Dr Conor Farren's presentation the relationship between alcohol and mental health issues, including depression, in Ireland. Dr Farren is a Consultant Psychiatrist at St Patrick’s University Hospital and a Senior Clinical Lecturer at Trinity College Dublin.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
The Impact of Alcohol on Self-harm and Suicide in Ireland - New Insights.AlcoholActionIreland
Prof Ella Arensman's presentation about the impact of alcohol on self-harm and suicide in Ireland, providing new insights from recently collected data. Prof Arensman is Director of Research with the National Suicide Research Foundation and Adjunct Professor with the Department of Epidemiology and Public Health, University College Cork.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
The National Suicide Research Foundation recently held an Information Evening in the River Lee Hotel, Cork, entitled; "What's New in Suicide and Self-harm Research in Ireland?".
Professor Ella Arensman, Director of Research at the NSRF, discussed some new findings in suicide research in Ireland, with a focus on the impact of the recession and unemployment on rates of suicide.
For more information, contact:
e.arensman@ucc.ie
+353 (0)21 420 5551
www.nsrf.ie
Dr Philip McGarry's presentation on alchool’s impact on mental health in Northern Ireland. Dr McGarry is a Consultant Psychiatrist at the Mater Hospital in Belfast and was Chair of the Royal College of Psychiatrists in Norther Ireland from 2009 to 2013.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
Health and Homelessness in Ireland from Economic Book to Bust - Dr Fiona O'Reilly
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Health Public
Dr Bobby Smyth's presentation about current trends in alcohol consumption among young people in Ireland and the impact drinking is having on their mental health. Dr Smyth is a Consultant Child and Adolescent Psychiatrist with the HSE, Senior Clinical Lecturer with the Department of Public Health & Primary Care in Trinity College Dublin, and a board member of Alcohol Action Ireland.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
Alcohol misuse and older people- Conor Breen, CARDIRoger O'Sullivan
Many public health campaigns on the misuse of alcohol are aimed at younger age groups. However, there is evidence that alcohol misuse is increasing in people over the age of 65. For a variety of reasons, alcohol misuse among these older people may go unnoticed (Department of Work and Pensions, 2013).
This edition of the CARDI “Focus on . . .” series looks at alcohol misuse among older people across the island of Ireland and asks if more could be done in policy and social work terms to address the associated health and welfare issues among older age groups.
Dr Conor Farren's presentation the relationship between alcohol and mental health issues, including depression, in Ireland. Dr Farren is a Consultant Psychiatrist at St Patrick’s University Hospital and a Senior Clinical Lecturer at Trinity College Dublin.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
The Impact of Alcohol on Self-harm and Suicide in Ireland - New Insights.AlcoholActionIreland
Prof Ella Arensman's presentation about the impact of alcohol on self-harm and suicide in Ireland, providing new insights from recently collected data. Prof Arensman is Director of Research with the National Suicide Research Foundation and Adjunct Professor with the Department of Epidemiology and Public Health, University College Cork.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
The National Suicide Research Foundation recently held an Information Evening in the River Lee Hotel, Cork, entitled; "What's New in Suicide and Self-harm Research in Ireland?".
Professor Ella Arensman, Director of Research at the NSRF, discussed some new findings in suicide research in Ireland, with a focus on the impact of the recession and unemployment on rates of suicide.
For more information, contact:
e.arensman@ucc.ie
+353 (0)21 420 5551
www.nsrf.ie
Dr Philip McGarry's presentation on alchool’s impact on mental health in Northern Ireland. Dr McGarry is a Consultant Psychiatrist at the Mater Hospital in Belfast and was Chair of the Royal College of Psychiatrists in Norther Ireland from 2009 to 2013.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
Health and Homelessness in Ireland from Economic Book to Bust - Dr Fiona O'Reilly
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Health Public
Dr Bobby Smyth's presentation about current trends in alcohol consumption among young people in Ireland and the impact drinking is having on their mental health. Dr Smyth is a Consultant Child and Adolescent Psychiatrist with the HSE, Senior Clinical Lecturer with the Department of Public Health & Primary Care in Trinity College Dublin, and a board member of Alcohol Action Ireland.
This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
Alcohol misuse and older people- Conor Breen, CARDIRoger O'Sullivan
Many public health campaigns on the misuse of alcohol are aimed at younger age groups. However, there is evidence that alcohol misuse is increasing in people over the age of 65. For a variety of reasons, alcohol misuse among these older people may go unnoticed (Department of Work and Pensions, 2013).
