Plenary presentation at the 2018 annual convention of the Philippine Society for Endocrinology, Diabetes & Metabolism. 22 Mar 2018, EDSA Shangrila Hotel.
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & the Philippine Lipid & Atherosclerosis Society 23 Feb 2017 at Crowne Plaza Galleria Manila.
Also presented at the 2017 #HealthXPH Social Media & Healthcare summit 25 Apr 2017 at Marco Polo Hotel, Cebu City.
Going online doesn’t have to be only about chatting with colleagues and patients. Experts give insights into techniques to tap into the power of social media.
Director Lee Rainie presented to physicians, administrators, and staff at Providence St. Joseph Medical Center in Burbank, California on January 12 on understanding social networking and online health information seeking.
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & Philippine Lipid & Atherosclerosis Society 25 Feb 2017, Crowne Plaza Galleria Manila.
Plenary presentation at the 2018 annual convention of the Philippine Society for Endocrinology, Diabetes & Metabolism. 22 Mar 2018, EDSA Shangrila Hotel.
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & the Philippine Lipid & Atherosclerosis Society 23 Feb 2017 at Crowne Plaza Galleria Manila.
Also presented at the 2017 #HealthXPH Social Media & Healthcare summit 25 Apr 2017 at Marco Polo Hotel, Cebu City.
Going online doesn’t have to be only about chatting with colleagues and patients. Experts give insights into techniques to tap into the power of social media.
Director Lee Rainie presented to physicians, administrators, and staff at Providence St. Joseph Medical Center in Burbank, California on January 12 on understanding social networking and online health information seeking.
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & Philippine Lipid & Atherosclerosis Society 25 Feb 2017, Crowne Plaza Galleria Manila.
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Tutorial about the use of social media in the health domain. The tutorial is designed for healthcare professionals interested in eHealth. It was done for Weill Cornell Medicine - Qatar.
See the part II of the tutorial here: https://www.slideshare.net/IngmarWeber/social-media-research-and-practice-in-the-health-domain-tutorial-part-ii
Learn more about social media for health here https://www.futurelearn.com/courses/social-media-in-healthcare
Presentation at the 19th anniversary conference of the National Institutes of Health (UP Manila). 2 March 2017 Bayanihan Center, Pasig City. It discusses this paper http://actamedicaphilippina.com.ph/content/content-analysis-tweets-pregnant-women-diabetes.
Social media is a broad term that encompasses many Internet
based sites through which online-users communicate and disseminate information. Social media networks, such as Facebook, Twitter, and YouTube, are redefining the concept of community as online users can now exchange ideas, messages, videos, and other forms of usercontent within seconds
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As it is evident from the literature, the use of Internet, particularly Web 2.0 in
healthcare, is now under debate. Mainly, in Italy there is a shortage of specific studies concerning
the use of social media and new technologies in the infectious disease field, particularly in HIV/AIDS.
In order to explore this issue, we carried out a survey to understand how, today, the use of new
media could influence the behaviour of people living with HIV (PLWH) and their physician-patient
relationship.
Social Media, Medicine and Health Literacy: Chronic Disease PreventionCameron Norman
A presentation made to the International Roundtable on Health Literacy and Chronic Disease Management held in Vancouver, BC from May 1-4th and sponsored by the Peter Wall Centre for Advanced Studies.
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Also available as video webcast here: http://www.slideshare.net/CreationHealthcare/doctors-in-social-media-the-story-so-far
Presentation at the Philippine National Health Research Week preconference meeting: Rallying Communicators for Science, Technology, and Innovation in Health | Society of Health Research Communicators (SHARE). 22 August 2017, Hotel Jen, Manila.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
Social Media Research and Practice in the Health Domain - Tutorial, Part IIIngmar Weber
Second part of tutorial given at Weill Cornell Medicine Qatar on February 18, 2017 (https://qatar-weill.cornell.edu/bchp/socialMediaResearchPracticeHealthDomain.html). First part given by Luis Luque (see https://www.slideshare.net/luis.luque/social-media-research-in-the-health-domain-tutorial).
The Transformational Power - and Promise - of Social MediaMayo Clinic
Presentation at Transform 11 (#txfm11) by Lee Aase, ePatient Dave deBronkart and Dr. Bryan Vartabedian on the power and promise of social media in health care.
