This document summarizes a study on consumer use of internet health information. The study found:
1) 72% of respondents were internet users, and 56% of internet users sought health information online.
2) Women were more likely than men to have negative assessments of their search experience. Older adults found searches more difficult than younger users.
3) Over half of those who searched online contacted a healthcare provider as a result, with no differences by age or sex.
The study suggests the internet influences health behaviors and could be used to deliver interventions to different groups.
Nursing students as agents of change: Empowering patients using mobile technology for health promotion. Presented by Sally Britnell, School of Health Care Practice, AUT University, at HINZ 2014, 11 November 2014, 12pm, Plenary Room 2
Doctoralia Report on Health and the Internet 2015Doctoralia
How do Internet users behave in the field of online heath? The answer to this and other questions can be found in the first Doctoralia Report on Health and the Internet 2015.
Factors Associated With Internet Use among Primary Care Patients in Makurdi, ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Nursing students as agents of change: Empowering patients using mobile technology for health promotion. Presented by Sally Britnell, School of Health Care Practice, AUT University, at HINZ 2014, 11 November 2014, 12pm, Plenary Room 2
Doctoralia Report on Health and the Internet 2015Doctoralia
How do Internet users behave in the field of online heath? The answer to this and other questions can be found in the first Doctoralia Report on Health and the Internet 2015.
Factors Associated With Internet Use among Primary Care Patients in Makurdi, ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Insights into patient preferences on telemedicine, wearables
and post-discharge care - We asked more than 2,000 Americans how they currently connect with healthcare providers. Their answers may surprise you - This survey was conducted online within the United States by Harris Poll on behalf of Salesforce from June 8-10, 2016, among 2,025 U.S. adults ages 18 and older, among whom 1,736 have health insurance and a primary care doctor. This online survey is not based on a probability sample, and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables, please contact Joel Steinfeld at jsteinfeld@salesforce.com.
Towards EHR Interoperability in Tanzania Hospitals : Issues, Challenges and O...IJCSEA Journal
This study aimed at identifying the issue, challenges and opportunities from the health consumers in Tanzania towards interoperability of electronic health records. Reaching that level of seamless data sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health information exchange through interoperable EHRs. The study was conducted in three major cities of Tanzania to identify the security, privacy and confidentiality issues of information sharing together with related challenges to data sharing. This was in order to come up with a clear picture of how to implement some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73% were highly concerned about the privacy and security of their information. 75% believed that introduction of various security mechanisms will make EHRs more secure and thus better. We conducted a number of chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age, computer use, EHRs knowledge and the concerns for privacy and security. The study also showed that there was just a small difference of 8.5% between those people who think EHRs are safer than paper records and those who think otherwise. The general observation of the study was that in order to make EHRs successful in our Hospitals then the issue of security, and health consumer involvement were they two key towards the road of successful EHRs in our hospitals practices and that will make consumers more willing to allow their records to be shared among different health organizations. So besides the issues identified, this study helped us to identify the key requirements which will be implemented in our proposed framework
This study aimed at identifying the issue, challenges and opportunities from the health consumers in
Tanzania towards interoperability of electronic health records. Reaching that level of seamless data
sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose
data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing
that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health
information exchange through interoperable EHRs. The study was conducted in three major cities of
Tanzania to identify the security, privacy and confidentiality issues of information sharing together with
related challenges to data sharing. This was in order to come up with a clear picture of how to implement
some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer
usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed
and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73%
were highly concerned about the privacy and security of their information. 75% believed that introduction
of various security mechanisms will make EHRs more secure and thus better. We conducted a number of
chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age,
computer use, EHRs knowledge and the concerns for privacy and security.The study also showed that there
was just a small difference of 8.5% between those people who think EHRs are safer than paper records and
those who think otherwise. The general observation of the study was that in order to make EHRs successful
in our Hospitals then the issue of security, and health consumer involvement were they two key towards the
road of successful EHRs in our hospitals practices and that will make consumers more willing to allow
their records to be shared among different health organizations. So besides the issues identified, this study
helped us to identify the key requirements which will be implemented in our proposed framework.