This edition of the CARDI “Focus on . . .” series looks at alcohol misuse among older people across the island of Ireland and asks if more could be done in policy and social work terms to address the associated health and welfare issues among older age groups.
The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about...MFLNFamilyDevelopmnt
In an attempt to look at the association between childhood trauma and the risk for physical and mental illness in adulthood, Kaiser Permanente and the Centers for Disease Control and Prevention established the Adverse Childhood Experiences (ACE) Study which is one of the largest scientific research studies of its kind. This 90-minute webinar will provide participants with in-depth information on this study and its implications.
Increasing EAP outreach with evidence based online screenings Bernie McCann
As EAPs have matured, one significant change has been a greater need to conduct additional outreach efforts to effectively serve their covered populations. Outreach efforts with regard to certain mental health conditions are not overly successful – particularly for substance use disorders and depression.
Improvements in online confidential screening of these two conditions allow EAPs to reach employees and direct them to sources of care for improved health & productivity. These newly
available technology platforms offer improved penetration of employees and family members for education, prevention, screening and assist in increased motivation for treatment.
These web-based approaches are increasingly affordable, accessible and if properly implemented, will result in greater case-finding for EAPs.
Presentation Overview:
The extent of suicide in Ireland
Attitudes towards suicidal behaviour
The Suicide Support and Information System
Risk factors associated with suicide
Engaging with people at risk of suicide: Listening - Understanding -Responding
If you have any questions regarding this presentation, please contact e.cusack@ucc.ie
Selected Psychological and Social Factors Contributing to Relapse among Relap...inventionjournals
Drug abuse is a major global problem and in Kenya there has been increasing drug and alcohol abuse with serious negative effects. Treatment and rehabilitation of alcoholism is expensive and non-conclusive due to consequent relapse. This study sought to find out selected psychological and social factors contributing to relapse among recovering alcoholics of Asumbi and Jorgs Ark rehabilitation centres in Kenya. This study adopted the descriptive survey design. The population of the study comprised of all relapsed alcoholics and rehabilitation counsellors in Asumbi and Jorgs Ark rehabilitation centres in Kenya. A sample of 67 recovering alcoholics and 13 counsellors was drawn from the two purposively selected rehabilitation centres and used in the study. The study used two sets of questionnaires, one for relapsed alcoholics and another for rehabilitation counsellors. The questionnaires were piloted to validate and establish its reliability before the actual data collection. Data was collected through administration of two sets of questionnaires to the selected respondents. The data was then processed and analyzed using descriptive statistics including frequencies and percentages with the aid of Statistical Package for Social Sciences (SPSS) version 20.0 for windows. The key findings of this study indicated that the selected psychological factor that mostly contributed to relapse was dwelling on resentment that causes anger and frustration due to unresolved conflict. The social factor that mostly contributed to relapse was hanging around old drinking friends. The key conclusion was that in view of selected factors dwelling on resentment that causes anger and frustration due to unresolved conflict was the major contributor to relapse. The research findings may benefit NACADA, Ministry of Public Health, mental health agencies, psychologists, counsellors, Non-Governmental organizations, policy makers, researchers, drug abusers and alcoholics in Kenya to better understand factors contributing to relapse and devise ways and means of reducing relapse. Based on the major findings of this study, it is recommended that all stakeholders undertake measures aimed at providing a solution to continued relapse of alcoholics by improvement of rehabilitation and follow-up programmes.
Dr Amanda Fitzgerald, UCD School of Psychology and co-author of Headstrong’s My World Survey, a National Study of Youth Mental Health, at Alcohol Action Ireland's conference "Time Please... For Change"
Presentation Overview
• Introduction to self-harm
• Hospital-treated self-harm in Ireland
• Treatment of self-harm
• Challenges and recommendations
• Actions from the Registry
Many people suffer from alcoholism, which is an addiction to alcohol as a result of persistent indulgence of alcohol. Mainly, the affected person shows signs of mental illness or compulsive disorder. More so, the subject of finding the appropriate treatment is a major issue of concern.