Social networking, a relatively new communication phenomenon, has the ability to provide education, foster advocacy, promote the profession, and influence mental health policy. It also has the potential to violate boundaries, infringe on privacy, create liability, and damage professional credibility. A review of the literature revealed limited research has been conducted concerning the impact and use of social networking sites in nursing practice and other healthcare disciplines.
In Psychiatric/Mental Health Nursing, communication is the foundation of the therapeutic alliance. Because social networking communications have the potential to positively and negatively affect this alliance, it is imperative to develop guidelines for prudent and resourceful usage of social networking media that complies with practice acts, promotes professionalism, and maintains work-life balance for the psychiatric mental health nurse. This session will provide an overview of different types of social media outlets, review published position statements from other healthcare disciplines, and consider best practices for Psychiatric/Mental health nursing.
Top 7 Physicians Networks for you to Join as a Medical ProfessionalNet Pro Referral
As a medical professional or a medical specialist, there are numerous benefits of being engaged in physicians networks. Not only for being up to date with the developments on the field but also to be open to newer opportunities.
Social media e salute. La Rete Oncologica del Piemonte e della Valle d'AostaGiuseppe Fattori
La Rete Oncologica esempio di attuazione del Piano della cronicità.
La rete Oncologica è fiore all’occhiello della sanità piemontese, punto di riferimento delle altre regioni italiane eccellenza del Servizio Sanitario Nazionale.
Non è solo un modello organizzativo e operativo ma un modello culturale di gestione della persona attraverso la presa in carico globale e continuativa del paziente e l’intervento nel sostegno ai familiari, o accompagnatori, a partire dalle fasi iniziali del percorso di assistenza e per tutta la durata dello stesso.
Un sistema completamente nuovo per la cura dei pazienti, basato su percorsi personalizzati per i pazienti che ben rappresenta l’obiettivo che nei prossimi due anni di sperimentazione si prefigge il Piano regionale delle cronicità e che già, nella rete oncologica, vede la sua realizzazione.
Conoscere i percorsi di accesso e di salute non può che arricchire i professionisti che ogni giorno forniscono informazioni ai cittadini e contribuiscono a formare una cittadinanza consapevole e libera nella scelta dei percorsi di salute.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
Social media research in the health domain (tutorial) - [part 1]Luis Fernandez Luque
Tutorial about the use of social media in the health domain. The tutorial is designed for healthcare professionals interested in eHealth. It was done for Weill Cornell Medicine - Qatar.
See the part II of the tutorial here: https://www.slideshare.net/IngmarWeber/social-media-research-and-practice-in-the-health-domain-tutorial-part-ii
Learn more about social media for health here https://www.futurelearn.com/courses/social-media-in-healthcare
Presentation at the 19th anniversary conference of the National Institutes of Health (UP Manila). 2 March 2017 Bayanihan Center, Pasig City. It discusses this paper http://actamedicaphilippina.com.ph/content/content-analysis-tweets-pregnant-women-diabetes.
Social media is a broad term that encompasses many Internet
based sites through which online-users communicate and disseminate information. Social media networks, such as Facebook, Twitter, and YouTube, are redefining the concept of community as online users can now exchange ideas, messages, videos, and other forms of usercontent within seconds
Social media and people with HIV. Results from an Italian surveyGiuseppe Fattori
As it is evident from the literature, the use of Internet, particularly Web 2.0 in
healthcare, is now under debate. Mainly, in Italy there is a shortage of specific studies concerning
the use of social media and new technologies in the infectious disease field, particularly in HIV/AIDS.
In order to explore this issue, we carried out a survey to understand how, today, the use of new
media could influence the behaviour of people living with HIV (PLWH) and their physician-patient
relationship.
Social Media, Medicine and Health Literacy: Chronic Disease PreventionCameron Norman
A presentation made to the International Roundtable on Health Literacy and Chronic Disease Management held in Vancouver, BC from May 1-4th and sponsored by the Peter Wall Centre for Advanced Studies.
Doctors in social media: the story so far, with Creation Pinpoint (slides)CREATION
Today we are seeing an explosion in doctors using public social media channels to talk with each other about clinical and practice matters. In this webcast, Daniel Ghinn presents some milestones in doctors' use of social media from recent years and reveals first-time insights from millions of analysed conversations between doctors online using Creation Pinpoint.
