The document summarizes key findings from a survey on musculoskeletal health in Britain conducted by the Simplyhealth Advisory Research Panel (ShARP). Some of the main findings include:
- Back pain is the most common musculoskeletal issue, affecting 70% of respondents.
- Women experience more back and knee pain than men and are more likely to rest instead of exercising to relieve pain.
- Musculoskeletal issues increase with age, with over 50s most likely to experience daily pain and seek medical advice.
- Obesity is strongly linked to increased rates of back and knee pain. Nearly all respondents weighing over 14 stone reported back pain issues.
- Height can also impact musculoskeletal health, with taller individuals more likely to experience neck, shoulder
Do you want to live longer? Do you want to reduce your chances of developing diseases like cancer, diabetes or obesity? If so, read through this presentation which will outline the science behind the benefits of exercise.
Dr Steve Cummings presentation from Osteoporosis 2016: Patients receiving bisphosphonates should not take holidays from treatment.
Find out more at: https://nos.org.uk/conference
Do you want to live longer? Do you want to reduce your chances of developing diseases like cancer, diabetes or obesity? If so, read through this presentation which will outline the science behind the benefits of exercise.
Dr Steve Cummings presentation from Osteoporosis 2016: Patients receiving bisphosphonates should not take holidays from treatment.
Find out more at: https://nos.org.uk/conference
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Exercising During the Pandemic
Presentation by Dr Goh Ping Ping
Cardiologist, Echocardiologist
Clinical Exercise Specialist
Asian Heart & Vascular Centre
www.ahvc.com.sg
Sarah Chiu's presentation from Osteoporosis 2016: Impact of falls on fractures and mortality – an opportunity for intervention and enhancement of fracture prediction?
Find out more at: https://nos.org.uk/conference
If you or someone you know is going through the anguish of arm or leg pain, watch this presentation on an safe, effective and painless alternative to routine back surgery.
Για τις νέες προκλήσεις που αντιμετωπίζουμε έκανε λόγο ο Θόδωρος Σκυλακάκης
Στο μείζον θέμα της πρόληψης στον τομέα της υγείας αλλά και τις νέες προκλήσεις που προκύπτουν έκανε λόγο ο ευρωβουλευτής του ΕΛΚ και ιδρυτικό στέλεχος της Δημοκρατικής Συμμαχίας κ. Θόδωρος Σκυλακάκης σε εκδήλωση με θέμα
«Πρόληψη: στρατηγική επιλογή για την πολιτική δημόσιας υγείας στην Ελλάδα και την Ε.Ε.».
Σύμφωνα με τον έλληνα ευρωβουλευτή «όλοι είναι υπέρ της πρόληψης, στο τέλος όμως κανείς δεν ενδιαφέρεται να πάρει πρωτοβουλίες». Ωστόσο ο κ. Σκυλακάκης τόνισε ότι «δεν είναι ελληνικό αλλά ευρωπαϊκό φαινόμενο».
Παράλληλα έκανε λόγο για τις νέες προκλήσεις που έχουμε να αντιμετωπίσουμε όπως η γήρανση του πληθυσμού, η υπόθεση του ανθρώπινου γονιδιώματος αλλά και οι δυνατότητες που έχει το marketing στον τομέα της πρόληψης.
Όσον αφορά το ανθρώπινο γονιδίωμα (αποτελείται από το σύνολο των γονιδίων ενός οργανισμού και κατευθύνει την φυσική ανάπτυξη και την συμπεριφορά του), ο κ. Σκυλακάκης ανέφερε ότι σε 3-4 χρόνια θα υπάρχει η δυνατότητα εξέτασης γονιδιωμάτων με 100 δολάρια.
Στην εκδήλωση ήταν καλεσμένος και ο βουλευτής του ΠΑΣΟΚ και καθηγητής στο London School of Economics κ. Η. Μόσιαλος, ο οποίος όμως δεν κατάφερε να παρευρεθεί λόγω της κακοκαιρίας.
Frailty applications in clinical practice. Assessing level of frailty can help identify underlying risks to contextualize conversations with patients and their caregivers.
If you or someone you know suffers from the anguish of arm or leg pain, watch this short presentation and learn what doctor's and patient's alike have discovered as a safe, effective and painless alternative to spinal surgery.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Exercising During the Pandemic
Presentation by Dr Goh Ping Ping
Cardiologist, Echocardiologist
Clinical Exercise Specialist
Asian Heart & Vascular Centre
www.ahvc.com.sg
Sarah Chiu's presentation from Osteoporosis 2016: Impact of falls on fractures and mortality – an opportunity for intervention and enhancement of fracture prediction?
Find out more at: https://nos.org.uk/conference
If you or someone you know is going through the anguish of arm or leg pain, watch this presentation on an safe, effective and painless alternative to routine back surgery.
Για τις νέες προκλήσεις που αντιμετωπίζουμε έκανε λόγο ο Θόδωρος Σκυλακάκης
Στο μείζον θέμα της πρόληψης στον τομέα της υγείας αλλά και τις νέες προκλήσεις που προκύπτουν έκανε λόγο ο ευρωβουλευτής του ΕΛΚ και ιδρυτικό στέλεχος της Δημοκρατικής Συμμαχίας κ. Θόδωρος Σκυλακάκης σε εκδήλωση με θέμα
«Πρόληψη: στρατηγική επιλογή για την πολιτική δημόσιας υγείας στην Ελλάδα και την Ε.Ε.».
Σύμφωνα με τον έλληνα ευρωβουλευτή «όλοι είναι υπέρ της πρόληψης, στο τέλος όμως κανείς δεν ενδιαφέρεται να πάρει πρωτοβουλίες». Ωστόσο ο κ. Σκυλακάκης τόνισε ότι «δεν είναι ελληνικό αλλά ευρωπαϊκό φαινόμενο».
