What you will learn
- To understand the events that will occur during a geological disaster
- To prepare you to perform the roles, responsibilities
- To understand the role of international organization in disaster management
Stakeholder Engagement: Meeting Human and Environmental Needs Cultural Vistas
Presented by Pg Mas Dino Pg Radin Hanafi (Brunei) and Matthew Cosby (United States) during the YSEALI Generation Earth Workshop in Siem Reap, Cambodia.
The session leaders will help participants understand that at the interface of human communities and natural resources, we must teach and engage each other in how to live with, support, and be supported by the natural communities and resources that support us. They will use case studies in watershed awareness and health and disaster risk reduction planning in Japan, and will implement a simulation to demonstrate the role of governments, communities, the private sector, academia and NGOs.
What you will learn
- To understand the events that will occur during a geological disaster
- To prepare you to perform the roles, responsibilities
- To understand the role of international organization in disaster management
Stakeholder Engagement: Meeting Human and Environmental Needs Cultural Vistas
Presented by Pg Mas Dino Pg Radin Hanafi (Brunei) and Matthew Cosby (United States) during the YSEALI Generation Earth Workshop in Siem Reap, Cambodia.
The session leaders will help participants understand that at the interface of human communities and natural resources, we must teach and engage each other in how to live with, support, and be supported by the natural communities and resources that support us. They will use case studies in watershed awareness and health and disaster risk reduction planning in Japan, and will implement a simulation to demonstrate the role of governments, communities, the private sector, academia and NGOs.
Effective Whole Community Digital Communications PlanningCarol Spencer
This presentation describes the elements of an effective communications plan. Topics include determining demographics, channel creation, interfacing with government agencies and public sector stakeholders, policy development, embracing the whole community approach (including second responders, local actors), marketing strategies and more. Practical information supplements speaker experiences as government and citizen volunteer communicators during Hurricane Irene, Superstorm Sandy, the Joplin (MO) Tornado and other emergencies. This was presented at the 2016 World Conference on Disaster Management in Toronto CA, June 7 - 8, 2016.
Speaker: Danica Little, Training and Exercise Manager, King County Healthcare Coalition
Public Health- Seattle & King County and the King County Healthcare Coalition have engaged with 61
nursing homes to develop a regional evacuation and mutual aid plan. This addresses how nursing homes
will assist each other during a disaster and how they will coordinate with external support agencies. This
includes: 1. Providing a clear and concise plan activation process. 2. Strategies to prevent evacuation if
possible. 3. Strategies and protocol for the placement, tracking, and support care for evacuated patients.
4. Protocol for the disaster struck facility in the event of an evacuation. 5. Protocol for the patient
accepting facility. 6. Documentation of specific resource requirements and available assets. 7. Protocol
for staff and resource sharing This presentation provides an overview of our planning activities and
will review the planning and mutual aid model used, and the benefits to local partners - including public
health, EMS And emergency management.
Two Examples of Program Planning, Monitoring and EvaluationMEASURE Evaluation
Presented by Laili Irani, Senior Policy Analyst for the Population Reference Bureau, as part of the Measuring Success Toolkit webinar in September 2012.
Effective Whole Community Digital Communications PlanningCarol Spencer
This presentation describes the elements of an effective communications plan. Topics include determining demographics, channel creation, interfacing with government agencies and public sector stakeholders, policy development, embracing the whole community approach (including second responders, local actors), marketing strategies and more. Practical information supplements speaker experiences as government and citizen volunteer communicators during Hurricane Irene, Superstorm Sandy, the Joplin (MO) Tornado and other emergencies. This was presented at the 2016 World Conference on Disaster Management in Toronto CA, June 7 - 8, 2016.
Speaker: Danica Little, Training and Exercise Manager, King County Healthcare Coalition
Public Health- Seattle & King County and the King County Healthcare Coalition have engaged with 61
nursing homes to develop a regional evacuation and mutual aid plan. This addresses how nursing homes
will assist each other during a disaster and how they will coordinate with external support agencies. This
includes: 1. Providing a clear and concise plan activation process. 2. Strategies to prevent evacuation if
possible. 3. Strategies and protocol for the placement, tracking, and support care for evacuated patients.
4. Protocol for the disaster struck facility in the event of an evacuation. 5. Protocol for the patient
accepting facility. 6. Documentation of specific resource requirements and available assets. 7. Protocol
for staff and resource sharing This presentation provides an overview of our planning activities and
will review the planning and mutual aid model used, and the benefits to local partners - including public
health, EMS And emergency management.
Two Examples of Program Planning, Monitoring and EvaluationMEASURE Evaluation
Presented by Laili Irani, Senior Policy Analyst for the Population Reference Bureau, as part of the Measuring Success Toolkit webinar in September 2012.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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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.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
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This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
5. Community Disaster Planning
A preparedness plan should list the names, responsibilities
during emergency and contact numbers & addresses for the
emergency response focal point, the team members at each
operational level and people in charge of:
• Activating the response services
• Communicating with headquarters
• Managing external relations and aid appeals from other
sources, including governmental, international and public
funds
• Communicating with the media
• Coordinating and liaising with other agencies and services
• Managing administrative work
6. Assessment of Probable needs
• Based on previous disasters, planners should
compile a list of likely needs and available
resources. If planners anticipate a gap
between needs and resources, they should
identify, in advance, ways to reduce it.
