This document discusses various psychological disorders that may impact maxillofacial patients, including anxiety disorders, mood disorders, schizophrenia, personality disorders, and others. It then examines the psychological effects of acquired, congenital, and developmental maxillofacial defects, including loss, grief, depression, and reduced self-esteem. The document recommends that healthcare providers consider a patient's psychological state and refer them to appropriate support services or mental health treatment if needed.
Personality disorders are conditions in which an individual differs significantly from an average person , in terms of how they think, perceive , feel or relate to others.
adjustment disorders and distress in Palliative careruparnakhurana
Psychosocial disorders are very common in patients with advanced malignancies with the commonest being anxiety and depression. Early identification and treatment will help in improving the quality of life of patients and their families and increasing compliance towards treatment and self care,
Personality disorders are conditions in which an individual differs significantly from an average person , in terms of how they think, perceive , feel or relate to others.
adjustment disorders and distress in Palliative careruparnakhurana
Psychosocial disorders are very common in patients with advanced malignancies with the commonest being anxiety and depression. Early identification and treatment will help in improving the quality of life of patients and their families and increasing compliance towards treatment and self care,
Maintaining a positive mental health and treating any mental health conditions is crucial to stabilizing constructive behaviors, emotions, and thoughts. Focusing on mental health care can increase productivity, enhance our self-image, and improve relationships.
Do you want to know more about Mental Illnesses/disorders? Then click this link and learn more about these topics!
(Kindly react "❤️" to this post, for educational purposes only, thank you!)
Mental health includes our emotional ,psychological, and social well-being. It affects how we think, feel and act. It also helps determine how we handle stress, relate to others, and make choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood.
To know more about mental health care click on the below link
https://docmode.org/about/
https://docmode.org/lectures/
Maintaining a positive mental health and treating any mental health conditions is crucial to stabilizing constructive behaviors, emotions, and thoughts. Focusing on mental health care can increase productivity, enhance our self-image, and improve relationships.
Do you want to know more about Mental Illnesses/disorders? Then click this link and learn more about these topics!
(Kindly react "❤️" to this post, for educational purposes only, thank you!)
Mental health includes our emotional ,psychological, and social well-being. It affects how we think, feel and act. It also helps determine how we handle stress, relate to others, and make choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood.
To know more about mental health care click on the below link
https://docmode.org/about/
https://docmode.org/lectures/
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.
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
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
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
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
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.
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
- 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
2. Psychological disorders
• Anxiety disorder
• Mood disorders (depression and mania)
• Schizophrenia and others psychotic disorders
• Personality disorders
• Cognitive and dissociative disorders
• Somatoform and factitious disorders
• Substance related disorders.
• Eating disorders
• Impulse control disorders
3. Anxiety disorders
• Involve:
• Excessive apprehension, worry and fear.
• Include:
• Panic disorder
• Experience sudden intense terror and physical symptoms (rapid heartbeat and shortness if
breath)
• Obessive compulsive disorder OCD
• Intrusive thoughts or images (obsession) or feel compelled to perform certain behaviors
(compulsions).
• Post-traumatic stress disorder PTSD
• Re-live traumatic events from past and feel extreme anxiety and distress about the event.
• Social phobia
• Fear of specific object, situation, or activity.
• Generalized anxiety disorder
• Constant anxiety about routine events in live.
4. Mood disorders
• Create disturbance in emotional life.
• Include:
• Depression.
• Frequent and serious complication that follow heart attach, stroke, diabetes and cancer.
• Very treatable.
• Symptoms are: sadness, hopelessness, worthlessness, complaints of physical pain and
changes in appetite, sleep and energy level.
• Mania.
• Abnormally elevated mood marked by exaggerated self-importance, irritability, agitation
and decrease need for sleep.
• Bipolar.
• Person’s mood alternate between extreme mania and depression.
5. Schizophrenia and psychotic disorders
• They lose contact with reality.
• Symptoms:
• Delusions, and hallucinations.
• Disorganized thinking and speech.
• Bizzare behavior.
• Diminished range of emotional responsiveness.
• Social withdrawal.
6. Persontality disorders
• Poor perception of themselves or others.
• low self-esteem or overwhelming narcissism.
• Poor impulse control.
• Troubled social relationships.
• Inappropriate emotional respones.
7. Cognitive and dissociative disorders
• Cognitive Include:
• Delirium.
• Dementia.
• Involve:
• Significant loss of mental funcitoning.
• Impaired memory and difficulty in function (speaking).
• Abstract thinking and ability to identify familiar objects.
• Dissociative include:
• Amnesia
• Disturbed consciousness, memories, identity and perception of environment.
• Dissociative personality disorder.
• Two or more distinct personalities.
• Depersonalization disorder.
• Chronic feeling of being detached from one’s body or mental processes.
• Dissociative fugue
• An episode of sudden departure from home or work with an accompanying loss of memory.
