Hand hygiene is widely regarded as the bedrock for the prevention of healthcare associated infections (HAIs). HAIs are among the biggest killers in modern medicine. Yet, hand hygiene compliance among healthcare workers remains woefully poor.
Why can’t we learn the lessons that Semmelweis taught us nearly 150 years ago? If we can’t teach intelligent healthcare workers to wash their hands properly, what hope do we have as medical educators? This is both a patient safety and a medical education priority. Our patients’ lives are at risk and they deserve better. So, how can we change our patient’s microbiological cultures? By changing our culture.
The power, it seems, is in our hands.
Learn more here:
LITFL CCC — Hand hygiene
Hand Hygiene Australia
World Health Organisation. WHO Guidelines on Hand Hygiene in Health Care. In: World Alliance for Patient Safety, editor. First Global Patient Safety Challenge Clean Care is Safer Care. 1 ed. Geneva: World Health Organisation Press; 2009. [Website with access to free full text]
This is a presentation I gave at Skepticamp Ohio 2009 on Virus Evolution. The goal was to give audience the scientific background to skeptically evaluate claims being made about the current Swine Flu Epidemic.
I'm 67, with type 2 diabetes.
According to some, I'm one of those 1% who should be left to die, so that the economy can survive.
But that's not going to happen... not if I can help it.
Because there's a specific set of things I'm doing to survive when there's no doctor.
Things I learned from a "3rd world doctor" who is used to deprivation - when hospitals are flooded with sick people, and there are shortages of essential equipment.
Hand hygiene is widely regarded as the bedrock for the prevention of healthcare associated infections (HAIs). HAIs are among the biggest killers in modern medicine. Yet, hand hygiene compliance among healthcare workers remains woefully poor.
Why can’t we learn the lessons that Semmelweis taught us nearly 150 years ago? If we can’t teach intelligent healthcare workers to wash their hands properly, what hope do we have as medical educators? This is both a patient safety and a medical education priority. Our patients’ lives are at risk and they deserve better. So, how can we change our patient’s microbiological cultures? By changing our culture.
The power, it seems, is in our hands.
Learn more here:
LITFL CCC — Hand hygiene
Hand Hygiene Australia
World Health Organisation. WHO Guidelines on Hand Hygiene in Health Care. In: World Alliance for Patient Safety, editor. First Global Patient Safety Challenge Clean Care is Safer Care. 1 ed. Geneva: World Health Organisation Press; 2009. [Website with access to free full text]
This is a presentation I gave at Skepticamp Ohio 2009 on Virus Evolution. The goal was to give audience the scientific background to skeptically evaluate claims being made about the current Swine Flu Epidemic.
I'm 67, with type 2 diabetes.
According to some, I'm one of those 1% who should be left to die, so that the economy can survive.
But that's not going to happen... not if I can help it.
Because there's a specific set of things I'm doing to survive when there's no doctor.
Things I learned from a "3rd world doctor" who is used to deprivation - when hospitals are flooded with sick people, and there are shortages of essential equipment.
Dartmouth Summer Institute for Informed Pt Choice (Let Patients Help Decide W...e-Patient Dave deBronkart
30 minute talk at the Dartmouth Summer Institute on Informed Patient Choice. Very unusual talk - almost nothing about my cancer, lots about issues of who gets to say what's important.
Managing Coronavirus FearsThere are important health reasons t.docxwkyra78
Managing Coronavirus Fears
There are important health reasons to tamp down excessive anxiety that can accompany this viral threat.
By Jane E. Brody
April 13, 2020
Covid-19, the invisible enemy now bearing down on 328.2 million Americans, is tailor-made to induce fear and anxiety, prompting both rational and irrational behavior and, if the emotional stress persists, perhaps causing long-lasting harm to health.
We’re staring down an alien virus our bodies have never before encountered and which we are currently unable to control. There is no vaccine yet available to prevent Covid-19 or drug proven effective to fight the illness, limiting our ability to protect ourselves. So we buy reams and reams of toilet paper because it’s something we can do to give us a feeling of dominance over a force that threatens to overwhelm us.
