Dottie enjoys cooking but her kids are worried because she has left the stove on accidentally before. As a widow living alone, she wants to maintain her independence and continue sharing her love of cooking through trying new recipes.
Dr. Joe is a renowned scientist who was diagnosed with Alzheimer's disease five years ago. After his wife passed away recently, he has moved to a memory care facility but is having trouble adjusting to his new home.
Bob and Shirley have difficulty managing their medical paperwork and bills with their various health conditions. They want more time to spend with family and friends but find themselves overwhelmed with paperwork.
Cheryl Bratt Information - CherylBratt.com, .net, and .org.Cheryl Bratt
This post includes information each of Cheryl Bratt's websites. Cheryl Bratt is a lifelong resident of Utah, personal nutritionist, and avid traveler. Please explore for more information.
Cheryl Bratt Information - CherylBratt.com, .net, and .org.Cheryl Bratt
This post includes information each of Cheryl Bratt's websites. Cheryl Bratt is a lifelong resident of Utah, personal nutritionist, and avid traveler. Please explore for more information.
The Boko-Haram attacks and the frustration of my sister led to this poem. Even a match protest could not move the guide at the time. We still remember the slogan Bring Back Our Girls.
Successful Exhibiting at the LeadingAge Annual MeetingLeadingAge
Need to know information to prepare your sales team for the 2016 LeadingAge Annual Meeting and EXPO, one of the Largest Aging Services EXPOs in America.
The Boko-Haram attacks and the frustration of my sister led to this poem. Even a match protest could not move the guide at the time. We still remember the slogan Bring Back Our Girls.
Successful Exhibiting at the LeadingAge Annual MeetingLeadingAge
Need to know information to prepare your sales team for the 2016 LeadingAge Annual Meeting and EXPO, one of the Largest Aging Services EXPOs in America.
Understand your options with respect to various social media platforms and which ones are likely to enhance your fundraising campaigns and philanthropy program in general.
Philanthropy Planned Giving Primer 04-15-15LeadingAge
Learn from respected fundraising consultants and LeadingAge Business Associate, Richner & Richner, LLC about the basic elements of a planned giving campaign.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New 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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Surgical Site Infections, pathophysiology, and prevention.pptx
Scenarios in powerpoint5
1. Dottie
I love to cook, but my kids are concerned because I have left the stove on
once or twice.
2. I am a widow living alone and I cherish my independence. I love to cook
and have always taken great pride in my cooking abilities and in putting
delicious food on the table for my family to enjoy.
3. I have been watching the cooking channel and want to try making new
recipes, so I can continue sharing my love for food with my kids and
friends.
4. Dr. Joe
Dr. Joe would like to keep engaged and utilize his knowledge and skills to
contribute to his community.
5. Dr. Joe is an accomplished and renowned scientist. Five years ago, he was
diagnosed with Alzheimer's and his wife, Betty, became his caregiver.
6. After Betty passed away a few months ago, Dr. Joe moved into a memory
care community, but he is having a bit of difficulty adjusting to his new
home. During his career he managed complex projects and used
computers to evaluate the data he gathered.
7. Bob & Shirley
Many bills pile up and it's difficult to organize and track Medicare and
insurance correspondence.
8. We have been married for 51 years. I take medications for several chronic
conditions and Bob had hip surgery a few months ago.
9. We would like to spend more time doing the things we like with our grandkids and
friends, but find that a lot of our time is now taken by what seems to be a
mountain of paperwork and medical bills! Our daughter gave us a smart-phone
last year, but we are still trying to figure out how to use all it's features!
10. Ron & Judith
My parents have said they want to be more active, but know they need to
be mindful of getting hurt.
11. My parents enjoy playing an occasional round of golf and daily walks in
the park until recently.
12. They love their home and neighborhood, but have become increasingly
more cautious after a fellow golfer and neighbor, Larry, fell and moved
into a nursing home to recover from his injuries.
13. Mary
Mary's taste buds and sense of smell are not what they used to be. As a
dedicated nurse, Mary always made sure to discuss the importance of a
nutritious and healthy diet with her patients.
14. Lately, she has begun to become a bit forgetful and her trips to the store
have become less frequent.
15. Her family has noticed spoiled food in the fridge, which she doesn't want
to throw away because she doesn't want to be wasteful. They are worried
she will get sick from eating spoiled food.
16. Bill
I like to go outside and smell the flowers and breathe fresh air.
As a young man, I hiked, swam and played baseball. In middle age, I ran my
first marathon and loved it.
17. When I retired, I took up gardening and won a blue ribbon at the State Fair
for my tomatoes! When my health started to decline a few years ago, I
took my kids' advice and moved into a nursing home.
18. It's a nice place; the staff is caring and courteous. I'd like to continue to
enjoy all the outdoor activities in the place I now call home, without my
kids or the staff worrying about me.
19. Juan & Raymond
My partner has declining health and cognition and I am trapped and afraid
sometimes.
20. Raymond and I have been together for 42 years. We traveled extensively
and had a very active social life. Over the past 3 years, Raymond's health
has declined significantly and he requires constant care.
21. I love him dearly, but I often feel trapped and have become increasingly
fearful of the responsibility and loneliness. It often feels as though the
weight of the world is on my shoulders.
22. Jane
My mother has recently moved to a memory care community near our
home.
23. I go to see her daily and feel it's important for my children to visit her as
often as possible. To gain access, however, we ring a bell that is calibrated
to be heard by CNA's at the other side of the building.
24. The sound is jarring to the residents. In addition to mother being agitated
when we arrive, the kids are frightened by seeing the distress of their
grandma and the other residents.
26. I recently moved in to a lovely skilled nursing home due to a decline in my
physical condition. I know that I need the assistance, but feel so isolated.
27. I'm surrounded with other residents who aren’t engaged. While I'm
physically unable to participate in many activities, my mind is sharp and I
feel I have so much more to contribute.
28. Jack
I'm a long-distance runner. I still love to compete, but my family is concerned about
my safety after experiencing shortness of breath one day.
29. I need something that will help me return to championship form while reassuring
my wellbeing and safety.
31. Old friends sometimes are uncertain how to act around him. Since the
onset of the disease, our social life has changed dramatically. I find that
fewer friends come around.
32. I wish there was a way that I could make them more comfortable and
make sure that Art is included in our social activities.
33. Louise
My deafness makes it challenging sometimes to socialize with people I
don't know well. I love people and want to do things and meet new
people.
34. Last year, I got hearing aids and boy were they expensive! I tried wearing
them, but they've never been comfortable--they irritate my ears and they
pick up a lot of background noise.
35. I would love to have something that would allow me to be better
company to my friends.
46. She would love to join a church choir and make a connection with others
through song. Joan's husband has passed away, and many members of her
community have moved.
47. She lives independently by taking buses and walking to neighborhood
shops. The city has changed the bus route, and her church is too far to
walk.
48. Maria
Maria who has dementia and lives in a special "Memory Care"
community.
49. Maria was a Buddhist nun for most of her life. Maria has expressed to me
that she wishes to connect to others in a spiritual sense.
50. We don't have any Buddhists here, but I think she would benefit from
connections with others from her same spiritual tradition.
51. William
I want to contribute to my faith community.
I was a lay minister at my church and found the work to be very rewarding.
53. I would love to continue making this contribution to my community, but I
can't physically get around well anymore. How can I engage and
contribute my gifts even with physical limitations.