Παράλληλα έκανε λόγο για τις νέες προκλήσεις που έχουμε να αντιμετωπίσουμε όπως η γήρανση του πληθυσμού, η υπόθεση του ανθρώπινου γονιδιώματος αλλά και οι δυνατότητες που έχει το marketing στον τομέα της πρόληψης.
Όσον αφορά το ανθρώπινο γονιδίωμα (αποτελείται από το σύνολο των γονιδίων ενός οργανισμού και κατευθύνει την φυσική ανάπτυξη και την συμπεριφορά του), ο κ. Σκυλακάκης ανέφερε ότι σε 3-4 χρόνια θα υπάρχει η δυνατότητα εξέτασης γονιδιωμάτων με 100 δολάρια.
Στην εκδήλωση ήταν καλεσμένος και ο βουλευτής του ΠΑΣΟΚ και καθηγητής στο London School of Economics κ. Η. Μόσιαλος, ο οποίος όμως δεν κατάφερε να παρευρεθεί λόγω της κακοκαιρίας.
Frailty applications in clinical practice. Assessing level of frailty can help identify underlying risks to contextualize conversations with patients and their caregivers.
If you or someone you know suffers from the anguish of arm or leg pain, watch this short presentation and learn what doctor's and patient's alike have discovered as a safe, effective and painless alternative to spinal surgery.
La campagna “The Painful truth” è nata dalla collaborazione tra organizzazioni internazionali impegnate nella lotta al dolore come Action on Pain UK, la Spanish Pain Association (EFHRE Sine Dolore) e la German Pain League (Deutsche Schmerzliga), con l’obiettivo di creare una maggiore consapevolezza sui problemi che devono affrontare coloro che soffrono di dolore cronico. In particolare, vuole evidenziare l’importanza di riconoscere e diagnosticare adeguatamente il dolore e informare i cittadini sull’assistenza fornita dal servizio sanitario e le possibilità di trattamento più innovative per curare questa malattia. Il report di questa indagine, condotta in 5 Paesi europei (Francia, Italia, Spagna, Germania e Regno Unito) su 1.010 pazienti tra i 18 e i 64 anni, non solo rivela nuovi dettagli sull’impatto del dolore cronico sulla vita del malato ma evidenzia anche i bisogni ancora insoddisfatti legati al trattamento ottimale della patologia.
Fonte: Boston Scientific
http://www.bostonscientific.com/templatedata/imports/HTML/painful-truth/dl/NM-114704-AA_INTL_Painful_Truth_Survey_Report_Final_UK.pdf
“Qualsiasi immagine/tabella/parte di testo riprodotta è riportata ad esclusivo scopo didattico/informativo gratuito. Qualora necessario, siamo disponibili al riconoscimento dei diritti di copyright agli autori, alle fonti citate e agli aventi diritto”.
ABSTRACT- Introduction: Low back pain (LBP) is an important clinical, social, economic, and public health problem
affecting the population indiscriminately. It is a disorder with many possible etiologies, occurring in many groups of the
population, and with many definitions. Nearly everyone will experience some form of back pain in his or her lifetime.
Materials ans& Methods: The current study is a cross sectional study undertaken at Lord Buddha Koshi Medical
College, Saharsa, Bihar, India from Aug 2015 to Dec 2015. The objective of this study was to see the age specific
prevalence of low back pain among 400 subjects visiting the Orthopedics OPD of the hospital. The age range of the study
participants were 25 years to 65 years. The national guidelines of LBP diagnosis is used as diagnostic criteria.
Results: Overall prevalence of LBP was found as 31.25%. The highest prevalence was seen in 55-65 years age group.
Age had positive association & important risk factors of increasing burden of LBP.
Conclusion: LBP is an important health problem & affecting all age groups and it is responsible for a great economic loss
of any country.
Key-words- Low Back Pain, Prevalence, Public Health
Menopausal can be a difficult transition for women, affecting their quality of life, relationships & health objectives. Learn how hormone replacement therapy can aid in this process.
Top 10 killers.H&HN Hospitals & Health Networks. Nov 2012 v86.docxedwardmarivel
Top 10 killers.
H&HN Hospitals & Health Networks. Nov 2012 v86 i11 p68(1).
Full Text:COPYRIGHT 2012 Health Forum, Inc.
Here are the leading causes of death in the United States and the number of lives they took in 2010, based on preliminary data from the Centers for Disease Control and Prevention.
1. Heart disease (599,413)
2. Cancer (567,628)
3. Chronic lower respiratory diseases (137,353)
4. Stroke (cerebrovascular diseases) (128,842)
5. Accidents (unintentional injuries) (118,021)
6. Alzheimer's disease (79,003)
7. Diabetes (68,705)
8. Influenza and pneumonia (53,692)
9. Nephritis, nephrotic syndrome and nephrosis (48,935)
10. Intentional self-harm (suicide) (36,909)
Source: CDC/National Center for Health Statistics, 2012
Record Number: A311049240
CHOOSE ONE DISEASE AND DISCUSS IN 200-300 WORDS
CDC report provides snapshot of U.S. health.
Mary Ann Moon. Internal Medicine News. March 15, 2010 v43 i5 p64(1).
Full Text:COPYRIGHT 2010 International Medical News Group
The use of medical technology has grown dramatically over the last decade, according to the federal government's annual health report.
That's just one finding in the massive "Health, United States, 2009," a snapshot of Americans' health, which the Centers for Disease Control and Prevention compiles yearly as "an essential step in making sound health policy and setting research and program priorities."
This year's edition, the 33rd, includes a special section on medical technology, which includes procedures, tests, drugs, devices, and support systems such as computerized records. The principal findings in this section include:
* The use of MRI, CT, and PET imaging soared during the past decade. The number of such imaging studies either ordered or provided by physician offices and hospital outpatient departments more than tripled; those ordered or provided by emergency departments quadrupled.
