1) Nearly 1 in 100 people aged 15-64 in Great Britain is considered a high-risk drug user, defined as injecting drugs or regular long-term use of opioids, cocaine, and/or amphetamines.
2) In 2013-14, there were 47,900 child assessments where alcohol or other drugs were a factor, and 435 children in foster care ran away due to substance misuse.
3) Prisoners have high rates of drug use and mental health problems, and older prisoners are more likely to have used Class A drugs before entering custody.
Causes of teenagers sucide in bangladeshAhsAn AunTu
Teenage suicide is a leading cause of death worldwide, particularly among those aged 15-24. Suicide rates are higher among females than males. Common risk factors for teen suicide include depression, substance abuse, family history of mental illness, physical or sexual abuse, stress, and feelings of hopelessness. Warning signs can include changes in behavior, sleep, interests and talk of suicide. Prevention efforts should encourage communication, ensure access to mental healthcare, and remove means of self-harm.
Mental health problems in old homes of PakistanTabi Khan
The document discusses mental health problems in older adults living in old homes in Pakistan. It notes that many older adults experience physical, social, and psychological health issues that can lead to chronic diseases and illnesses. However, the research presented found that older adults living in old homes in Islamabad and Rawalpindi seemed happy and satisfied. They had recovered from previous medical conditions with the homes' help and were in good mental and physical health. The old homes provided a clean, organized environment and friendly relationships, supporting the mental well-being of their residents.
This document provides information about human sexual intercourse from a physiological perspective. It discusses the anatomy and biological process of sexual intercourse, including common positions. It also covers fertilization and conception, noting that intercourse can result in pregnancy unless contraceptive measures are used. Finally, it mentions some common problems that can occur with intercourse and emphasizes the importance of consent.
According to research, over 80% of American workers experience stress at work. Stress at work can make you less productive, angry and even lead to serious health conditions like heart disease. If the stressors of work are becoming too much for you to handle, try these 8 science-backed ways to relieve stress at work.
3 Storytelling Tips - From Acclaimed Writer Burt HelmEthos3
Visit the Ethos3 blog (http://buff.ly/1B8ehRa) to get the full scoop on these tips. By reading the Ethos3 blog post, you will learn how to tell stories that will captivate even the most challenging audiences.
If you need help creating professional presentations, email us at: info@ethos3.com
Ethos3 is a presentation design agency with premier PowerPoint and presentation designers. We can create the perfect presentation for you: www.ethos3.com
The Intersection of Domestic Violence and Substance Abuse- April 2012Dawn Farm
The document discusses the intersection of domestic violence and substance abuse, noting that over 50% of batterers have substance abuse issues. It outlines issues that arise when working with drug and alcohol affected batterers, such as higher denial and manipulation. The document also examines the links between domestic violence and substance abuse and considers how to help survivors achieve both safety and sobriety.
Adult Coloring Book "Sex positions" 18+ - Erotic colorings for grown ups. Full version and other books You'll find at - http://flame-head.com/coloring_books/sex_position_coloring_book
The document discusses the history and current status of marijuana legalization. It notes that marijuana has been used for thousands of years for medical and religious purposes. In the early 1900s, it was prohibited in the US due to racist fears that it incited violence in Mexican and black communities. However, the document argues marijuana has medical benefits and should be legalized. Legalizing marijuana could generate tax revenue, reduce incarceration rates, and allow the reintroduction of hemp as an industrial crop. The document aims to dispel myths about marijuana and advocate for its legalization and regulation.
How to prepare for a long distance hiking tripAustin Gratham
http://www.scenic.com|Before going on a long-distance hike, you need to prepare yourself physically and mentally by knowing the limits of your endurance and how to handle your gear. Here are our top hiking tips for going the distance.
This document discusses the relationship between substance use and domestic abuse. It defines key terms and outlines prevalence data showing high rates of overlap between substance use problems and experiencing or perpetrating domestic abuse. The relationship is complex, with substance use increasing the frequency and severity of abuse, while victims also use substances to cope with abuse. Treatment targeting only substance use or domestic abuse is insufficient, and myths can undermine safety if they are not addressed. Practitioners must recognize this complexity to avoid unintentionally increasing risks, especially for women and children.
16 Best Sex Positions Every Couple Should Trywoffordr168
THE CAT
a.k.a. Coital Alignment Technique
Benefits: Strong clitoral stimulation. In one study in the Journal of Sex and Marital Therapy, women who were unable to have an orgasm in the missionary position reported a 56 percent increase in orgasm frequency using the coital alignment technique.
The CAT is just like the missionary except that your body is farther up and to one side. Instead of being chest to chest, your chest is near her shoulders. Have her bend her legs about 45 degrees to tilt her hips up. This causes the base of your shaft to maintain constant contact with her clitoris.
Now try this: Ask her to straighten her legs. Push your pelvis down a few inches while she pushes up.
WATERFALL
a.k.a. Head Rush
Benefits: The blood will rush to your other head, too.
Move to the edge of the bed and lie back with your head and shoulders on the floor as she straddles you. The blood will rush to your head creating mind-blowing sensations upon orgasm.