As presented at The Royal by:
- Dr. Melanie Willows, Clinical Director, SUCD Program, The Royal
- Dr. Kim Corace, Director, Program Development and Research, SUCD Program, The Royal
Opioid addiction is a large and growing problem affecting our community, especially our young people, women and their families. This session addressed:
· The current state of prescription opioid problems
· Opioid use, abuse, and addiction as it relates to women and parenting
· Risk factors for opioid use about women, with a focus on mental health problems
· Treatment options to help women who struggle with opioid problems
· Reducing the stigma and myths regarding women with opioid use problems
Professor Ella Arensman, Director of Research at the National Suicide Research foundation recently presented in University College Cork at a lecture centred on Dialectical Behavioural Therapy (DBT). The Founder of DBT, Dr. Marsha Linehan also presented at the event, to mark the end of her week in Ireland training mental health professionals in the delivery of DBT.
MRCPsych I - Suicide and Self Harm (April 2007)Alex J Mitchell
This is an academic educational presentation given for those studying for MRCPsych (Royal College of Psychiatrists) Part I. It is from 2007, Leicester Partnership Trust. Apologies if this is difficult to follow when read in isolation.
The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about...MFLNFamilyDevelopmnt
In an attempt to look at the association between childhood trauma and the risk for physical and mental illness in adulthood, Kaiser Permanente and the Centers for Disease Control and Prevention established the Adverse Childhood Experiences (ACE) Study which is one of the largest scientific research studies of its kind. This 90-minute webinar will provide participants with in-depth information on this study and its implications.
Increasing EAP outreach with evidence based online screenings Bernie McCann
As EAPs have matured, one significant change has been a greater need to conduct additional outreach efforts to effectively serve their covered populations. Outreach efforts with regard to certain mental health conditions are not overly successful – particularly for substance use disorders and depression.
Improvements in online confidential screening of these two conditions allow EAPs to reach employees and direct them to sources of care for improved health & productivity. These newly
available technology platforms offer improved penetration of employees and family members for education, prevention, screening and assist in increased motivation for treatment.
These web-based approaches are increasingly affordable, accessible and if properly implemented, will result in greater case-finding for EAPs.
Presentation Overview:
The extent of suicide in Ireland
Attitudes towards suicidal behaviour
The Suicide Support and Information System
Risk factors associated with suicide
Engaging with people at risk of suicide: Listening - Understanding -Responding
If you have any questions regarding this presentation, please contact e.cusack@ucc.ie
Selected Psychological and Social Factors Contributing to Relapse among Relap...inventionjournals
Drug abuse is a major global problem and in Kenya there has been increasing drug and alcohol abuse with serious negative effects. Treatment and rehabilitation of alcoholism is expensive and non-conclusive due to consequent relapse. This study sought to find out selected psychological and social factors contributing to relapse among recovering alcoholics of Asumbi and Jorgs Ark rehabilitation centres in Kenya. This study adopted the descriptive survey design. The population of the study comprised of all relapsed alcoholics and rehabilitation counsellors in Asumbi and Jorgs Ark rehabilitation centres in Kenya. A sample of 67 recovering alcoholics and 13 counsellors was drawn from the two purposively selected rehabilitation centres and used in the study. The study used two sets of questionnaires, one for relapsed alcoholics and another for rehabilitation counsellors. The questionnaires were piloted to validate and establish its reliability before the actual data collection. Data was collected through administration of two sets of questionnaires to the selected respondents. The data was then processed and analyzed using descriptive statistics including frequencies and percentages with the aid of Statistical Package for Social Sciences (SPSS) version 20.0 for windows. The key findings of this study indicated that the selected psychological factor that mostly contributed to relapse was dwelling on resentment that causes anger and frustration due to unresolved conflict. The social factor that mostly contributed to relapse was hanging around old drinking friends. The key conclusion was that in view of selected factors dwelling on resentment that causes anger and frustration due to unresolved conflict was the major contributor to relapse. The research findings may benefit NACADA, Ministry of Public Health, mental health agencies, psychologists, counsellors, Non-Governmental organizations, policy makers, researchers, drug abusers and alcoholics in Kenya to better understand factors contributing to relapse and devise ways and means of reducing relapse. Based on the major findings of this study, it is recommended that all stakeholders undertake measures aimed at providing a solution to continued relapse of alcoholics by improvement of rehabilitation and follow-up programmes.