* The rate of knee replacement surgery performed in patients aged 45 years and older rose 70% during the same interval, from 26 to 45 per 10,000 population. The rate of total hip replacement surgery increased by 33%, and that of partial hip replacements increased by 60%.
* The rate of angioplasty without stent placement declined by 80% during the past decade. Drug-eluting stents have rapidly replaced bare-metal stents and were used in 75% of angioplasties in 2006.
* The number of assisted reproductive technology cycles doubled during the past decade, with the fastest rate of growth occurring in women older than 40 (11% per year).
* The rate of outpatient upper endoscopies rose by 90%, and the rate of outpatient colonoscopy tripled during the same interval.
* The use of diabetes drugs among patients aged 45 and older increased approximately 50%, and that of statins soared 10-fold in the past decade.
* The percentage of people taking at least one prescription drug during the preceding month rose from 38% in the 1980s and 1990s to 47% in recent years. The percentage taking three or ...
Challenges faced by people with Dementia/Alzheimer's Disease - Simplyhealth/Y...SimplyhealthUK
The September results of the Everyday Health Tracker found that 30% of people know someone with Dementia/Alzheimer's disease. The biggest challenges they said people with Dementia/Alzheimer's face are knowledge and understanding of issues, access to care, services to live well at home, access to advice and support and access to diagnosis.
When asked about their future health concerns, 41% of women and 36% of men said they were worried about Dementia/Alzheimer's disease.
Attitudes towards the NHS - Simplyhealth/YouGov Everyday Health trackerSimplyhealthUK
In the second wave of the Everyday Health Tracker 56% of respondents said they don't think that the NHS can do everything across all areas of healthcare. When asked to prioritise 10 selected areas they felt the top five priorities of the NHS should be life threatening conditions, dementia/Alzheimer's care, mental health, chronic conditions and musculoskeletal. They gave less priority to everyday conditions like mobility, counselling/talking therapies, physiotherapy, skin conditions and chiropody. Across all ten areas satisfaction was relatively low - for example only 20% of people are satisfied with dementia/Alzheimer's care, as well as mental health. The area with the highest satisfaction is life threatening conditions at 52% and the lowest area of satisfaction is chiropody at 19%.
The Everyday Health Tracker also looked at what areas of health care people may be prepared to pay for. 69% of people said they'd paid 'some of the cost' or 'all of the cost' for the optician, and 67% for the Dentist. Less were willing to pay for the GP, just 24%.
Managing the health and wellbeing of an increasingly age diverse workforce to safeguard future talent. A 21st Century business challenge
In this white paper Dianah Worman OBE, Public Policy Adviser for Diversity at the CIPD, looks at the key facts and figures surrounding the age diversity of the UK workforce and potential of older workers to fill any skills shortages.
Between 2002 and 2032 the number of people over fifty will almost double from 9 million to 17 million. In 2012 over fifties made up 29% of the working population compared to 25% in 2002.
The UK Commission for Employment and Skills projects that in the next ten years there will be 13.5 million job vacancies but only 7 million people leaving school. Businesses could look to older workers to fill these job vacancies and plug any skills shortages. Naturally there are assumptions and concerns that businesses have around older workers such as health and wellbeing, absence management, and capabilities. This paper addresses the myths and the facts, and examines the different types of older workers.
Simplyhealth Advisory Research Panel Healthy Ageing report 2013SimplyhealthUK
Ageing Brits ignoring health warnings: New report investigates the health and wellbeing of older Britons.
We all know that health problems become more common as we age but when it comes to wellbeing, thousands of Britons are putting their heads in the sand and avoiding GP visits, according to new research published by the Simplyhealth Advisory Research Panel (ShARP). The poll of 1,000 people aged 40 to 75, found that most had noticed a deterioration in their health, with joint problems (59%), weight gain (57%) and low energy (51%) the most commonly reported changes they had noticed with age.
Simplyhealth dental survey - the hidden impact of poor oral healthSimplyhealthUK
Introduction
Encouragingly, the results of our recent dental survey indicate that a large proportion of British adults are aware of how the health of their mouth can impact on other elements of their health. However, it seems what isn’t so positive is that 20% of British adults do not perform simple tasks such as brushing their teeth twice a day, to help keep their mouth healthy
The Spring newsletter for Simplyhealth’s business clients.
Each quarter we publish a newsletter for our business clients which is packed full of information on key issues that will be of interest to anyone responsible for managing healthcare benefits.
In this white paper Patrick Woodman, Head of External Affairs at the Chartered Management Institute, discusses the importance of health in the workplace, not only for employees, but also for the bottom line.
The economy is of course an important factor when it comes to health and wellbeing at work. Managers are working longer hours and many organisations can’t justify giving pay rises when budgets are tight. This all impacts morale, stress levels and sickness absence.
However, Patrick highlights the true business advantages to be gained if employers invest in employee health. By implementing a well thought out health and wellbeing strategy, businesses can benefit from lower staff turnover, reduced sickness absence, and improved productivity and morale.
Patrick details some initiatives that employers can easily adopt, including examining leadership styles, to show how health and wellbeing can truly be good for business.
Simplyhealth back care factsheet for buisnessesSimplyhealthUK
7.6 million working days are lost every year due to work related musculoskeletal disorders.
We can help prevent back pain becoming a problem for your business.
Taxation implications for company paid healthcare for large employersSimplyhealthUK
This communication is directed at commercial customers only and is not aimed at consumers.
Please note that these examples are for illustrative purposes only. They are not intended to constitute tax advice, but are a representation of current legal provisions. For specific advice on how this affects your company, you should speak to your Tax Advisor, or your local HM Revenue and Customs office.
Further information on tax rates and how this affects you can be found at: www.hmrc.gov.uk
Taxation implications for company paid healthcareSimplyhealthUK
The information given is not intended to constitute tax advice, but is a representation of current legal provisions.
For specific advice on how this affects your company, you should speak to your Tax Advisor or your local HM Revenue and Customs office.