ONE UP
a.k.a. Over Your Shoulder, The Hamstring Stretch
Benefits: This is the best sex position for women who are particularly sensitive along one side of the clitoris.
Kneel on the floor with her lying on the edge of the bed. Raise one of her legs and ask her to support her leg by wrapping her hands around her hamstring just below the knee. With one hip raised, she’ll be able to add some movement to aid in your stroking or to help move you to the perfect spot.
Whether it's prescription or street drugs, when the demise includes a celebrated face, it attracts consideration regarding evil spirits that neither cash nor notoriety can tame. These 16 stars lost their lives to overdoses, yet their legacy lives on in the collection of work they deserted.
This document discusses drugs and substance abuse, including causes and consequences. It defines drugs and classifies them as legal or illegal. Common abused substances like tobacco, alcohol, and prescription drugs are mentioned. Drug use, misuse, and abuse are differentiated. Stories are provided as examples of misuse leading to abuse. Signs of abuse include physical and behavioral symptoms. Myths about drugs are debunked, such as the idea that drugs make people cool or help forget problems. Causes of abuse include curiosity, peer pressure, and underlying mental health issues. Consequences include addiction, tolerance, withdrawal, and health impacts.
Do I Have PTSD? - The Signs & Symptoms of Post-Traumatic Stress DisorderDeborah Davis
A lot of people can suffer from PTSD (or post-traumatic stress disorder) after experiencing a traumatic event like natural disasters and serious accidents. Among the most common of the many symptoms are: experiencing flashbacks, bad dreams and having difficulty sleeping. Learn the other symptoms of PTSD in order to help someone you know who might be suffering from it. Check out these slides from Nungkari Treatment Centre.
This document discusses the history of marijuana use and arguments for legalizing it. It covers how marijuana was used medicinally in ancient Asia and brought to other parts of the world. In the US, it was initially legal but made illegal in the 1930s due to prejudices. The document argues for legalizing marijuana and regulating it similarly to alcohol. It believes this could reduce crime rates, generate tax revenue, and allow medical access to marijuana. In conclusion, the document argues marijuana prohibition violates founding principles and legalization would benefit society.
Every drug has pros and cons. Marijuana has some cons as well, if you are totally against it. If you look at the brighter side, the pros weigh heavier than the cons.
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The average Christmas dinner contains as much as 956 calories and 46g of fat.In this presentation, you will see how much weight you gained during Christmas time and what you can do to cut calories during those festive days. ~ Shared by: http://www.familychiropractic.com.sg/
Good Health is Real Wealth at WorkplaceAnkur Tandon
Companies who are aggressively planning out to create a positive work atmosphere are advised to take examples from the major brands who always try to build their work environment employees-friendly.
Read more interesting content, at www.thecareermuse.co.in - We intend to inform and inspire recruiters, job seekers and anyone with an interest in the workplace and HR technology.
Hope you enjoyed reading the Infographic.
Feel free to share your feedback with us at @CareerBuilderIn
This document summarizes a Twitter discussion about healthy and frugal eating during the holidays. Participants shared tips like cooking at home to control calories and portion sizes, buying produce in season, shopping sales and using coupons. Favorite healthy dishes included grilled pork loin and roasted brussel sprouts. When eating out, strategies like splitting meals or taking half home were suggested to avoid overeating. Tracking calories with apps like MyFitnessPal was also discussed.
The Future of Medical Education - Top Trends Likely to Have an Impact on the ...Ogilvy Health
The document summarizes key trends that are likely to impact the healthcare industry in the next decade based on a panel discussion with experts. Three major trends are: 1) Increased accountability and use of real-world data by pharmaceutical companies as patients have more medical information. 2) The rise of the "digitally enabled patient" as wearables and devices give patients and doctors more data to self-monitor health. 3) The impact of hyper-connected learners who will increasingly personalize their medical education online.
Design for Change: Empathy as our Guide: Amy Cueva Keynote at Partners Center...Amy Cueva
This presentation was a part of the "Design for Change" track at the October 29, 2015 Partners Center for Connected Health Symposium. The presentation discusses how Empathy can be our guide as we seek to improve health experiences.
The Spring Festival, also known as the Chines New Year, is the most important Chinese festival celebrated each year. Many traditions have significant influence on people’s life.
Read the infographic “ Chinese New Year - the Spring Festival”.
Science of Achievement & Art of Fulfillment | Tony Robbins Tony Robbins
What does it mean to live an extraordinary life? It means living life on your own terms. And to do that, you must master two skills: The science of achievement and the art of fulfillment. Hear Tony explain why success without fulfillment is the ultimate failure.
Your Keys to an Extraordinary Life of Fulfillment:
Health, Time, Wealth, Business, Mind & Spirit, Relationships
For more insights, strategies and tools, visit: http://tonyr.co/1Ol6IJH
Visit Tony Robbins' websites:
https://www.tonyrobbins.com/
http://humanelevation.tonyrobbins.com/
https://moneymasterthegame.com/
Follow Tony Robbins @:
Facebook: https://www.facebook.com/TonyRobbins
Twitter: https://twitter.com/tonyrobbins
LinkedIn: https://www.linkedin.com/in/ajrobbins
Google+: https://plus.google.com/+TonyRobbins
Instagram: https://instagram.com/tonyrobbins/
Tony Robbins is a #1 New York Times best-selling author, entrepreneur, and philanthropist. For more than 37 years, millions of people have enjoyed the warmth, humor and dynamic presentation of Mr. Robbins' corporate and personal development events. As the nation's #1 life and business strategist, he¹s called upon to consult and coach some of the world¹s finest athletes, entertainers, Fortune 500 CEOs, and even presidents of nations.
