A storytelling workshop collaboration with Melissa Cunningham (Office of Patient Experience), Alex Fox (School of Public Health), and Patricia F. Anderson (Taubman Health Sciences Library). The focus of the workshop was on tools and strategies for telling patient and healthcare stories.
Hal Elrod on exactly how to go from deeply depressed to living a THRIVING life.
http://rachelrofe.com/hal-elrod-on-exactly-how-to-go-from-deeply-depressed-to-living-a-thriving-life
Work EthicsIf it’s worth doing it, it’s worth doing it right t.docxambersalomon88660
Work Ethics
If it’s worth doing it, it’s worth doing it right the first time.
1
What are your personal examples?
Just when you think you are good, make it better!
Getting Things Done: Mise En Place
What is Mise En Place? Put in place!
Communication and Organization
Slow down to speed up?
Please listen or read it here: http://www.npr.org/2015/01/02/374511095/how-organizing-like-a-chef-can-help-you
2
Close your eyes and listen to this radio podcast on mise en place. (Click on the Kitchen Confidential picture in presentation mode) Read the script or replay the podcast if necessary. What do you learn from this reporting?
Meaning of Being Exact and the Pursuit of Excellence
Importance of being exact:
My GE refrigerator didn’t fit!
Pursuit of perfection:
Japanese Metro, Lexus
Imagine yourself standing on the springboard and jumping into the dry pool 10 meters below, knowing that water will flow and fill the pool before you hit the bottom…
3
What are your personal examples?
Just when you think you are good, make it better!
Meaning of Being Exact and the Pursuit of Excellence: GE
4
GE says that this fridge fits the 36” openings with ¼” clearance. The spec sheet says that the width is between 35 1/2” and 35 7/8” but it did NOT fit into my 36” kitchen opening! Do you have similar experiences? What can be done at factory?
Meaning of Being Exact and the Pursuit of Excellence: Japan
http://youtu.be/_rtxm30NULU
http://youtu.be/AktHnnA9QIM
Please click to watch the videos.
5
What are your personal examples? The Lexus commercial first aired in 1992 launched it into the luxury brand category!
The photo I chose to analyze is http://docsouth.unc.edu/church/morris/ill311.html. It is from the Church in the Southern Black Community Collection. It shows the Morris family from Helena, Arkansas.
OBSERVE:
The first thing I see is a mother and father with five children. Judging by the way they are posed, the deadpan looks on their faces, and the very high collars on the females’ dresses, this photograph was taken during the Victorian Era. The males are all wearing suits and bow ties. The details in the back of the photo show that it was taken in a studio. It is possible that the back of the photograph lists the individual members of the family, as numbers are written on or near ever person in the image. The mother is sitting on a wicker chair.
REFLECT:
This image, based on image quality, posing, and clothing, was taken during the Victorian Era. Data available with the file says that the man was E. C. Morris, born 1855. This photo was likely taken sometime around 1885, since the oldest boy appears to be about 10 and people married early back then. It is likely that this image was taken to show how successful the man was. He was a black minister in the South after Reconstruction. Opportunities for African Americans were scarce during that time at that place, yet his family is well dressed and he could afford to have a nice por.
Hal Elrod on exactly how to go from deeply depressed to living a THRIVING life.
http://rachelrofe.com/hal-elrod-on-exactly-how-to-go-from-deeply-depressed-to-living-a-thriving-life
Work EthicsIf it’s worth doing it, it’s worth doing it right t.docxambersalomon88660
Work Ethics
If it’s worth doing it, it’s worth doing it right the first time.
1
What are your personal examples?
Just when you think you are good, make it better!
Getting Things Done: Mise En Place
What is Mise En Place? Put in place!
Communication and Organization
Slow down to speed up?
Please listen or read it here: http://www.npr.org/2015/01/02/374511095/how-organizing-like-a-chef-can-help-you
2
Close your eyes and listen to this radio podcast on mise en place. (Click on the Kitchen Confidential picture in presentation mode) Read the script or replay the podcast if necessary. What do you learn from this reporting?
