Inspired by the Guide to Public Health Actions for Immigrant Rights, a coalition of health workers and community allies in Chicago have been organizing to pressure the Cook County Health and Hospitals System (CCHHS) to meet six demands to Protect Immigrant Health Now! Two promotoras de salud-Community Health Workers-from Enlace Chicago provided testimony at the September 1, 2017 meeting of the CCHHS Board,
marking a milestone in this campaign. Four additional leaders of the Public Health Woke coalition will join the two promotoras on the panel. They will describe the coalition’s collection of new data, use of the Thunderclap social media tool, relationship-building, analysis of local power structures, and the ethical duties of public health professionals in the context of mass deportation. The Co-Founder and Executive Director of Arab- American Family Services will describe her experience as an ally, and the importance of centering immigrant voices in the fight for sanctuary health care for immigrants and all marginalized people; The role of Cook County Commissioner Jesús ‘Chuy’ García’s 7th District Health Task Force will be
described; A Past-President of APHA (faculty at UIC School of Public Health and National Collaborative for Health Equity Board Member) will discuss the historical commitment of Cook County, Illinois, to provide health care to all people; and a leader with the Collaborative for Health Equity Cook County will moderate and guide one participatory activity. This session will emphasize audience participation & dialogue.
More info go to CHECookCounty.org Follow @CHECookCounty
Learn Valuable Information for Getting Paid to Take Care of Your Family Membe...BestHomeCare
The need for home care is constantly growing and, as a result, providing care for a family member or friend has become much more common than it was just a few years ago. Most family caregivers are unaware of the opportunity they have to get paid for taking care of a family member or friend. The state of Minnesota and Federal Government sponsor programs designed to compensate caregivers for their services. This paper outlines these programs to help friend and family caregivers find the appropriate method for getting paid to take care of a loved one.
Unmet basic needs serve as a barrier to accessing counseling services. How can clinical counselors support their clients in meeting basic needs without exhausting their own resources with endless case management? Tips, resources and template included.
This slideshow was developed for the 2018 Pennsylvania Counseling Association Conference in Pittsburgh, PA.
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
April 5, 2017
Crowdfunding for medical care—seeking financial contributions from a large number of donors, often via social networks, to pay medical expenses—is growing in popularity in both the US and Canada. While the practice can have tangible benefits for some patients, it also raises challenging ethical and equity questions at the social level and for individual donors and campaigners. In this lecture, Professor Valorie Crooks examined some of these questions, identified important directions for ethics-focused research, and discussed what we know about the medical expenses people are seeking to have covered.
Learn more on our website: http://petrieflom.law.harvard.edu/events/details/crowdfunding-medical-care
The Slow Motion Financial Death Spiral of ABIM and MOC Bailout SchemeCharles Kroll
Presented at the AMA House of Delegates Meeting June 13, 2016 hosted by the Pennsylvania Medical Society. Presentation with hyperlinks: http://charlespkroll.com/ama.html
Learn Valuable Information for Getting Paid to Take Care of Your Family Membe...BestHomeCare
The need for home care is constantly growing and, as a result, providing care for a family member or friend has become much more common than it was just a few years ago. Most family caregivers are unaware of the opportunity they have to get paid for taking care of a family member or friend. The state of Minnesota and Federal Government sponsor programs designed to compensate caregivers for their services. This paper outlines these programs to help friend and family caregivers find the appropriate method for getting paid to take care of a loved one.
Unmet basic needs serve as a barrier to accessing counseling services. How can clinical counselors support their clients in meeting basic needs without exhausting their own resources with endless case management? Tips, resources and template included.
This slideshow was developed for the 2018 Pennsylvania Counseling Association Conference in Pittsburgh, PA.
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
April 5, 2017
Crowdfunding for medical care—seeking financial contributions from a large number of donors, often via social networks, to pay medical expenses—is growing in popularity in both the US and Canada. While the practice can have tangible benefits for some patients, it also raises challenging ethical and equity questions at the social level and for individual donors and campaigners. In this lecture, Professor Valorie Crooks examined some of these questions, identified important directions for ethics-focused research, and discussed what we know about the medical expenses people are seeking to have covered.
