3. Focusing on early identification and intervention through universal services
This document discusses Edinburgh's efforts to improve services for children through a universal named person approach. It outlines the journey so far, including engaging staff, responding earlier to concerns, and promoting parental contribution. The approach aims to get it right for more children by building relationships through "Teams Around Clusters", strengthening universal services, and focusing on early identification and intervention. Key elements include creating awareness, building knowledge and skills, and gaining support across services through consistent leadership.
This is part five of my continuing series of articles about how to improve your dental practice. In this article, I discuss ways of developing a patient-centred practice.
This is part five of my continuing series of articles about how to improve your dental practice. In this article, I discuss ways of developing a patient-centred practice.
Economic Assessment of Health Promotion in Finnish Primary Health Care. Pia Hakamäki (Researcher, THL) & Timo Ståhl (Development Manager, PhD, Adjunct professor, THL)
Independent reviewing officers: improving outcomes for children and young peopleOfsted
Matthew Brazier HMI, National Lead (Looked-after children) gave this presentation at the 'Evidence of effectiveness' a regional workshop for IROs on 5 December 2015.
Economic Assessment of Health Promotion in Finnish Primary Health Care. Pia Hakamäki (Researcher, THL) & Timo Ståhl (Development Manager, PhD, Adjunct professor, THL)
Independent reviewing officers: improving outcomes for children and young peopleOfsted
Matthew Brazier HMI, National Lead (Looked-after children) gave this presentation at the 'Evidence of effectiveness' a regional workshop for IROs on 5 December 2015.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
3. Changing the Children’s
Services World
• Engaging and supporting staff
• Responding earlier and managing
concerns more effectively
• Promoting the contribution of parents,
carers and children
• Getting it more right for more children
and more families, more of the time,
more quickly
4. Building the service response
ALL CHILDREN---------------------------------CHILDREN IN NEED--------------------------AT RISK OF HARM
Statutory Complex Children managed within
a complex environment
Measures Needs
Lead Professional
Stage 3 Plan
Advice from Early Intervention/Social Work
re: preventive strategies and/ or
Social Work Services referral
Child’s Plan (Multi-Agency,
managed by Lead Professional)
Stage 2 Plan
Shared Assessment Support for children and families from community
and universal services e.g. Educational
Psychology, Educational Welfare Officer, Child
Named Person
and Adolescent Mental Health Service and
Voluntary Sector services
Team Around the Cluster
Stage 1 Plan Plan
Stage 1 Plan (Single Agency, managed by Named Person)
e.g. Health Plan, Individualised Education Programme
Early Identification/Intervention
Strengthening
Universal Services
e.g. Curriculum for Excellence,
Growing Confidence, Solihull,
Improving Relationships Strategy, Peer Early
Education Programme, Parent/Carer
Support, Community Learning and Development
and Voluntary Sector services
Team Around the Cluster
v1.1
5. ADKAR
Awareness Of the need for change
Desire To participate and support
change
Knowledge On how to change
Ability To implement required skills
and behaviours
Reinforcement To sustain the change
6. Gaining support and getting
buy-in for change
Green - visibly and consistently supports the change
Demonstrates a high level of sponsor competency
Yellow - supports the change but not overtly or energetically!
Demonstrates a moderate level of sponsor competency
Red - opposed – or neutral - to the change.
Demonstrates a low level of sponsor competency
7. Home improvements
Focus on “in-house” services
Significant focus on
strengthening universal services, using
evidence based approaches and
shifting resources over time
ALL CHILDREN-----------------------
Universal health and education services
Named Person
Examples of current resources
supporting universal services
e.g. Curriculum for Excellence,
Growing Confidence, Solihull,
Improving Relationships Strategy, Peer Early
Education Programme, Parent/Carer
Support, Community Learning and Development
and Voluntary Sector services
Team Around the Cluster
v1.1
8. Creating the conditions
Building local relationships
Team Around the Cluster
• Support for the Named Person
• Named and familiar contact within each support
organisation or team
• Focus on high school cluster or public health team
cluster
• Building relationships, trust and respect
• Best use of performance information
9. Making the improvements
1. Building knowledge, awareness, trust and respect across services
2. Strengthening staff capacity to engage with parents and carers
3. Increasing the range and uptake of effective preventive strategies
4. Thinking “out of the box”
ALL CHILDREN-----------------------CHILDREN IN NEED
Support for children and families from community
Shared Assessment and universal services e.g. Educational
Psychology, Educational Welfare Officer, Child
and Adolescent Mental Health Service, Voluntary
Sector service etc. Team Around the Cluster
Plan (Single Agency, managed by Named Person)
Stage 1 Plan e.g. Health Plan, Individualised Education Programme
Early Identification/Intervention
Named Person
Strengthening
Universal Services
e.g. Curriculum for Excellence,
Growing Confidence, Solihull,
Improving Relationships Strategy, Peer Early
Education Programme, Parent/Carer
Support, Community Learning and Development
and Voluntary Sector services
Team Around the Cluster
v1.1
10. Supporting change at every level
Edinburgh Partnership
Chief Officers Group
The Children’s Partnership
City Wide Services
North West North East South South West 1. Complex Disabilities
East West
Children’s Services Children’s Services Children’s Services Children’s Services 2. Social Emotional
Children’s Services Children’s Services
Management Group Management Management Group Management Group and Behavioural
Management Group Management Group
Group Difficulties (SEBD)
Support for Named Person (Team around the Cluster)
10
11. “A jug fills drop by drop” –
Buddha
Prepare for change
Engage, involve, train, support
Reinforce change
Manage change
Celebrate success, analyse feedback,
Lead effectively, challenge
follow through on actions
barriers, act!
and manage resistance
12. Children Services Delivery Model
ALL CHILDREN---------------------------------CHILDREN IN NEED--------------------------AT RISK OF HARM
Statutory Complex Children managed within
a complex environment
Measures Needs
Lead Professional
Stage 3 Plan
Advice from Early Intervention/Social Work
re: preventive strategies and/ or
Social Work Services referral
Child’s Plan (Multi-Agency,
managed by Lead Professional)
Stage 2 Plan
Shared Assessment Support for children and families from community
and universal services e.g. Educational
Psychology, Educational Welfare Officer, Child
Named Person
and Adolescent Mental Health Service and
Voluntary Sector services
Team Around the Cluster
Stage 1 Plan Plan
Stage 1 Plan (Single Agency, managed by Named Person)
e.g. Health Plan, Individualised Education Programme
Early Identification/Intervention
Strengthening
Universal Services
e.g. Curriculum for Excellence,
Growing Confidence, Solihull,
Improving Relationships Strategy, Peer Early
Education Programme, Parent/Carer
Support, Community Learning and Development
and Voluntary Sector services
Team Around the Cluster
v1.1
13. Getting it right for every child
in Edinburgh
If you have any questions or would like to discuss
any aspects of Getting it right for every child in
Edinburgh, please contact:
0131 469 3375
girfec@edinburgh.gov.uk
lynne.porteous@edinburgh.gov.uk
www.edinburgh.gov.uk/girfec