Also available as video webcast here: http://www.slideshare.net/CreationHealthcare/doctors-in-social-media-the-story-so-far
Presentation at the Philippine National Health Research Week preconference meeting: Rallying Communicators for Science, Technology, and Innovation in Health | Society of Health Research Communicators (SHARE). 22 August 2017, Hotel Jen, Manila.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
Social Media Research and Practice in the Health Domain - Tutorial, Part IIIngmar Weber
Second part of tutorial given at Weill Cornell Medicine Qatar on February 18, 2017 (https://qatar-weill.cornell.edu/bchp/socialMediaResearchPracticeHealthDomain.html). First part given by Luis Luque (see https://www.slideshare.net/luis.luque/social-media-research-in-the-health-domain-tutorial).
The Transformational Power - and Promise - of Social MediaMayo Clinic
Presentation at Transform 11 (#txfm11) by Lee Aase, ePatient Dave deBronkart and Dr. Bryan Vartabedian on the power and promise of social media in health care.
Social networking, a relatively new communication phenomenon, has the ability to provide education, foster advocacy, promote the profession, and influence mental health policy. It also has the potential to violate boundaries, infringe on privacy, create liability, and damage professional credibility. A review of the literature revealed limited research has been conducted concerning the impact and use of social networking sites in nursing practice and other healthcare disciplines.
In Psychiatric/Mental Health Nursing, communication is the foundation of the therapeutic alliance. Because social networking communications have the potential to positively and negatively affect this alliance, it is imperative to develop guidelines for prudent and resourceful usage of social networking media that complies with practice acts, promotes professionalism, and maintains work-life balance for the psychiatric mental health nurse. This session will provide an overview of different types of social media outlets, review published position statements from other healthcare disciplines, and consider best practices for Psychiatric/Mental health nursing.
Top 7 Physicians Networks for you to Join as a Medical ProfessionalNet Pro Referral
As a medical professional or a medical specialist, there are numerous benefits of being engaged in physicians networks. Not only for being up to date with the developments on the field but also to be open to newer opportunities.
Social media e salute. La Rete Oncologica del Piemonte e della Valle d'AostaGiuseppe Fattori
La Rete Oncologica esempio di attuazione del Piano della cronicità.
La rete Oncologica è fiore all’occhiello della sanità piemontese, punto di riferimento delle altre regioni italiane eccellenza del Servizio Sanitario Nazionale.
Non è solo un modello organizzativo e operativo ma un modello culturale di gestione della persona attraverso la presa in carico globale e continuativa del paziente e l’intervento nel sostegno ai familiari, o accompagnatori, a partire dalle fasi iniziali del percorso di assistenza e per tutta la durata dello stesso.
Un sistema completamente nuovo per la cura dei pazienti, basato su percorsi personalizzati per i pazienti che ben rappresenta l’obiettivo che nei prossimi due anni di sperimentazione si prefigge il Piano regionale delle cronicità e che già, nella rete oncologica, vede la sua realizzazione.
Conoscere i percorsi di accesso e di salute non può che arricchire i professionisti che ogni giorno forniscono informazioni ai cittadini e contribuiscono a formare una cittadinanza consapevole e libera nella scelta dei percorsi di salute.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
This slides wer presented at the Medicine 2.0 conference at Stanford University on 09.17.11 and include data that was collected as part of a research collaboration b/w Bob Miller (Hopkins), Bryan Vartabedian (Baylor), Molly Wasko (UAB), and the team at CE Outcomes. This research was funded in part by the Medical Education Group at Pfizer, Inc.
This talk is being delivered on June 19th 2012 as part of CBI's 3rd Annual Social Media Regulations and Compliance Conference in Arlington, Virginia: http://www.cbinet.com/brochures/PC12028_brochure.pdf
Social Media Marketing Life Science Alley March 2013Elise Schadauer
Use of social media by doctors and consumers is growing. This presentation shares social media trends and best practices for medical device companies looking to dive into social media marketing.
Mind the Gap: Social Media (SM) Strategy & Relationship Building for Health S...Paul Gallant
Presented at British Columbia Patient Safety and Quality Council 2012. Social Media Camp by Paul Gallant, Certified Health Executive, Mentor, Health Leader and Consultant, CHE, PhD(c), MHK.
Principal, Gallant HealthWorks
www.GallantHealthWorks.com
slides moved to my main slideshare account. Other link still works also.
Presentation to first Phillipine health care social media (#hcsmph) conference on future of social media - Feb. 21, 2014
(Please note date on cover slide is wrong - I'm not that much of a futurist!!)