Annual Dental Survey 2012
Our seventh Annual Dental Survey has examined people's attitudes to dental health. We surveyed 11,785 British adults and found that fewer people are now struggling to find an NHS dentist. However, cost for many is still an issue for many:
• 36% don’t think that visiting the dentist is good value for money
• 54% are worried they won’t be able to afford dental care in the future
A lack of information
We also found that many patients are not given clear information about treatment or dental charges.
• Only 27% have found that during their check-ups their dentist provides them with a written treatment plan that includes charges
• 48% haven’t ever noticed that dental prices are explained by the dentist or clearly displayed in their dental practice.
We also asked whether people are aware of the symptoms and causes of mouth cancer, and whether they have any bad dental habits.
For more information please visit http://www.simplyhealth.co.uk
This white paper discusses the important roles that culture, leadership and
communication play in developing successful wellbeing strategies in the
workplace.
Professor Cary Cooper, a renowned expert in organisational psychology,
discusses the reasons for implementing wellbeing strategies. Although creating
a motivated, flexible and committed workforce may be the crucial driver
for employers, they should also understand the moral aspect to improving
employees’ wellbeing. Employees will respond negatively to wellbeing initiatives
if they believe they are merely being implemented to get them to work harder.
That is why harnessing the right culture within a workplace is important, so
there is an environment where employee wellbeing can flourish. Leadership
is key to developing this culture and its success relies upon the buy in and
cooperation of all leaders from the board down.
Communication is then vital as engaging with employees about the wellbeing
programme will help to demonstrate that it is ongoing and not just a fad.
Continually surveying employees to seek their views on the programme will
then ensure that it remains relevant and continues to meet their needs.
Simplyhealth's engaging employees through health and wellbeing reportSimplyhealthUK
Over the years, a lot of research has been conducted on the subject of employee engagement. Although health and wellbeing is only one factor in engagement, it is clearly relevant, both in direct terms through reduced absenteeism, and indirectly via supporting enhanced discretionary effort through generating a feeling of being valued. So what does this new research by Simplyhealth say?
For the past six years Simplyhealth has released a dental survey to examine people's attitudes to dental health. This year we surveyed 10,000 working adults and found that cost is continuing to force many people to put off visiting the dentist. Accessibility to dentistry has increased, but people have noticed a decline in the quality of care they receive.
There's also a lack of understanding about the information that dentists can provide, and although we worry about our teeth, many of us are not giving them the care they need.
- 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
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.
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.
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
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.
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!
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
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.
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3. Contents
Page
Foreword: What works for an age old problem?
2
Section 1: Fairer sex face an unfair burden
4
Section 2: Time takes a toll
6
Section 3: Body of evidence
8
Section 4: As stiff as a board
10
Section 5: Simply the best approach
13
About Simplyhealth
16
Did you know: Stats and facts from ShARP
18
4. Foreword:
What works for an age old problem?
Every year in the UK 20% of the population present with
a new onset or recurrence of a musculoskeletal problem.1
In fact, musculoskeletal disorders (MSDs) are the most
common work related problem in Europe2, the most
common cause of physical disability3 and the biggest reason
for long term treatment.4 Musculoskeletal disorders can
affect the body’s muscles, ligaments, tendons, nerves and
joints, and most commonly result in back pain, knee pain,
neck and shoulder pain, hip and limb pain.
A recent study5 into how we manage our musculoskeletal
health reveals that two out of five Britons believe that by
resting, their musculoskeletal condition will improve, what
they don’t realise is that it could in fact be making it worse.
Studies have shown that rest intensifies and prolongs back
pain, reduces mobility and extends recovery time.6
2
1
2
3
4
5
A poll of 1,000 people who suffer aches and pains
commissioned by the Simplyhealth Advisory Research Panel
(ShARP), found that more than a third (35%) take to their
beds in the hope it will ease their pain. Exercise, such as
yoga7 and workouts guided by a physiotherapist,8 is proven to
improve spinal aches and pains, but only 6% of sufferers use
it to relieve their symptoms and almost half (42%) say pain
prevents them from exercising as much as they would like.
Team GB kayaker, sports scientist and physiotherapist, Paul
Hobrough from ShARP notes: “There is a real danger that
people can become trapped in a vicious cycle with lack of
exercise leading to increased stiffness, pain and muscle
wastage and therefore less support for the spine and an
increased risk of problems.
Clarke A & Symmons D. The burden of rheumatic disease. Medicine 2006; 34 (9): 333-335
European Agency for Safety and Health at Work
Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003;81:646-56.
European Opinion Research Group EEIG. Health, Food and Alcohol and Safety. Special Eurobarometer 186. European Commission, 2003
One Poll survey of 1,000 people carried out in June 2013
5. “On top of that, reduced activity increases the likelihood of
weight gain which places even more stress on our joints.
The evidence is clear; those suffering from chronic low
back pain benefit from exercise and often get worse with
prolonged periods of inactivity.”
Being overweight is a key contributor to a lot of muscle and
joint pain, affecting many of the weight-bearing joints. One
long term study found that obesity increases the risk of
osteoarthritis of the knee by a factor of four.9
Given the global epidemic of obesity it is perhaps not
surprising that the incidence of arthritis of the knee climbed
by 22% from 1990 to 2005 and continues to rise.10
A weighty link
The new study by ShARP has also revealed a link between
weight and back pain, with almost all (99.5%) of those
weighing 14 stone or more reporting problems.
Pain hot spots
The ShARP study identified the lower back as the nation’s
number one sore spot, with seven out of ten (70%)
respondents reporting problems in this region.
But worryingly, three out of four sufferers do not ask for
professional advice on musculoskeletal problems, with more
than a third (36%) of those who do not seek help saying
the cost of care puts them off. Another major barrier is the
mistaken belief that a doctor’s referral is needed to see a
physiotherapist.11
The following report, brought to you by ShARP, explores
the area of back pain and general muscle, bone and joint
problems. It looks at who suffers and why; the impact of our
body shape, weight and height and how age too, as well
as suffering in silence, can make our musculoskeletal health
worse. The report also suggests how we can treat muscle,
bone and joint problems quickly and conveniently.