Dr Amanda Fitzgerald, UCD School of Psychology and co-author of Headstrong’s My World Survey, a National Study of Youth Mental Health, at Alcohol Action Ireland's conference "Time Please... For Change"
Presentation Overview
• Introduction to self-harm
• Hospital-treated self-harm in Ireland
• Treatment of self-harm
• Challenges and recommendations
• Actions from the Registry
Many people suffer from alcoholism, which is an addiction to alcohol as a result of persistent indulgence of alcohol. Mainly, the affected person shows signs of mental illness or compulsive disorder. More so, the subject of finding the appropriate treatment is a major issue of concern.
As presented at The Royal by:
- Dr. Melanie Willows, Clinical Director, SUCD Program, The Royal
- Dr. Kim Corace, Director, Program Development and Research, SUCD Program, The Royal
Opioid addiction is a large and growing problem affecting our community, especially our young people, women and their families. This session addressed:
· The current state of prescription opioid problems
· Opioid use, abuse, and addiction as it relates to women and parenting
· Risk factors for opioid use about women, with a focus on mental health problems
· Treatment options to help women who struggle with opioid problems
· Reducing the stigma and myths regarding women with opioid use problems
Professor Ella Arensman, Director of Research at the National Suicide Research foundation recently presented in University College Cork at a lecture centred on Dialectical Behavioural Therapy (DBT). The Founder of DBT, Dr. Marsha Linehan also presented at the event, to mark the end of her week in Ireland training mental health professionals in the delivery of DBT.
MRCPsych I - Suicide and Self Harm (April 2007)Alex J Mitchell
This is an academic educational presentation given for those studying for MRCPsych (Royal College of Psychiatrists) Part I. It is from 2007, Leicester Partnership Trust. Apologies if this is difficult to follow when read in isolation.
Impact of Suicide on People Exposed to a FatalityFranklin Cook
"Impact of Suicide on People Exposed to a Fatality" is excerpted and adapted from Responding to Grief, Trauma, and Distress After a Suicide: U.S. National Guidelines (2015), by the Survivors of Suicide Loss Task Force (bit.ly/sosl-taskforce) of the National Action Alliance for Suicide Prevention. The original document is available free for download at bit.ly/respondingsuicide.
This summary report concludes that:
The research delineated above represents the solid and growing body of evidence that, for a significant number of people exposed to the suicide fatality or attempt of another person, there are long-term, harmful mental health consequences. Shneidman’s declaration (1972) that postvention is prevention for the next generation is unquestionably supported by clear and overwhelming evidence that exposure to the suicide of another person, particularly of a close intimate, elevates the risk of suicidal behavior and of death by suicide in the population of people exposed.
The Grief After Suicide blog post related to this essay is http://bit.ly/impactessay.
This a brief presentation introducing self-harm. It looks at what self-harm is, symptoms of self-harm, possible causes of self-harm and how to respond to self-harm.
This is a short presentation which gives a definition of self-harm, then looks at why people self-harm including the self-harm cycle. It looks at who can be affected and what might trigger them then tells you some signs to look out for, how to respond if someone tells you about their self-harm and gives some ideas which are useful during recovery.
This presentation can be used just for information or as part of a brief training session.
Young People & Self Harm Presentation Deck (Contact-Nathan M To)Nathan M. To, PhD
(Updated) In our deck for an IDEO/Acumen course on Human-Centred Design and Design-Thinking, our team developed a graphic novel prototype regarding Young People and Self-Harm. For our audience, it was important to articulate an engaging story and visual. We clearly articulated how research processes could produce actionable insights, tangible prototypes, and practical next steps. My role: developing structure, editing, visual “feel”, pacing, content & narrative for wider audiences.
Drugs are ‘used’ if they are to cure illness, prevent diseases or improve health status, and are ‘abused’ if self-administered for non-medical reasons, in frequency and amount that may alter the general body homeostasis of an individual.
Nepal is vulnerable in context of drug addiction and its effects. Adolescents and young people are generally are abusing drugs.
Overview
*The extent of suicide in Ireland
*Attitudes towards suicidal behaviour
*The Suicide Support and Information System
*Risk factors associated with suicide
*Engaging with people at risk of suicide: Listening, Understanding, Responding
Sex, Drugs & Scotland's Health- Positive and negative feelings among people l...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Alastair Hudson.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
The first part of the presentations from the ground-breaking Reducing Suicide Summit 2011, hosted by CALM and focusing on the Cheshire & Merseyside regions of the UK. More info at http://www.thecalmzone.net
Interesting things about alcohol and other drugs - Nov 2016Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Sex, Drugs & Scotland's Health- Drug use among people living with HIV in Scot...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Irina Lut.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
What is a Community Health Needs Assessment?
