Dentists are playing an expanding role in treating obstructive sleep apnea through oral appliance therapy. Oral appliances can effectively treat mild to moderate sleep apnea and are an alternative for patients who cannot tolerate CPAP therapy or prefer oral appliances to CPAP. Dental schools are beginning to recognize the importance of training dentists in dental sleep medicine so they can properly diagnose and treat sleep apnea patients.
Over 200,000 patients worldwide have been treated by the CyberKnife System. These are testimonials from New Jersey CyberKnife patients recounting their experiences with our team and CyberKnife treatment. Call to find out how treatment with the CyberKnife can help you or a loved one.
As the second-most common cancer in both men and women, lung cancer is responsible for the majority of cancer-related deaths. The American Cancer Society estimates more than 160,000 people will lose their battle with lung cancer this year, accounting for more victims than breast, prostate, colon and pancreatic cancers combined.
In recognition of National Lung Cancer Awareness Month in November, New Jersey CyberKnife encourages local residents to take preventive steps to protect themselves and their loved ones from common and lesser-known causes of lung cancer.
Over 200,000 patients worldwide have been treated by the CyberKnife System. These are testimonials from New Jersey CyberKnife patients recounting their experiences with our team and CyberKnife treatment. Call to find out how treatment with the CyberKnife can help you or a loved one.
As the second-most common cancer in both men and women, lung cancer is responsible for the majority of cancer-related deaths. The American Cancer Society estimates more than 160,000 people will lose their battle with lung cancer this year, accounting for more victims than breast, prostate, colon and pancreatic cancers combined.
In recognition of National Lung Cancer Awareness Month in November, New Jersey CyberKnife encourages local residents to take preventive steps to protect themselves and their loved ones from common and lesser-known causes of lung cancer.
The muscle are biological motors which convert chemical energy into force and mechanical work.
This biological machinery is composed of proteins – which is actomyosin and the fuel is ATP.
With the use of muscles we are able to act on our environment.
Gluconeogenesis- Steps, Regulation and clinical significanceNamrata Chhabra
Gluconeogenesis- Thermodynamic barriers, substrates of gluconeogenesis, reciprocal regulation of glycolysis and gluconeogenesis, biological and clinical significance
This is a report made by Dr. Ramesh Manocha, who have used Sahaja Yoga Meditation for the improvement of symptoms and treatment of asthma, headache, menopause and depression.
Have a look, and feedback and comments are appreciated.
More information at: sahajayoga.org or at sahajayoga.dk
Our Sleep Disorders Center diagnoses & treats patients with sleep-related disorders. For this a Sleep Apnea Test is conducted to understand the sleep patterns.
Our Sleep Disorders Center diagnoses & treats patients with sleep-related disorders. For this a Sleep Apnea Test is conducted to understand the sleep patterns.
The muscle are biological motors which convert chemical energy into force and mechanical work.
This biological machinery is composed of proteins – which is actomyosin and the fuel is ATP.
With the use of muscles we are able to act on our environment.
Gluconeogenesis- Steps, Regulation and clinical significanceNamrata Chhabra
Gluconeogenesis- Thermodynamic barriers, substrates of gluconeogenesis, reciprocal regulation of glycolysis and gluconeogenesis, biological and clinical significance
This is a report made by Dr. Ramesh Manocha, who have used Sahaja Yoga Meditation for the improvement of symptoms and treatment of asthma, headache, menopause and depression.
Have a look, and feedback and comments are appreciated.
More information at: sahajayoga.org or at sahajayoga.dk
Our Sleep Disorders Center diagnoses & treats patients with sleep-related disorders. For this a Sleep Apnea Test is conducted to understand the sleep patterns.
Our Sleep Disorders Center diagnoses & treats patients with sleep-related disorders. For this a Sleep Apnea Test is conducted to understand the sleep patterns.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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
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
- 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
3. Sleep-disordered breathing: It’s not just a medical problem
Sleep-disordered breathing: tion that results in maximum patient comfort and efficacy. To learn more, I highly recommend attending the Den-
It’s not just a medical problem It passively allows the tongue to assume a forward posi-
tion conducive to better airway patency.
Sleep dentistry is professionally gratifying and may
tal Sleep Medicine Seminars by Dr. Allen Moses at Wil-
lis Tower (formerly known as Sears Tower) in Chicago.