Meaning of Being Exact and the Pursuit of Excellence
Importance of being exact:
My GE refrigerator didn’t fit!
Pursuit of perfection:
Japanese Metro, Lexus
Imagine yourself standing on the springboard and jumping into the dry pool 10 meters below, knowing that water will flow and fill the pool before you hit the bottom…
3
What are your personal examples?
Just when you think you are good, make it better!
Meaning of Being Exact and the Pursuit of Excellence: GE
4
GE says that this fridge fits the 36” openings with ¼” clearance. The spec sheet says that the width is between 35 1/2” and 35 7/8” but it did NOT fit into my 36” kitchen opening! Do you have similar experiences? What can be done at factory?
Meaning of Being Exact and the Pursuit of Excellence: Japan
http://youtu.be/_rtxm30NULU
http://youtu.be/AktHnnA9QIM
Please click to watch the videos.
5
What are your personal examples? The Lexus commercial first aired in 1992 launched it into the luxury brand category!
The photo I chose to analyze is http://docsouth.unc.edu/church/morris/ill311.html. It is from the Church in the Southern Black Community Collection. It shows the Morris family from Helena, Arkansas.
OBSERVE:
The first thing I see is a mother and father with five children. Judging by the way they are posed, the deadpan looks on their faces, and the very high collars on the females’ dresses, this photograph was taken during the Victorian Era. The males are all wearing suits and bow ties. The details in the back of the photo show that it was taken in a studio. It is possible that the back of the photograph lists the individual members of the family, as numbers are written on or near ever person in the image. The mother is sitting on a wicker chair.
REFLECT:
This image, based on image quality, posing, and clothing, was taken during the Victorian Era. Data available with the file says that the man was E. C. Morris, born 1855. This photo was likely taken sometime around 1885, since the oldest boy appears to be about 10 and people married early back then. It is likely that this image was taken to show how successful the man was. He was a black minister in the South after Reconstruction. Opportunities for African Americans were scarce during that time at that place, yet his family is well dressed and he could afford to have a nice por.
In the course of our life, we have to agree that there is no beauty without struggle. No one likes to hear the story of someone who got everything easily. People want to listen to the stories of men and women who, while born in the valley of struggle, endured pain and turned their battles into a gift.
There's a movement brewing built upon leveraging the transformative power of creativity to help us work and create better so that we can produce work infused with meaning. Discover how by knowing your Why, instilling tiny habits to cultivate your creative spark, and finally, fomenting creative collaboration based on the tenets of improv and open spaces, you can take the spark of Creativity (R)Evolution and use it as the impetus to push you, your teams, and your companies to create Betterness.
Relevant at Any Size: Strategic Thinking for Small and Rural LibrariesJustin Hoenke
This is a presentation I gave for the 2018 NLA/NSLA Joint Conference.
Small and Rural Libraries are not just little libraries lost out in the middle of nowhere: they are the centers of their community, providing essential resources to so many Americans. Even though budgets these days are flat and libraries are being asked to do more, these libraries are the ones doing some of the most essential community based work in the country. Be it through their programs, their personalized services, or the simple day to day things they do for their guests, small and rural libraries are making an impact and helping many Americans navigate the many changes in our modern society. In this workshop, attendees will learn new strategies, program ideas, and customer service ideas for how their small and rural library can make the leap to the next level of library service for their community without busting the budget or needing more staff.
Presentation on knowledge synthesis methodologies with a focus on engineering, for University of Michigan, October 25, 2023. Overview of the broader context, then focuses in on systematic reviews and tech mining.
PF Anderson presents for OLLI-UM on February 25, 2021. Graphic Medicine describes the genre of comics and graphic novels around healthcare, as told from personal and professional perspectives. Many think of comics as for children, but that could be risky with some of these! The personal experiences described can be tender or gritty, and touch on topics such as specific conditions, social justice, dying, lived experiences, resilience. Visual aspects of storytelling take advantage of new literacies, offering insights not possible through other mediums.