“There’s never been a time in modern human history when every person is seriously worried about the same thing at the same time,” said David Ropeik, a consultant on risk management and former instructor in risk communication at the Harvard School of Public Health. And there’s never before been a ubiquitous threat that can be so instantly broadcast to a world of 7.8 billion people.
“We’re being inundated with a constant flow of scary information that overwhelms our ability to be dispassionate,” said Mr. Ropeik, author of “How Risky Is It, Really? Why Our Fears Don’t Always Match the Facts.” “Our brains are screaming to give the coronavirus more weight, challenging our ability to recognize that most people are actually at low risk.”
As with other calamities, it’s the bad news that gets the most attention, not the apparent fact that most people who become infected develop no symptoms or only mild ones and recover fully within a week or so.
Compounding a sense of doom for some people is their inability to evaluate risk and the fact that what is an acceptable risk for one person is intolerable to another. Following the terrorist attacks on Sept. 11, 2001, many people were afraid to fly and instead drove thousands of miles, incurring a far greater risk to life and limb yet instilling a feeling of control with their hands on the wheel and foot on the gas.
“A risk we choose seems less dangerous than a risk that is imposed on us,” Mr. Ropeik observed.
Not that it’s inappropriate to feel anxious about the risk we all now face, especially if that distress reminds us to be diligent about social distancing, avoid physical contact with people who do not share our household, wash our hands often and well and keep them off our faces and out of our eyes.
But while a certain amount of worrying can help motivate you to protect against possible exposure to the virus, compulsively reading or tuning in to the bad news about Covid-19 throughout the day is unlikely to enhance your emotional or physical well-being.
There are important health reasons to tamp down excessive anxiety that can accompany this viral threat. We have a built-in physiologic.
Name Speech Title I. Intro A) Atten.docxgilpinleeanna
Name:
Speech Title
I. Intro:
A) Attention getter --
B) Purpose Statement --
C) Thesis --
II. BODY
A) Main Point Number 1:
a)
b)
c)
transition --
B) Main Point Number 2:
a)
b)
c)
transition --
C) Main Point Number 3:
a)
b)
c)
transition –
III. CONCLUSION:
A) Summary statement --
B) Memorable conclusion --
References
List all references on a separate page with the word “References” centered at the top.
Name: Suepin Nguyen
Hygiene Saves Lives
I. Intro: To give an informational speech about Ignaz Philipp Semmelweis
A) Attention getter – On each square centimeter of your skin, there are about 1,500
bacteria. That’s a lot of germs. According to a study conducted by Michigan State
University researchers, 95% of people do not properly wash their hands long enough to
kill the infection causing germs and bacteria (Jaslow, “95 Percent of People Wash Their
Hands Improperly: Are You One of Them?”).
B) Purpose Statement - That’s gross. While I can’t force you to wash your hands, perhaps
today I can help you realize just how much history and evidence is behind this crucial
bathroom ritual.
C) Thesis – Today, I will inform you all about Ignaz Philipp Semmelweis by discussing first
about his practice and studies, second about his scientific methods that saved a lot of
lives, and third about the germ theory we all take for granted.
II. BODY:
A) Main Point Number 1: To begin, I want to introduce Ignaz Philipp Semmelweis.
a) Ignaz Semmelweis became a physician and earned his doctorate degree in medicine
in 1844. This time period was known as the start of the golden age of the physician
scientist” (NPR.org). This means that doctors were expected to have scientific
training. Doctors were more interested in numbers and collecting data (Justin Lessler,
an assistant professor at Johns Hopkins School of Public Health).
b) In 1846, Dr. Semmelweis showed up for his new job in the maternity clinic at the
General Hospital in Vienna. Due to the time period, Dr. Semmelweis thought like a
physician scientist and wanted to figure out why so many women in maternity wards
were dying from childbed fever (Davis, “The Doctor Who Championed
Hand-Washing and Briefly Saved Lives”).
c) So what did he do? He collected data of his own. He studied two maternity wards in
the hospital. One was staffed by all male doctors and medical students, and the other
by female midwives. He tallied up the number of deaths in each ward and found that
women in the clinic staffed by doctors and medical students died at a rate 5 times ...