Dates are August 26-28 and November 11-13. For more
by Dr. John T. Herald be financially rewarding. However, one must always re- information about The Moses or Dr. Moses’ seminars
member that we are treating a potentially deadly medi- visit www.themoses.com or contact Ashley Truitt, Direc-
THE HOTTEST TOPIC IN DENTISTRY at the moment contraction. Clenching of the muscles of mastication po- cal disorder, which happens to have a dental alternative tor of Dental Sleep Medicine for The Moses at ashley@
is Oral Appliance Therapy (OAT) for sleep apnea and tentiates the pharyngeal dilator muscles to help open the therapy. You will be held to the usual medical standard, moderndentalusa.com and (940) 395-4555.
primary snoring. The treatment of sleep apnea is para- non-patent airway. Tremendous forces are placed on the not the dental standard. Diagnosis is paramount. Always
mount to our nation’s health, especially due to its relation- teeth to facilitate this open airway. These forces may be have a diagnosis prior to treatment and verify objectively John T. Herald, D.D.S. lectures nationally and internationally
ship to hypertension, hyperlipidemia elevated A1C (insulin responsible for non-traumatic TMD, loosening of teeth, your results. There is never any excuse for not obtaining a about sleep-related pain and neuromuscular dysfunction. Dr.
resistance), and obesity. Hundreds of research articles year- fracturing of cusps, abfractions, and abnormal wear. The home sleep test that is read and interpreted by a qualified Herald has used oral appliances to treat sleep
ly detail the millions of dollars, if not billions, that could be body will enlist whatever mechanism available to survive. sleep specialist, or referring a patient for a polysomno- disturbances and related dental and medical
saved by the successful treatment of this disorder. It has been my experience that many dental problems and gram (PSG) overnight sleep study. problems since 1982. Dr. Herald is a found-
There are many oral appliance designs FDA cleared restorative failures often occur due to Sleep Disordered Many physicians feel that the dentist is the vanguard ing member of the Academy of Clinical Sleep
for the treatment of snoring and obstructive sleep apnea. Breathing (SDB). for diagnosis and treatment of this disorder. If you’re in- Disorders Disciplines and is also a Member of the
A key attribute to the design of a successful oral appliance Thousands of years ago, man developed the ability to terested, get in the game but know the rules. Your team American Academy of Dental Sleep Medicine.
is allowing maximum intraoral space for tongue posture speak. Residual components of our past still exist. For will also play a large part in the successful implementation Dr. Herald graduated from Case Western
and position, which includes a vertical and protrusive ele- the first 18 to 24 months, babies can breathe and swallow of Dental Sleep Medicine into your practice. I encourage Reserve University and is a member of the American Dental
ment. simultaneously. Afterwards, the uvula migrates cervically you to educate and involve your team as much as possible. Association and Ohio Dental Association.
In Phase 2 sleep, which makes up about 50 percent of and the epiglottis caudally. That short distance becomes
the normal sleep cycle, the brain turns off the highest a collapsible tube where most of our vowel sounds are
functioning recognition because the brain needs its rest. formed. It also is non-cartilaginous and prone to collapse.
Only essential body functions, heart rate, oxygen satura- Our body also provides us with several “hard wired”
tion, CO2 monitoring and other functions generally as- neuromuscular reflexes, the most important being the
sociated with the autonomic nervous system are vigilant. jaw-tongue reflex. Opening the jaw several millimeters
During a partial or full collapse of the airway, the body allows the tongue to reflexively reposition anteriorly. Tak-
produces large amounts of adrenalin to facilitate muscle ing advantage of this reflex is the single-most important
mechanism available to those who treat SDB with OAT.
The tongue is a hydrostat (mostly muscle and water)
that can change form but not mass. If given the oppor-
tunity, the tongue much prefers to be in the oral cavity
and not in the throat. Successful OAT requires that there
be maximum space for the tongue to move forward and
upwards. The key is providing room for the tongue to
reflexively move more forward than the mandible.
The newest and most
unique appliance on the
market that takes ad-
vantage of these reflexes
is The Moses™ device
(right), which perhaps
has the most tongue
space of all. It is designed
to be low-profile lingual- ®
ly, providing adequate
room intraorally, is ti-
tratable (adjustable) and
About the MediByte (above): Dentists can obtain top-down treatment
control of sleep dentistry by combining The Moses with the MediByte allows for full lip seal to
from BRAEBON. The MediByte is a convenient, accurate, and comfortable facilitate nasal breathing.
home sleep test device for patients suffering from snoring and/or sleep Oral appliances provide an exoskeleton to support pro-
apnea. Patients are sent home with the MediByte, they then conduct an trusion and vertical opening, thereby maximizing tongue
overnight home sleep test. Home Sleep Delivered then has one of its board-
certified sleep doctors interpret the results and posture and position. The innovative open anterior de-
send it back to dentists in days. sign of The Moses accommodates a forward tongue posi- DIQSam12h_Dntl_110331 1 3/31/11 2:47 PM
July 2011 | www.dentistryiq.com www.dentistryiq.com | July 2011
5. Sleep apnea and the search for a solution through
dental-medical collaboration
I have had a personal experience with sleep apnea. My fa-
by Larry Twersky
materials that promote sleep apnea treatment such as OAT.