Brief lightning talk for UofM THL, repeated for MLA Research Caucus on January 27, 2021. On the subject of using systematic review search skills in combination with non-systematic review research methodologies.
As part of the #GraphicMedLibs panel for the August 5, 2020 NNLM NER webinar on Graphic Medicine, PF Anderson discussed awareness of #OwnVoices issues in both comics creation and collections, along with strategies and tools to utilize the #OwnVoices movement in the creation of community and awareness of social justice themes in #GraphicMedicine. This presentation represents the work of PF Anderson (UM-THL) with collaborators Claire Myers (UMSI), Gina Genova (UMSI), Susan Brown (Ypsilanti District Library), and David Carter (UM-AAEL).
"Research core facilities are centralized shared research resources that provide access to instruments, technologies, services, as well as expert consultation..." That sounds a lot like a library to me. What would look different about libraries if we thought of them as a research core facility?
This was a presentation for a research lab at the University of Michigan, May 28, 2019.
Slide deck for the Dent 610 graduate level course on research methods, 2018 version; collaboratively developed by Mark MacEachern, Patricia F. Anderson, and Tyler Nix.
Presented at Meaningful Play 2018, East Lansing, Michigan. Please note, the website for the game (http://aberrantry.com/) is in development at this time. The game code is in GitHub, & a download link is available at the website.
A design thinking approach to rapidly developing comics concepts. Workshop presentation by PF Anderson, University of Michigan. Developed for the Office of Health Equity and Inclusion.
More Related Content
Similar to Storytelling workshop: journeys in health care
In the course of our life, we have to agree that there is no beauty without struggle. No one likes to hear the story of someone who got everything easily. People want to listen to the stories of men and women who, while born in the valley of struggle, endured pain and turned their battles into a gift.
There's a movement brewing built upon leveraging the transformative power of creativity to help us work and create better so that we can produce work infused with meaning. Discover how by knowing your Why, instilling tiny habits to cultivate your creative spark, and finally, fomenting creative collaboration based on the tenets of improv and open spaces, you can take the spark of Creativity (R)Evolution and use it as the impetus to push you, your teams, and your companies to create Betterness.
Relevant at Any Size: Strategic Thinking for Small and Rural LibrariesJustin Hoenke
This is a presentation I gave for the 2018 NLA/NSLA Joint Conference.
Small and Rural Libraries are not just little libraries lost out in the middle of nowhere: they are the centers of their community, providing essential resources to so many Americans. Even though budgets these days are flat and libraries are being asked to do more, these libraries are the ones doing some of the most essential community based work in the country. Be it through their programs, their personalized services, or the simple day to day things they do for their guests, small and rural libraries are making an impact and helping many Americans navigate the many changes in our modern society. In this workshop, attendees will learn new strategies, program ideas, and customer service ideas for how their small and rural library can make the leap to the next level of library service for their community without busting the budget or needing more staff.
Presentation on knowledge synthesis methodologies with a focus on engineering, for University of Michigan, October 25, 2023. Overview of the broader context, then focuses in on systematic reviews and tech mining.
PF Anderson presents for OLLI-UM on February 25, 2021. Graphic Medicine describes the genre of comics and graphic novels around healthcare, as told from personal and professional perspectives. Many think of comics as for children, but that could be risky with some of these! The personal experiences described can be tender or gritty, and touch on topics such as specific conditions, social justice, dying, lived experiences, resilience. Visual aspects of storytelling take advantage of new literacies, offering insights not possible through other mediums.
Brief lightning talk for UofM THL, repeated for MLA Research Caucus on January 27, 2021. On the subject of using systematic review search skills in combination with non-systematic review research methodologies.