6 http://www.ncbi.nlm.nih.gov/pubmed/7823996
7 http://www.nhs.uk/news/2011/11November/Pages/yoga-improves-back-pain-says-research.aspx
8 http://www.bmj.com/content/319/7205/279
9 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3291123/ and http://bjp.sagepub.com/content/early/2013/04/08/2049463713484296.full
10 http://lowerextremityreview.com/article/knee-oa-in-obese-patients-a-cyclical-clinical-challenge
11 In some areas of the UK you need to see a GP for referral but if you go privately no referral is needed
3
6. Section 1: Fairer sex face an unfair burden
Women experience more acute back pain than men, 25%
compared to 20%, and are more prone to knee problems,
with one in three (33%) reporting pain in these joints
compared to one in five men (22%).
Women tend to turn to physical treatments such as
physiotherapy, chiropractic and massage, with more than
half (54%) of those questioned for the Simplyhealth Advisory
Research Panel survey reporting they use one of these
approaches to relieve back pain, compared to just over a
third (39%) of men.
However, women are also most likely to risk exacerbating
their back pain problems by resting, 38% take to their beds
compared to 30% of males.
Men are three times more likely to do nothing to help their
back pain and simply hope their pain goes away, 12% put
their heads in the sand and suffer compared to just 4% of
the women surveyed.
4
12 http://www.eurekalert.org/pub_releases/2013-05/kp-luo051013.php
Painkillers are preferred by women, with:
✔ over half (57%) taking them to relieve back pain,
compared to fewer than half (43%) of men — which
is just as well as there is evidence that long term use
of prescription painkillers increases the risk of erectile
dysfunction.12
Peak pain times
Pain and stiffness peak at the start and at the end of the
day for both sexes, but the pattern is more pronounced in
women:
✔ 18% of women reported problems in the morning,
compared to 12% of men
✔ 16% of respondents said they suffer more in the evening,
compared to 10% of men.
Both sexes try to soldier on and manage chores around the
house and garden on their own, but men are the most likely
to employ someone to help out — 16% compared to 10%.
7. Sadness and moods
Depression associated with joint pain is an issue for both
men and women, with 28% of women and 23% of men
saying aches affect their mood, although women are most at
risk of feeling a sense of frustration:
✔ almost a third (27%) of women reported their
musculoskeletal problems leave them feeling helpless,
compared to 17% of men
✔ two out of five (40%) women complained they feel old
before their time, compared to one in four (25%) men.
5
8. Section 2: Time takes a toll
Back pain becomes more common as we age, with the
ShARP study revealing that 99% of over 50s with joint
problems reporting they get it in the back. Pain and stiffness
doubles with age, with more than one in three (36%) of
those aged over 55 reporting daily discomfort compared to
just 15% of those aged 25 to 30.
Neck and shoulder problems peak earlier. Two out of five
under 35 year olds suffer neck pain and almost a third
(30%) report shoulder problems, while for the over 55s the
figures were just 17% and 30%. The increased time younger
respondents spend staring at screens is probably a factor
behind neck and shoulder pain.
The growth in technology and working hours has had a big
impact on the younger generation. Around half of under
30s sit at a computer for more than six hours a day (51%),
play games on a console or mobile device (50%) or watch
two hours of more television a day (47%), compared to an
average across all ages of 40%, 30% and 40% respectively.
6
13 http://bestpractice.bmj.com/best-practice/monograph/337.html
Asking for help
Over 55s are most willing to ask their GP for help, with a
third (33%) visiting their doctor for advice, compared to a
quarter of those under the age of 40.
The benefits of physiotherapy are most often recognised
by under 40s, with almost one in five (19%) turning to a
physiotherapist for treatment, compared to 15% of over 40s.
Painkillers are most commonly used by over 50s, with
two out of three (63%) resorting to them for back pain
— despite the known risks of long term use of non steroidal
anti-inflammatory drugs (NSAIDs) such as aspirin.13
Oral NSAIDs are associated with a slightly elevated risk
of heart attack or stroke and they are not recommended
for anyone with a history of cardiac problems, high blood
pressure or diabetes — which are all more common in this
age group.
9. Dr Gill Jenkins, GP and expert from ShARP, notes: “Overthe-counter painkillers can be very useful, particularly for
acute episodes, but it is not wise to take them for long
periods without consulting your GP, particularly if you have
any underlying problems.
“Hypertension increases with age, as does the incidence of
diabetes and heart disease and it is important that people
with persistent aches and pains discuss their options with a
GP, physiotherapist or other health professional.”
Curiously, the survey revealed that among those with back
pain the youngest and oldest age groups are the least likely
to employ someone to help in the home or garden, with just
one in ten (10%) of under 30s and a similar number of over
55s (11%) taking someone on to help with household chores
compared to almost a quarter (23%) of those aged 31 to 35.
7
10. Section 3: Body of evidence
Our build shapes our experience of joint and muscle pain
and the ShARP study adds to the growing body of evidence
that obesity is a major contributor to the rising rates of back
and knee pain.
✔ obesity was associated with higher rates of daily
discomfort, which was reported by almost half (47%) of
those in the heaviest group, compared to just 15% of
those in the lightest
The latest meta-analysis, a type of super study which
examines all the relevant published evidence, has shown a
clear association between being overweight or obese and
an increased incidence of lower back pain,14 and obesity
has been identified as the single most common cause of
preventable osteoarthritis of the knee.15
✔ more than a third (33%) of those weighing 14 stone or
more reported knee pain — almost twice the number
(19%) who were 9.5 stone or less
Comparable trends emerged from the survey:
✔ more than four out of five (86%) of those weighing more
than 14 stone reported problems with lower back pain
✔ almost all (92%) those weighing in excess of 17 stone
admitted it was an issue
8
Obesity and joint pain is a bad combination, as pain often
limits physical activity, which increases weight gain and puts
even more pressure on already painful joints. The ShARP
survey confirmed this cycle may already be a reality for many
Britons. An additional risk factor is that around half (48%) of
those weighing 14 stone or more rest to relieve their pain,
compared to an average of around a third (35%) who weigh
less.