LOOK at the people’s health of Ottawa County.
METHOD to find key health problems and resources.
TOOL to develop strategies to address health needs.
WAY for community engagement and collaboration.
‘Antibiotic Ireland’ Antimicrobial Resistance A Major Cause for ConcernImproper Prescribing or Patient’s Misconceptions, Expectation and Pressure on Dr’s to prescribe ?
'A day in the Life of a College Nurse'.
Nursing in General Practice Journal. issue 3 Volume 11 2018.
Theresa Lowry-Lehnen explains her role as the College Nurse Practitioner at Institute of Technology, Carlow, Ireland.
'A day in the Life of a College Nurse'.
Nursing in General Practice Journal. issue 3 Volume 11 2018.
Theresa Lowry-Lehnen explains her role as the College Nurse Practitioner at Institute of Technology, Carlow, Ireland.
Monitoring and Assessment in Secondary Schools.
Reflective article on the Monitoring and Assessment of Students work during my Teacher Training at St Mary’s University Teacher Training College London and Partner Schools (2004-2005)
Theresa Lowry-Lehnen
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The Impact of Alcohol on Self Harm & Suicide in Ireland. By Theresa Lowry-Lehnen. Lecturer and Nurse Practitioner.
1. The Impact of Alcohol on Self-Harm
and Suicide in Ireland
Prof. Ella Arensman
National Suicide Research Foundation
Department of Epidemiology and Public Health, UCC
Research Reproduced by
Theresa Lowry-Lehnen
RGN, BSc (Hon’s) Nursing Science, PGCC, Dip Counselling, Dip Psychotherapy,
BSc (Hon’s) Clinical Science, PGCE (QTS), H. Dip. Ed, MEd,
PhD Student Health Psychology
2. Trends in Rates of Self-Harm, 2002-2012 - NRDSH
0
25
50
75
100
125
150
175
200
225
250
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Age-standardisedrateper100,000
Women Men
+20%
+6%
3. Incidence of Self-Harm by Age and Gender
(NRDSH, 2012)
0
100
200
300
400
500
600
700
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
Rateper100,000
Age group
Men Women
Alcohol was involved in 38% of all cases (42% in men, 36% in women)
4. Alcohol Involvement in Self-Harm by Age and
Gender (NRDSH, 2012)
0%
10%
20%
30%
40%
50%
60%
%ofcasesinvolvingalcohol
Male
Female
5. National Registry of Deliberate
Self-Harm
In 2012, there were 12,010 presentations made by 9,483 individuals:
Since 2003 there have been 111,682 presentations
of self-harm recorded by the Registry
A Northern Ireland
registry operates
across the 5 trusts in
NI, with full coverage
obtained as of 2012
6. Suicide
Approx.
550 p.a.
Medically treated DSH
Approx. 12,000 p.a
“Hidden” cases of self-harm
Approx. 60,000 p.a.
Suicide and Medically Treated Deliberate
Self Harm in Ireland: The Tip of the Iceberg
7. Rates of Self-Harm per 100,000 by Age and
Gender
0
100
200
300
400
500
600
700
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
Rateper100,000
Age group
Men Women
8. Methods of Self-Harm by Gender
Alcohol was involved in 38% of all cases
(42% in men, 36% in women)
54%
19%
5%
7%
3% 12%
Drug overdose only
Self-cutting only
Overdose & self-
cutting
Attempted hanging
only
Attempted drowning
only
Other
69%
16%
4%
2% 2%
7%
Men Women
9. Association Between Peaks of Self-Harm and
Public Holidays
Average number of self-harm presentation to hospital per day:
n=33
Six dates in the year on which 50 or more self-harm
presentations were made, 5 of which were public holidays or
the day after:
- January 1st
- October 1st
- March 17th
- March 18th
- June 5th
12. The Extent of Repeated Self-Harm
Presentations
Number of DSH
acts in 2003-
2011
Persons Presentations
Number (%) Number (%)
One 48,066 77.1% 48,066 48.2%
Two 7,899 12.7% 1,5798 15.8%
Three 2,709 4.3% 8,127 8.2%
Four 1,297 2.1% 5,188 5.2%
Five - Nine 1,713 2.8% 11,010 11%
10 or more 635 1.0% 11,483 11.5%
13. The Impact of Alcohol
Alcohol abuse is one of the factors
contributing to the high rates of self-
harm among young people and adults
in Ireland
Direct effects:
Impairs problem-solving ability
Increases impulsivity and lack of
control
Increases feelings of depression,
stress, anger or anxiety
Long term and indirect effects:
Isolation (loss of work, relationships,
etc.)