As part of the #GraphicMedLibs panel for the August 5, 2020 NNLM NER webinar on Graphic Medicine, PF Anderson discussed awareness of #OwnVoices issues in both comics creation and collections, along with strategies and tools to utilize the #OwnVoices movement in the creation of community and awareness of social justice themes in #GraphicMedicine. This presentation represents the work of PF Anderson (UM-THL) with collaborators Claire Myers (UMSI), Gina Genova (UMSI), Susan Brown (Ypsilanti District Library), and David Carter (UM-AAEL).
"Research core facilities are centralized shared research resources that provide access to instruments, technologies, services, as well as expert consultation..." That sounds a lot like a library to me. What would look different about libraries if we thought of them as a research core facility?
This was a presentation for a research lab at the University of Michigan, May 28, 2019.
Slide deck for the Dent 610 graduate level course on research methods, 2018 version; collaboratively developed by Mark MacEachern, Patricia F. Anderson, and Tyler Nix.
Presented at Meaningful Play 2018, East Lansing, Michigan. Please note, the website for the game (http://aberrantry.com/) is in development at this time. The game code is in GitHub, & a download link is available at the website.
A design thinking approach to rapidly developing comics concepts. Workshop presentation by PF Anderson, University of Michigan. Developed for the Office of Health Equity and Inclusion.
Using design thinking strategies to help bootstrap developing a comic concept. A workshop presentation by PF Anderson for Enriching Scholarship, 2018, at the University of Michigan.
Tips and tricks for writing abstracts for science research articles to maximise citations and impact. Presented at the University of Michigan in May 2018.
A basic introduction to rapid reviews, created for a graduate student workshop, March 2018, presented by PF Anderson from the University of Michigan. Includes links to more resources, standards and guidelines, tools, software, and more.
A strategic approach to crafting abstracts for life sciences research publications to maximize their discovery in search engines as well as utility and citability for audiences beyond other researchers. This workshop was designed for the University of Michigan North Campus Research Center community.
A session for the Dent 610 course at the University of Michigan, on research methods and processes. Specific focus of this session on systematic review methods and processes, especially through database searching.
A presentation by Dr. David Cheney for the Investing in Abilities 2017 lecture series, on emerging technologies and tech strategies for empowerment, especially focused on using education to crowdsource solutions to interesting problems and develop compassion and a sense of humanity.
A presentation by Dr. Michelle A. Meade for the Investing in Abilities 2017 lecture series, on emerging technologies and tech strategies for empowerment.
Slides for a lightning round talk presented at Comics and Medicine, Seattle, also known as Graphic Medicine Conference, 2017. The project presented was by PF Anderson, Elise Wescom, Kai Donovan, and Ruth Carlos, and originally published in the December 2016 issue of the Journal of the American College of Radiology (JACR).
A poster by Kai Donovan, Elise Wescom, Mark Chaffee, Jean Song, Breanna Hamm, and Chase Masters for the 2017 Annual Meeting of the Medical Library Association.
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!
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
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.
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
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.
- 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
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
9. Open Your Minds
Silent Brainstorming: Your Focal Point
1. Imagine a scene. Where might this story begin for you? Is there a
particularly challenging moment that carries significance? What about a
moment of triumph?
2. What is the result? Where are you now? Some of the best stories are
written from back to front.
3. What about where you began? What does your life look like before
this journey began?
10. A Story in Three Circles
OFFICE OF PATIENT EXPERIENCE
The Sweet
Spot
14. Recurring Themes & Characters
Who or What has always been there?
1. Who are the people? Who has lived this story with you?
Who might this story affect?
2. What are the main topics? Have events fallen into
categories? This is the connective tissue between scenes.
3. Where have you been? Could be physical places or
metaphorical (emotions, state of being, etc.).
OFFICE OF PATIENT EXPERIENCE
15. My Introduction
Hello, my name is Alex, and I’ve seen better
days. I actually introduced myself that way
once. I’m pretty sure I didn’t say more than
two words the entire time. It was fun, or
maybe just fine. After a few, I got
comfortable, and things got easier. Today, I
don’t have to go to group therapy.
