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ranahan · 8 months

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Free tactical medicine learning resources

If you want to learn first aid, emergency care or tactical medical care for real, you will need to practice these skills. A lot. Regularly. There’s no way to learn them just from books. But if you’re looking to supplement your training, can’t access hands on training, are a layperson doing research for your writing or otherwise just curious, here are some free resources (some may need a free account to access them).

TCCC

The current gold standard in the field is Tactical Combat Casualty Care (TCCC), developed by the US army but used by militaries around the world. There is also a civilian version of the system called Tactical Emergency Casualty Care (TECC). Training materials, Standards of Care, instructional videos, etc. can be accessed at deployedmedicine.com. You’ll need a free account. This should be your first and possibly only stop.

There’s also an app and a podcast if those are more your thing, although I haven’t personally tried them.

More TCCC (video) resources

STOP THE BLEED® Interactive Course

TCCC-MP Guidelines and Curriculum presentations and training videos

EURMED’s Medical Beginner's Resource List has suggested list of video materials (disclaimer: I haven’t watched the playlists, but I have been trained by nearly all of the linked systems/organisations and can vouch for them)

Tactical Medical Solutions training resource page (requires registration; some of the courses are free)

North American Rescue video downloads

Emergency medicine

WHO-ICRC Basic Emergency Care: approach to the acutely ill and injured — an open-access course workbook for basic emergency care with limited resources

Global Health Emergency Medicine — open-access, evidence-based, peer-reviewed emergency medicine modules designed for teachers and learners in low-resource health setting

AFEM Resources — curricula, lecture bank, reviews, etc.

Global Emergency Medicine Academy Resources (links to more resources)

OpenStax Anatomy and Physiology textbook

Open-access anatomy and physiology learning resources

OpenStax Pharmacology for nurses textbook

Principles of Pharmacology – Study Guide

Multiple Casualty Incidents

Management of Multiple Casualty Incidents lecture

Bombings: Injury Patterns and Care blast injuries course (scroll down on the page)

Borden Institute has medical textbooks about biological, chemical and nuclear threats

Psychological first aid: Guide for field workers

Prolonged field care

When the evac isn’t coming anytime soon.

Prolonged Field Care Basics lecture (requires registration)

Aerie 14th Edition Wilderness Medicine Manual (textbook)

Austere Emergency Medical Support (AEMS) Field Guide (textbook)

Prolonged Casualty Care (PCC) Guidelines

Wilderness Medical Society Clinical Practice Guidelines

Austere Medicine Resources: Practice Guidelines — a great resource of WMS, PFC, TCCC, etc. clinical practice guidelines in one place

The Wilderness and Environmental Medicine Journal (you can read past issues without a membership)

Prolonged Field Care Collective: Resources

National Park Services Emergency Medical Services Resources

Guerilla Medicine: An Introduction to the Concepts of Austere Medicine in Asymmetric Conflicts (article)

Mental health & PTSD

National Center for PTSD

Psychological first aid: Guide for field workers

Combat and Operational Behavioral Health (medical textbook)

Resources for doctors and medical students

Or you know, other curious people who aren’t afraid of medical jargon.

Borden Institute Military Medical Textbooks and Resources — suggestions: start with Fundamentals of Military Medicine; mechanism of injury of conventional weapons; these two volumes on medical aspects of operating in extreme environments; psychosocial aspects of military medicine; or Combat Anesthesia

Emergency War Surgery textbook and lectures

Disaster Health Core Curriculum — online course for health professionals

Médecins Sans Frontières Clinical guidelines

Pocket book of hospital care for children: Second edition — guidelines for the management of common childhood illnesses in low resource settings

Grey’s Quick Reference: Basic Protocols in Paediatrics and Internal Medicine For Resource Limited Settings

The Department of Defense Center of Excellence for Trauma: Trauma Care Resources (links to more resources)

#feel free to share and add more #tactical medicine #tactical combat casualty care #prolonged field care #austere medicine #military medicine #tccc #tecc #disaster medicine #wilderness medicine #emergency medicine #emergency medical services #learning resources #writing resources #mandalorian medics #paramedicine #medicine

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academicstrive · 3 days

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Advanced nursing & patient care international journal is an open access online journal published by Academic Strive. ANPCIJ contributes to the advanced evidence-base nursing, midwifery and patient care by disseminating high quality research and advance knowledge on current on-going clinical practice and research for nurses and healthcare professionals. ANPCIJ publish research, review, short communications, mini reviews, case studies, editorials and clinical images, etc., of nursing and healthcare topics like, chronic illness management, acute & critical care, rehabilitation, healthcare chaplaincy, care of chronic and long-term conditions, primary care, secondary care, health promotion, health education, palliative care and including end-of-life care, family care giving, etc.

ISSN: 2642-0147

Email: [email protected] (OR) [email protected]

Journal Name: Advanced Nursing & Patient Care International Journal

Journal Link: https://academicstrive.com/ANPCIJ/

Manuscript: https://academicstrive.com/submit-manuscript.php

Website Link: https://academicstrive.com/

For more details about ANPCIJ Journal, visit Academic Strive website or send mail to [email protected]. As soon as possible we will answer for your queries. Academic Strive is Open Access Journal Publishing Organization

#academic strive #open access journal #publishing #research #research article #open source #journal

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gender-affirmingcare · 5 months

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Adolescent Providers’ Experiences of Harassment Related to Delivering Gender-Affirming Care

Hughes, Landon D., Kristi E. Gamarel, Arjee J. Restar, Gina M. Sequeira, Nadia Downshen, Katelyn Regan, Kacie M. Kidd. 2023. “Adolescent Providers’ Experiences of Harassment Related to Delivering Gender-Affirming Care.” Journal of Adolescent Health 73(4):672–78.

Critical Review #2

The study "Adolescent Providers’ Experiences of Harassment Related to Delivering Gender-Affirming Care" sheds light on the threats faced by healthcare providers delivering gender-affirming care to adolescents. It emphasizes the importance of gender affirmation for the well-being of transgender and nonbinary adolescents (TNBA). Despite backing from major medical organizations such as the American Academy of Pediatrics, the Endocrine Society, and the American Psychiatric Association, TNBA encounters significant obstacles to accessing gender-affirming care due to a shortage of Adolescent Gender-Affirming Care Providers (AGAPs), societal stigma, and politicization of care, resulting in threats and harassment. AGAPs have reported receiving hate mail, facing clinic protests, and even experiencing bomb and death threats, underlining the urgent need for policies to protect both patients and providers. Despite these challenges, AGAPs remain steadfast in their commitment to providing care, highlighting the necessity for comprehensive interventions to ensure safety and well-being. Documenting these instances of violence and harassment is crucial for informing strategies aimed at fostering affirming environments for TNBA seeking gender-affirming care.

The authors, aware of the longstanding harassment towards AGAPs, sought firsthand insights. To conduct the research, the authors surveyed AGAPs providing gender-affirming healthcare to TNBA in the United States about their experiences of threats. Convenient sampling methods were employed, including contacting providers through professional listservs and networks of previous study participants, alongside a snowball sampling approach to widen participation. Eligible participants included physicians, nurse practitioners (NPs), physician's assistants, social workers, or mental and behavioral health providers offering gender-affirming care to TNBA under 18. The survey, available only in English via Qualtrics, collected electronic consent from participants. Comprising ten open-ended questions and 30 multiple-choice questions focusing on harassment and demographic data, the survey aimed to gather AGAPs' experiences. Participants were asked about their encounters with harassment, the impact on their personal and professional lives, and suggestions for addressing and preventing such incidents. The survey, developed by a team of researchers and healthcare professionals specializing in adolescent transgender health, underwent beta-testing to ensure inclusivity and relevance.