Having trouble falling asleep? Insomnia is one of the most common side effects of cancer treatment. This presentation provides tips for how you can get some rest without using medication.
10 Easy Ways to Unleash Your Kid's Brain PowerSage HR
Do you know that a baby is born with all the brain cells he needs when he becomes an adult?
Do you know that a baby creates 700 neural connections every second in the first 1,000 days of his life?
A study conducted by Dr. Jim Heckman, a Nobel Laureate in Economics, show that early stimulation of brain function during childhood plays a critical role in a child's social and economic success. Furthermore, the neural pathways and networks that are forged during the first 1,000 days will have lasting impacts on the person's social, emotional and mental capabilities --- very important factors which dictate the kind of lifestyle, job and social interactions he will have in the future.
For parents who want nothing but the best for their children, Dr. Heckman's research show that preschool experiences and early interactions with peers and adults provide the highest return in capital investment. The benefits of which decreases dramatically after school due to aging and several other reasons.
From an economic standpoint, these words ring true. Early childhood stimulation of brain function develops fluid abilities such as memory, reasoning, speed of thought and problem solving prowess. All of which are interrelated and foreshadows high-level brain function which is key to a happy, successful life.
In this Slideshare story deck, CakeHR is proud to present 10 easy, practical ways to develop your kid's brain power. Here you will learn about the importance of play, songs and interactive toys in early childhood brain stimulation. You will also learn that the way your respond to your child's needs and cries will have a direct effect on the development of his cognitive and emotional abilities.
Learn more about CakeHR at > > > cake.hr
Is healthwashing the new greenwashing? Are we placing too much faith in technology? These are just some of the questions that emerged from our conversation around making health a shared value at TEDMED 2015. Check out our blog, "Overheard at TEDMED: Let's Dance," for more details: http://blog.tedmed.com/overheard-at-tedmed/
Whether you’re fooled by a push/pull door or you unexpectedly run into an academic lecturer outside of class, the best advice we can give you? Embrace the awkward! We’ve put together the most common awkward student moments you’re likely to run into during university life and added some handy tips on how to embrace them.
Visit
www.buildmyfitness.com
For More Useful Articles
Wondering how on earth these celebrities manage to keep the glow of their skin on for years.
Magic or expensive cosmetics?
No, the name of the magic is yoga.
Yoga is the answer to all physical, mental and spiritual development.
1. Bhujangasana (Cobra Pose):
2. Ustrasana (Camel Pose):
3. Matsyasana (Fish Pose):
4. Halasana (Plow Pose):
5. Trikonasana (Triangle pose):
6. Pavanmuktasana (Wind Relieving pose):
7. Breathing Exercise:
Glowing Skin Remedies For Normal Skin Types:
• Mix the juice of half a tomato or orange with two tsp yoghurt. Massage your face with this preparation with upward strokes for a few minutes. Keep on till it dries and then wash off with cold water.• Massage your face using the inner part of a papaya peel. When it dries, wash with cold water.
• Grind half cup cabbage or press out the juice from the resulting pulp. Apply and cleanse it off after it dries. You can do the same thing with a small carrot.• Use the inner part of apple peels to massage your face and wash off with cold water when dry.• Rub an ice cube on your face. Pat dry. This helps to improve blood circulation and brings a natural glow to the skin.
This document summarizes several factors that can lead to interpersonal attraction according to social psychology research: physical appearance/beauty, personality, proximity, and similarity. Studies discussed found that people tend to see attractive, beautiful people as more desirable and competent. Additionally, having a warm, kind, or exciting personality is attractive to others. Proximity, or spending time near others, increases comfort levels and likelihood of attraction. Similarity in characteristics and interests between people also reduces conflicts. Reciprocated liking and gaining the approval of someone who was initially unimpressed can be especially rewarding.
How can cancer patients manage the symptoms of chemobrain? Learn more about this side effect of cancer treatment, which can sometimes cause decreased short-term memory, problems finding words, short attention span, and difficulty concentrating and multitasking.
Interesting things you may have missed - April 2015Andrew Brown
The document summarizes several statistics related to drug use in Scotland and the UK:
- An estimated 46,657 people in Scotland injected drugs with hepatitis C in 2009, with over 27,000 being undiagnosed. Most undiagnosed cases were non-recent drug users aged 35-64.
- In England and Wales in 2014, over 100,000 arrests were for drug offenses, though this was down from the previous year. The majority of stop-and-searches and subsequent arrests involved attempts to find Class A drugs.