OFFICE OF PATIENT EXPERIENCE
16. In Reverse
Today, I don’t have to go to group therapy.
After a few, I got comfortable, and things got
easier. It was fun, or maybe just fine. I’m
pretty sure I didn’t say more than two words
the entire time. I actually introduced myself
that way once. Hello, my name is Alex, and
I’ve seen better days.
OFFICE OF PATIENT EXPERIENCE
17. Starting in the Middle
I’m pretty sure I didn’t say more than two
words the entire time. It was fun, or maybe
just fine. After a few more, I got comfortable,
and things got easier. Today, I don’t have to
go to group therapy. Hello, my name is Alex,
and I’ve seen better days. I actually
introduced myself that way once.
OFFICE OF PATIENT EXPERIENCE
18. Intro Minus One
I actually introduced myself that way once.
I’m pretty sure I didn’t say more than two
words the entire time. It was fun, or maybe
just fine. After a few, I got comfortable, and
things got easier. Today, I don’t have to go to
group therapy.
OFFICE OF PATIENT EXPERIENCE
21. Takeaway Points
1. Engagement + Development + Settlement = Balance. You
can shift between any of the three, but you need each in equal
proportions for your story to have meaning.
2. Order Matters. You can totally reshape a story using the same
content with order alone. What you say last is what the audience
will remember.
3. Have a Plan. Everyone needs something different, but everyone
needs something. Script and/or have a plan that works for you.
OFFICE OF PATIENT EXPERIENCE
23. Conversation With My ASD Son On Telling Stories
DS: I want you to always tell me the whole truth.
Me: I know. Me, too. But do you understand that all
stories represent choices about how to tell the story.
DS: No! That’s lying! If you don’t tell me everything
that happened, then you aren’t telling me the truth.
Me: Sweetie, even if I tried to write down everything
that happened as it happened, that would take longer
than the actual events. There are going to be details
I forget. There just isn’t time for me to tell you
everything. I literally CAN’T tell you the WHOLE
truth!
Image Credit: @okashido
https://twitter.com/Okashido/status/1046152747635167233
26. The Medium is the Message
(Wrinkle In Time)
Book to film comparisons:
● How many kids? “Meg is the oldest of four
Murry children, not two. Sandy and
Dennys… were omitted from the film.”
● How are they related? “in the book,
Charles Wallace is the biological son of
Murrys, while in … the film, we learn
Charles Wallace is adopted.”
● Where do they live? What is their
context? “cast the Murrys not as a white
family in Connecticut… but as a
multi-racial family living in California”
● What gender? What relationships? “In the
book, the Happy Medium is a jolly woman.
The film swapped the character's gender &
… there's some playful romantic tension …
which is also new.”
29. Story Elements & Choices: Hook, Line, Sinker
● Beginning
○ Hook
○ first
● Middle
○ Line
○ Attempts / main events
○ Next
● End
○ Sinker
○ Then
● Postscript
○ Resolution
○ Last
Image Credit: https://www.flickr.com/photos/rosefirerising/437038713/in/album-72157594360457977/
30. Story Elements & Choices: Three-Act Structure
Act I - Setup: Exposition,
Inciting Incident, Plot Point
One
Act II - Confrontation:
Rising Action, Midpoint, Plot
Point Two
Act III - Resolution: Pre
Climax, Climax, Denouement
IMAGE SOURCE: https://commons.wikimedia.org/wiki/File:Tension_of_three_act_structure.png
31. Story Elements & Choices: The 6 Ws
● What
● Why
● Who
● When
● Where
● How
Image Credit:
https://www.flickr.com/photos/rosefirerising/4383376875/
32. Story Elements & Choices: Hero’s Journey (Campbell)
● Ordinary World
● Call to Adventure
● Refusal of the Call
● Meeting the Mentor
● Crossing the Threshold
● Tests, Allies, Enemies
● Approach to the Innermost
Cave
● Ordeal
● Reward (Seizing the Sword)
● The Road Back
● Resurrection
IMAGE SOURCE:
https://www.yourheroicjourney.com/rethinking-campbell-whe
n-stages-are-not-stages/
33. Story Elements & Choices:
Story Circle (Vogler)
● A character is in a zone
of comfort,
● But they want something.