14 http://www.ncbi.nlm.nih.gov/pubmed/20007994
15 http://www.arthritistoday.org/where-it-hurts/knee-pain/knee-care/lose-weight-knee-pain.php
11. Stature also has an affect on musculoskeletal pain and the
study suggests lower back pain affects nine out of ten (90%)
people who are 6ft or taller, compared to an average of
seven out of ten (70%) who are under 6ft.
Height tends to trigger problems around the neck and
shoulders, with three quarters (75%) of those who are 6ft 4
or more reporting problems, 50% higher than the average
(51%). However, this group also reported spending more
time at a computer, with seven out of ten (71%) saying they
are hunched over a screen for more than six hours a day,
almost twice the average (40%).
9
12. Section 4: As stiff as a board
While our backs are the number one pain and problem gripe,
stiffness, and muscular aches and pains are also a big issue
too and it is no wonder so many of us feel that our bodies are
just one giant knot.
✔ 22% of the ShARP study’s respondents suffer from
stiffness, aches and pains daily
✔ 14% suffer from stiffness or aches and pains weekly
✔ 10% suffered from stiffness or aches and pains at least
once a month
While some of us suffer daily, weekly or monthly from stiffness
or aches and pains, exercise (for 14%), gardening (13%)
and sleeping awkwardly (13%) cause muscular problems for
those of us that are not common sufferers of musculoskeletal
problems.
Age and weight too has a part to play when it comes to
musculoskeletal pain. The ShARP survey revealed that:
✔ those that are aged 45 or more tend to suffer daily
✔ respondents who weighed over 14 stone were much more
likely to suffer daily pain, while generally those who were
under nine stone had intermittent pain
Pain that stops play
Musculoskeletal body pain also seems to prevent sufferers from
getting on with an active life, from causing havoc with exercise
plans, impacting on general lifestyles, to not being able to wear
high heels any more. Stats and facts reveal that:
✔ 32% of sufferers complained they could not do as much
exercise due to the pain
✔ just under a quarter (24%) said they could not lift things
✔ 20% of respondents could not walk for long periods of
time
10
13. ✔ 14% had given up wearing high heels
✔ 9% said that such musculoskeletal pain had a huge
impact on their lifestyles meaning they were unable to play
with their children or climb stairs
Pain that makes you feel long in the tooth
While musculoskeletal pain stops many from carrying on as
usual, muscle, bone and joint pain also makes people feel older
and more depressed. Worse still one in four in the ShARP study
said that as a result they were worried about their future health
and 23% felt helpless in dealing with the pain.
Body pain also has an effect on people’s love life too, with 14%
admitting to feelings of anger and 13% saying they were less
interested in their romantic relationships as a result of the pain.
11
14. Blame factors
Other blame culprits
Twenty-three per cent of those suffering from musculoskeletal
issues blame their work environment where they remain in the
same position for lengthy periods and 16% claim the chair they
had at work was a factor.
✔ just over one third (34%) thought that musculoskeletal
pain was an inevitable part of ageing
And while most of us associate exercise as being good for our
health, when it comes to musculoskeletal pain the opposite
was thought to be true as 20% blamed weight bearing exercise
for causing musculoskeletal problems, so they tended to
avoid it. Again greater education is needed on the care for
musculoskeletal health as weight bearing exercises have been
shown in research as being very good for joint health.
✔ diet and genetic factors were considered to have an
influence by 30% and 22% respectively on muscle, bone
and joint pain
Suffering in silence
Many of us it seems suffer from poor musculoskeletal health
and over 50% of us admit to doing nothing to help our
musculoskeletal health on a day-to-day basis. This is despite
many of us being fully aware of what exercises keep our
musculoskeletal health in good shape:
✔ swimming, mentioned by two thirds of respondents as
being the best exercise for musculoskeletal health
✔ yoga (43%)
✔ pilates (40%)
12
15. Section 5: Simply the best approach
It is unlikely that we can completely avoid aches and pains,
but we do have the power to reduce their impact on daily life.
Physiotherapist Paul Hobrough says: “Prevention, timely
treatment and on going advice from a health professional can
all make a real difference in terms of heading off problems and
taking control when an issue arises. Ensuring the sufferer gets
high quality advice from a recognised health professional as
early as possible is the key to reducing long term suffering and
costly absence from the workforce.
“Watching our weight and getting plenty of exercise are
both essential for optimum musculoskeletal health, but there
is increasing evidence that good nutrition is also a major
weapon against the ravages of age related wear and tear.”
Dr Gill Jenkins explains: “We have known for a long time
that calcium is incredibly important for healthy bones and
the better our intake in childhood and the teenage years, the
better our lifetime bone density.
*Up to annual limits
“Vitamin D is essential to prevent rickets in childhood, but
it is less well known that deficiency — which is common
during UK winters — is associated with bone pain in adults.
And new evidence is emerging all the time about the role of
other nutrients including protein, folate and vitamin B12 in
maintaining musculoskeletal health.”
Don’t suffer in silence
There is clear evidence that when pain strikes, prompt action
and professional advice can speed recovery and reduce the
risk of long term dependence on painkillers.
But sadly, this study reveals that thousands of Britons with
back pain and other aches and pains are not accessing the
care that could make a difference.
Many admit they are concerned about the cost of treatment.
With a health cash plan from Simplyhealth you can claim
back the cost of visiting a physiotherapist, chiropractor or
osteopath* and focus on getting the right treatment without
being worried about how much it will cost.