Learn more on our website: http://petrieflom.law.harvard.edu/events/details/crowdfunding-medical-care
The Slow Motion Financial Death Spiral of ABIM and MOC Bailout SchemeCharles Kroll
Presented at the AMA House of Delegates Meeting June 13, 2016 hosted by the Pennsylvania Medical Society. Presentation with hyperlinks: http://charlespkroll.com/ama.html
How do we build power for the policies needed to achieve health equity, and to dismantle structural racism and other root causes of health inequities? Who are allies in this struggle for social justice? Who is the opposition and what do they gain from the status quo? Using #OneFairWage and Protect Immigrant Health Now! as examples, answers to these questions will be proposed by a leader of the Collaborative for Health Equity Cook County (www.CHECookCounty.org), part of the National Collaborative for Health Equity. A group dialogue will follow.
Monthly talk of the Center for Community Health Equity. Featuring James Bloyd, MPH (Cook County Department of Public Health) Tuesday, January 22 at 12:00pm to 1:00pm
Rush University Medical Center, Cohen Building - Field Auditorium, 1st floor 1735 W. Harrison, Chicago, Illinois
Presentation on January 22, 2019 to the Center for Community Health Equity at the Rush University Medical Center by James E. Bloyd, MPH, of the Collaborative for Health Equity Cook County, and the Cook County Department of Public Health. Topics included evidence of inequitable distribution of health and well-being; theoretical explanations of health inequity from Hawai'i State Department of Public Health and the World Health Organization; the Collaborative for Health Equity Cook County's (www.checookcounty.org) work on the minimum wage and Protect Immigrant Health Now!;
Role of US Health Care in causing poverty and health inequities among health care sector workers through a racist and sexist wage structure (Himmelstein & Venkataramani 2018). Includes references.
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HCA 415 Week 3 Discussion ( Essential Services Personal Interview ) - A Graded - Quality Work - 100% Original - Plagiarism Free
I already have answer for the discussion but I need to continue with the same interview I had for the discussion and do the assignment. It can be 2-3 pages instead of 4. Can you submit it by tomarrow? It has to be based on the interview provided in discussion. Assignment instructions are also stated below.
Below is the Discussion
Essential Services Personal Interview
Select a population (maternal, infant, child, adolescent, young adults, older adults, elderly) and research the most critical health issues affecting this population.
Describe the most critical health issues affecting your selected population.
Describe at least three public health/community services that exist in your own community to address these issues.
Contact one of these services’ directors (or representative) and inquire about the agency’s effectiveness by asking these questions:
Do you feel your organization has made a difference?
What are your main barriers and how are the barriers to services being addressed?
What are the ethical considerations of your services and how are they addressed?
How is your organization funded?
What concerns are still unmet in your opinion? Are these areas that will be addressed in the future?
What role does your organization play in the overall public health arena?
Present a brief overview of the organization, including its mission and goals/objectives, and then post your interview notes in the discussion forum
Your original post must contain at least one additional scholarly source in addition to the textbook.
ANSWER 1
The issue that I chose for my critical health issue is family planning and teenage pregnancies. For years, it seemed that everywhere I turned there were young teenage girls that were pregnant surrounding me. Currently, “the U.S. still has a teen birthrate of 31.2 per 1,000 teens, nearly one-and-a-half times the rate in the United Kingdom, which has one of the highest rates in Western Europe (Vestal, 2015, para. 1). I believe that prevention programs are the best method to reduce the high teenage pregnancy rates. The World Health Organization stated that, “family planning is a method for helping people to have the desired number of children and for spacing births” (as cited in Friis, et al., 2013, 5.2, para. 2). Healthy People 2020 set their goal for family planning to improve the spacing and planning of pregnancy, but also to prevent unwanted pregnancies (Friis, et al., 2013).
Covenant House has on-site counselors who help teen moms work on building confidence and gain independence. Moms can attend their workshops that teach them various parenting skills and the importance for them and their children to live healthy lives. The Covenant House also provides on-site childcare so that these have the capability to comp.