Of the 117 providers surveyed, 70% reported facing threats related to delivering gender-affirming care, primarily through social media and mailed letters, with some instances of receiving death threats. This targeted harassment significantly affected providers' psychological well-being and necessitated a reevaluation of clinic safety measures. Additionally, providers stressed the importance of accurate representation of gender-affirming care in media and advocated for stronger support from institutions and organizations to emphasize its significance. These findings underscore the need for policies and interventions aimed at safeguarding both patients and providers, ensuring an inclusive and affirming healthcare environment for TNBA.

This research sheds light on the significant barriers and threats faced by Adolescent Gender-Affirming Care Providers (AGAPs) in delivering gender-affirming care to transgender and nonbinary adolescents (TNBA). By documenting the experiences of harassment and violence encountered by AGAPs, the study underscores the urgent need for policies and interventions to safeguard both patients and providers in accessing and delivering gender-affirming care. These findings highlight the crucial intersection between the provision of gender-affirming care and the challenges posed by societal stigma, politicization, and targeted harassment, ultimately emphasizing the importance of creating affirming and supportive healthcare environments for TNBA seeking gender-affirming care.

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myhorizoncommunityservices · 5 months

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Disability Services and Support Organisation

Disability Services & Support Organisation are organisations that provide help for people with physical or intellectual disabilities, as well as their family members. They often provide free or low-cost help with transitioning from a nursing facility or other institutional care to the community. They also offer counseling for emotional distress and other issues relating to disability, such as depression or anxiety. These organisations are usually based in New York, though some have chapters or affiliates around the country.

The New York State Office for People With Developmental Disabilities (OPWDD) coordinates services for New Yorkers with developmental disabilities, including intellectual disabilities, cerebral palsy, Down syndrome and autism spectrum disorders. It provides direct services and supports to people with developmental disabilities and their families through a network of about 500 nonprofit service providing agencies.

Its role is to ensure that people have the opportunities and tools they need to live their lives to the fullest, achieve economic self-sufficiency and experience equality in every facet of community life. Its programs and initiatives are built on nationally regarded best practices in postsecondary disability services.

The Disability Rights Advocates of New York State (DRAONYS) is a private, nonprofit organization that provides advocacy and legal services for individuals with physical or cognitive disabilities. It is based in Albany, and has chapters across the state of New York. Its mission is to empower people with disabilities and their families through advocacy, training, and education.

DRAONYS also has programs for youth with disabilities, and their parents and caregivers. Its programs include the Young Leaders Academy and Youth Voices Matter! DRAONYS publishes a newsletter, the Advocate, and holds annual conferences for members.

Many communities have disability-focused social groups or clubs, which are often affiliated with a particular church or organization. These can be a great way to meet other people with similar interests. Some are focused on specific health conditions, such as blindness or hearing loss, while others are more general in scope.

Increasing attention is being paid to the issue of community support for persons with disabilities in LMICs. Many international organisations have made commitments to take action toward this goal.

Several national organizations exist to promote the rights of people with disabilities, and to encourage self-advocacy. Among these are the National Rehabilitation Association, and its 56 local chapters; the Association of State Centers for Independent Living; and the Society for Disability Studies, an academic field that looks at societies through different lenses, such as women’s studies or African-American studies. Its journal, Disability Studies Quarterly, is an open access, multidisciplinary publication that attracts scholars in the humanities, disability rights advocates and other social justice activists. It is available online and in print.

My Horizon Community Services was created for people with special needs, friends and families who need a better way to access individualised disability support. We provide a wide range of tailored, flexible and quality disability services and support coordination for people living with disabilities for their choice and needs. We are based in Brisbane, Queensland.

#disability services & support organisation #disability services gold coast #community support services for the elderly #community support services for disability

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lboogie1906 · 7 months

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The National Medical Association was founded in 1895 by African American physicians as an alternative to the white-only American Medical Association. It was created by twelve Black doctors at the Cotton States and International Exposition in Atlanta. Robert F. Boyd was the organization’s first president and Daniel Hale Williams served as vice president. The organization’s mission was to combat racism and segregation in the medical field, both for medical professionals and their patients.

When the NMA was founded there were approximately 400 Black medical professionals in the US. By 1905 there were approximately 1,500. By 1910 the NMA had 500 members. In 1909 the first Journal of the National Medical Association was published. By 1928 nearly 2,000 of the 4,000 Black doctors in the US were NMA members.

Its annual meetings all of its sessions were open to the public and virtually all of them emphasized health education. Roscoe C. Brown, a dentist who worked for the US Public Health Service and an NMA member, helped create a campaign to make Negro Health Week national in scope. The NMA provided free clinics across the country during the week.

The NMA fought for African Americans' access to quality hospitals. In 1923 it established the National Hospital Association to improve and monitor the quality of Black hospitals. The NMA realized that hospital reform was necessary both to increase the level of patient care and to encourage financial support for these institutions.

It criticized the AMA’s continued support of racial exclusion particularly in the South. Some southern medical affiliates began to admit Black doctors. The NMA fought to remove racial restrictions for admission to the American College of Surgeons and other specialty boards. The NMA fought to desegregate nursing and medical schools and pushed for hospital integration.

The National Medical Association remains active in the fight for medical civil rights today. It represents approximately 30,000 African American physicians. #africanhistory365 #africanexcellence

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nursingucgconference · 9 months

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What is healthcare management and it's benefits? Know it briefly at the 14IHNPUCG.

Blogs for Healthcare Administration

It's helpful to read blogs about healthcare administration from thought leaders in the sector to gain insight into the kinds of things prospective professionals could face in the workplace. Since the field of administration is so vast, whether you are still a student in a post-secondary institution or have an established job, there are many blogs that can help you expand your knowledge in the area.

The 14th International Healthcare, Hospital Management, Nursing, and Patient Safety Conference is accredited with Continuing Professional Development (CPD) and Continuing Medical Education (CME) credits. Participate in the conference now to avail these certifications at the lowest cost. Join us in Dubai, UAE, on July 25-27, 2024. WhatsApp: https://wa.me/442033222718 Register here: https://nursing-healthcare.universeconferences.com/registration/ #CME #CPD #Nursing #Healthcare #Healthcare #publichealth #intensiveoutpatient #occupationaltherapy #careermedicaleducation #EmiratesNursingconferences

The World of Watchers

The well-known blog "Watcher's World" and the official blog of the Society of Hospital Medicine, "The Hospital Leader," merged in January 2017. The blog is written by Robert M. Watcher, M.D. and focuses on policies and practice concerns that impact physicians and patients. A physician's perspective on the latest methods and trends in the healthcare industry can help prospective administrators better comprehend how their decisions and actions impact the medical professionals under their supervision. Readers can better comprehend the attitudes, ideas, and dynamics present in the healthcare system thanks to Watcher's friendly tone and inclusion of personal stories. This blog is helpful for healthcare professionals of all stripes because of its distinct perspective and timely postings.