8. Somatoform and factitious disorders
• Somatoform characterized by:
• Physical symptoms cannot be explained by a medical condition or other
mental illness.
• Include:
• Conversion disorder (hysteria): an experience of blindness, deafness or
seizures yet a physician can find nothing wrong with the person.
• Hypochondriasis: constant fear that will develop a serious disease and
misinterpret minor physical symptoms as evidence of illness.
• Factitious disorder include:
• Produce or fake a physical or psychological symptoms in order to receive
medical attention and care.
9. Substance related disorders
• Abuse of drugs, side effects of medications or exposure to toxic
substances.
• They are either behavioral or addicitive rather than mental.
• Drugs include:
• Alcohol.
• Caffeine.
• Nicotine.
• Cocaine.
• Heroin.
• Amphetamines.
• Sedatives.
10. Eating disorders
• Anorexia nervosa: an intense fear of gaining weight and refuse to eat
adequately or to maintain a noraml body weight.
• Bulimia nervosa: repeatedly engage in episodes of binge eating,
followed by self-induced vomiting or the use of laxatives, diuretics, or
other meds to prevent weight gain.
11. Impulse control disorders
• Cannot control an impulse to engage in harmful behavior (explosive
anger, stealing, setting fire, gambling, or pulling out their own hair.
• Mania, schizophrenia and antisocial personality may include
symptoms of impulsive behavior.
13. Acquired defects
• Those who have had ablative cancer surgery or severe trauma.
• A person might express “why me?” and is often faced with possibility
of recurrence, more surgery, chemotherapy or radiotherapy and the
futility of the process.
• Those with smaller defects frequently will be more demanding and
have higher expectations that patients with larger more debilitating
defects.
14. Congenital defects
• They are intuitively understand that they are different from the norm
and may believe that they are genetically damaged or subhuman.
• Might result in family lose their unity due to self-blame and difficulty
to accept the child.
• Person might face multiple sequential surgeries, orthodontics, and
prosthetic procedures over several years in attempt to correct their
defects.
15. Developmental defects
• May not appear readily apparent at first but will ultimately become
so.
• May display emotional responses similar to those with congenital
defects.
• but due to their overtime changing, the patient may or may not learn
to deal with the evolving process.
16. Loss and Grief in MF defects
• A cancer patient or those who have experienced some debilitating
crisis creating a loss.
• This loss can manifest in the form of anxiety, depression, PTSD.
• In any event a cycle of loss, grief and reintegration by the patient and
should be understood by the prosthodontist.
17. Loss
• A state of being deprived of or being without something one has had
and valued.
• Peretz divides loss into four categories:
• Loss of significant person.
• Loss of a part of the self.
• Loss of material objects.
• Developmental loss.
18. Grief
• Involve stages:
• Shock and denial: changes in sleeping, eating, depression, idealized past, risk of suicide if
depression is severe.
• Guilt, anger, and search to find ways to discharge emotional pain: anger is secondary to the
driving feeling of fear of the unknown and unfamiliar, and may abuse some substances.
• Adjustment, acceptance and growth: realize the past had its faults, the future may not be so
bad, acceptance of loss, healthy adjestment, and new life patterns (this stage integration of
the prosthesis is possible.
• It can causse physical illness, poor judgment, weakened inhibition, clouded
intellect, and blurred perception.
• Children grieve their losses openly and a dominant emotion toward loss is anger.
• Due to egocentricity, children can often blame themselves for losses and feel
guilty.
19. Impact of psychological impairments
• Health care provider may focus on the precision of the treatment, the
patient may be more interested in acceptance and reintegration into
society.
• The prosthodontist may sense the patient’s presentation (attitude,
demeanor, appearance, emotional state, mood, manner of speech,
and cognitive processes) the nature of the psychological impairment
and then make the appropriate referral for definitve evaluation.
20. Clinical referral
• Family support
• Support from family and friends can be a great help due to sense of isolation and loneliness
of the patients.
• Patient-centered treatment planning
• The individual will direct the planning process with a focus on what he or she wants and
needs.
• It is highly individualized process according to needs and desires of the individual.
• The person’s choices and preferences should always be considered if not always granted.
• Mental health services
• Before referral, the practitioner should know if their patient at a stage of acceptance of the
MF deficiencies.
• Psychologists are more psychodynamic or individually focused than social worders.
• Psychiatrists are specialized physicians and are the only mental health provider that prescribe
medication.
• Patient support groups
21. Level of care (table)
• Support groups
• Support those who experience trauma.
• Educational groups
• Educate on the trauma or problem area by a trained prof. no tx intention.
• Outpatient therapy
• Psychotherapy to decrease symptoms and coping with life change. Regular appointments.
• Home based treatment
• Psychotherapy for chronic individuals by trained prof. at any time including 24h emergency care.
• Day treatment
• Daily psychotherapy
• Partial hospitalization
• Daily psychotherapy within hospital setting
• Inpatient hospitalization
• Psychiatric for those who are in danger of hurting themselves.