Ethical Issues Related to Social MediaThe use of social media in.docxhumphrieskalyn
Ethical Issues Related to Social Media
The use of social media in the healthcare setting can have significant impact on nursing practice. The impacts are common both in individual and organizational levels. The impacts of using social media in the clinical practice are both negative and positive (Jackson, Fraser, & Ash, 2014). The negative impact of using social media in the healthcare are attributed to various ethical issues. The advancement in information technology has increased the use of social media platforms in communication. Nurses are expected to develop professional skills and competencies in nursing informatics to improve their clinical practice. The use of social media has potential benefits to the users. unfortunately, irresponsible use of social media platforms is a fraught with hazards. There have been cases of patients stalking their nurses, providers blogging denigrating descriptions about patients under their care, and nurses disclosing sensitive or confidential and private information about their patients (Jackson et al., 2014). These negative impacts, for example, disclosing of private information is one of the leading factors that is linked with ethical issues when using social media in the clinical practice.
The use of social media platforms in the healthcare has raised various professional issues that include concerns related to confidentiality and privacy; professional boundaries; integrity, trustworthiness of health care professionals; line between personal and professional identity; and accountability (Denecke et al., 2015). Privacy and confidentiality are the main factors that cause ethical issues with the use of social media in the healthcare setting. Lack of privacy and confidentiality of patient’s sensitive information has been cited as the main cause of ethical issues when using various social media platforms in the healthcare setting. Privacy is controlled by the patient while confidentiality is controlled by the nurses and both should be promoting when using social media in the clinical practice (Denecke et al., 2015).
Maintaining privacy and confidentiality are important in maintaining nurse-patient relationship and addressing the related ethical issues in nursing practice. Maintaining trust of the patients is integral for ensuring provision of competent nursing care. Nurses should be committed to promote confidentiality of patient’s information when using social media to avoid the related ethical issues (Denecke et al., 2015). Lack of confidentiality may result to a situation where patients are disinclined to share intimate clinical information concerning themselves and their medical histories; thus, compromising with the delivery of quality, holistic, competent, and individualized care in nursing practice.
Sharing patient’s data through various social media platforms may result to ethical issues if informed consent is not considered. Sensitive patient’s information should be shared with the consent of.
Technology 101 Workshop: An Introduction to Social Media WebsitesScott Bradbury
An introduction to social media websites and their application to supporting continuing medical education.
Presentation delivered at the Alliance for Continuing Education in the Health Professions (ACEHP) 2013 Conference in San Francisco, CA. Session F47.
February 1, 2013
Scott Bradbury
Brian McGowan
Brandee Plott
Derek Warnick
Social Media and Medicine: Relevance to Cancer CareMatthew Katz
Social media are pervasive, powerful communications tools. What are the risks and benefits of using them in cancer care? I discuss it in this talk at Yale April 10, 2014.
Instructions In this paper describe someone you know, yoursel.docxcarliotwaycave
Instructions: In this paper describe someone you know, yourself,
a family member, a friend or a character in a book, television
show, or movie who suffers with a psychological disorder (e.g.,
depression, panic attacks, phobias, bipolar disorder, obsessive-
compulsive disorder, PTSD, & schizophrenia). Do not use the a
real person's name even if it is yours. Use a pseudonym.
Assignment Rubric:
• Please use APA style - Use the Purdue OWL website https://
owl.english.purdue.edu/owl/resource/560/01/ (Links to an
external site.)
Links to an external site.
You may also use MLA style if you are already familiar with
it.
Task Maximum Points
Describe the disorder and its symptoms
using the DSM V manual as a guide
(available to you on Canvas).