Use of translation apps and websites in health care settingsBen Harris-Roxas
Ben Harris-Roxas,1,2 Lisa Woodland,3,1 Joanne Corcoran,3 Jane Lloyd,1,4 Mark Harris,1 Rachael Kearns,1,2 Iqbal Hasan1
Australasian Association for Academic Primary Health Care ConferenceAdelaide, 12-13 July 2019
Electronic cigarettes for smoking cessation: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of electronic cigarettes for smoking cessation.
Muhannad Malas and Robert Schwartz led the session and presented findings from their recent review:
Malas M, van der Tempel J, Schwartz R, Minichiello A, Lightfoot C, Noormohamed A, et al. (2016). Electronic cigarettes for smoking cessation: A systematic review. Nicotine & Tobacco Research, 18(10), 1926-1936.
http://healthevidence.org/view-article.aspx?a=electronic-cigarettes-smoking-cessation-systematic-review-29830
Cigarette smoking is among the top causes of preventable death and disease. Electronic cigarettes have been increasing in popularity among smokers who report using them for quitting or reducing smoking. This review examines the effectiveness of electronic cigarettes as cessation aids. Sixty two articles, including RCTs, experimental, longitudinal and cross sectional studies are included in this review. Findings suggest there is inconclusive evidence due to low quality of research. This webinar provides a comprehensive overview of current literature examining the effectiveness of electronic cigarettes for smoking cessation.
“What are the levels of patient satisfaction with the use of video consultation as a tool for care delivery since Coronavirus (COVID-19) pandemic started?”
PwC’s Health Research Institute (HRI)
"People are accessing health information in new ways"
Telehealth users had employer-sponsored health plans, were middle-aged, and had chronic conditions
Engaging the hard_to_engage_through_innovative_channelsGeorge Van Antwerp
A presentation from the Care Continuum Alliance (CCA) that I gave with Aetna 2 years ago. I found it posted online and decided to share it.
http://www.carecontinuumalliance.org/theforum11/Presentations/Engaging_the_Hard_to_Engage_Through_Innovative_Channels.pdf
Insights into patient preferences on telemedicine, wearables
and post-discharge care - We asked more than 2,000 Americans how they currently connect with healthcare providers. Their answers may surprise you - This survey was conducted online within the United States by Harris Poll on behalf of Salesforce from June 8-10, 2016, among 2,025 U.S. adults ages 18 and older, among whom 1,736 have health insurance and a primary care doctor. This online survey is not based on a probability sample, and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables, please contact Joel Steinfeld at jsteinfeld@salesforce.com.
Towards EHR Interoperability in Tanzania Hospitals : Issues, Challenges and O...IJCSEA Journal
This study aimed at identifying the issue, challenges and opportunities from the health consumers in Tanzania towards interoperability of electronic health records. Reaching that level of seamless data sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health information exchange through interoperable EHRs. The study was conducted in three major cities of Tanzania to identify the security, privacy and confidentiality issues of information sharing together with related challenges to data sharing. This was in order to come up with a clear picture of how to implement some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73% were highly concerned about the privacy and security of their information. 75% believed that introduction of various security mechanisms will make EHRs more secure and thus better. We conducted a number of chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age, computer use, EHRs knowledge and the concerns for privacy and security. The study also showed that there was just a small difference of 8.5% between those people who think EHRs are safer than paper records and those who think otherwise. The general observation of the study was that in order to make EHRs successful in our Hospitals then the issue of security, and health consumer involvement were they two key towards the road of successful EHRs in our hospitals practices and that will make consumers more willing to allow their records to be shared among different health organizations. So besides the issues identified, this study helped us to identify the key requirements which will be implemented in our proposed framework
This study aimed at identifying the issue, challenges and opportunities from the health consumers in
Tanzania towards interoperability of electronic health records. Reaching that level of seamless data
sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose
data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing
that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health
information exchange through interoperable EHRs. The study was conducted in three major cities of
Tanzania to identify the security, privacy and confidentiality issues of information sharing together with
related challenges to data sharing. This was in order to come up with a clear picture of how to implement
some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer
usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed
and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73%
were highly concerned about the privacy and security of their information. 75% believed that introduction
of various security mechanisms will make EHRs more secure and thus better. We conducted a number of
chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age,
computer use, EHRs knowledge and the concerns for privacy and security.The study also showed that there
was just a small difference of 8.5% between those people who think EHRs are safer than paper records and
those who think otherwise. The general observation of the study was that in order to make EHRs successful
in our Hospitals then the issue of security, and health consumer involvement were they two key towards the
road of successful EHRs in our hospitals practices and that will make consumers more willing to allow
their records to be shared among different health organizations. So besides the issues identified, this study
helped us to identify the key requirements which will be implemented in our proposed framework.