● They enter an unfamiliar
situation,
● Adapt to it,
● Get what they wanted,
● Pay a heavy price for it,
● Then return to their
familiar situation,
● Having changed.
IMAGE SOURCE:
http://www.tlu.ee/~rajaleid/montaazh/
Hero%27s%20Journey%20Arch.pdf
34. Story Elements & Choices: Seven-Point Story Structure (Wells
via Star Trek RPG)
● The Hook
● Plot Point 1
● Pinch Point 1
● Midpoint
● Pinch Point 2
● Plot Point 2
● Resolution
IMAGE SOURCES: Dan Wells on Story Structure
https://www.youtube.com/watch?v=KcmiqQ9NpPE&list=PLC430F6A783A88697
35. Story Elements & Choices:
Story Mapping
● Characters
○ main characters
○ supporting characters)
● Setting
● Problem
● Solution
IMAGE SOURCE: Story Map 2: https://www.eduplace.com/graphicorganizer/pdf/storymap2_eng.pdf
37. Take-away (Moral of the Story)
If your story could change
something or someone, what
would you want that to be?
IMAGE SOURCE:
https://en.wikipedia.org/wiki/Aesop%27s_Fables#/media/File:Crane_title.jpg
38. Focusing
Find the constraints that
help you tell your story.
Twist it. Turn it. Shorten
it. Make a haiku or sonnet.
Whatever works for you.
Example:
Walking the Dog Sonnet:
<https://rosefirerising.wordpress.com/2018/04/26/
walking-the-dog-sonnet/>
40. 6 Word Stories
Examples:
“No, you can’t ride the
shark.”
IMAGE SOURCE: https://www.flickr.com/photos/rosefirerising/348175359/in/album-72157594360457977/
41. 6 Word Stories
Examples:
“Coming here: blood in the
streets.”
IMAGE SOURCE: https://www.flickr.com/photos/rosefirerising/263011239/in/album-72157594360457977/
42. 6 Word Stories
Examples:
“The Blues have many rooms.
Now hiring.”
IMAGE SOURCE: https://www.flickr.com/photos/rosefirerising/443251215/in/album-72157594360457977/
52. Story Setting (Where: 2 minutes)
What are the locations where the story happens?
● Does the story move from place to place?
● How many different places?
● Are there locations that are clearly essential to the
story?
● Can you combine some of the places into a single
location? (Ie. coffee shop and restaurant and friend’s house could
become one place where you talk to friends.)
● What are the main locations?
○ Clinic, home, job, …
○ Can you simplify these? For home, what is more important — the
kitchen, living room, bedroom …
54. Story Setting (When: 2 minutes)
How long does your story take? Minutes, hours, days, weeks,
months, years, generations?
● What are the most important events in the story? Do they
happen around the same time, or are they spread out over a
span of time? Is there one event that stands out as most
important?
● Does the story make more sense sequentially, or does it
feel like it needs to bounce from one pivot event to
another?
● Can you compress some of the events into a single point in
time? (Ie. many emails written to friends over a few weeks could become
one email or conversation with one friend.)
56. Story Characters (5 minutes)
Who are the people in the story?
● Does the story move from place to place?
● How many different places?
● Are there locations that are clearly essential to the
story?
● Can you combine some of the places into a single
location? (Ie. coffee shop and restaurant and friend’s house could
become one place where you talk to friends.)
● What are the main locations?