7. Emergency Needs Assessment
• When planning for an emergency needs
assessment, identify:
– Who and when (e.g. immediately, after 3 days, 2
weeks, etc.) is responsible for the assessment.
Normally, multi-functional and multi-sectoral teams
should conduct assessments
– What information is required at each stage of the
emergency
– How and where research teams will be formed and
trained
– What standards are being used to indicate the severity
of the emergency
8. Resource Mobilization and
Allocation
• The preparedness plan should consider:
– What resources are already available and in
what quantities?
– Which staff and volunteers can be shifted over
from other programs during times of
emergency?
– What resources will be needed that we don't
have?
– Plans for procuring the resources that are not
currently available.
9. Communication
• Sharing and exchanging information among
representatives of various agencies is
crucial during emergencies. To ensure clear
and effective communication in an
emergency the plan should specify how
communication will take place and via what
mediums (e.g. email,radio, telephone, in
person, etc.)
10. Resource Components
1.Rescue and Medical Assistance
– Who will be responsible for organizing search
and rescue operations?
– How to dispose of dead bodies
– Who will deliver first aid?
– What distribution and registration systems will
be used?
– Who will be responsible for medical
evacuations and hospitalization?
11. Resource Components
2.Water and Sanitation
– The policy regarding use of water resources. What
infrastructure and technical capacities exist? Who is
responsible for the water system?
– Whether a supply/distribution system is in place
– Measures to take in winter, in summer drought or in
case of water source contamination
– Equipment that is required and whether there is a need
for water tanks (if local water sources are not available)
For Sanitation
• Who is responsible (public divisions or private sector)
• Whether training programs on sanitation should be conducted
• The level of planning for sanitation activities
12. Resource Components
3.Food and Nutrition
– Who is responsible for assessment of food supply
needs and coordination of this part of the response
operation?
– What food is available locally, in the region, in the
country? What are the capacities of and prices in local
markets?
– What foodstuffs traditionally used/acceptable to the
population are likely to be affected?
– Of what should the food basket consist?
– What are the caloric requirements for various climates
(for example, in cold high mountain climates)?
– What basic needs should be met for small children?
– Arrangements for storage & distribution.
13. Resource Components
4.Logistics and transport
– Define normal aid delivery routes to anticipated disaster
areas and affected populations
– Determine available storage sites
– Specify transportation modes (road, railway, air) and
issues such as availability and cost
– Define availability of fuel and garages. Clarify limitations
– Define and establish cooperation with the government
office
– Identify the spare parts that may be needed for vehicles;
make all preliminary arrangements
– Define the probable impact of weather on logistics work
– Define and conduct training for personnel or divisions
responsible for logistics in an emergency
14. Resource Components
5. Other Domestic needs
– The items that will be needed and available
– Storage requirements—what are the local
storage capacities?
– Available reserves of blankets, water tanks, fuel
for food preparation, stoves, utensils and
clothing
– Whether a distribution system is in place
– Who is responsible for management of these
supplies and needs assessment
15. Resource Components
6.Health Needs
– Who is responsible for health needs
– What is the local health care structure and how does it function
during emergencies?
– Where can vaccinations for infectious diseases (e.g. measles) be
conducted?
– Which governmental or non-governmental agencies are responsible
for health care, disease prevention and public health campaigns?
What role does your agency play?
– Is health protection different in winter? In what way? What special
measures should be considered during a winter emergency?
– How can the problem of overcrowding be solved? How will the
problem reflect on health care before and after an emergency?
– What measures should be taken for different population groups
(children, pregnant women, etc.)?
– What medication and medical equipment is available? What might
be needed? Is an additional supply of these items needed?
– Are storage capacities available? If not, what should be done?
16. Resource Components
7.Shelter Needs
– Who is responsible for management and needs assessment related
to shelter?
– What is the state policy with regard to sheltering an affected
population? Which governmental structure is in charge of
coordinating this work?
– Have sites been identified for possible large-scale emergency shelter
needs?
– How will sites be identified? What difficulties are there related to land
ownership?
– What potential problems may occur with the local community?
– What difficulties may arise in winter/summer time?
– What types of assistance will those who are hosted by relatives or
friends need?
– How will the terrain affect shelter requirements?
– Are construction materials available locally?
– Are supplies of tents, construction materials, plastic sheets needed?
17. Resource Components
8. Search and Reunification of families
– Who is responsible for managing search and
reunification activities?
– What methods or approaches will be used to carry out
these activities?
– What communication methods will be used to reunite
family members?
– What other agencies and governmental structures are
responsible for these operations?
– What level of coordination with these structures is
required?
– At which stage of response should search operations be
started (normally after 24-48 hours, since many people
find each other during this period)?
18. 9. Protection and Security
• Preparedness plans should identify who is
responsible for protection and security. In
addition, the plan should identify the actions
to take to ensure the protection of the
affected population and their belongings as
well as the safety of the emergency
responders.
19. Plan Implementation
• Public Awareness
• Explaining the Risk
• Organizing the Response teams
• Incident Management
• Co-ordination of Resources
• Up-dation of the Plan
• Planned Exercise