Neurobiological deficits
Alcohol contributes to increasing
rates of self-harm and it causes
increases of self-harm at specific
times in the year, such as a peak of
self-harm in July and August.
Alcohol is associated with
increasing self-harm among
both men and women
Alcohol contributes to
increases of self-harm at
specific times in the year
and week
Alcohol is associated with
increasing trends in highly
lethal methods of self-harm,
in particular among men
Rossow et al, 2007; Madge et al, 2008;
McMahon et al, 2010;Khalily & Hallahan, 2012
15. Alcohol Involvement by Hour of Presentation to
Hospital due to Self-Harm
0
500
1000
1500
2000
2500
3000
3500
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7
Numberofpresentations
Hour of presentation
No alcohol involved Alcohol involved
16. Western Area of Northern Ireland:
Frequency of Self-Harm Presentations to Hospital by Day of the Week
With and Without the Involvement of Alcohol
Men
0
50
100
150
200
250
300
Mon Tue Wed Thu Fri Sat Sun
Numberofpresentations
Day of the week
Alcohol involved
No alcohol
involved
17. Western Area of Northern Ireland: Frequency of Self-Harm
Presentations to Hospital by Day of the Week With and
Without the Involvement of Alcohol
Women
0
50
100
150
200
250
300
350
Mon Tue Wed Thu Fri Sat Sun
Numberofpresentations
Day of the week
Alcohol involved
No alcohol
involved
18. Trends in Highly Lethal Methods of Self-Harm and Alcohol
Involvement (2004-2012)
0
50
100
150
200
250
2004 2005 2006 2007 2008 2009 2010 2011 2012
Numberofpresentations
Males with alcohol
Females with alcohol
19. Prevalence of Self-Harm in Adolescents across
Different Countries
0
5
10
15
20
25
Australia England Norway Belgium Ireland Hungary Netherlands
Females Males
%
Madge et al, 2008
20. Proportion of Adolescent Self-Harm
due to Heavy Drinking
0 10 20 30 40 50 60
Ireland
Belgium
Australia
Netherlands
England
Hungary
Norway
Percentage
Other factors considered: age, gender, depression,
impulsivity and negative life events . Rossow et al, 2007
21. Main Outcomes
Heavy alcohol consumption increases risk of self-
harm independent of other factors
Less so in Ireland than in other countries
Reducing Irish adolescents’ heavy drinking should
reduce their rate of deliberate self harm (<17%)
22. Suicide Support and Information System (SSIS):
Obtaining a Complete Picture of Suicide Cases and Open
Verdicts by accessing Multiple Sources
Coroners' verdict records
& Post mortem reports
(Response Rate: 100%)
Close family
members/
friends
(Response Rate:
66.0%)
GP/Psychiatrist/
Psychologist
(Response Rate:
77.1%)
• Period and area
covered:
Sept. 2008-June 2012,
City and County Cork
• Number of consecutive
cases: 275 suicide cases
+ 32 open verdicts
meeting screening
criteria; Total N=307
23. • Overrepresentation of men (80.1%); Men
significantly younger than women
• Nearly two thirds had a history of self-harm
(65.2%); 69.1% were diagnosed with
depression, and alcohol/and or drug abuse was
present among 60.7%
• Among those with alcohol and/or drug abuse,
48.6% had abused alcohol, 27.6% had abused
both alcohol and drugs, and 21% had abused
drugs
Among 20.8% an increase in alcohol and/or drug
abuse was observed in the year prior to death
Second SSIS Report:
Key Findings from a Study of 307 Suicide Deaths in Cork
24. Characteristics of the Suicide Deaths Study
Method of suicide: hanging (63.8%), drowning (12.4%), intentional overdose
of medication/drugs (9.8%), other methods (14%)
At the time of death, the majority (79%) had alcohol and/or drugs in their
toxicology. 24.4% had alcohol + drugs, 34.6% had drugs only, and 20% had
alcohol only
Use of alcohol and/or drugs increases the risk of a fatal outcome (Kaplan et
al, 2013)
25. Demographic, Psychosocial and Psychiatric Factors Associated with
Suicide in Men aged <40 years Versus Men aged > 40 years
0 10 20 30 40 50 60 70 80
Family or close friend died by suicide
History of self-harm