- Over 1,300 children in Scotland lost a parent to a drug-related death between 2009-2013. Women who died were more likely to live with and care
10 interesting things about alcohol and other drugs that you might have misse...Andrew Brown
Including - tax revenue from alcohol across Europe, mortality rates for lung cancer, daily doses of OST in Scotland, milligrams of methadone prescribed in Scotland, reasons given for refusing 'place of safety' under the Mental Health Act, calls to the NPIS about drugs, prisoners ability to access drugs and alcohol in England, absconders from prison, re-offending drug offenders in England
Interesting things about alcohol and other drugs that you might have missed -...Andrew Brown
This month includes data on:
Deaths amongst opioid users (esp those which are not overdose related); children in need and care and substance use problems; multiple and complex needs; trends in police recorded drug offences; gang membership, dependency and mental health problems; Seizures of synthetic cannabinoids in prison; public perceptions of the safety of drug taking
10 interesting things about alcohol and other drugs that you might have misse...Andrew Brown
Including... commissioners plans to reduce spending on services, injecting drug users and HIV, smoking prevalence, proportion of new Europol cases relating to drugs, time people spend on OST, regional variation on emergency hospital admissions for alcohol related liver disease, prisoners use of substances and their relationship to the crimes committed, numbers accessing domestic violence refuges, single homeless people's use of drugs and alcohol
Interesting things about alcohol and other drugs - Feb 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - March 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about Alcohol and Other Drugs that you might have missed -...Andrew Brown
Drug-related deaths in England and Wales rose 20% between 2012 and 2013, with over half caused by opiates and 30% mentioning alcohol use. Drug deaths account for 1 in 7 deaths among people in their 20s and 30s. Local authorities in England spent over £400 million on substance misuse programs in 2013-14, with 57% directed to adult drug treatment and 20% to services for at-risk youth. Random drug testing found that 8% of UK prisoners tested positive for drugs in 2013-14, with some prisons reporting over 20% of inmates testing positive.
Presentation given relating to the HSCIC report 'Focus on the health and care of young people June 2015' by Kate Croft, HSCIC Head of Statistical Response Unit. This took place at the Health+Care event at London's ExCel, on Thursday 25 June 2015.
Interesting things about alcohol and other drugs that you may have missed - M...Andrew Brown
This month includes data on:
Naloxone, people with drug and alcohol problems getting sickness benefits, numbers sent to treatment through the courts, proportions found guilty of drug offences & the number of previous convictions, re-offence rates for those committing drug offences, rates of death for alcohol, alcohol related violence, drug and drink driving, border force seizures of drugs, how much we spend on 'late intervention', number of times prisons have detected NPS being thrown over the wall, police incidents which include 'legal highs', changes in recorded crime by offence
Interesting things about alcohol and other drugs - Nov 2016Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
12 things we learnt about drug and alcohol treatment in Wales in 2014-15Andrew Brown
The document summarizes key statistics from the Welsh National Database for Substance Misuse about drug and alcohol treatment in Wales in 2014-2015. Some of the main findings include: referrals were highest among those aged 25-34 for both males and females; the most common sources of referrals were GPs, self-referrals, and criminal justice; cannabis and alcohol were the most common problematic substances; the number of people in treatment increased slightly from 2013-2014; and the most common treatment types delivered were psychosocial interventions, brief interventions, and harm reduction.
Interesting things about alcohol and other drugs - November 2017Andrew Brown
This document contains multiple summaries and statistics related to alcohol and drug use in the UK:
- The number of adults in community drug and alcohol treatment has fallen slightly in recent years, particularly for alcohol alone. Crack cocaine problems have increased 23%.
- Housing problems fell for most substance users between starting treatment and 6 months later, ranging from 3-5% reductions.
- Non-fatal overdoses have risen among people who inject drugs in England, reaching 19% in 2016. Rates are lower for those currently in treatment.
- Reoffending fell 33% overall for those in community substance misuse treatment, with the greatest reductions for alcohol-only clients in both offenders (59%) and offenses
Interesting things about alcohol and other drugs - October 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - August 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - July 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - June 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - May 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - April 2017Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - Dec 2016Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - Oct 2016Andrew Brown
One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.
Interesting things about alcohol and other drugs - July 2016Andrew Brown
The document contains information from various sources about drugs, alcohol, and related harms. It includes statistics on deaths in custody, drug and alcohol prices in different regions, alcohol sales data showing cheap prices, drug use in prisons has increased significantly with almost daily use, childhood abuse is linked to various mental health and substance use issues later in life, injecting equipment provision outlets in Scotland have seen a large rise in attendances, approximately one in six people with drug dependence receive treatment globally, alcohol-related deaths are much higher in males than females and increase with age.
Interesting things about alcohol and other drugs - April 2016Andrew Brown
Scotland's National Naloxone Programme was associated with a 36% reduction in opioid-related deaths after prison release and a 22% reduction after hospital discharge between 2006-2010 and 2011-2013. The number of rough sleepers in England increased 30% from 2014 to 2015, totaling 3,569. In drug-related deaths in Scotland between 2009-2014, 60% of individuals had a known psychiatric condition in the prior 6 months, most commonly depression or anxiety.