13
16. The company, which was founded 140 years ago has a
philosophy which is as straightforward as its name:
“In a world where so many people can’t be bothered, we’re
proud to be the ones that can.
“We believe in helping people access affordable healthcare
and delivering exceptional personal customer service.”
As a result of that commitment, it now boasts more than four
million customers and eight out of ten would recommend
Simplyhealth to family and friends.
Last word…
Aches and pains associated with our body’s skeleton and
muscles are a fact of life for hundreds of thousands of people
living in the UK and back pain alone will affect four out of
five of us at some time in our lives.16 Problems get worse as
we age, with around five million people over the age of 65
suffering some degree of discomfort.17
14
A report by the British Pain Society and Help the Aged found:
“Older people are more at risk of pain than other sections
of the population, but less likely than younger people to
experience good pain management.”
Some experts are also concerned about the negative
impact of ongoing changes to the National Health Service
and a recent Health Select Committee report warned: “The
reorganisation process continues to complicate the push for
efficiency gains. Although it may have facilitated savings in
some cases, we heard that it more often creates disruption
and distraction.”18
As a result, in this period of change and confusion, it is more
important than ever for people with musculoskeletal problems
to take control of their own health.
It is becoming increasingly evident that the NHS may no
longer be able to support all of our healthcare needs and
some local services are already being reduced. Pain control
and physiotherapy — our most effective weapons against
16 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
17 http://www.britishpainsociety.org/book_pain_in_older_age_ID7826.pdf
18 http://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/1499/149906.htm Paragraph 63
17. musculoskeletal problems — are being targeted as a
result of government cutbacks meaning that patients
could now be waiting for six months or more to see
an NHS physiotherapist.19
This can not only exacerbate pain and disability, but it also
increases the risk of depression and other emotional factors.
People suffering from musculoskeletal problems shouldn’t
just soldier on or suffer in silence as the problem will just
get worse. Seeking professional support in the first instance
means that sufferers will have a clear path to managing their
musculoskeletal health problems. Many people do not realise
they don’t need a referral from a GP to see a physiotherapist20
who can help with the pain management approaches
associated with our body’s skeleton but more importantly
treat the problem.
There are many affordable options today allowing greater
access to medical specialists, all of which can help sufferers
deal with issues fast and in many cases resolve the problem.
So for those people who do not enjoy the
best of ‘skeleton and muscular health’ seek
advice and help now, don’t suffer in silence.
ShARP
19 In some areas of the UK the waiting time can be several months to six months: http://www.guardian.co.uk/society/2011/oct/07/nhs-cuts-physiotherapy-patients
20 In some areas of the UK you need to see a GP for referral but if you go privately no referral is needed
15
18. About Simplyhealth
We’ve been helping people access affordable healthcare
for 140 years. Our range of health cash plans, dental plans,
private medical insurance and self funded health plans help
individuals, families and businesses. We are committed to
providing excellent personal customer service and doing the
right thing for our customers. We recently won the Customer
Commitment Award at the UK Customer Satisfaction
Awards, organised by the Institute of Customer Service.
Our health cash plans and dental plans help people claim
money back towards the cost of everyday healthcare,
including check-ups, treatment and emergencies. Our
private medical insurance helps individuals and families
access treatment at a time and place convenient to them.
We are the UK’s largest health cash plan provider and one
of the UK’s top five private medical insurance providers. We
cover nearly four million people with health plans (more than
any other company) and 20,000 businesses choose us as
their healthcare provider.
16
We became Simplyhealth in 2009 after bringing together
BCWA, HealthSure, HSA, LHF and Totally Active. In 2011
we acquired Denplan, the UK’s leading dental payment plan
specialist. Denplan will continue to operate as a standalone
business.
Simplyhealth Independent Living helps people get the most
out of life through mobility products and daily living aids.
We have specialist Independent Living centres in Andover,
Bristol, Manchester and Leeds, plus partner stores in
Ipswich, Salford and Colchester. We carry out free home
assessments to find the right mobility product for our
customers.
We have always followed mutual values and care about our
communities. Last year we donated £1.6m to health related
charities and good causes. In a world where so many people
can’t be bothered, we’re proud to be the ones that can.
19. For more information on any aspect
of Simplyhealth, visit:
www.simplyhealth.co.uk.
ShARP is funded by Simplyhealth.
17
20. Did you know: Stats and facts from ShARP
Arthritis is the most common cause of musculoskeletal
problems in the UK. More than 10 million people a year
consult a doctor about arthritis and more than one in three
people over the age of 50 has pain which interferes with their
normal activities.21
Back pain will affect four out of five people at some time in
their lives and more than six million people in the UK suffer
from chronic back pain.22 It is estimated to cost £1.6billion
a year in GP consultations, hospital admissions and other
healthcare expenditure.23
Calcium is essential for strong, healthy bones. Dairy foods
are rich in calcium in a readily absorbed form.24 A pint of
semi-skimmed milk provides 690mg of calcium, almost all
the entire daily intake of 700mg an adult needs.
Depression is a problem for many people with
musculoskeletal conditions. Three out of five people with the
condition feel depressed when their pain is at its worst.25
18
Endorphins are chemicals in the body produced in the
pituitary gland which damp down pain, but people with
rheumatoid and psoriatic arthritis have lower than average
levels, which makes it harder to cope with the condition.26
Fibromyalgia is a long term condition which causes
widespread pain, is thought to affect one in 20 people and is
usually diagnosed between the ages of 30 and 60.27
Good nutrition is not only important for general health,
there is now evidence it can reduce muscle wasting as we
age. Protein, vitamin B12, folic acid and vitamin D are all
helped to preserve muscle mass.28
Heat patches and warming creams relieve pain by dilating
blood vessels and increasing blood flow to the area, which
also promotes healing.