10 points
Describe the person’s specific
symptoms. 10 points
Explain the general causes of the
disorder. 10 points
Describe at least 3 different treatment
options that would be most beneficial to
the individual with the disorder
15 points
Grammar, spelling, & punctuation 10 points
APA style in text references and
reference list 5 points
https://owl.english.purdue.edu/owl/resource/560/01/
https://owl.english.purdue.edu/owl/resource/560/01/
https://owl.english.purdue.edu/owl/resource/560/01/
https://owl.english.purdue.edu/owl/resource/560/01/
https://owl.english.purdue.edu/owl/resource/560/01/
• No cover page or abstract is necessary
• Minimum 5 references
• Minimum 1000 words
• Times New Roman, 12-point font, double-spaced
informatics
Article
Evaluation Tools to Appraise Social Media and
Mobile Applications
Diane Skiba
University of Colorado College of Nursing, Anschutz Medical Center Campus, Aurora, CO 80045, USA;
[email protected]
Academic Editors: Elizabeth Cummings and Carey Mather
Received: 16 March 2017; Accepted: 13 September 2017; Published: 15 September 2017
Abstract: In a connected care environment, more citizens are engaging in their health care through
mobile apps and social media tools. Given this growing health care engagement, it is important for
health care professionals to have the knowledge and skills to evaluate and recommend appropriate
digital tools. The purpose of this article is to identify and review criteria or instruments that can be
used to evaluate mobile apps and social media. The analysis will review current literature as well
as literature designed by professional health care organizations. This review will facilitate health
care professionals’ assessment of mobile apps and social media tools that may be pertinent to their
patient population. The review will also highlight strategies which a health care system can use to
provide guidance in recommending mobile apps and social media tools for their patients, families,
and caregivers.
Keywords: mobile apps; social media; evaluation tools; appraisal
1. Introduction
In the Connected Health Age, patients, families, caregivers, health care providers, health care
administrators, and informatics spe ...
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Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
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Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
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É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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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
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 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
2. 1. Facebook 88%
2. Twitter
3. LinkedIn
4. Pintrest
5. Blog
6. PharmQD
7. Delicious 31%
25%
Other
22%
8. 17%
9. I do not engage with 5%
3%
9%
social media 0%
1 2 3 4 5 6 7 8 9
3. 1. Facebook
2. Twitter 43%
3. LinkedIn
4. Pintrest 31%
5. Blog
6. PharmQD
7. Delicious
8. Other 10% 10%
9. I do not engage with social media
3%
2% 2%
0% 0%
1 2 3 4 5 6 7 8 9
4. Web 2.0
Social Media & Patients
Social Media and Healthcare Providers
Research Findings
How to get involved
Q & A
5. Web 2.0 can broadly be defined as “social
programming for everyone “ whereby the
interaction between user and internet
transformed from „read-only‟ to „read-write-
participate‟ form.2
2Lupianez-Villanueva F, Mayer MA, Torrent J. Opportunities and challenges of Web 2.0
within the health care systems: an empirical exploration. Inform Health Soc Care.
2009 Sep;34(3):117-26.
6. Br it an n ica On lin e Wikip ed ia
Per so n al w eb sit es Blo g g in g
Dir ect o r ies Tag g in g (Flickr,
Delicio u s )
o Pu b lish in g o Par t icip at io n
7.
8.
9. Social writing applications
Collaborative knowledge base
Research coordination
Brainstorming
Wiki Platforms1 and examples of academic wikis2 :
pbworks.com- wiki for educational use
University of Calgary : http://wiki.ucalgary.edu
Brown University:https://wiki.brown.edu/confluence/dashboard.action
The University of Texas at Austin: https://wikis.utexas.edu/dashboard.action
1http://www.wikimatrix.org/ ; http://en.wikipedia.org/wiki/Comparison_of_wiki_software
2Cain J, & Fox BI (2009). Web 2.0 and pharmacy education. [Review]. Am J Pharm Educ 73: 120.
10. Educating (oneself and others)
Meeting folks who are smarter
Curating knowledge
Sharing what we learn
@hjluks: http://www.howardluksmd.com/medical-social-media/tweet-
or-retreat-medicine-social-media/
12. EdX (8 courses)
Coursera (over 100 courses)
Udacity (18 courses)
Anything useful for pharmacy students?
Health in Numbers ( Harvard School of Public
Health, EdX)
Writing in the Sciences (Stanford School of
Medicine, Coursera)
13. Social media as “an enabler of public health
engagement and improvement” through educating
patients on healthcare issues, organizing communities
to find and resolve health care problems, as well as
offering new solutions to health problems.”1
1 Cain J, Romanelli F, Fox B. Pharmacy, social media, and health: Opportunity for impact. J Am Pharm Assoc (2010).
Nov-Dec;50(6):745-51.
14.