Use of translation apps and websites in health care settingsBen Harris-Roxas
Ben Harris-Roxas,1,2 Lisa Woodland,3,1 Joanne Corcoran,3 Jane Lloyd,1,4 Mark Harris,1 Rachael Kearns,1,2 Iqbal Hasan1
Australasian Association for Academic Primary Health Care ConferenceAdelaide, 12-13 July 2019
Electronic cigarettes for smoking cessation: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of electronic cigarettes for smoking cessation.
Muhannad Malas and Robert Schwartz led the session and presented findings from their recent review:
Malas M, van der Tempel J, Schwartz R, Minichiello A, Lightfoot C, Noormohamed A, et al. (2016). Electronic cigarettes for smoking cessation: A systematic review. Nicotine & Tobacco Research, 18(10), 1926-1936.
http://healthevidence.org/view-article.aspx?a=electronic-cigarettes-smoking-cessation-systematic-review-29830
Cigarette smoking is among the top causes of preventable death and disease. Electronic cigarettes have been increasing in popularity among smokers who report using them for quitting or reducing smoking. This review examines the effectiveness of electronic cigarettes as cessation aids. Sixty two articles, including RCTs, experimental, longitudinal and cross sectional studies are included in this review. Findings suggest there is inconclusive evidence due to low quality of research. This webinar provides a comprehensive overview of current literature examining the effectiveness of electronic cigarettes for smoking cessation.
“What are the levels of patient satisfaction with the use of video consultation as a tool for care delivery since Coronavirus (COVID-19) pandemic started?”
PwC’s Health Research Institute (HRI)
"People are accessing health information in new ways"
Telehealth users had employer-sponsored health plans, were middle-aged, and had chronic conditions
Engaging the hard_to_engage_through_innovative_channelsGeorge Van Antwerp
A presentation from the Care Continuum Alliance (CCA) that I gave with Aetna 2 years ago. I found it posted online and decided to share it.
http://www.carecontinuumalliance.org/theforum11/Presentations/Engaging_the_Hard_to_Engage_Through_Innovative_Channels.pdf
Teen2Xtreme: Using Social Media to Improve Adolescents' Health LiteracyNedra Kline Weinreich
Presentation at CDC's National Conference on Health Communication, Marketing and Media 2010
Atlanta, GA
August 17, 2010
Contact:
Nedra Weinreich
Weinreich Communications
www.social-marketing.com
weinreich@social-marketing.com
Sabrina Kurtz-Rossi - eHealth and Older AdultsPlain Talk 2015
"Senior Surfing: eHealth and Older Adults" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by Sabrina Kurtz-Rossi, MEd, Principal, Kurtz-Rossi & Associates.
Description: This session will provide participants with information about eHealth literacy and techniques for helping older adults use the Internet to find health information for informed decision making and self-management of chronic disease.
Telehealth allows patients to have visits with health care providers remotely using video technology. Such visits are increasingly available and have the potential to make health care more accessible and convenient for patients. In May 2019, the University of Michigan National Poll on Healthy Aging asked a national sample of adults age 50–80 about their experiences with and opinions of telehealth.
A study of the internet use by parents of children with chronic kidney diseaseDeise Garrido
This presentation has been scheduled in the Med-e-Tel 2017 conference program in a session on “Disease Management, Rehabilitation, Remote Monitoring” on Friday April 7th, 11h00-13h00 (see www.medetel.eu/index.php?rub=educational_program&page=program for preliminary program).
U.S. adults living with chronic disease are significantly less likely than healthy adults to have access to the internet (62% vs. 81%). The internet access gap creates an online health information gap. However, lack of internet access, not lack of interest in the topic, is the primary reason for the difference. Once online, having a chronic disease increases the probability that someone will take advantage of social media to share what they know and learn from their peers.
TRACK 5(2) | DAY 2 - 3 OCT 2017
Elizabeth Edwards, In-Practice Fellow of Barts and The London School of Medicine and Dentistry (UK)
Games for Health Europe 2017
To demonstrate Participatory Action Research (PAR) used to explore, collect and analyse data to understand children’s information experience including their
perception of cancer and information culture; information needs, information seeking behaviour, barriers and enablers.