Ice packs relieve pain and reduce swelling from an injury,
but they won’t reduce muscle damage, as many sports
enthusiasts believe.29
21. Juvenile arthritis affects 12,000 children under the age of
16 and can strike in infancy. It is thought that a combination
of genetic factors and environmental triggers, which have
not yet been identified, are to blame.30
Osteoarthritis, the most common form of the condition, is
caused by wear and tear. More than six million people in the
UK have osteoarthritis in one or both knees and more than
650,000 have it in one or both hips.34
Knee problems are set to soar as a result of the obesity
epidemic. One study estimates that every kilogram increase
in body weight raises the risk of osteoarthritis of the knee by
between nine and 13 per cent.31
Profanities increase your pain threshold. A study at Keele
University found that volunteers could hold their hand in cold
water for twice as long when they swore. But swearing all
the time dilutes the effect.35
Ligaments connect bone to bone and stabilize joints such
as the knee, while tendons link muscle to bone and facilitate
movement.
Quinine, the ingredient that gives tonic water its bitter taste,
is used as a last resort treatment for night time leg cramps.36
Musculoskeletal conditions are estimated to cost the UK
£5.7billion a year and around 10 million lost working days.32
NSAIDs or non-steroidal anti-inflammatory drugs, are
commonly taken to relieve aches and pains but can cause
gastric irritation and, in high doses, can increase the risk of a
heart attack.33
Rheumatoid arthritis is an autoimmune condition which can
strike at any age and affects three times more women than
men. Around 400,000 adults in the UK have been diagnosed
with the condition.37
Sciatica is pain caused by any compression or irritation of the
sciatic nerve, which runs from the pelvis, through the buttocks
to the feet. The most common form is a slipped disc.
19
22. TENs (transcutaneous electrical nerve stimulation) provide
an effective treatment for pain and muscle spasm. They
deliver bursts of low voltage electricity which helps block
pain signals to the brain.
Ultrasound is commonly used to treat tendon and ligament
injuries and studies suggest it improves mobility and
reduces pain slightly in patients with osteoarthritis.38 It can
also be used to monitor the effectiveness of treatments for
rheumatoid arthritis.39
Vitamin D deficiency can cause bone pain and tenderness.
Sunshine is the best source, but lack of light and the
angle of the sun mean most of us have low levels during
winter. Anyone living above 52º north, the same latitude as
Birmingham, cannot make enough from the action of sun on
their skin from October to March.40
20
Walking is an ideal form of exercise for anyone with joint
pain and has been shown to reduce the pain of arthritis by a
third.41
X-ray evidence suggests that around 8.5 million people in
the UK have osteoarthritis of the spine.42
Yoga provides effective pain relief for people with lower
back pain and both osteo and rheumatoid arthritis. It also
improves mobility and reduces curvature of the spine.43
Zinc is found in abundance in both the spinal cord and brain
and numerous studies have shown it acts as a painkiller.44
There is also evidence that people with fibromyalgia, a
syndrome characterised by widespread pain, are low in zinc.
23. Stats and facts references:
21 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
22 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
23 http://www.backcare.org.uk/factsandfigures
24 L Guéguen et al. the Bioavailability of Dietary Calcium. J Am Coll Nutr April 2000 vol. 19no. suppl 2 119S-136S http://www.jacn.org/content/19/suppl_2/119S.full
25 Arthritis Hurts — the Emotional Impact of Arthritis Pain http://www.arthritiscare.org.uk/Search/search_results_page_view?SearchableText=depression
26 Jaan Kangilaski β-Endorphin levels lower in arthritis patients JAMA. 1981;246(3):203. doi:10.1001/jama.1981.03320030005004.
27 http://jama.jamanetwork.com/article.aspx?articleid=359545
28 http://www.nhs.uk/Conditions/Fibromyalgia/Pages/Introduction.aspx
29 http://www.ncbi.nlm.nih.gov/pubmed/23247327
30 http://www.reuters.com/article/2013/06/21/us-health-rapid-cooling-strained-muscle-idUSBRE95K13W20130621
31 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725004/pdf/v039p00004.pdf
32 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
33 http://www.nhs.uk/news/2013/05May/Pages/high-dose-nsaid-painkiller-heart-risk-small-significant.aspx
34 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
35 http://www.ncbi.nlm.nih.gov/pubmed/22078790
36 http://www.mhra.gov.uk/Safetyinformation/DrugSafetyUpdate/CON085085
37 http://www.nras.org.uk/about_rheumatoid_arthritis/what_is_ra/what_is_ra.aspx
38 http://summaries.cochrane.org/CD003132/therapeutic-ultrasound-for-osteoarthritis
39 http://www.nras.org.uk/about_rheumatoid_arthritis/established_disease/managing_well/ultrasound_can_it_help_me.aspx
40 Web A et al. Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in
human skin. J Clin Endocrinol Metab.1988;67:373-8 http://www.ncbi.nlm.nih. gov/pubmed/2839537
41 Ann Intern Med. 1992 Apr 1;116(7):529-34. Supervised fitness walking in patients with osteoarthritis of the knee. A randomized, controlled trial. Kovar PA, Allegrante JP, MacKenzie CR,
Peterson MG, Gutin B, Charlson ME.
42 Arthritis Research UK Key Facts http://www.arthritisresearchuk.org/arthritis-information/data-and-statistics.aspx
43 Musculoskeletal Care 2013 Jan 9. doi: 10.1002/msc.1042. http://www.ncbi.nlm.nih.gov/pubmed/23300142
44 http://www.nature.com/neuro/journal/v14/n8/full/nn.2844.html http://www.painresearchforum.org/news/7930-zinc-acts-nmda-receptors-relieve-pain
45 http://www.technicaljournalsonline.com/ijeat/VOL%20III/IJAET%20VOL%20III%20ISSUE%20II%20APRIL%20JUNE%202012/25%20IJAET%20Vol%20III%20Issue%20II%202012.pdf
21