Root Cause Analysis: A Community Engagement Process for Identifying Social De...JSI
This presentation serves as a training of trainers for the root cause analysis process, where participants will be able to train their organizational staff and community members on the process. In addition, it shows how it can be used for community engagement, coalition building, and to identify the root causes of HIV.
Running head CULTURAL COMPETENCY AND TREATMENT .docxtodd271
Running head: CULTURAL COMPETENCY AND TREATMENT
CULTURAL COMPETENCY AND TREATMENT
Cultural Competency and Treatment of persons with mental illness
Alexis Lowe
Professor Patricia Coccoma
HUMN 6511- Treatment of Forensic Populations
June 16, 2019
Cultural Competency and Treatment of persons with mental illness
The culturally diverse forensic population that I chose to research is those who are mentally ill. This population is of particular interest to me because I have always wanted to work in agencies that do an intervention for members of this population and I have always felt that something should be done when I find helpless people on the streets who are mentally ill. Mentally ill persons can be described using characteristics which cut across the population but lean mostly to the side of those who have an extreme mental illness. Most of them experience financial distress, homelessness, lack of money to rent houses and dependence of social programs like social security. Others have violent behavior and remain dependent on mental services for a long time (Naylor et al., 2016). The mentally ill often commit small crimes and because of their health situation, they find themselves in difficult situations. According to Rickwood, 2006, mentally ill persons going through corrections procedures often suffer more psychological problems and this limits their chances of recovery.
The Unique Characteristics of Mentally Ill Patients
Rickwood explores the representation of the mentally ill in the criminal justice system. According to Rickwood, the mentally ill are over three times more represented in the criminal justice compared to the ordinary community and this is something of concern. In certain cultures, more persons who have a mental illness live in correction facilities compared to others. However, incarceration is seen to be a major cause of mental health problems due to some of the corrective measures that are employed. Depression among Hispanics is noted to be highest at slightly over 10%, followed by African Americans than Whites (Corin, 2017) Depression cuts across all age groups and genders in the recent past. According to Rickwood there is need to ensure that specialized and professional mental health services are provided in correctional facilities to ensure that the correction process does not negatively impact the victims. pre-release preparation and post-release follow-up are key areas that need a proper overhaul to ensure that the number of cases of relapse is reduced accordingly. Proper understanding of the cultural background of a patient is a major consideration in choosing treatment procedures and it ensures that the health service provider is cult rally aware of the implications of certain choices on certain groups of people. Cultural considerations affect beliefs about sickness, pain and where.
Towards a Critical Health Equity Research Stance: Why Epistemology and Method...Jim Bloyd, DrPH, MPH
Qualitative methods are not intrinsically progressive. Methods are simply tools to conduct research. Epistemology, the justification of knowledge, shapes methodology and methods, and thus is a vital starting point for a critical health equity research stance, regardless of whether the methods are qualitative, quantitative, or mixed. In line with this premise, I address four themes in this commentary. First, I criticize the ubiquitous and uncritical use of the term health disparities in U.S. public health. Next, I advocate for the increased use of qualitative methodologies—namely, photovoice and critical ethnography— that, pursuant to critical approaches, prioritize dismantling social–structural inequities as a prerequisite to health equity. Thereafter, I discuss epistemological stance and its influence on all aspects of the research process. Finally, I highlight my critical discourse analysis HIV prevention research based on individual interviews and focus groups with Black men, as an example of a critical health equity research approach.
