcare provider
smokes, their professional advice is
essential.
If the subject of addressing tobacco
cessation is not mentioned, the individual
may mistakenly perceive that quitting
tobacco is not important.
32. Saskatoon Health Region
Community Addictions Services
-Tobacco Cessation Services-
• accepts self referrals & referrals from professionals/agencies
• “Free” services by telephone, individual counseling, single session workshops
Main floor @ Sturdy Stone Building - 122 3rd Avenue North Saskatoon SK S7K 2H6
306 - 655 - 4100
33. Thinking of Quitting Smoking or
Other Tobacco Products?*
Saskatoon Health Region Mental Health &
Addiction Services is offering a free education
session to help adults who are considering
cutting down or quitting tobacco use.
Session Date: Tuesday May 27, 2014
Time: 5:00 – 6:30 pm
Location: Sturdy Stone Building – Main Floor, Suite
156 – 122 – 3rd
Avenue North
(Please use the back door entrance located facing 4th
Avenue North)
For more information call Lynn Isaak 306-655-4125.
*Refers to tobacco in all forms: smoking cigarettes, pipe, cigars and using spit tobacco like snuff and chewing tobacco.
35. www.makeapact.ca
Partnership to Assist with Cessation of Tobacco
www.mn-s.ca
The Green Light Program – Métis Nation – Sask. Health Department
www.rnao.org/smokingCessation/index.asp
“Helping People Quit Smoking: Nursing Best Practice Guidelines”
35
OPPORTUNITIES
for
ENHANCED LEARNING
36. 36
Everyone can make a difference
When a consistent, short „quitting tobacco‟ message is given
by many – nurses, physicians, dentists, pharmacists, other
health professionals , there is a significant increase in the
numbers quitting tobacco.
37. Thank You
Lynn Isaak
Addiction Counsellor
Mental Health and Addiction Services
Tobacco Cessation Program
Sturdy Stone Building
122 – 3rd Ave. N.
Saskatoon, SK S7K 2H6
Phone: (306) 655-4125
Email: marylynn.isaak@saskatoonhealthregion.ca