Renewal of Health Care

Threats to the fundamental principles of the healthcare system are the focus of the Health Care Renewal blog. Strong governance, ethical standards in the healthcare industry, and leadership are just a few of the topics this blog addresses for healthcare administrators. It is crucial for administrators to stay up to date on these developments so they can make the best decisions for their staff because they constantly have to deal with changes in laws and policies that impact how their facilities operate. Administrators are looked to by nurses, doctors, and other medical professionals for advice on how to deal with the evolving healthcare environment. This blog offers information on the most effective and preventive ways to deal with possible issues.

Healthcare Leadership Journal

This journal goes beyond the conventional notion of blogging by offering free, open-access resources to all healthcare professionals, whether you're looking to discuss ideas with other professionals or learn more about leadership in the field. Peruse articles spanning from 2009 to the present to obtain insights into managing and administering processes. Professionals who would like to contribute their own thoughts can submit papers on subjects like leadership styles, skill development, quality of care, and obstacles in the field.

Restorative Hospitals

Hospital CEOs and administrators can find excellent guidance and resources on the "Healing Hospitals" blog. Written in the category "Healthcare Administration" by Nick Jacobs:

discusses the social and cultural factors that have an impact on the healthcare industry.

examines the problems that professionals are currently facing.

connects personal tales

Jacobs is a significant figure to follow in the field of hospital management, having over 20 years of experience. He makes an effort to improve the text by including pertinent videos. Having this resource on your blog roll is essential, particularly if you're searching for a website that addresses a variety of topics that influence healthcare professionals in the modern world.

Submit your abstract, poster presentation, research papers. We are excited to announce the Call for Abstracts for the upcoming 14th International Healthcare, Hospital Management, Nursing, and Patient Safety Conference, scheduled to take place from July 25–27, 2024 at Dubai, UAE. Submit here: https://nursing-healthcare.universeconferences.com/submit-abstract/ #TechnologyandHealthcare #Dubaihealthcareconference #ReproductiveAI #FertilityTech #renovaplasticsurgery #healthexpo2024 #nursingsymposium #nursingcongress #medicalconferencesindubai2024

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hscdthesiblingsdonorexperience · 1 year

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References

BeTheMatch.org. “Donating Peripheral Blood Stem Cells.” Bethematch.org, 22 Feb. 2023, bethematch.org/transplant-basics/donation-process/donating-pbsc/. Accessed 19 Apr. 2023.

“Blood and Bone Marrow Stem Cell Donation - Mayo Clinic.” Www.mayoclinic.org, www.mayoclinic.org/tests-procedures/bone-marrow-donation/about/pac-20393078#:~:text=Peripheral%20blood%20stem%20cell%20donation. Accessed 20 Apr. 2023.

D’Auria, Jennifer P., et al. “Through the Eyes of Young Sibling Donors: The Hematopoietic Stem Cell Donation Experience.” Journal of Pediatric Nursing, vol. 30, no. 3, May 2015, pp. 447–453, www.rti.org/publication/through-eyes-young-sibling-donors-hematopoietic-stem-cell-donation-experience, https://doi.org/10.1016/j.pedn.2014.12.012. Accessed 29 Apr. 2019.

Halter, Joerg, et al. “Severe Events in Donors after Allogeneic Hematopoietic Stem Cell Donation.” Haematologica, vol. 94, no. 1, 1 Jan. 2009, pp. 94–101, www.ncbi.nlm.nih.gov/pmc/articles/PMC2625420/, https://doi.org/10.3324/haematol.13668. Accessed 12 Dec. 2020.

Kisch, Annika M, and Anna Forsberg. “The Core of Sibling Stem Cell Donation – a Grounded Theory Study.” The Open Nursing Journal, vol. 11, no. 1, 30 June 2017, pp. 73–83, portal.research.lu.se/portal/en/publications/the-core-of-sibling-stem-cell-donationa-grounded-theory-study(8f5afdd6-2e14-4ef4-96cb-5c36a054b52b).html, https://doi.org/10.2174/1874434601711010073. Accessed 29 Apr. 2019.

Klippenstein, Andrea D Winther, et al. “Growth in the Face of Overwhelming Pressure: A Narrative Review of Sibling Donor Experiences in Pediatric Hematopoietic Stem Cell Transplant.” Journal of Child Health Care, vol. 27, no. 1, 27 Sept. 2021, pp. 60–77, https://doi.org/10.1177/13674935211043680. Accessed 4 Apr. 2023.

Risitano, Antonio M., et al. “Function and Malfunction of Hematopoietic Stem Cells in Primary Bone Marrow Failure Syndromes.” Current Stem Cell Research & Therapy, vol. 2, no. 1, 1 Jan. 2007, pp. 39–52, pubmed.ncbi.nlm.nih.gov/18220891/, https://doi.org/10.2174/157488807779316982.

“What Is a Hematopoietic Stem Cell? Narrated by Dr. Connie Eaves.” Www.youtube.com, www.youtube.com/watch?v=pUK0Vv2vYhA. Accessed 19 Apr. 2023.

“Who Can Donate Stem Cells or Bone Marrow?” Www.cancerresearchuk.org, www.cancerresearchuk.org/about-cancer/treatment/bone-marrow-stem-cell-transplants/who-can-donate-bone-marrow-or-stem-cells#:~:text=Donating%20stem%20cells%20or%20bone.

Wiener, Lori S., et al. “Hematopoeitic Stem Cell Donation in Children: A Review of the Sibling Donor Experience.” Journal of Psychosocial Oncology, vol. 25, no. 1, 2007, pp. 45–66, www.ncbi.nlm.nih.gov/pmc/articles/PMC2367259/.

Wiener, Lori S., et al. “Sibling Stem Cell Donor Experiences at a Single Institution.” Psycho-Oncology, vol. 17, no. 3, 2008, pp. 304–307, www.ncbi.nlm.nih.gov/pmc/articles/PMC2293127/, https://doi.org/10.1002/pon.1222. Accessed 29 Apr. 2019.

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literaturepublishersjournal · 1 year

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International Journal of Psychiatry Case Reports

Psychiatry Case Reports Journal publishes case reports in Psychiatry journal, case reports on Mental Health journal, case reports in Addictive Behaviours, case reports in Behavioural Science, case reports in Stress Disorders etc. Psychiatry case reports journal deals with the study, diagnosis, prevention and cure of mental disorders, which includes cognitive, behavioural, affective and perceptual mental disorders.

Psychiatry Case Reports Journal

Psychiatry depends on other social and medical sciences and hence it follows an interdisciplinary approach for the treatment. Psychiatry case reports journal treatment is a combination of psychiatric medication and psychotherapy which includes medication, counselling and other proven techniques that can cure mental disorders. Research in psychiatry is focused on the development of new treatments, improvement of clinical outcomes and identification of various methods to help patients and families cope with the burdens of mental health conditions.

International Journal of Emergency Mental Health and Human Resilience

International Journal of Emergency Mental Health and Human Resilience: International Journal of Emergency Mental Health and Human Resilience is an peer reviewed scholarly journal, publishes manuscripts on relevant topics including psychological trauma, disaster psychology, traumatic stress, addiction behaviours, crisis intervention, emergency services, critical incident stress management, occupational stress and crisis, , violence, emergency nursing, suicidology, burnout and compassion fatigue, cognitive science, behavioural science, psychology and psychotherapy, mental health and disability, sleep disorders and other mental disorders etc.