Links to Recommended Readings from June 4, 2020 presentation “Work With Organ...Jim Bloyd, DrPH, MPH
Links to Recommended Readings from June 4, 2020 presentation “Work With Organizers to Build People Power for Health Equity” by Jim Bloyd, MPH, Regional Health Officer, Cook County Department of Public Health (IL) jbloyd@cookcountyhhs.org Presented as part of “Covid-19 and Health Equity: A Policy Platform and Voices from Health Departments” by Human Impact Partners, co-sponsored by APHA, ASTHO, Big Cities Health Coalition, HealthBegins, and NACCHO. (Links current as of June 12, 2020 prepared by Jim)
Senators call for investigation into Pulaski County jail amid COVID-19 outbreakJim Bloyd, DrPH, MPH
News article published May 30, 2020 "The senators’ letter follows the efforts of several health-justice advocates to implore the Illinois Department of Public Health to take a more active role in managing the outbreak in Pulaski County. Those individuals, which include representatives from the Collaborative for Health Equity Cook County and the Health & Medicine Policy Research Group, Chicago-based health justice organizations, DePaul University and the University of Illinois Chicago School of Public Health, are circulating a petition that demands IDPH make site visits to ICE detention sites across Illinois, and specifically the facility in Pulaski County, to ensure compliance with care plans and infectious disease control."
A 5-Year Retrospective Analysis of Legal Intervention Injuries and Mortality ...Jim Bloyd, DrPH, MPH
There has been a public outcry for the accountability of law enforcement agents who kill and injure citizens. Epidemiological surveillance can underscore the magnitude of morbidity and mortality of citizens at the hands of law enforcement. We used hospital outpatient and inpatient databases to conduct a retrospective analysis of legal interventions in Illinois between 2010 and 2015. We calculated injury and mortality rates based on demographics, spatial distribution, and cause of injury. During the study period, 8,384 patients were treated for injuries caused during contact with law enforcement personnel. Most were male, the mean age was 32.7, and those injured were disproportionately black. Nearly all patients were treated as outpatients, and those who were admitted to the hospital had a mean of length of stay of 6 days. Most patients were discharged home or to an acute or long-term care facility (83.7%). It is unclear if those discharged home or to a different medical facility were arrested, accidentally injured, injured when no crime was committed, or injured when a crime was committed. Surveillance of law enforcement-related injuries and deaths should be implemented, and injuries caused during legal interventions should be recognized as a public health issue rather than a criminal justice issue.
Life Expectancy and Mortality Rates in the United States, 1959-2017Jim Bloyd, DrPH, MPH
Importance: US life expectancy has not kept pace with that of other wealthy countries and is now decreasing.
Objective: To examine vital statistics and review the history of changes in US life expectancy and increasing mortality rates; and to identify potential contributing factors, drawing insights from current literature and an analysis of state-level trends.
Evidence: Life expectancy data for 1959-2016 and cause-specific mortality rates for 1999-2017 were obtained from the US Mortality Database and CDC WONDER, respectively. The analysis focused on midlife deaths (ages 25-64 years), stratified by sex, race/ethnicity, socioeconomic status, and geography (including the 50 states). Published research from January 1990 through August 2019 that examined relevant mortality trends and potential contributory factors was examined.
Findings: Between 1959 and 2016, US life expectancy increased from 69.9 years to 78.9 years but declined for 3 consecutive years after 2014. The recent decrease in US life expectancy culminated a period of increasing cause-specific mortality among adults aged 25 to 64 years that began in the 1990s, ultimately producing an increase in all-cause mortality that began in 2010. During 2010-2017, midlife all-cause mortality rates increased from 328.5 deaths/100 000 to 348.2 deaths/100 000. By 2014, midlife mortality was increasing across all racial groups, caused by drug overdoses, alcohol abuse, suicides, and a diverse list of organ system diseases. The largest relative increases in midlife mortality rates occurred in New England (New Hampshire, 23.3%; Maine, 20.7%; Vermont, 19.9%) and the Ohio Valley (West Virginia, 23.0%; Ohio, 21.6%; Indiana, 14.8%; Kentucky, 14.7%). The increase in midlife mortality during 2010-2017 was associated with an estimated 33 307 excess US deaths, 32.8% of which occurred in 4 Ohio Valley states.
Conclusions and Relevance: US life expectancy increased for most of the past 60 years, but the rate of increase slowed over time and life expectancy decreased after 2014. A major contributor has been an increase in mortality from specific causes (eg, drug overdoses, suicides, organ system diseases) among young and middle-aged adults of all racial groups, with an onset as early as the 1990s and with the largest relative increases occurring in the Ohio Valley and New England. The implications for public health and the economy are substantial, making it vital to understand the underlying causes.