Lee Rainie, Director of the Pew Internet Project, will describe the Project’s research on how patients and caregivers seek health information in the digital age and he will describe how people fit librarians into their general information needs as well as their specific health needs.
Similar to Reasons, assessments, and actions taken: A national study of consumer use of Internet health information (20)
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
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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.
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.
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
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
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
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.
Reasons, assessments, and actions taken: A national study of consumer use of Internet health information
1. Reasons, assessments, and actions taken:
A national study of consumer use of Internet
health information
by
Michele Ybarra, MPH PhD*
Michael Suman, PhD **
American Public Health Association Annual Conference
December 14, 2005, Philadelphia, PA
*Center for Innovative Public Health Research
**Center for the Digital Future, University of Southern California
* Thank you for your interest in this presentation. Please note that
analyses included herein are preliminary. More recent, finalized
analyses can be found in: Ybarra, M., & Suman, M. (2006). Reasons,
assessments, and actions taken: Sex and age differences in uses of
Internet health information. Health Education Research, or by
contacting CiPHR for further information.
2. Acknowledgements
We would like to thank our colleagues working
with us on the Growing up with Media
Project:
Dr. Marie Diener West, JHSPH
Dr. Merle Hamburger, CDC
Mr. Levator Brown, CDC
Dr. Dana Markow, Harris Interactive
Dr. Suzanne Martin, Harris Interactive
Ms. Amie Kim, Harris Interactive
3. Background
Access to reliable disease information online
has been linked to
Reduced anxiety (Gufstason, Hawkins, Boberg et al., 2002),
Increased feelings of self-efficacy
48% of health information seekers indicate
that their findings help them to take better
care of themselves (Fox, Rainie, Horrigan et al., 2000).
41% of adolescents have changed their
behavior because of information they found
online (Kaiser Family Foundation, 2002).
4. Problem statement and Study
question
The Internet’s influence on health care consumers is likely
to only increase, necessitating more information about
the seeking experience.
Personal characteristics may significantly influence Internet
health information seeking behavior.
Study questions:
What are the common reasons, assessments and
actions taken as a result of Internet health information
How do the RAAs vary by sex and age?
5. Surveying the Digital Future Year 4
Methodology
Conducted by the Center for the Digital
Future, University of Southern California
N = 2,010
4th year of a longitudinal telephone survey
Nationally representative (EPSEM)
Conducted in summer 2003
Inclusion criteria:
Over the age of 12 years
Speak either English or Spanish
Consent to participation
6. Statistical methods
1. Valid answer to Internet use, N=2,007
2. Missing data imputed using best-set
regression (Stata 7)
3. Differences by sex and age were
investigated via chi-square tests.
7. Measures
1.
Reasons: Open-ended question about why
respondent chose the Internet to look for health
or medical information. Coded into 6 categories.
2.
Assessments: 10 statements were read aloud
and respondents rated how much they agreed
with each statement (5-point Likert scale).
3.
Actions / results: Respondents asked if they
engaged in each of 5 activities (yes / no).