This document contains multiple figures and charts related to alcohol and drug use in the UK. It shows that:
1) Between 2013-2014, 584 online drug shops were identified across multiple European countries, with 18% (106 shops) no longer active by May 2014.
2) Data from 26 UK police forces showed that 10% of sexual offenses were alcohol-related.
3) A study found reductions in criminal offending after treatment for alcohol use disorder, with less offending associated with completing treatment and pharmacological therapy.
4) The document presents statistics on drug prices, purity, seizures and other measures related to alcohol and drug use in the UK.
Interesting things about alcohol and other drugs - Feb 2016Andrew Brown
The document provides statistics and information about alcohol and drug use and related harms in the UK:
- The number of individuals disqualified from driving due to drink or drug driving offenses has increased each year from 2011 to 2015.
- Prisoners are much more likely than the general population to have experienced adverse childhood experiences like abuse, violence at home, and time in care, and to have issues like unemployment, homelessness, and mental health problems.
- Alcohol-related deaths have been decreasing in the UK overall since the early 2000s, though rates are still higher in northern regions of England and Scotland compared to southern regions.
Principles of Cleaning
Nonsurgical root canal treatment is a predictable method of retaining a tooth that otherwise would require extraction. Success of root canal treatment in a tooth with a vital pulp is higher than that of a tooth that is necrotic with periradicular pathosis. The difference is the persistent irritation of necrotic tissue remnants, and the inability to remove the microorganisms and their by-products. The most significant factors affecting this process are tooth anatomy and morphology, and the instruments and irrigants available for treatment. Instruments must contact and plane the canal walls to debride the canal.
Morphologic factors such as lateral and accessory canals, canal curvatures, canal wall irregularities, fins, cul-de-sacs, and isthmuses make total debridement virtually impossible. Therefore the goal of cleaning not total elimination of the irritants but it is to reduce the irritants.
Currently there are no reliable methods to assess cleaning. The presence of clean dentinal shavings, the color of the irrigant, and canal enlargement three file sizes beyond the first instrument to bind have been used to assess the adequacy; however, these do not correlate well with debridement. Obtaining glassy smooth walls is a preferred indicator. The properly prepared canals should feel smooth in all dimensions when the tip of a small file is pushed against the canal walls. This indicates that files have had contact and planed all accessible canal walls thereby maximizing debridement (recognizing that total debridement usually does not occur).
Principles of Shaping
The purpose of shaping is to
1) facilitate cleaning and
2) provide space for placing the obturating materials.
The main objective of shaping is to maintain or develop a continuously tapering funnel from the canal orifice to the apex. This decreases procedural errors when cleaning and enlarging apically. The degree of enlargement is often dictated by the method of obturation. For lateral compaction of gutta percha the canal should be enlarged sufficiently to permit placement of the spreader to within 1-2 millimeters of the corrected working length. There is a correlation between the depth of spreader penetration and the apical seal.5 For warm vertical compaction techniques the coronal enlargement must permit the placement of the pluggers to within 3 to 5 mm of the corrected working length.6
As dentin is removed from the canal walls the root is weakened.7 The degree of shaping is determined by the preoperative root dimension, the obturation technique, and the restorative treatment plan. Narrow thin roots such as the mandibular incisors cannot be enlarged to the same degree as more bulky roots such as the maxillary central incisors. Post placement is also a determining factor in the amount of coronal dentin removal.
Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...NephroTube - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/QeWTw_fYPlA
- Video recording of this lecture in Arabic language: https://youtu.be/fUWI9boFc7w
- 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
A medical treatment that uses high doses of radiation to kill cancer cells or shrink tumors by damaging their DNA. When the DNA is damaged, cancer cells can no longer divide and grow, and they eventually die.
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....bkling
Join Dr. Kevin Kalinsky, breast oncologist and researcher from Emory Winship Cancer Institute, to learn about the latest updates from The American Society of Clinical Oncology (ASCO) annual meeting 2024.
Introduction of mental health nursing, Perspective of mental health and mental health nursing, Evolution of mental health services, treatment and nursing practices Mental health team, Nature and scope of mental health nursing, Role & function of mental health nurse inn various settings and factors affecting the level of nursing practice, concept of normal and abnormal behavior
Definition of mental health nursing, terminology, classification of mental disorder, ICD-10, Indian Classification, Personality development, defense mechanism, etiology of bio psychosocial factors,
As a leading rheumatologist in Chandigarh, Dr. Aseem specializes in the diagnosis and management of a wide range of rheumatic conditions, including but not limited to:
Rheumatoid Arthritis: An autoimmune disorder that causes chronic inflammation of the joints.
Osteoarthritis: A degenerative joint disease characterized by the breakdown of cartilage.
Lupus: A systemic autoimmune disease that can affect the skin, joints, kidneys, and other organs.
Ankylosing Spondylitis: A type of arthritis that primarily affects the spine, causing pain and stiffness.
Gout: A form of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in the joints.
Psoriatic Arthritis: A type of arthritis that affects some people with psoriasis.
Vasculitis: An inflammation of the blood vessels that can cause a variety of symptoms.
Sjogren’s Syndrome: An autoimmune disorder characterized by dry eyes and mouth.