Journal Highlights: Forensic Mental Health, Hyperactivity Disorders, Mental Depression, Mental Disorders, Mental Health Facilities, Mental Health Statistics, Mental Health Treatment, Psychiatric Care, Psychiatric Emergencies, Psychiatric Rehabilitation, Psychological Disorders, Sleep Disorder, Suicidology, Traumatic Stress.

Related Journals: Mental Health Journals, Emergency Health Journals, Psychiatry case reports journal, High Impact Mental Health Journals, American Mental Health, Human Resilience Journals, Mental Health, Psychology Journals, Schizophrenia Journals, Mental Health Statistics, Depression Journals, Anxiety Journals, Suicidology Journals, Forensic Mental Health Journals, Traumatic stress Journals.

Journal of Traumatic Stress Disorders & Treatment

Journal of Traumatic Stress Disorders & Treatment: Journal of Traumatic Stress Disorders & Treatment covers a wide variety of topics such as Traumatic Stress, Post Traumatic Stress Disorders, Psychological Trauma, Mental Disorders, Depression and their Treatments etc. The journal provides an open access platform to publish the original research articles and provides the rapid dissemination of significant research in various disciplines encompassing the Advances and Research in Traumatic Stress.

Journal Highlights: Adjustment Disorders, Alcohol and Drug abuse, Antidepressants, Anxiety, Anxiety Disorders, Behavioural therapy, Depression, Domestic Violence, DSM - IV, Mental Disorder, Post Traumatic Stress Disorder, Psychiatric Disorders, Psychological resilience, Sexual Trauma, Stress Disorder, Trauma, Traumatic Events, Traumatic Stress, Traumatic Stress Disorder.

Related Journals: Journal of Traumatic Stress, Psychological Trauma: Theory, Research, Practice, and Policy, Trauma, Violence, & Abuse, Journal of Trauma & Dissociation, Journal of Anxiety Disorders, Depression and Anxiety, The American Journal of Drug and Alcohol Abuse, Journal of Child & Adolescent substance Abuse, Archives of General Psychiatry, American Journal of Psychiatry, Journal of Child Psychology and Psychiatry.

Journal of Addictive Behaviours, Therapy & Rehabilitation

Journal of Addictive Behaviours, Therapy & Rehabilitation: Addictive Behaviours, Therapy & Rehabilitation is a peer-reviewed scholarly journal in the field of addiction science that aims to publish the most complete and reliable source of information on the discoveries and current developments in the mode of research articles, review articles, case reports, short communications, etc. in all areas of addiction science and making them accessible online freely without any restrictions or any other subscriptions to researchers worldwide.

Journal Highlights include: Drug rehabilitation, Drug abuse, Cognitive Behavioral Therapy, Intoxication, Opioid Overdose, Cognitive therapies of addiction recovery, Internet Addiction & Gambling, Alcoholism, Smoking, Drug addiction, Behavioral Addiction, Substance Abuse, Opioid addiction, Food addiction, Caffeine addiction, Sedative dependence, Addictive Disorders, Drugged Driving, Comorbidity, Chemical dependence.

Related Journals: Addictive Behaviours, Psychology of Addictive Behaviours, Addictive Disorders & Their Treatment, Journal of Substance Abuse Treatment, Drug and Alcohol Dependence, Journal of Drug Issues, Journal of Addiction Medicine, Journal of Addiction, The American Journal on Addictions, International Journal of Mental Health & Psychiatry, Journal of Food & Nutritional Disorders, Journal of Neuroscience & Clinical Research, Journal of Sleep Disorders : Treatment and Care.

Journal of Child and Adolescent Behaviour

Journal of Child and Adolescent Behaviour: Journal provides an illuminating overview of the epigenetic, hormonal and neurological developments that takes place during Child and Adolescence. It shows how these changes, during learning and development periods, can influence socio-cultural communities. It also deals with the Adolescent Psychology, Neuropsychology, Child Behaviour, Psychological Abnormalities, Parental Care, Cognitive Neuroscience, Developmental psychopathology, which could influence Child and Adolescent Behavior.

Journal Highlights: Adolescent Anxiety, Adult Psychology, Adult Sexual Behavior, Anger Management, Autism, Behaviour, Child Anxiety, Child Anxiety, Child Health, Child Mental Health, Child Psychology, Children Behavior, Children Development, Counselling, Depression Disorders, Eating disorder, Neuroscience, Obeys Children, Parental Care, Risky Behaviour, Societal Influence.

Related Journals: Child Behaviour Journals, Adult Behaviour Journal, Journal of Abnormal Child Psychology, Child Behaviour Management, Child Behaviour Checklist, Child Behaviour Issues, Child Behaviour Disorders, Child Behaviour Problems, Journal of Child and Adolescent Behaviour Impact factor, Child Behavior Journal, Adolescent Social Behavior, Adolescent Behavior Articles, Journal of Child and Adolescent Psychology, Adolescent Behavior Problems, Typical Adolescent Behavior.

Authors can submit their manuscripts through the journal's online submission portal and For more information on Literature Publishers - Psychiatry Case Reports Journal visit our site:-https://www.literaturepublishers.org/event/Psychiatry-Case-Reports-Journal.html

#case reports in Psychiatry journal #case reports on Mental Health journal #case reports in Addictive Behaviors #case reports in Behavioural Science #case reports in Stress Disorders

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fancyranchskeletonpalace · 2 years

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Marks Medical College & Hospital | Full Campus Visit

1) MARKS Medical College is one of the leading non-government medical colleges which has achieved academic excellence within a very short span of time.

2) This medical college was established in year 2011, recognised by Bangladesh Medical and Dental Council, National Medical Commission of India and affiliated with Dhaka University.

3) The Marks College & Hospital is located at Mirpur-14, Dhaka-1206 on the Main Road just 20 minutes road distance from Dhaka International Airport.

4) MARKS Medical College is considered as one of the best private medical colleges in Bangladesh.

5) Late Brig. General Prof. M. R, Khan an eminent ENT-Head & Neck Surgeon of the country laid the foundation, whose vision was to provide quality medical education, research and health care service to people of this country at reasonable cost.

6) The college and the hospital have a new 10 storied self-owned building around 15000 square feet with spacious accommodation for all the departments and adequate parking facility.

7) The Hospital is attached to the medical college and has arrangements for 350-beds for its inpatients provided with all medical facilities at a reasonable cost.

8) The Medical college provides MBBS & BDS courses to the students. Also provides training course for Nurses, Paramedical and Medical social workers, Postgraduate studies training and research leading to certificate, Diploma, Degree to the Medical Graduate Doctors and Post Graduate degrees.

9) The college building is provided with modern and spacious classrooms and lecture galleries having Overhead projector, Epidiascope, Multimedia projector and other audio-visual equipment’s, DVD are used to make assimilation easy.

10) CME based programme, Seminars and symposiums are organized on regular basis to acquaint the students with the latest development in medical science.

11) A student can get access to information highway through the internet facilities of the college. All the departments extensively utilize the facilities for making instruction more effective and useful.

12) The teachers make learning easy for the students with the help of audio-visual equipment and multimedia setup.