Day of the week died: Saturday
Agricultural occupation
Diagnosed with depression
Diagnosed with a physical illness
In paid employment
Antidepressants in toxicology
Marital status: Married/Co-habiting
Drugs in toxicology
Living alone
Method of suicide: Hanging
History of alcohol only abuse
Men aged ≥ 40 Years
0 10 20 30 40 50 60 70 80
Full-time student
Day of the week died: Monday
Diagnosed with depression
Family or close friend died by suicide
History of self-harm
Living with family of origin
Unemployed
History of alcohol and drug abuse
Alcohol in toxicology
Benzodiazepines in toxicology
Opiates in toxicology
Marital status: Single
Method of suicide: Hanging
Men aged < 40 Years
26. 0 10 20 30 40 50 60 70 80
Day of the week died: Thursday
Divorced/Seperated
Living alone
Left suicide note/message
Treated as psychiatric in-patient
Diagnosed with depression
Construction/production sector
Treated as psychiatric out-patient
Unemployed
History of alcohol and/or drug abuse
Psychiatric diagnosis
Drugs in toxicology
Cause of death: Hanging
Percentage
0 10 20 30 40 50 60 70 80
Agricultural sector
Day of the week died: Saturday
Living with family of origin
History of alcohol and/or drug abuse
Family or close friend died by
suicide
Married/Co/habiting
In paid employment
Cause of death: Hanging
Percentage
Had History of Self-Harm No History of Self-Harm
Demographic, Psychosocial and Psychiatric Factors Associated with
Suicide in those With and Without a History of Self-Harm
27. National Clinical Programme for Mental
Health
A programme for the management of self-harm among people
presenting to hospital emergency departments
Key objectives:
Enhance assessment and management of self-harm for people
presenting to EDs at national level and ensure continuity of care, e.g.
referral to indicated treatment, and follow-up
Standardisation of evidence based treatment options nationally for
people who have engaged in self-harm based on best available
evidence
28. Evidence Based Actions
National strategies to reduce access
to alcohol should be intensified.
National strategies to increase
awareness of the risks involved in the
use and misuse of alcohol should be
intensified, starting at pre-adolescent
age.
Active consultation and collaboration
between the mental health- and
addiction services needs to be
arranged for patients who present with
dual diagnosis (psychiatric disorder
and alcohol/drug abuse).
29. Evidence Based Actions
Health care professionals working
with people who engage in self-
harm should receive training in the
assessment and management of
self-harm and co-morbid alcohol
and drug misuse/abuse.
Health care professionals
prescribing medication to people
at risk of self-harm or suicide
should carefully monitor
compliance with appropriate use
of medication.
30. Evidence Based Actions
Breaking the commercially reinforced links between alcohol and
sport.
Recruit the major national sporting organisations as partners in
the development of a national positive mental health promotion
campaign.
Irish Examiner March 28th 2013
32. Acknowledgements
•Data Registration Officers: Liisa Aula, Agnieszka Biedrycka, Grace Boon, Kate Brennan, James
Buckley, Ursula Burke, Lisa Byrne, Laura Cosgrove, Rita Cullivan, Breda Heavey, Ailish
Melia, Catherine Murphy, Mary Nix, Diarmuid O’Connor, Kathleen O’Donnell, Eileen
Quinn, Karen Twomey, Una Walsh
•Department of Health
•Health Service Executive – South: Daniel Flynn, Mary Kells, Mary Joyce, Catalina Suares, Louise
Dunne
• Health Service Executive: National Office for Suicide Prevention, Suicide Prevention Resource
Officers, Hospital staff, HSE departments/units
•NSRF: Ivan Perry, Margaret Kelleher, Eileen Williamson, Paul Corcoran, Eve Griffin, Amanda
Wall, Helen Keeley, Caroline Daly, Celine Larkin. The late Dr Michael Kelleher, founder of the
NSRF
•Prof. Ella Arensman. National Suicide Research Foundation. Department of Epidemiology and
Public Health, UCC
•