Accurate diagnosis is crucial for effective treatment. Dr. Aseem Goyal utilizes advanced diagnostic techniques to identify the underlying causes of rheumatic conditions. Our state-of-the-art facility is equipped with the latest technology to provide comprehensive diagnostic services, including:
Blood Tests: To check for markers of inflammation and autoimmune activity.
Imaging Studies: Such as X-rays, MRI, and ultrasound to assess joint and soft tissue damage.
Joint Fluid Analysis: To examine the fluid in the joints for signs of inflammation or infection.
Biopsy: In certain cases, a small tissue sample may be taken for further examination.
Treatment Approaches
Dr. Aseem Goyal adopts a holistic and patient-centered approach to treatment. Depending on the specific condition and its severity, treatment options may include:
Medications
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To reduce inflammation and relieve pain.
Disease-Modifying Antirheumatic Drugs (DMARDs): To slow the progression of rheumatic diseases.
Biologic Agents: Targeted therapies that block specific pathways in the immune system.
Corticosteroids: To control severe inflammation quickly.
Regenerative Medicine in Chronic Pain ManagementReza Aminnejad
Regenerative technologies are the future of medicine. The current clinical strategy focuses primarily on treating the symptoms but regenerative medicine seeks to replace tissue or organs that have been damaged by age, disease, trauma, or congenital issues.
Co-Chairs, Stephen Salloway, MD, MS, and Sharon J. Sha, MD, MS, prepared useful Practice Aids pertaining to Alzheimer's disease for this CME/MOC/NCPD/AAPA activity titled “Preparing Your Practice for the New Era of Amyloid-Targeting Therapies in Alzheimer's Disease: Expert Insights on Key Evidence, Administrative and Clinical Considerations, and Best Practices for Individualized, Patient-Centered Care.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at https://bit.ly/3twjpAt. CME/MOC/NCPD/AAPA credit will be available until June 19, 2025.
Factors influencing growth & development:
Growth & development depend upon multiple factors or determinants. They influence directly or indirectly by promoting or hindering the process.
The determinants can be grouped as Heredity & environment..
Heredity or genetic factors are also related to sex, race, & nationality. Environment includes both pre natal & post natal factors.
General Endocrinology and mechanism of action of hormonesMedicoseAcademics
This presentation, given by Dr. Faiza, Assistant Professor of Physiology, delves into the foundational concepts of general endocrinology. It covers the various types of chemical messengers in the body, including neuroendocrine hormones, neurotransmitters, cytokines, and traditional hormones. Dr. Faiza explains how these messengers are secreted and their modes of action, distinguishing between autocrine, paracrine, and endocrine effects.
The presentation provides detailed examples of glands and specialized cells involved in hormone secretion, such as the pituitary gland, pancreas, parathyroid gland, adrenal medulla, thyroid gland, adrenal cortex, ovaries, and testis. It outlines the special features of hormones, differentiating between peptides and proteins based on their amino acid composition.
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Health communication, AI and health misinformation.pptx
Most interesting of 2015
1. Some of the most interesting
things about alcohol and
other drugs in 2015
Andrew Brown
@andrewbrown365
2. Estimated rate of high risk drug users in Great Britain,
per 1,000 population aged 15 to 64
Nearly 1 in 100 people between
ages of 15 - 64 in Great Britain is
thought to be a high risk drug user
Definition of a high risk drug use:
“injecting drug use or long-
duration/regular use of opioids,
cocaine and/or amphetamines”
Source: http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf
3. In 2013-14 there were
47,900
assessments for children in need
where alcohol or other drugs were a
factor at initial assessment.
In 2013-14
435
children ran away from foster care
because of substance misuse
Source: https://www.gov.uk/government/statistics/characteristics-
of-children-in-need-2013-to-2014
Source: https://www.gov.uk/government/statistics/fostering-in-
england-1-april-2013-to-31-march-2014
4. Substance use by prisoners and links to offending
The results demonstrate that drugs are
a problem among prisoners, regardless
of age, in contrast to general
population figures (although older
prisoners who had used drugs were
more likely to link their offending with
their drug use). They also show that
older adult prisoners were more likely
to have taken Class A drugs before
custody. This suggests that older adults
and young adult drug users may
require different types of intervention
focused on their particular patterns of
drug use.
Source: https://www.gov.uk/government/publications/needs-and-characteristics-of-young-adults-in-custody
5. Substance misuse and mental health in prison
Prisoners with drug and/or
alcohol problems tend to have
even higher levels of mental
health problems than the rest
of the prison population.
RAPt service users present
with an average of 3.4 mental
health problems.
Source: http://bit.ly/1ArNoan
6. Substance misuse issues for adults and children in
prison
Adult prisoners Children in the secure estate
Source: Service specification No. 29: public health services for
people in prison
Source: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-
content/uploads/sites/4/2015/07/HMIP-AR_2014-
15_TSO_Final1.pdf
7. When do people with substance use problems turn up at
hospital in acute need?
“We found that access to, and the quality of,
services after 5pm was not good enough.
Commissioners and providers should make
sure that they have the most appropriate
services with the staff that have the right
skills working at the times when people with
mental health needs are more likely to access
them.”