13) Library is located in the College Building and has a collection of enormous number of text and reference books, monographs and journals in various subjects which providers updated information to students and teachers. The library has reading room, which can accommodate about 100 students at a time along with a separate reading room for teachers. Library remains open from 8:00 am to 5:00 pm. The students have online access to Internet in the library.

14) Students are encouraged to participate in extra-curricular activities such as: Sports games, cultural activities, debating competition, wall magazine , study tours etc.

15) Literary activities such as debates, seminars, publications of Annual Magazine Humanitarian services such as free blood donation and free medicine supply for poor patients, relief works during natural calamities such as cyclones, floods, epidemics etc, Committees consisting of Teachers and Students collectively look after these activities.

#mbbsinbangladesh #aspiringlife

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cojnursinghealthcarecrimson · 2 years

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Healthy Eating Concern (Orthorexia Nervosa) and Related Factors in Women_ Crimson Publishers

Healthy Eating Concern (Orthorexia Nervosa) and Related Factors in Women by Nilüfer ACAR TEK* in COJ Nursing & Healthcare

Abstract

Objective: This study was conducted in order to evaluate healthy eating obsession-orthorexia nervosa and related factors in women.

Method: The study was carried out 132 volunteer women aged between 20-54 years. Demographic characteristics, health information were taken and orthorexia nervosa-15 (ORTO-15) was applied by researcher with face to face method. Antropometric measurements were taken according to the rules. It was determinated that ORTO-15 score ≤40 is orthorexic and >40 is normal. Data was evaluated using chi-square, analysis of t-test and correlation analysis methods with SPSS16.0 program.

Result: It was found that 75.8% of women has less than 40 points from ORTO-15 test. There is a negative correlation between ORTO-15 score with age (r =-0.183), body weight (r=-0.206) and BMI (r=-0.199) (p<0.05). It was seen that obsessional concerns such as choosing healthy food and this dietary pattern to be associated with physical appearance are common in orthorexic individuals.

Conclusion: It was found that orthorexia tendency of women has higher. It has been observed that orthorexic tendencies are increased in individuals with high body weight and BMI values. Determination of obsessional concerns of orthorexic individuals will be useful in the classification of the disease and development of diagnostic criteria.

Introduction

As the importance of nutrition is emphasized in the prevention and treatment of diseases and improvement of health, awareness of healthy nutrition is increasing in society. In orthorexia nervosa, individuals adopt a nutritional style for purposes such as protecting and improvement of health, treating disease or losing weight. However, this nutrition style affects the life of individuals and also it may trigger nutritional deficiencies that threaten health and even causing eating behaviour disorders [1-3].

Orthorexic individuals usually prefer healthy and pure nutrients and they care the quality of food rather than amount [4,5]. In addition, they also show anxious behaviors about food preparation and cooking techniques and sterilization of cooker. They don’t consume food that is unfamiliar and unreliable [2]. Due to their obsession they often consume pure and additive-free foods, they tend to consume fruit and raw foods [6]. Orthorexic individuals who are struggling with healthy nutrition are often faced with severe weight loss and malnutrition as in other eating disorders [1,4-6]. But these individuals lose weight because of triying consume healthy foods and make their diet perfect mentally and not to look better like anorexia nervosa and bulimia nervosa [7]. However, negative feelings such as regret and wanting to be extremely weak are not observed [3].

Along with the increasing interest in orthorexia nervosa, the number of studies for determining the prevalence orthorexia nervosahas also been steadily increasing. The prevalence of orthorexic tendency varies between 41% and 60% in studies conducted in Europe [1,4,8,9]. Studies conducted in the United States indicated that the prevalence of orthorexia varies between 69% and 82.8% [10,11]. These studies showed that orthorexia tendencies are common. This study was planned and conducted to determine the tendency of orthorexia nervosa in women.

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kerlonkart · 2 years

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Phraseexpress not play nice with dragon naturally

The use of phrasal verbs and idioms by native patients and health care workers makes their communication easier and less confusing. They are also used in more specific language as equivalents for special terms. Phrasal verbs and idioms are frequently used in everyday English. Understanding and use of phrasal verbs and idioms in medical/nursing texts. In essence, almost every Kerinci word displays two forms, labeled absolute and oblique. This dissertation is a descriptive study of a linguistic phenomenon known as phrasal alternation, focusing on the Pondok Tinggi (PT) dialect of Kerinci, spoken in Indonesia. Updated information includes the most commonly used phrasal verbs, hundreds of examples in context and hundreds of exercises to increase fluency and prep for the TOEFL, and more. Presents 400 common phrasal verbs as they are used in everyday English. The ultimate phrasal verb book for ESL and EFL students The paper centres on a plan for an English-Arabic phrasal verb dictionary for Arab trainee translators. Ī Translation Dictionary of Phrasal Verbs: An Ongoing Project. Keywords: Corpus-based studies, ESL learner, Phrasal verbsĪ Translation Dictionary of Phrasal Verbs: An Ongoing Project. The paper claims that the number of research on the use of phrasal verbs in ESL textbooks is limited and, therefore, further research is needed to examine how phrasal verbs are treated in textbooks in order to help ELT materials developers to present these items more effectively based on research findings. Previous studies have shown that the research findings have not been incorporated into classroom activities and English Language Teaching (ELT materials. Moreover, this review reveals the developments and paradigm shifts occurred in this area. A Review on Studies of Phrasal Verb Constructions in ESL Contextĭirectory of Open Access Journals (Sweden)įull Text Available This paper aims to give an overview of studies on phrasal verbs in three decades to present the theoretical and methodological issues, as well as the findings of research.

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academicstrive · 11 days

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Advanced Nursing & Patient Care International Journal (ANPCIJ)

AcademicStrive #AdvancedNursing #PatientCare #Journal

Academic Strive is an Open Access Publication. For more details about to submit your manuscript, we advise to visit the official website https://academicstrive.com/ANPCIJ/ and submit your manuscript or send a email to the given mail id.

Email: [email protected] (OR) [email protected]

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juniperpublishersnursing · 5 years

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Surgical Wound Care-Juniper Publishers

Introduction

In general, the surgical wound care is very important as the management of surgical wound is concerned. The management of post-operative wounds is important to prevent potential complications such as surgical site infections and wound dehiscence from developing. So, general practitioners and the nurses for wound care, who are important part in the sub-acute management of post-operative wounds, should appreciate the physiology of wound healing and the principles of post-operative wound care [1].

Palliative wound care is complex, dynamic, and constantly evolving to balance the individual care needs of the palliative patient and his/her circle of care [2]. The patient's circle of care includes the members of the patient unit including family, significant others, caregivers, and other healthcare professionals who may be external to the current inter professional team [3]. When following a palliative wound care pathway, the focus shifts from traditional wound care, where healing and wound closure are the goals, to promoting comfort and dignity, relieving suffering, and improving quality of life [4]. Palliative care principles are adopted to meet the whole person care needs of terminally ill patients, as well as older and frailer people who often present with chronic debilitating diseases, advanced diseases associated with major organ failure (renal, hepatic, pulmonary, or cardiac), profound dementia, [5] complex psychosocial issues, diminished self-care abilities, and challenging wound-related symptoms, whether the wound has the potential to heal or not. The authors propose a paradigm that could be integrated along the continuum of wound care, and its relevance may vary with the individual's goals, disease processes, and wound condition.