"Ten tips - to use before, during, and after resuscitation episodes - that will help clinicians maximise their chances of saving their sickest patients."
An overview of the principles of antidote use in resuscitation, with a focus on three essential agents: naloxone, sodium bicarbonate, and high-dose insulin euglycaemic therapy.
Slides for a talk by Professor David Pilcher about Lung Transplantation. The talk is aimed at the general intensivist and intensive care trainees and focuses on general and post-operative management. It is available as an episode of The INTENSIVE Podcast here:
Slides for a talk on Severe Burnes by Associate Professor Andrew Udy. The talk provides an overview of severe burns from the perspective of intensive care management. The target audience is intensive care registrars. The talk is episode 3 of The INTENSIVE podcast, which is available at: http://intensiveblog.com/severe-burns-andrew-udy/
Slides for a talk by Chris Nickson on how acute stressors affect performance and the techniques we can use to maintain performance despite them. Targeted at critical care trainees. Show notes available at: http://intensiveblog.com/training-for-stress
Mechanical ventilation pitfalls in asthma managementprecordialthump
Professor David Tuxen talks about mechanical ventilation pitfalls in asthma management. Topics include appropriate mechanical ventilation settings and their pathophysiological basis, as well as important complications such as dynamic hyperinflation and pneumothorax. The target audience is intensive care registrars.
Slides for a talk by Vincent Pellegrino (ECMO Director at The Alfred ICU) on ECPR. For videocast and audio only versions of this talk go to the RAGE podcast (http://ragepodcast.com/ecpr-vincent-pellegrino/) or The Alfred ICU's INTENSIVE blog (http://intensiveblog.com/ecpr-vin-pellegrino/).
Dartmouth Summer Institute for Informed Pt Choice (Let Patients Help Decide W...e-Patient Dave deBronkart
30 minute talk at the Dartmouth Summer Institute on Informed Patient Choice. Very unusual talk - almost nothing about my cancer, lots about issues of who gets to say what's important.
Managing Coronavirus FearsThere are important health reasons t.docxwkyra78
Managing Coronavirus Fears
There are important health reasons to tamp down excessive anxiety that can accompany this viral threat.
By Jane E. Brody
April 13, 2020
Covid-19, the invisible enemy now bearing down on 328.2 million Americans, is tailor-made to induce fear and anxiety, prompting both rational and irrational behavior and, if the emotional stress persists, perhaps causing long-lasting harm to health.
We’re staring down an alien virus our bodies have never before encountered and which we are currently unable to control. There is no vaccine yet available to prevent Covid-19 or drug proven effective to fight the illness, limiting our ability to protect ourselves. So we buy reams and reams of toilet paper because it’s something we can do to give us a feeling of dominance over a force that threatens to overwhelm us.
“There’s never been a time in modern human history when every person is seriously worried about the same thing at the same time,” said David Ropeik, a consultant on risk management and former instructor in risk communication at the Harvard School of Public Health. And there’s never before been a ubiquitous threat that can be so instantly broadcast to a world of 7.8 billion people.
“We’re being inundated with a constant flow of scary information that overwhelms our ability to be dispassionate,” said Mr. Ropeik, author of “How Risky Is It, Really? Why Our Fears Don’t Always Match the Facts.” “Our brains are screaming to give the coronavirus more weight, challenging our ability to recognize that most people are actually at low risk.”
As with other calamities, it’s the bad news that gets the most attention, not the apparent fact that most people who become infected develop no symptoms or only mild ones and recover fully within a week or so.
Compounding a sense of doom for some people is their inability to evaluate risk and the fact that what is an acceptable risk for one person is intolerable to another. Following the terrorist attacks on Sept. 11, 2001, many people were afraid to fly and instead drove thousands of miles, incurring a far greater risk to life and limb yet instilling a feeling of control with their hands on the wheel and foot on the gas.
“A risk we choose seems less dangerous than a risk that is imposed on us,” Mr. Ropeik observed.