CQC - “Right here, right now – help, care and
support during a mental health crisis”Source: http://www.cqc.org.uk/sites/default/files/20150611_righthere_mhcrisiscare_full_3b.pdf
8. Proportion of drug and alcohol clients in concurrent
contact with mental health services
Source: http://fingertips.phe.org.uk/profile-group/mental-health/profile/drugsandmentalhealth
9. “There is still a struggle with the dual
needs of people with alcohol and
mental health issues; this becomes
very frustrating as people seem to fall
into a gap between services. It seems
that services can only work with a
person either with mental health or
addiction - not with the whole
person.”
Are there appropriate care pathways for people with
both mental health and alcohol problems?
Source: The Recovery Partnership Review of Alcohol Treatment Services
10. Number of current drug injectors admitted to first drug
treatment, by country
“A total of 12,909 current
drug injectors were admitted
to first drug treatment in
2011, with the United
Kingdom (34.8 %)
accounting for the largest
proportion of reported
cases, followed by the Czech
Republic (16.6 %), Italy (13.7
%), Greece (6.6 %), Spain (5.7
%) and Germany (5.0 %).”
Source: http://www.emcdda.europa.eu/publications/technical-reports/trends-in-injecting-drug-use
11. Merseyside Annual Drug Intervention Programme report
2014/15
Just over half of all successful drug tests
carried out in Merseyside in 2014/15 were
positive (51.0%).
Of the 4,923 positive tests the highest
proportion was seen among those testing
positive for opiates (51.8%) often in
combination with cocaine (38.8%).
Source: Merseyside Annual DIP report 14/15
12. The number and proportion of stop and searches carried out
by police relating to suspicion of drug offences
While the number of stop and
searches carried out on suspicion of
drug offences have halved since
2010/11, the proportion that they
make of all stop and searches has
risen by 9% points over the same
period.
Source: Police powers and procedures England and Wales year ending 31 March 2015
13. Age of first use of people in drug treatment in the UK
Source: http://www.emcdda.europa.eu/data/stats2015#displayTable:TDI-0197
14. Levels of Blood Borne Viruses amongst people who
inject drugs in England, Wales and Northern Ireland
“The impact of public health
interventions which aim to prevent
HIV and hepatitis C infection through
injecting drug use, such as needle and
syringe programmes and opiate
substitution therapy, has been shown
to be dependent on their coverage. In
addition to these interventions,
increasing the treatment of hepatitis
C infection in PWID should also
reduce the transmission of hepatitis C
among PWID.”
Source: https://www.gov.uk/government/statistics/people-who-inject-drugs-hiv-and-viral-hepatitis-monitoring
15. Less than half of deaths (43%) in opioid users are from
overdoses
There were more than
five and a half times the
number of deaths
amongst opioid users
than would be expected
in the general
population between
2005 and 2009
Source: National record linkage study of mortality for a large cohort of opioid users ascertained by drug treatment or criminal justice sources in
England, 2005–2009, Pierce, Matthias et al., Drug & Alcohol Dependence , Volume 146 , 17 - 23
http://www.drugandalcoholdependence.com/article/S0376-8716(14)01844-4/pdf
16. Proportion of females who had been a victim of domestic
violence prior to drug related death in Scotland (2013)
13% of all those dying from drug related
deaths were reported to have been a
victim of domestic violence at some point
prior to death.
Over four-fifths (81%) were female.
45 in every 100 women who died had
experienced domestic violence at some
point; this compares to 3 in every 100 men.
Therefore women were 14x more likely to
have experienced domestic violence.
Source: http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/data-tables.asp?id=1386#1386
17. 1,382 children in Scotland lost a parent to a drug related
death between 2009 and 2013
Almost half of females (47%) and a third of males
(32%) who died a drug-related death in Scotland
in 2013 had children aged under 16.
Female parents (37%) were more likely to be
living with their children at the time of death
than male parents (12%).
Of those who lived with children at the time of
their death, one in three (34%) were known to
use drugs intravenously.
Source: http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-
Misuse/Publications/
18. The known physical and mental health conditions of
those dying from drug related causes in Scotland
Physical health conditions experienced in the six months prior
to drug related deaths in Scotland
Mental health conditions experienced in the six months prior to
drug related deaths in Scotland
Source: http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/data-tables.asp?id=1386#1386
19. Regulations to allow wider access to naloxone in
England from 1 October 2015
These Regulations will allow drug services to obtain
stocks of Naloxone Hydrochloride and supply it to
anyone requiring access for use in an emergency
involving a heroin overdose. This will include drug
users, their family members and carers. It will also
include other people likely to come into contact with
drug users such as hostel managers.
The expected impact on the public sector, charities
or voluntary bodies will be an increase in the
availability of naloxone and a reduction in fatal
opioid overdoses. It is expected that the cost
associated with this wider availability, e.g. training
and storage, would be minimal.
“These Regulations amend the Human
Medicines Amendment Regulations 2012
(“the 2012 Regulations”). They do so in
order to allow drug treatment services
provided by or on behalf of NHS bodies and
local authorities (LAs) to supply Naloxone
Hydrochloride for administration in
emergencies involving a heroin overdose.”