Aim

The aim of this article is to update general practitioners and wound care nurses on the important aspects of surgical wound care since they have to have basic knowledge about the surgical wound care.This includes a review of the physiology behind wound healing, an update on wound cleansing and dressing methods, as well as a guide on how common surgical wound complications also should be managed.

Discussion

The main elements of surgical wound care include timely review of the wound, appropriate cleansing and dressing, as well as early recognition and active treatment of wound complications. Appropriate post-operative surgical wound care is essential in preventing potential complications, such as surgical-site infections (SSIs), wound dehiscence and haematomas. General practitioners play a major part in managing patient's postoperative wounds and it is important to appreciate the principles of post-operative wound management to minimise the incidence of wound complications.

Phases of Wound Healing

Wound healing is a dynamic process consisting of four continuous, overlapping, and precisely programmed phases. The events of each phase must happen in a precise and regulated manner. Interruptions, aberrancies, or prolongation in the process can lead to delayed wound healing or a non-healing chronic wound.

In adult humans, optimal wound healing involves the following the events:

Rapid hemostasis

Appropriate inflammation

Mesenchymal cell differentiation, proliferation, and migration to the wound site

Suitable angiogenesis

Prompt re-epithelialization (re-growth of epithelial tissue over the wound surface) and

Proper synthesis, cross-linking, and alignment of collagen to provide strength to the healing tissue.

The first phase of hemostasis begins immediately after wounding, with vascular constriction and fibrin clot formation. The clot and surrounding wound tissue release pro- inflammatory cytokines and growth factors such as transforming growth factor (TGF)-p, platelet-derived growth factor (PDGF), fibroblast growth factor (FGF), and epidermal growth factor (EGF). Once bleeding is controlled, inflammatory cells migrate into the wound (chemotaxis) and promote the inflammatory phase, which is characterized by the sequential infiltration of neutrophils, macrophages, and lymphocytes. A critical function of neutrophils is the clearance of invading microbes and cellular debris in the wound area, although these cells also produce substances such as proteases and reactive oxygen species (ROS), which cause some additional bystander damage.

Macrophages play multiple roles in wound healing. In the early wound, macrophages release cytokines that promote the inflammatory response by recruiting and activating additional leukocytes. Macrophages are also responsible for inducing and clearing apoptotic cells (including neutrophils), thus paving the way for the resolution of inflammation. As macrophages clear these apoptotic cells, they undergo a phenotypic transition to a reparative state that stimulates keratinocytes, fibroblasts, and angiogenesis to promote tissue regeneration. Inthis way, macrophages promote the transition to the proliferative phase of healing.

T-lymphocytes migrate into wounds following the inflammatory cells and macrophages, and peak during the late- proliferative/early-remodeling phase. The role of T-lymphocytes is not completely understood and is a current area of intensive investigation. Several studies suggest that delayed T-cell infiltration along with decreased T-cell concentration in the wound site is associated with impaired wound healing, while others have reported that CD 4+ cells (T-helper cells) have a positive role in wound healing and CD8+ cells (T-suppressor- cytotoxic cells) play an inhibitory role in wound healing. Interestingly, recent studies in mice deficient in both T- and B-cells have shown that scar formation is diminished in the absence of lymphocytes. In addition, skin gamma-delta T-cells regulate many aspects of wound healing, including maintaining tissue integrity, defending against pathogens, and regulating inflammation. These cells are also called dendritic epidermal T-cells (DETC), due to their unique dendritic morphology. DETC are activated by stressed, damaged, or transformed keratinocytes and produce fibroblast growth factor 7 (FGF-7), keratinocyte growth factors, and insulin-like growth factor-1, to support keratinocyte proliferation and cell survival. DETC also generate chemokines and cytokines that contribute to the initiation and regulation of the inflammatory response during wound healing. While cross-talk between skin gamma-delta T-cells and keratinocytes contributes to the maintenance of normal skin and wound healing, mice lacking or defective in skin gamma-delta T-cells show a delay in wound closure and a decrease in the proliferation of keratinocytes at the wound site.

The proliferative phase generally follows and overlaps with the inflammatory phase, and is characterized by epithelial proliferation and migration over the provisional matrix within the wound (re-epithelialization). In the reparative dermis, fibroblasts and endothelial cells are the most prominent cell types present and support capillary growth, collagen formation, and the formation of granulation tissue at the site of injury. Within the wound bed, fibroblasts produce collagen as well as glycosaminoglycans and proteoglycans, which are major components of the extracellular matrix (ECM). Following robust proliferation and ECM synthesis, wound healing enters the final remodeling phase, which can last for years. In this phase, regression of many of the newly formed capillaries occurs, so that vascular density of the wound returns to normal. One critical feature of the remodeling phase is ECM remodeling to an architecture that approaches that of the normal tissue. The wound also undergoes physical contraction throughout the entire wound-healing process, which is believed to be mediated by contractile fibroblasts (myofibroblasts) that appear in the wound.

The role of stem cells (SC) in cutaneous wound healing and tissue regeneration is a topic of increasing research attention, with a focus on the role of adult stem cells such as epidermal stem cells and bone-marrow (BM)-derived cells (BMDCs). Epidermal stem cells reside in the bulge area of hair follicles and in the basal layer of the epidermis and give rise to the keratinocytes that migrate andre-epithelialize wounds. Normal skin is also a target organ for BMDCs. Two main stem cell populations are present in the bone marrow: hematopoietic SC (HSC) and mesenchymal SC (MSC). BM-MSCs are able to differentiate into a variety of cell types, including adipocytes, osteoblasts, chondrocytes, fibroblasts, and keratinocytes. Endothelial progenitor cells (EPCs) derived from the HSC lineage are key cells that contribute to neovascularization. Both BM-MSCs and EPCs are involved in the cutaneous wound-healing process. Wound-induced hypoxia triggers the mobilization of bone marrow EPCs to the circulation, playing asignificant role in the process of neovascularization.

Several different cell types are involved in the wound- healing process, and, as described above, the cellular activities of any particular cell type may also vary during different stages of repair. The complexity and coordination of the healing process are major hurdles to therapeutic approaches, since any therapeutic must effectively be sequenced to the appropriate stage [6].

Types of Wound Healing

There are two main types of wound healing: primary healing and secondary healing. Most surgical wounds undergo primary closure in which there is minimal tissue loss and the wound edges can be satisfactorily approximated. This allows for primary healing in which there is rapid epithelialisation of the wound and minimal scarring [7].

Secondary healing refers to the process where a fullthickness wound is intentionally left open. This may be due to the presence of infection or an inability to satisfactorily approximate the wound edges. In secondary healing the wound heals by the natural way of granulation, eventual contraction and slow epithelialisation.4-6 Wounds that undergo secondary healing often result in larger scars [8,9].

The following are the most common types of chronic wounds treated at our Wound Healing Program:

Venous Leg Ulcers

Diabetic Ulcers

Pressure Ulcers

Non-healing wounds of traumatic origin

Our program also features Hyperbaric Oxygen Therapy (HBOT), a non-invasive treatment that involves high levels of concentrated oxygen which accelerates cell growth to create healing while it enhances the body's natural healing capabilities and promotes more rapid chronic wound recovery.

The most common indications for Hyperbaric Oxygen Therapy, approved by most insurance companies for the treatment of non-healing wounds, include:

Diabetic wounds of the lower extremities

Chronic refractory osteomyelitis

Compromised skin grafts

Osteoradionecrosis

Late effects of radiation therapy

Crush injuries

Acute carbon monoxide intoxication

Gas Gangrene [10].