Revisiting the Corporate and Commercial Determinants of HealthJim Bloyd, DrPH, MPH
We trace the development of the concept of the corporate determinants of health. We argue that these determinants are predicated on the un- checked power of corporations and that the means by which corporations exert power is increasingly unseen.
We identify four of the ways corporations influence health: defining the dominant narra- tive; setting the rules by which society, especially trade, oper- ates; commodifying knowledge; and undermining political, so- cial, and economic rights.
We identify how public health professionals can respond to these manifestations of power. (Am J Public Health. 2018;108: 1167–1170. doi:10.2105/AJPH. 2018.304510)
Public Health, Politics, and the Creation of Meaning: A Public Health of Cons...Jim Bloyd, DrPH, MPH
"The creation of meaning may be an unfamiliar role for public health, but one whose import comes into sharp relief when we recognize the inevitability of the political at the heart of what we do."
Cook County Department of Public Health staff who are presenters, moderators, and secondary authors at the annual meeting of the American Public Health Association are pictured. Their presentations are listed by Session number. The meeting attracts over 12,000 participants and is health in Philadelphia, PA from November 2nd to November 6th, 2019. #APHA2019 @PublicHealth @APHAAnnualMtg
This transcript is useful for a small group exercise when participants are listening to Dr. Linda Rae Murry discuss her critique of the Ten Essential Services as a frame popular in the USA for describing what public health is and should do. It was used along with a worksheet to successfully generate small group discussion on September 12, 2019. Available at RootsofHealthInequity.org
Exercise Linda Murray Voices of Public Health questions worksheet Used Septem...Jim Bloyd, DrPH, MPH
This was one of two 20-minute exercises used by Jim Bloyd and Rachel Rubin with a 30-minute slide presentation. The exercises generated discussion among groups of 2-3 people. The group also listened to the audio of Dr. Murray's 6-minute statement, and followed along reading a transcript of the statement. Both the audio and the transcript are available at RootsofHealthInequity.org of NACCHO.
Roots of Health Inequity Dialogues: Designing Staff Development to Strengthen...Jim Bloyd, DrPH, MPH
Presentation and 3 20-minute exercises prepared for the annual conference of the Illinois Public Health Association, September 12, 2019 in Springfield, Illinois, USA. Abstract: The Cook County Department of Public Health (CCDPH) used the National Association of County and City Health Officials' online course for the public health workforce Roots of Health Inequity, to accomplish three goals: change the way staff think about public health; change the way staff practice public health; and apply health equity principles to the daily work. Chief Operating Officer Terry Mason, MD, required all staff to participate in the training.
Increasing the integration of a health equity approach by first training staff on health equity and how it is relevant to their work was a priority of the agency strategic plan, as well as a QI and Workforce Development priority for CCDPH.
Components of the CCDPH Roots of Health Inequity Dialogues include the creation of 1small groups for in-person discussion; a leadership committee; training staff as facilitators; evaluation; a commitment to dialogue. The small group-approach accomplished two things: dialogue and discussion were maximized, while disruption of regular duties and health department functions was minimized.
Reliance on staff to facilitate dialogues strengthened leadership for health equity within the health department, and eliminated the need for external facilitation. In addition, the “insider” knowledge of the Facilitators—most of whom have years of experience working at CCDPH---ensured that dialogue leaders understood the institutional culture, and increased the likelihood that the dialogues will be able to examine real barriers as well as opportunities to practice transformation.