15. Patients ePatients
Passive Role Active (engaged) role
Information given to They seek out
them information (internet)
Top down healthcare Partner in healthcare
delivery
Paternalistic Medicine Participatory medicine
Adapted from Poikonen J. “Social Media & Health 2.0,” October 2011
16. E-health in the United States, Boston Consulting Group, 2003
17. What’s lacking:
1. Doctor-patient email
2. How to determine the correct tests and txs
3. More in-depth information on quality of care
4. The ability to schedule doctor appointments online
5. Direct internet access to online doctors
6. Free access to fee-only medical journals
7. Online diagnostic tools
8. Access to medical records and test results
9. Better ways to connect with local resources
Ferguson T. (2007). E-patients: how they can help us heal healthcare Retrieved December 16,
2010, from http://e-patients.net/e-Patients_White_Paper.pdf
18. 1. A review on Amazon
2. A review on Yelp 42%
3. A review on Vitals/Healthgrades
33%
4. A review on RateMyProfessors 30%
5. Other online reviews
22%
6. I do not write online reviews
12%
2%
1 2 3 4 5 6
21. West Virginia pharmacists:
• Attendees (50) of West Virginia Pharmacy
Association Convention (2009)
• Findings: two thirds of pharmacists used some
sort of social media (Facebook, Youtube ,
Wikipedia, Blogs)
• About 15% of pharmacists used Facebook for
professional purposes
1Alkhateeb FM, Clauson KA, Latif DA. Pharmacist use of social media. Int J Pharm Pract. 2011 Apr;19(2):140-2.
22. Shcherbakova N, Shepherd M, Makhinova T. Assessment of Internet and Social
Network Use by Texas Independent Community Pharmacists. Journal of American
Pharmacists Association 2012; 52 (2):272.
23. 1. Determine the extent community pharmacists use text
messaging, email, Facebook, Twitter and/or other social
networks for professional communication (patients,
pharmacists, other healthcare professionals);
2. Identify perceptions of community pharmacists towards
using social media for patient-pharmacist communication.
3. Determine the extent independent pharmacists have
developed and employed their pharmacy websites for the
provision of drug information and patient care services.
24. Sample size: 1196 independent community pharmacists
(random sample of ~ 50% of independent community
pharmacists in Texas)
Data collection: mail questionnaire with an option to
complete online
Survey : a 25-item survey instrument with questions
addressing the objectives of the study
Pretest for content and clarity: 10 practicing community
pharmacists
25. 16 surveys were completed online
297 surveys were completed via mail
questionnaire
284 usable questionnaires were analyzed
Response rate: ~24%
26. Gender: 70% male
Average age: 54 (± 11)
Average years since graduation with pharmacy
degree: 28 (± 13)
Pharmacy degree: 83%- BS Pharm, 17%-PharmD
27. Respondent Practice setting:
• 45% -metropolitan
• 18%-small urban
• 19%- small community
• 18%-rural
Store owners: 60% (167)
Internet access in the pharmacy: 98% of the pharmacies
Familiar with the term ‘social media’: 91%
Provision of MTM services: 25%
Completion of 50% or more CE courses online: 76%
National and/or state professional organizations: 80% of
pharmacists indicated holding membership
29. “The use of smart phones will increase use of social media
exponentially over next 5 years. The problem is to get seniors to
adopt the use of social media to improve their healthcare
knowledge. “
“It depends on the pharmacy location. When a pharmacy is located
at a low income area, all Medicaid or welfare, they cannot afford
having a computer or they do not have access to internet on a daily
basis to check their email, Facebook or Twitter. This pharmacy is
located in a low income area, contacting and communicating with
patients only by phone.”
“I use YouTube to show how to use inhalers and website to help on
disease education.”
“All this stuff is good, I am just a dinosaur.”
“Many of my customers have my cell phone number and I'm
frequently 4 to 5 times a week answering drug questions over texts.”
“I would like to use social media in my pharmacy more. However, I do
not have time and none of my employees seem to have the
knowledge.”
30.
31. Clauson et al. identified 44 pharmacist blogs
68.2% anonymous
43% pharmacists practicing at community settings
Pharmacists practicing in the community were more
likely to use unprofessional and critical language
Clauson KA, Ekins J, & Goncz CE (2010). Use of blogs by pharmacists. Am J Health Syst Pharm 67: 2043-2048.
33. Forum for discussion of course-related topics
Reflective journaling medium
Life-long learning
Cain J, & Fox BI (2009). Web 2.0 and pharmacy education. [Review]. Am J Pharm Educ 73: 120.
Example:
• student blogger from the Bouvé College of Health
Sciences at Northeastern University:
http://quinnbott.blogspot.com/
• UCSF “Report from the pharm”:
http://pharmdadmissions.ucsf.edu/