ther was an undiagnosed sufferer. Growing up, I remem- Regarding the educational opportunities he and his staff
ber him coming home from work and going straight to the have taken advantage of with 1-800-Snoring, Dr. Steven
couch to sleep instead of playing with my siblings and me. Greenman, in Westlake Village, Calif., says, “Once my team
Not having quality time every day is hard on a family. I def- and I learned how to identify and talk to the people coming
initely feel as though I missed out on having a stronger re- into the office with snoring and OSA problems, I have begun
lationship with my father because of this condition. Tooth to see dramatic results in both the lives and marriages of the
issues, such as decay, affect only one person, but snoring patients I am helping and the profitability of my practice.”
and sleep apnea affect entire families. Besides health conse- Dr. Eric Johnson, in Torrance, Calif., says, “1-800-Snoring
quences, these conditions can damage marriages, relation- is the best marketing investment we’ve made to date! We’ve
ships, and work performance. My goal is to educate people used many other mediums such as newspaper, health expos,
about sleep apnea and the options available to get help. Internet, but nothing has worked as quickly and as effectively
There are four ways to solve a sleep apnea problem: lose in bringing us new patients as 1-800-Snoring. No doubt about
weight, CPAP therapy, surgery, and oral appliance therapy it ... the business model works ... the experts at 1-800-Snoring
(OAT). For those whose apnea is not weight-related, that really know what they’re doing in terms of targeting our au-
leaves CPAP therapy, which many find to be intolerable, or dience and bringing us qualified patients. And, the additional
surgery, which is painful and only 50% effective. Unfortu- staff education and coaching is above and beyond!”
nately, most ENT specialists and cardiologists are unfamiliar As of today, 77% of those suffering from OSA are un-
with the success of OAT in treating sleep apnea; therefore, diagnosed. To put that number into perspective, 18,000 of
they only recommend CPAP, leaving many patients without the people who attended this year’s Indy 500 have undiag-
a choice. This is why both the general public and the medi- nosed OSA. That is a staggering number. This condition
cal community need to know that oral appliance therapy is can lead to fatal health issues such as high blood pressure,
FDA-approved and has been proven to be highly effective heart failure, stroke, and diabetes.
in cases of mild to moderate and certain cases of severe ob- Many patients don’t think their snoring or sleep apnea
structive sleep apnea (OSA). OAT is the only therapy offered problem is their problem. Treating snoring and sleep apnea
— other than surgery — when CPAP cannot be tolerated. is markedly different than performing standard dental care.
In the beginning, 1-800-Snoring was established with- In “regular” dentistry, patients call because they are in pain or
in the 1-800-DENTIST company to inform people that don’t like something about their teeth. With OSA, patients
OSA is a dangerous disease both physically and emotion- commonly call in because a spouse or significant other is
ally. The company has three distinct goals: bugging them ... because someone else is having a problem.
• To provide patients suffering from sleep apnea access We have to talk to patients who suffer from sleep apnea in
to effective, compassionate, and noninvasive treatment a way that makes them understand that the condition is not
from highly qualified dental sleep medicine providers just annoying to the spouse, but it’s a potentially fatal condi-
• To provide members with the marketing, education, tion — all without scaring them off. My team and I resolved
and support they need to be quality doctors to whom we this issue by adding a more personal touch to how we take
would want to send our friends and family for treatment phone calls. Our operators ask questions about the patient,
• To offer a cooperative marketing program so members find out the nature of his or her condition, and then refer the
can benefit from the full potential of our advertisements in patient to a provider who would be the best fit. By the end
their geographic areas of these types of calls — without dispensing medical advice,
Sleep apnea is a big picture condition, so we search for yet educating them about their condition and assuring them
doctors who are capable of seeing the whole issue and who regarding treatment options — patients will understand that
are willing to work with the medical community to provide a snoring and sleep apnea are dangerous, and that they are do-
total solution. We offer training and educational opportuni- ing the right thing by getting help.
ties for our members both in-person and over the Web. Our I have always found that when you do things exception-
range of continuing-education topics help members of the ally and for the right reason, the rewards are the greatest
dental and medical communities set up their practices to ac- and success comes in abundance. Today, it is about getting
commodate snoring and sleep apnea patients, recognize the things exceptionally right.
signs of these conditions in existing patients, and even how
to do medical billing. Every member of 1-800-Snoring pays Larry Twersky is the former president of 1-800-Dentist and the cur-
a monthly fee. We use that money to run ads and send out rent CEO and founder of 1-800-SleepMed and 1-800-Snoring.
July 2011 | www.dentistryiq.com