Surgical Wound Care

Principles

Regardless of the mechanism of wound healing, the aims of post-operative wound care remain the same: to allow the wound to heal rapidly without complications, and with the best functional and aesthetic results [11].

Wounds intended to be healed by primary healing should, in particular, have their wound edges well approximated. In the initial phases of healing, there is only minimal tensile strength inthe wound as remodelling of the collagen fibres has not occurred. As such, additional support in the form of sutures, staples or tapes is required until full remodelling and epithelialisation occur.

Dressing of the Surgical Wound

Definition of terms

Clean versus sterile technique: Various definitions and descriptions of dressing technique for wound care exist. Terms have been used interchangeably and all are subject to individual interpretation. The following definitions provide a point of reference for the terms used in this document [12].

Sterile technique: Sterile is generally defined as meaning free from microorganisms [13] Sterile technique involves strategies used in patient care to reduce exposure to microorganisms and maintain objects and areas as free from microorganisms as possible. Sterile technique involves meticulous hand washing, use of a sterile field, use of sterile gloves for application of a sterile dressing, and use of sterile instruments. "Sterile to sterile" rules involve the use of only sterile instruments and materials in dressing change procedures; and avoiding contact between sterile instruments or materials and any non-sterile surface or products. Sterile technique is considered most appropriate in acute care hospital settings, for patients at high risk for infection, and for certain procedures such as sharp instrumental wound debridement [14-17].

Clean technique: Clean means free of dirt, marks, or stains. Clean technique involves strategies used in patient care to reduce the overall number of microorganisms or to prevent or reduce the risk of transmission of microorganisms from one person to another or from one place to another. Clean technique involves meticulous handwashing, maintaining a clean environment by preparing a clean field, using clean gloves and sterile instruments, and preventing direct contamination of materials and supplies. No "sterile to sterile" rules apply. This technique may also be referred to as non-sterile. Clean technique is considered most appropriate for long-term care, home care, and some clinic settings; for patients who are not at high risk for infection; and for patients receiving routine dressings for chronic wounds such as venous ulcers, or wounds healing by secondary intention with granulation tissue.

Aseptic technique: Asepsis or aseptic means free from pathogenic microorganisms. Aseptic technique is the purposeful prevention of the transfer of organisms from one person to another by keeping the microbe count to an irreducible minimum. Some authors have made a distinction between surgical asepsis or "sterile technique" used in surgery and medical asepsis or "clean technique" that involves procedures to reduce the number and transmission of pathogens.

No touch technique: No touch is a method of changing surface dressings without directly touching the wound or any surface that might come in contact with the wound. Clean gloves are used along with sterile solution/supplies/dressings that are maintained as clean [18].

Definition of infection: Infection has been defined as a continuum from contamination, colonization, critical colonization, biofilm, and infection.

Contamination: Contamination is the presence of non-replicating microorganisms on the surface of the wound. All open wounds have some level of bacterial burden that is ordinarily cleared by the host [19].

Colonization: In colonization, microorganisms attach to the wound surface and replicate but do not impair healing or cause signs and/or symptoms of infection. The bacteria are not pathogenic and do not require treatment. All chronic wounds are colonized to varying degrees.

Critical colonization: With critical colonization, the organisms attach to the wound surface, replicate and multiply to a level that affects skin cell proliferation and tissue repair without provoking systemic signs of infection. There is no invasion of the healthy tissue at this point.

Biofilm: Approximately 70% of chronic wounds have biofilm. When organisms adhere to the wound surface, they begin to develop biofilm, which is a complex system of microorganisms embedded in an extracellular, polysaccharide matrix that protects from the invasion of other organisms, phagocytosis, and many commonly used antibiotics and antiseptics. Biofilms are difficult to treat and eradicate. Recently it has been proposed that biofilm might be present in all chronic wounds.

Infection: Infection occurs when organisms on the wound surface invade the healthy tissue, reproduce, overwhelm the host resistance, and create cellular injury leading to local or systemic symptoms [20-24] Infection is often described quantitatively as a bacterial count of greater than 1015 colony-forming units (CFU) per gram of tissue. However, some organisms such as beta-hemolytic streptococci impair wound healing at less than 1015 CFU per gram of tissue [25]. According to Kravitz [26] infection should be defined as the presence of bacteria in any quantity that impairs wound healing.

Clinical signs of infection include lack of healing after 2 weeks of proper topical therapy, erythema, increase in amount or change in character of exudate, odor, increased local warmth, friable granulation tissue, edema or induration, pain or tenderness, fever, chills, elevated white blood cell count, and elevated glucose in patients with diabetes. In patients who are immunosuppressed or have ischemic wounds, signs of infection can be subtle. Signs of inflammation such as a faint halo of erythema and moderate amounts of drainage might be the only signs of an infected arterial wound [12].Studies have shown that in chronic wounds, increasing pain, friable granulation tissue, wound breakdown, and foul odor have high validity for infection [27,28].

Complications of Surgical Wound

Two common complications of surgical wounds are infections and wound dehiscence [29].

Disordered wound healing

Most wounds heal without complications and healing is not impaired in the elderly unless there are specific adverse factors or complications. Factors which may affect healing rate are [30]:

Poor blood supply.

Excess suture tension.

Long-term steroids.

Immunosuppressive therapy.

Radiotherapy.

Severe rheumatoid disease.

Malnutrition and vitamin deficiency.

Wound dehiscence

This affects about 2% of midline laparotomy wounds.

It is a serious complication with a mortality of up to 30%.

It is due to failure of wound closure technique.

It usually occurs between 7 and 10 days postoperatively.

Often, it is heralded by serosanguinous discharge from the wound.

It should be assumed that the defect involves the whole of the wound.

Initial management includes opiate analgesia, sterile dressing to the wound, fluid resuscitation and early return to theatre for re-suture under general anaesthesia.

Incisional Hernia [31]

This occurs in 10-15% of abdominal wounds, usually appearing within the first year but can be delayed by up to 15 years after surgery.

Risk factors include obesity, distension and poor muscle tone, wound infection and multiple use of the same incision site.

It presents as a bulge in the abdominal wall close to a previous wound. It is usually asymptomatic but there may be pain, especially if strangulation occurs. It tends to enlarge over time and become a nuisance.

Management: surgical repair where there is pain, strangulation or nuisance. The use of laparoscopic techniques and biosynthetic mesh is being evaluated [32,33].

Conclusion

The management of surgical wounds is very important part of post-operative recovery and the medicals and the wound care nurses should monitor the process of acute wound healing, prevent wound complications and treat appropriately if complications arise. They should care about the wound properly and prevent the wound from its complication which would lead into further complications.

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centaur-astrology · 4 years

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Ceres: Asteroid Goddess, the “Mother”

Ceres is one of the few feminine planets in Astrology- and, yes, she is now a dwarf planet (like Pluto, her brother). Ceres (Demeter in Greek), Juno (Hera), Vesta (Hestia) and Pallas-Athena (Athena) are the 4 major asteroid Goddesses talked about by Demetra George & Douglas Bloch in their fantastic book, Asteroid Goddesses, and have been the main four asteroids that I use with clients.

But the question is: what can she tell us in our charts?