Source: http://www.legislation.gov.uk/uksi/2015/1503/memorandum/contents
20. Take home naloxone
National take home naloxone
schemes should aim to issue 20
times as many kits as there are
opiate-related deaths per annum;
and at least nine times as many.
In 2014 there were 1,786 deaths
recorded in England and Wales where
an opiate was involved, including 952
which mentioned heroin or morphine.
Meaning there should be 35,720 (and
a minimum of 16,074) naloxone-kits
issued issued across England and
Wales.
Source: Sheila M. Bird , Mahesh K. B. Parmar , John Strang, Take-
home naloxone to prevent fatalities from opiate-overdose:
Protocol for Scotland’s public health policy evaluation, and a new
measure to assess impact, Drugs: Education, Prevention and Policy
Vol. 22, Iss. 1, 2015
Source: Deaths related to drug poisoning in England and Wales,
2014 registrations (ONS 2015)
21. Mean percentage purity of cocaine and heroin seized by
police in England and Wales, 2003 to 2013
Source: http://www.nta.nhs.uk/uploads/uk-focal-point-report-2014.pdf
22. Mental health patients who die by suicide with known
history of drug or alcohol misuse
Of those suicides in England where a patient had been in
touch with mental health services in the previous 12
months over half (54%) had a history of drug and/or
alcohol misuse. On average there were 671 deaths a
year in this group.
In Scotland 69% of mental health patient suicides, had a
known history of drug and/or alcohol misuse, an
average of 168 deaths per year.
In Wales an average of 41 deaths per year were to
patients, 57% of suicides in mental health patients.
Source:
http://www.bbmh.manchester.ac.uk/cmhs/research/centreforsuicidepre
vention/nci/
23. Injection of NPS in Wales
“Injection of cathinones, particularly
in the groin area has led to an increase
in physical impacts: granular/gritty
lumps under the skin, profound
bruising, abscesses, deep vein
thrombosis, long-term stays in
intensive care units of up to 3 months,
amputations, severe weight loss and
requirement for major reconstructive
surgery to femoral veins. Increased
injection rates were also noted, going
from approximately 3 up to 15–20
times per day.”
Source: http://www.emcdda.europa.eu/publications/rapid/2015/drug-related-infectious-
diseases-in-europe
24. What do people in receipt of opioid substitution therapy
think about services?
Source: How can opioidsubstitutiontherapy (and drug treatment and recovery systems) be optimisedto maximise recovery outcomes for service users?
25. Kilos of cocaine and heroin seizures in England and
Wales
Three quarters of
cocaine (65%) and heroin
(66%) seized in 2014/15
was in quantities under
1g.
3% of cocaine and 2% of
heroin seized weighed
more than 500g.
Source: Seizures of drugs in England and Wales, financial year ending 2015
26. Rates of Drugs-related Death Rates Soon After Hospital-
discharge for People in the Treatment System in
Scotland
For the cohort of over 98,000 drug
treatment clients in Scotland, there is a
high drugs-related death [DRD] risk in the
28 days after hospital-discharge. Length of
hospital-stay had no effect on DRD-rate,
discharge-diagnosis had an effect (as did
reported misuse of alcohol) but neither was
as discriminatory as the behavioral risk-
factor of having ever injected.
Source: White SR, Bird SM, Merrall ELC, Hutchinson SJ (2015) Drugs-RelatedDeath Soonafter Hospital-Dischargeamong Drug Treatment Clients in Scotland: Record Linkage,
Validation,and Investigationof Risk-Factors. PLoS ONE 10(11): e0141073.doi:10.1371/journal.pone.0141073
http://journals.plos.org/plosone/article?id=info:doi/10.1371/journal.pone.0141073
27. Short-term outcomes for opiate and crack users
accessing treatment in England (1 of 2)
“Significant, and substantive,
improvements in most behavioural
measures were recorded, and were
achieved within a relatively short period
of time following enrolment in treatment.
The study demonstrates that these
successful outcomes continued to be the
norm for the English opiate- and/or crack-
user treatment population, despite a
doubling in the number of drug users
treated, and changes in referral patterns
and drug use profiles.”Source: Short-term outcomes for opiate and crack users accessing treatment: the
effects of criminal justice referral and crack use.
28. Short-term outcomes for opiate and crack users
accessing treatment in England (2 of 2)
“The results observed here
demonstrate that, in the face of
marked changes in the English drug
treatment population, the positive
improvement in behavioural
outcomes observed in previous
studies has been sustained. Positive
changes were observed in the short
term but did not necessarily equate to
abstention from all drug taking and
offending behaviour.”
Source: Short-term outcomes for opiate and crack users accessing treatment: the
effects of criminal justice referral and crack use.
29. Reported purity of brown heroin in Europe in 2013
Source: http://www.emcdda.europa.eu/data/stats2015#displayTable:PPP-77-0
30. Substance misuse in older people
The proportion of high-risk older
people (over 60 years of age) with
substance misuse problems that
don’t receive the treatment that
they require.
Source: Substance misuse in older people: an information guide, Royal College of
Psychiatrists