8. Study sample characteristics
(N=2,007)
Non-Internet
users
(N=548)
Internet users, nonhealth information
seekers (N=640)
Race
White
82.1% (450)
79.7% (510)
88.6% (726)
Black
7.1% (39)
8.3% (53)
3.9% (32)
Asian
0.4% (2)
1.9% (12)
1.8% (15)
American Indian
1.8% (10)
1.4% (9)
1.2% (10)
Other
8.6% (47)
8.8% (56)
4.4% (36)
Hispanic ethnicity
11.0% (60)
8.3% (53)
5.6% (46)
X2=13.0 (2)**
Female
63.7% (349)
52.5% (336)
64.6% (529)
X2=25.2 (2)***
Age [M (SD)]
61.1 (18.1)
40.7 (19.0)
45.9 (15.2)
F=5.3 (82)***
Income ($80,000+)
3.7% (20)
18.9% (121)
24.7% (202)
Demographic
characteristics
*p-value<.05; **p-value<.01; ***p-value<.001
Health
information
seekers (N=819)
Statistical
Comparison
X2=35.7 (8)***
X2=104.5 (2)***
9. Internet use and health information
seeking
72% of all respondents were Internet
users
56% of Internet users were health
information seekers (41% of all
respondents)
10. Internet use by sex and age (N=2,007)
Health
information
seekers
(N=819)
Internet users,
non-health
information
seekers (N=640)
Non-Internet
users
(N=548)
% (N)
% (N)
% (N)
Adolescents (12-19 yrs)
23 (37)
72 (114)
5 (8)
Young adults (20-39 yrs)
47 (235)
40 (201)
13 (67)
Middle age (40-59 yes)
53 (388)
27 (203)
20 (148)
Older adults (60+ yrs)
26 (159)
20 (122)
54 (325)
Men
37 (290)
38 (304)
25 (199)
Women
44 (529)
28 (336)
29 (349)
Age
Sex
Percentages sum to 100% across the row
11. Internet health information seeking by
sex among Internet users (N=1,459)
Healt h infor m at ion seek er
Non- seek er
80%
70%
61%
60%
50%
51%
49%
39%
40%
30%
20%
10%
0%
Males
X2(1) = 21.8 p<.001
Fem ales
12. Internet health information seeking by
age among Internet users (N=1,459)
80%
Healt h infor m at ion seek er
Non- seek er
75%
66%
70%
60%
57%
54%
46%
50%
40%
30%
43%
34%
25%
20%
10%
0%
Childr en &
adolescent s ( 12- 19
yr s)
X2(3) = 84.0 p-value<.001
Young adult s ( 20-39
year s)
Middle aged adult s
( 40-59 years)
Older adult s ( 60
years+ )
13. The health information seeking
experience (N=819)
Reasons
75%: to search about a personal health problem
70%: to search about a loved one’s health problem
4%: privacy / embarrassing topic
Assessments
73% satisfied with information found
21% concerned about the quality of information
8% information too hard to understand
Action taken / results
55% contacted a healthcare provider
78% felt more comfortable about information from a
healthcare provider
14. Internet health information seeking
by sex (N=819)
80%
*p-value<.05; **p-value<.01
70%
Men
60%
50%
40%
Wom en
49%
46%
40%
37%
34%
30%
24%
23%
16%
20%
16%
9%
10%
0%
I nfor m at ion is Not enough t im e
easy t o f ind **
t o find
inform at ion*
Reasons
Took a lot of
effor t **
Assessments
Tr ied t o Dx a
pr oblem *
Seek support
fr om ot her s **
Actions taken
15. Internet health information seeking
by age: Reasons (N=819)
76% 78%
80%
Childr en and adolescent s
71%
70%
Young adult s
Middle aged adult s
60%
Older adult s
54%
50%
38% 39%
40%
34%
30%
38%
32%
30%
23%
20%
14%
10%
0%
Healt h problem loved one
has **
*p-value<.05; **p-value<.01
Wide availabilit y of
infor m at ion *
Needed inf or m at ion quick ly *
16. Internet health information seeking
by age: Assessments (N=819)
80%
70%
Childr en and adolescent s
Young adult s
60%
Middle aged adult s
Older adult s
50%
40%
31%
30%
20%
23%
20%
16%
15%
10%
10%
14%
0%
0%
Want ed m ore inform at ion but didn't k now
w her e t o find it **
**p-value<.01; ***p-value<.001
Took a lot of effort ***
17. Internet health information seeking
by age: Results / Actions taken
(N=819)
90%
79%
78%
80%
84%
Childr en and adolescent s
Young adult s
72%
Middle aged adult s
70%
Older adult s
60%
50%
41%
40%
32%
30%
32%
26%
20%
10%
0%
Felt m ore com for t able w it h infor m at ion
from healt h pr ovider *
*p-value<.05
Tr ied t o t r eat a healt h pr oblem *
18. Study Limitations
The current investigation does not
include medical conditions or
treatment outcomes.
Data do not provide enough detail to
disentangle reasons why
consumers sought medical care /
support.
19. Conclusions: Age
As age increases, so too does the
likelihood of reporting:
The reason for using the Internet was
the wide availability of information
But also,
The search took a lot of effort and
More information was wanted but the
consumer didn’t know where to find it.
20. Conclusions: Sex
Men and women were equally likely to
be searching for information about a
personal problem as well as a loved
one’s health problem.
Women were significantly more likely to
report a negative assessment of the
seeking experience than men.