For the answer, we have to go back in to the Greek/Roman myth:

Ceres, or Demeter, was the mother of Persephone. Her daughter was everything to her. On her own, Demeter was a major player and powerful figure in the Olympic Pantheon- she was a daughter of Kronos, sister to Zeus, Poseidon, and Hades. She ruled grain, food that grows from the earth. In essence, she ruled how we nourish ourselves.

But she had this fatal flaw- that of overly identifying with her role as mother. Regardless of how Persephone left (was it abduction, or was it just her growing up?), we see this identity crisis arise. When Persephone is taken, Demeter is plunged in to the depths of rage and grief. She stops all crops from growing, causing the first ever winter for humans. She doesn’t care about anything- only getting her daughter back. So she decides to cloak herself, disguised as an old mortal woman, and finds herself the nanny to a human babe. She nurtures this baby, and decides to turn him immortal by giving him ambrosia and passing him over flames- but, sadly, the true parents witness her putting their baby in to the fire and end the ceremony.

She does, eventually, get Persephone back, but this is a key point of Demeter/Ceres’ part of the myth: her daughter has gone, and she finds herself at odds with her identity as “Mother” (for without a child, how can she be a mother?), so she goes and finds a new baby.

The ego-identity needed to replace a child.

And, so, Ceres’ question becomes: is this nourishing, or is it an addiction?

How does this play out in our charts?

From Demetra George & Douglas Bloch’s Book Asteroid Goddesses (*reformatted for Tumblr)

“Ceres -

Feminine Function: creating, supporting, sustaining physical progeny, physical nurturing -- food

Woman’s Stereotype: “Mom” at home cooking in the kitchen, cleaning the house, nursing the family, living for and through children

Alternative Modes of Expression for Women and Men: teachers and educators of children, children’s services, issues of pro-choice/pro-life, midwifery and humane childbirth, farming, gardening, food-related services, nutrition, health awareness, single parenting as a conscious choice, world hunger & relief organizations, death, dying, hospice work

Especially for Men...: increased participation in childbirth/child rearing... developing attitudes of compassion/acceptance/empathy”

---

There is a necessary loss with Ceres, and through her we have the choice to seek something that fulfills us, or to replace what we’ve lost with more of the same.

1st House/Aries

Addicted to/Distracting self by: constant new experiences; focus on outward appearance; overly identifying as a nurturer or parent; needing to be nurtured by your partner or friends but choosing to ignore this in order to be independent.

Change this to nourishment: contemplate how experiences have affected you and formed your identity; do activities and actions for your own enjoyment, not because you ‘should’; ask for help when needed, and allow others to care for you.

2nd House/Taurus

Addicted to/Distracting self by: surface level value, focus on income, depending on others to pay for them, high level of materialism, needing nice things to be secure, focusing on the physical side (rather than emotional) of relationships

Change this to nourishment: think on your true core values, what do you really want versus what do you think you want; slow, intimate sex; basic necessities and living below means; helping with income; spending time directly in relation to your core values (ie: time outside, time volunteering, time with family, time gardening, etc.)

3rd house/Gemini

Addicted to/Distracting self by: media, information, gossip, data, social media, not digesting information

Change this to nourishment: writing ideas down, processing dreams, singing and using your voice, chanting, crafting or using your hands, figuring out what certain information means to you, and what is important to remember, forget, or research further

4th house/Cancer

Addicted to/Distracting self by: needing other’s affection, crying out for attention, lashing out at parents/children, falling ill (hypochondria) or seeking out those who need you to ‘nurse’ them, over-eating when emotional, over-idealization of and association with the role of “mother”

Change this to nourishment: consider your feelings rather than pushing them down or letting them control you; journal; surround yourself with nourishing snacks that you enjoy; supporting the “mothers” in your life; taking time for yourself to relax; making your home environment comfortable and positive; feeding your friends and family, and allowing them to feed you

5th house/Leo

Addicted to/Distracting self by: self-centered creating; making art for approval; not pursuing artistic endeavors (causing lack of confidence), too-strong association with being a ‘child at heart’- and needing others to care for you; not allowing yourself to play, or only playing

Change this to nourishment: being encouraging to other creators; making an atmosphere of positivity and encouragement; allowing yourself time alone to create art (music, textile, culinary, illustration, clay, etc.); making art just for yourself and not for approval; spending time as a teacher or playing with children, or taking time to release your inner child

6th house/Virgo

Addicted to/Distracting self by: service, work, perfectionism, putting others before yourself, trying to make everyone else happy, too much pressure on yourself, over-analyzing

Change this to nourishment: daily practice of meditation, time to relax, massage, slow meals, allow yourself mistakes, laughter as medicine

7th house/Libra

Addicted to/Distracting self by: selflessness, identity in the other, fear of conflict; putting other’s views of self above own view of self; too much focus on cooperation to the detriment of self

Change this to nourishment: conflict in healthy, calm settings; speaking your mind and standing up for self while allowing for dialogue and compromise; experiencing “unconditional love”- which means you feel safe to say when you are unhappy, or need a change; taking time to do activities alone, but also doing activities with your friends/partner

8th house/Scorpio

Addicted to/Distracting self by: deep and intense emotions of jealousy, rage, envy, and anger; drama; shock-value; self-imposed isolation; seething in resentments and injustices; random sex or forced celibacy

Change this to nourishment: physical movement, like dance; writing down feelings; opening up to those around you to allow for trust and dialogue; examining negative cycles and feelings of betrayal to turn them in to positive growth; volunteer with hospice or with the sick/elderly/dying

9th house/Sagittarius

Addicted to/Distracting self by: strict dogma; forcing your ideas on others; joining a religious or philosophical group; being an ‘authority’ in a religious or academic setting; nihilism; travel without growth (think: vacations, travel for instagram photos)

Change this to nourishment: considering all points of view; being open to and studying many ideas; having friends around of many perspectives and faiths; choosing to be open rather than rigidly following one idea; allowing yourself grace to change your mind, or admit you were wrong, or to explore a taboo topic like the occult

10th house/Capricorn

Addicted to/Distracting self by: setting aside own needs for everyone else; taking on responsibilities despite self; needing everything to be ordered; ignoring moon needs emotions; working hard for other’s respect; feeling the need to achieve constantly

Change this to nourishment: change to an inner respect and foundation; working from enjoyment, not duty (or, if not for enjoyment, working for a fair wage and reasonable hours); taking time to access feelings; meditation and journaling; allowing relaxation time with baths or massage; take time and be proud of projects, but know worth doesn’t come from achievement

11th house/Aquarius

Addicted to/Distracting self by: joining a group just to feel like you belong to something; wallowing in self-pity or other self-focused emotions; trying hard to be different for the sake of being different (perhaps because of feeling rejected?)

Change this to nourishment: change this to knowing yourself as an individual, and the groups will come; take time to explore yourself and who you are, what is important to you, and what you like; be authentic and unashamed; support others and be kind

12th house/Pisces

Addicted to/Distracting self by: sacrifice, martyrdom, escapism, TV, poetry, imagination, fantasy

Change this to nourishment: connection to self, service not servant, meditation, daily practice/skill building, dance (something you can lose yourself in and then later reflect on it).

---

The source of the preceeding information is from my observations, from the book Asteroid Goddesses, sited above, and also from a Ceres seminar by Laura Nalbandian.

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