Not that it’s inappropriate to feel anxious about the risk we all now face, especially if that distress reminds us to be diligent about social distancing, avoid physical contact with people who do not share our household, wash our hands often and well and keep them off our faces and out of our eyes.
But while a certain amount of worrying can help motivate you to protect against possible exposure to the virus, compulsively reading or tuning in to the bad news about Covid-19 throughout the day is unlikely to enhance your emotional or physical well-being.
There are important health reasons to tamp down excessive anxiety that can accompany this viral threat. We have a built-in physiologic.
Name Speech Title I. Intro A) Atten.docxgilpinleeanna
Name:
Speech Title
I. Intro:
A) Attention getter --
B) Purpose Statement --
C) Thesis --
II. BODY
A) Main Point Number 1:
a)
b)
c)
transition --
B) Main Point Number 2:
a)
b)
c)
transition --
C) Main Point Number 3:
a)
b)
c)
transition –
III. CONCLUSION:
A) Summary statement --
B) Memorable conclusion --
References
List all references on a separate page with the word “References” centered at the top.
Name: Suepin Nguyen
Hygiene Saves Lives
I. Intro: To give an informational speech about Ignaz Philipp Semmelweis
A) Attention getter – On each square centimeter of your skin, there are about 1,500
bacteria. That’s a lot of germs. According to a study conducted by Michigan State
University researchers, 95% of people do not properly wash their hands long enough to
kill the infection causing germs and bacteria (Jaslow, “95 Percent of People Wash Their
Hands Improperly: Are You One of Them?”).
B) Purpose Statement - That’s gross. While I can’t force you to wash your hands, perhaps
today I can help you realize just how much history and evidence is behind this crucial
bathroom ritual.
C) Thesis – Today, I will inform you all about Ignaz Philipp Semmelweis by discussing first
about his practice and studies, second about his scientific methods that saved a lot of
lives, and third about the germ theory we all take for granted.
II. BODY:
A) Main Point Number 1: To begin, I want to introduce Ignaz Philipp Semmelweis.
a) Ignaz Semmelweis became a physician and earned his doctorate degree in medicine
in 1844. This time period was known as the start of the golden age of the physician
scientist” (NPR.org). This means that doctors were expected to have scientific
training. Doctors were more interested in numbers and collecting data (Justin Lessler,
an assistant professor at Johns Hopkins School of Public Health).
b) In 1846, Dr. Semmelweis showed up for his new job in the maternity clinic at the
General Hospital in Vienna. Due to the time period, Dr. Semmelweis thought like a
physician scientist and wanted to figure out why so many women in maternity wards
were dying from childbed fever (Davis, “The Doctor Who Championed
Hand-Washing and Briefly Saved Lives”).
c) So what did he do? He collected data of his own. He studied two maternity wards in
the hospital. One was staffed by all male doctors and medical students, and the other
by female midwives. He tallied up the number of deaths in each ward and found that
women in the clinic staffed by doctors and medical students died at a rate 5 times ...
"Ten tips - to use before, during, and after resuscitation episodes - that will help clinicians maximise their chances of saving their sickest patients."
An overview of the principles of antidote use in resuscitation, with a focus on three essential agents: naloxone, sodium bicarbonate, and high-dose insulin euglycaemic therapy.
Slides for a talk by Professor David Pilcher about Lung Transplantation. The talk is aimed at the general intensivist and intensive care trainees and focuses on general and post-operative management. It is available as an episode of The INTENSIVE Podcast here:
Slides for a talk on Severe Burnes by Associate Professor Andrew Udy. The talk provides an overview of severe burns from the perspective of intensive care management. The target audience is intensive care registrars. The talk is episode 3 of The INTENSIVE podcast, which is available at: http://intensiveblog.com/severe-burns-andrew-udy/
Slides for a talk by Chris Nickson on how acute stressors affect performance and the techniques we can use to maintain performance despite them. Targeted at critical care trainees. Show notes available at: http://intensiveblog.com/training-for-stress
Mechanical ventilation pitfalls in asthma managementprecordialthump
Professor David Tuxen talks about mechanical ventilation pitfalls in asthma management. Topics include appropriate mechanical ventilation settings and their pathophysiological basis, as well as important complications such as dynamic hyperinflation and pneumothorax. The target audience is intensive care registrars.