○ Clinic, home, job, …
○ Can you simplify these? For home, what is more important — the
kitchen, living room, bedroom …
58. Resources
Story Map 2: https://www.eduplace.com/graphicorganizer/pdf/storymap2_eng.pdf
Other graphic organizers:
http://www.shbooval.qld.edu.au/learning/Documents/Reading%20graphic%20organisers.pdf
Reedsy:
● Story Structure: Three Models for Your Book https://blog.reedsy.com/story-structure/
● The Dan Harmon Story Circle: What Authors Can Learn from Rick and Morty
https://blog.reedsy.com/dan-harmon-story-circle/
● How to Write a Novel Using The Three Act Structure
https://blog.reedsy.com/three-act-structure/
Dan Wells. Story Structure.
https://www.youtube.com/watch?v=KcmiqQ9NpPE&list=PLC430F6A783A88697
McCloud, Scott. Making Comics: Storytelling Secrets of Comics, Manga, and Graphic Novels.
59. Editing scene by scene:
It’s all in the details!
Melissa Cunningham
60. Breaking through!
Stories are a series of scenes strung together like beads on a wire,
with narrative summary adding texture and color between.
Beginning a story is more like a launch. What is going to launch
those who listen to your story into the scene. - Writer’s Digest
Image by Randy Merrill, Rocket Launch Sequence
62. Bird by Bird
“Thirty years ago my brother, ten years old at the time, was trying
to get a report on birds written that he’d had three months to write.
It was due the next day. He was at the kitchen table close to tears,
surrounded by binder paper and pencils and unopened books on
birds, immobilized by the hugeness of the task. My father sat beside
him, put his arm around my brother’s shoulder, and said, ‘Bird by
bird, buddy. Just take it bird by bird.'”
- Anne Lamott
63. Health Story Collaborative
Living with cancer
By Marie Pechet
STORY: Health Story Collaborative
AUDIO: Sound Cloud
IMAGE SOURCE: Common Health Site
64. What images did Marie start with?
What other images did she turn into scenes?
From those images, what sensory details do you remember?
What points of dialogue did Marie include?
Any anecdotes?
65. Spice it up with some senses
What did you:
Hear?
See?
Feel?
Smell?
Taste?
IMAGE SOURCE: Cheezburger.com
66. We are complex beings.
Every day, we contend with internal,
external, relationship, and spiritual conflicts.
Layer facts with how you felt.
“It’s really not what transpired that makes a good
story,” says Margot Leitman. “It’s about how you felt
about what transpired.”
- Margot Leitman, Long Story Short: The Only Storytelling Guide You’ll Ever Need
IMAGE SOURCE: Pixabay.com
67. Details are the difference between good stuff and
great stuff — Stephen Brewster.
IMAGE SOURCE: Dennis Gingerich Posts
68. Details in their various forms
Concrete details:
A. The bull ran toward me.
B. The angry black bull charged me.
S ( ):
A. My car is red.
B. I drive a candy-apple red car.
Adding details through dialogue:
A. He didn’t think he was going to make it.
B. He said, “I don’t think I am going to make it, man.”
69. Emotive Writing – What Stories Give You the “Feels”?
John Steinbeck: Grapes of
Wrath (book cover)
70. BEST story ending ever!
For a minute Rose of Sharon sat still in the whispering barn. Then she hoisted
her tired body up and drew the comforter around her. She moved slowly to the
corner and stood looking down at the wasted face, into the wide, frightened
eyes. Then slowly she lay down beside him. He shook his head slowly from side
to side. Rose of Sharon loosened one side of the blanket and bared her breast.
“You got to,” she said. She squirmed closer and pulled his head close. “There!”
she said. “There.” Her hand moved behind his head and supported it. Her
fingers moved gently in his hair. She looked up and across the barn, and her
lips came together and smiled mysteriously.
71. Remember Oral Storytelling is:
Not just oral.
Not a pitch, comedy special or rant.
Timing, pauses, and sometimes even silence.
About tone.
Memorized (write notes & then lose the notes).
Takes Practice.