21. Implications: Medical Care
One in two seekers contact a physician
because of information found online.
No difference in likelihood of seeking medical
care was noted by sex or age.
Health behavior and perceptions of health
services received are likely influenced by
information found online, which may vary by
sex and age.
22. Implications:
Intervention and prevention
Although we tend to think of the Internet
as a young person’s tool, it may be a
viable delivery method for older adults
too.
The Internet is being used by
caregivers. “Multiple hit” interventions
should be considered.
Editor's Notes
Year 1 sample in 2000, as well as replacement respondents in subsequent years. In Year 1, 19,247 phone numbers were generated, resulting in 2,104 completed interviews.
In Year 4, all 1,960 respondents from the previous year who indicated they were willing to be contacted again were called. To replace dropouts, an additional 18,500 phone numbers were randomly identified via EPSEM and contacted. In total, 2,010 interviews were completed. Five hundred and seventy of the 2,104 participants from Year 1 were in the panel in Year 4.
20,460 phone numbers were dialed. Of the 6468 households contacted, 6279 were eligible (97% of households contacted). 2010 completed the interview – 32% of households identified as eligible.
Year 1 sample in 2000, as well as replacement respondents in subsequent years. In Year 1, 19,247 phone numbers were generated, resulting in 2,104 completed interviews.
In Year 4, all 1,960 respondents from the previous year who indicated they were willing to be contacted again were called. To replace dropouts, an additional 18,500 phone numbers were randomly identified via EPSEM and contacted. In total, 2,010 interviews were completed. Five hundred and seventy of the 2,104 participants from Year 1 were in the panel in Year 4.
20,460 phone numbers were dialed. Of the 6468 households contacted, 6279 were eligible (97% of households contacted). 2010 completed the interview – 32% of households identified as eligible.
Sex-specific medical conditions will have implications for the type of information male and female patients will seek. For example, women are significantly more likely than men to search for information about depression, anxiety and stress [16]. Age-specific lifestyle trends (e.g., middle-aged adults becoming caregivers for older parents as well as their children) and typical health status changes as one grows older also likely influence the decision to use the Internet as a resource. Although adolescents have more readily adopted the Internet in general, middle-aged adults are most likely to look for health information online [2].
Year 1 sample in 2000, as well as replacement respondents in subsequent years. In Year 1, 19,247 phone numbers were generated, resulting in 2,104 completed interviews.
In Year 4, all 1,960 respondents from the previous year who indicated they were willing to be contacted again were called. To replace dropouts, an additional 18,500 phone numbers were randomly identified via EPSEM and contacted. In total, 2,010 interviews were completed. Five hundred and seventy of the 2,104 participants from Year 1 were in the panel in Year 4.
20,460 phone numbers were dialed. Of the 6468 households contacted, 6279 were eligible (97% of households contacted). 2010 completed the interview – 32% of households identified as eligible.
Missing and non-responsive answers (i.e., “don’t know” and “refused”) were imputed using best-set regression [20]. This affected less than 1% of data with one exception: 11.3% of health information seekers were unresponsive to queries about their household income.
Missing and non-responsive answers (i.e., “don’t know” and “refused”) were imputed using best-set regression [20]. This affected less than 1% of data with one exception: 11.3% of health information seekers were unresponsive to queries about their household income.
Note: income was entered into the model as an ordinal variable (range: 22). The above is simply an indicator and is truncated for space. The statistical comparison reflects a comparison of medians test
Missing and non-responsive answers (i.e., “don’t know” and “refused”) were imputed using best-set regression [20]. This affected less than 1% of data with one exception: 11.3% of health information seekers were unresponsive to queries about their household income.
Note: income was entered into the model as an ordinal variable (range: 22). The above is simply an indicator and is truncated for space. The statistical comparison reflects a comparison of medians test
95% of kids are on the Internet
87% of young adults
80% of middle aged
46% of older adults
Missing and non-responsive answers (i.e., “don’t know” and “refused”) were imputed using best-set regression [20]. This affected less than 1% of data with one exception: 11.3% of health information seekers were unresponsive to queries about their household income.
Note the scale changing
Challenges include callerID, confusion with telemarketers, and saturation of surveys among the public. Our survey is additionally challenged because of its broad inclusion criteria; targeting a more select population would have likely increased the response rate but decreased the generalizability.