Slides for a talk by Vincent Pellegrino (ECMO Director at The Alfred ICU) on ECPR. For videocast and audio only versions of this talk go to the RAGE podcast (http://ragepodcast.com/ecpr-vincent-pellegrino/) or The Alfred ICU's INTENSIVE blog (http://intensiveblog.com/ecpr-vin-pellegrino/).
The slides used by John Hinds as he destroyed cricoid pressure with his 'cricolol' parody during a debate at smaccGOLD. Posted on RAGE with a link to the audio here: http://ragepodcast.com/cricoid-press-press/
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
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
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
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.
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
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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66. All images used for non-commercial educational purposes under a Creative Commons license from the following sources (exceptions noted
where possible; see slide number below):!
!
4. https://en.wikipedia.org/wiki/Ignaz_Semmelweis#/media/File:Ignaz_Semmelweis_1860.jpg!
5. http://www.flickr.com/photos/inferis/110652572/
6. https://en.wikipedia.org/wiki/File:Yearly_mortality_rates_1841-1846_two_clinics.png
18 and 50. https://www.flickr.com/photos/59632563@N04/6104068209
23. https://en.wikipedia.org/wiki/File:Monthly_mortality_rates_1841-1849.png
25. http://www.hha.org.au/home/5-moments-for-hand-hygiene.aspx
28. http://www.freestockphotos.biz/stockphoto/15288
29. https://commons.wikimedia.org/wiki/File:Ethanol-3D-balls.png
30 and 45. http://www.medicaldaily.com/hand-washing-antibacterial-soap-isnt-any-more-effective-clearing-bacteria-plain-old-352968
31. https://commons.wikimedia.org/wiki/File:USMC-101008-M-1558F-390.jpg
33 to 35. https://commons.wikimedia.org/wiki/File:Ignaz_Semmelweis_1863_last_image.jpg
36. Unknown
37. https://en.wikipedia.org/wiki/Straitjacket
38. https://www.flickr.com/photos/darwinbell/
39. https://commons.wikimedia.org/wiki/File:FBI_Evidence_Response_Team.jpg!
40. https://commons.wikimedia.org/wiki/File:Bad_Sink_Design_LA.JPG
41. https://pixabay.com/en/bokeh-lights-blurry-blur-effect-336478/
42. https://blog.bikersden.com/wp-content/uploads/2014/05/Mexico_City_motorcycle_police_officer_writing_a_ticket.jpg
48. https://commons.wikimedia.org/wiki/File:Yorkshire_pigs_at_animal_sanctuary.jpg
49. Unknown
50. https://commons.wikimedia.org/wiki/File:Michelle_and_Barack_Obama_fist_bump_DNC_2008.jpg
52. https://www.flickr.com/photos/jamescridland/613445810
53. https://commons.wikimedia.org/wiki/
File:From_left,_U.S._Air_Force_Lt._Col._Richard_Degrosa,_an_emergency_room_doctor;_Lt._Col._Gerald_Fortuna,_a_trauma_surgeon;_and_Ma
ster_Sgt._Jose_Arias-Patino,_an_operating_room_surgical_technician,_all_with_140117-F-RW714-754.jpg
55. Credit CSA/NASA; http://www.asc-csa.gc.ca/eng/astronauts/living-hygiene.asp
56 and 57. Credit Chris Nickson
58. Credit Tasha Sturm; http://twistedsifter.com/2015/06/microbiologist-takes-sons-handprint-and-incubates-the-results/
59. https://commons.wikimedia.org/wiki/File:Shame_grafitti.jpg
60. https://commons.wikimedia.org/wiki/File:US_Navy_090606-
N-9988F-814_Brigadier_General_Harry_Polumbo_adjusts_his_seat_belt_before_his_familiarization_flight.jpg
Video clip of feedback given to little boy washing hands; credit Chris Nickson (all rights reserved)