Chicago Panels Details COOKED documentary Film July 12-25, 2019Jim Bloyd, DrPH, MPH
This is a list of the panels and panelists for the July 12-25 2019 screenings of COOKED in Chicago, Illinois at the Gene Siskel Film Center, 164 N. State St., Chicago, Illinois. USA
New approaches for moving upstream how state and local health departments can...Jim Bloyd, DrPH, MPH
Growing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are “upstream” drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on “downstream” behavioral risks. Three factors explain the difficulty in translating this knowledge into practice. First, in their allegiance to the status quo, powerful elites often resist upstream policies and programs that redistribute wealth and power. Second, public health practice is often grounded in dominant biomedical and behavioral paradigms, and health departments also face legal and political limits on expanding their scope of activities. Finally, the evidence for the impact of upstream interventions is limited, in part because methodologies for evaluating upstream interventions are less developed. To illustrate strategies to overcome these obstacles, we profile recent campaigns in the United States to enact living wages, prevent mortgage foreclosures, and reduce exposure to air pollution. We then examine how health educators working in state and local health departments can transform their practice to contribute to campaigns that reallocate the wealth and power that shape the living conditions that determine health and health inequalities. We also consider health educators’ role in producing the evidence that can guide transformative expansion of upstream interventions to reduce health inequalities.
Editorial: Evidence based policy or policy based evidence? by Michael MarmotJim Bloyd, DrPH, MPH
A simple prescription would be to review the scientific evidence of what would make a difference, formulate policies, and implement them—evidence based policy making. Unfor- tunately this simple prescription, applied to real life, is simplistic. The relation between science and policy is more complicated. Scientific findings do not fall on blank minds that get made up as a result. Science engages with busy minds that have strong views about how things are and ought to be.
Can health equity survive epidemiology? Standards of proof and social determi...Jim Bloyd, DrPH, MPH
Objective. This article examines how epidemiological evidence is and should be used in the context of increasing concern for health equity and for social determinants of health.
Method. A research literature on use of scientific evidence of “environmental risks” is outlined, and key issues compared with those that arise with respect to social determinants of health.
Results. The issue sets are very similar. Both involve the choice of a standard of proof, and the corollary need to make value judgments about how to address uncertainty in the context of “the inevitability of being wrong,” at least some of the time, and to consider evidence from multiple kinds of research design. The nature of such value judgments and the need for methodological pluralism are incompletely understood.
Conclusion. Responsible policy analysis and interpretation of scientific evidence require explicit consideration of the ethical issues involved in choosing a standard of proof. Because of the stakes involved, such choices often become contested political terrain. Comparative research on how those choices are made will be valuable.
The importance of public policy as a determinant of health is routinely acknowledged, but there remains a continuing absence of mainstream debate about the ways in which the politics, power and ideology, which underpin public policy influence people's health. This paper explores the possible reasons behind the absence of a politics of health and demonstrates how explicit acknowledgement of the political nature of health will lead to more effective health promotion strategy and policy, and to more realistic and evidence-based public health and health promotion practice
REDSACOL ALAMES ante la intromision imperial [REDSACOL ALAMES facing imperial...Jim Bloyd, DrPH, MPH
Statement from the Red de Salud Colectiva of the Asociacion Latinoamericana de Medicina Social y Salud Colective (Latin American Association of Social Medicine and Collective Health) distributed February 1, 2019 on the ALAMES list serve by Oscar Feo Isturiz, physician, specialist in public health and occupational health, and retired professor at the University of Carabobo, Venezuela. He advises the Ministries of Health of El Salvador and Bolivia. He is on the Consultative Committee of ALAMES.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
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.
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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.
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
Evaluation of antidepressant activity of clitoris ternatea in animals
A Chicago case example of public health professionals allying with community members for collective struggles for health equity
1. A Chicago case example of public
health professionals allying with
community members for
collective struggles for health
equity
Susan Avila, James E. Bloyd, Ilda Hernandez,
Sahida Martinez, Linda Rae Murray, Itedal Shalabi
Spirit of 1848 Special Activist Session 3070.0
November 12, 2018 8:30 a.m. – 10:00 a.m. SDCC Room 8
American Public Health Association 146th Annual Meeting & Expo
San Diego, California
#PublicHealthWoke #APHA2018 @CHECookCounty
2. Presenter Disclosures
(1) The following personal financial relationships with
commercial interests relevant to this presentation
existed during the past 12 months:
Susan Avila, James E. Bloyd, Ilda Hernandez, Sahida
Martinez, Linda Rae Murray, Itedal Shalabi
No relationships to disclose
3. Presentation by video
• Ilda Hernandez &
Sahida Martinez are
unable to join us
today in person
• Please give them
your comments or
questions using the
index cards that we
will collect
5. What is Public Health Woke?
• Loose coalition of Chicago area health groups, inspired by the national
PublicHealthAwakened.org
• Founding partners: Collaborative for Health Equity Cook County; Health & Medicine
Policy Research Group; University of Illinois School of Public Health , Center for Public
Health Practice; 7th District (Comm. Jesus Chuy Garcia) Health Task Force; Radical Public
Health; Project Brotherhood
• Packed February 10, 2017 Forum to present the Guide to Public Health Actions for
Immigrant Rights
• Thunderclap & September 1, 2017 Testimony to CCHHS Board
• Medicine Grand Rounds, Linda Rae Murray, October 2017
• Linda Coronado & Alma Anaya visited Oakland Immigrant Health organizers
• 140 people attend all-day Sanctuary Health Care Conference February 3, 2018
• Health equity/health care/public health origins, not long-established, immigrant rights
Chicago area organizing groups
• Our Strengths—Our weaknesses, blind spots
6. Public Health Actions for
Immigrant Rights
A Short Guide to Protecting Undocumented Residents and Their
Families for the Benefit of Public Health and All Society
Public Health Awakened is an initiative convened and staffed by Human Impact Partners
9. August 2018 stop on Lake
Michigan of businessman by
US Coast Guard results in
deportation.
Separated from his wife and
4 children
(Source: Facebook post via Enlace Chicago)
10. Facebook Post
“Jeronimo was on
Lake Michigan
enjoying a boat
cruise…”
(Source: Facebook post via Enlace
Chicago)
11. “Purpose: To fulfill the health equity mission of
CCDPH by examining US immigration policy as
a root cause of health inequity and taking
appropriate action.”
11
All-staff Meeting Cook County Department
of Public Health March 15, 2017
12. March 15, 2017 All-staff meeting, Cook
County Department of Public Health
Staff
Recommendations/
Requests:
1) Training on how
to respond to
ICE threatening
CCDPH clients
2) List of referral
organizations
3) Welcoming
Signage
17. Where undocumented people in Illinois live: Total = 511,000
Chicago, 183,000
Suburban Cook,
125,000
7 Collar Counties,
151,000
94 other Counties,
53,000
Source: These are ESTIMATES from Rob Paral & Associates http://www.robparal.com/IL_Undoc.html
18. Public Health Woke Survey—New Data
• N=94
• Social service agencies, health providers, community organiztions
• Modeled similar survey completed in California
• Conducted Fall/Winter 2017-18
• Convenience sample
19. What type of agency do you work for?
Community Health
Center
19%
Hospital/Clinic
18%
Governmental Public
Health
4%Social Service Agency
16%
Community Organization
25%
Faith-based Organization
2%
School/University
7%
Other
9%
(n=94)
20. Since November 2016, my clients are less likely to sign up for
public programs, services and healthcare.
12 20 15 19 11
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive
(N=77, n/a=17)
61%
21. Since November 2016, my clients feel that family members or
neighbors are at greater risk for detention or deportation.
50 12 11 7 1
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive
(N=81, n/a=13)
90%
22. Since November 2016, I feel that clients or their family members
have shown increased fear, stress, or other mental and emotional
health impacts.
45 24 8 3 1
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive
(N=81, n/a=12)
95%
23. Since November 2016, my clients report that they themselves, and/or
family, friends, and neighbors are afraid to leave their house or
neighborhood.
17 27 16 13 5
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive
(N=78, n/a=15)
77%
24. Since November 2016, my clients report that they themselves and/or
their family, friends and neighbors are afraid to travel (by car,
transit, or plane).
17 31 13 9 6
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive
(N=76, n/a=17)
80%
25. In your words… “I know people who have had to change
apartment for fear of ICE knocking on
their door, they discontinued the SNAP
benefits and medical insurance they were
obtaining for their children.”
“Youth clients are reporting symptoms of PTSD as they were present when one
of the caregivers was arrested and later deported. They said that hearings other
news about the same and seeing police officer triggers them extreme anxiety
and a visceral fear that they can't control after an extended period of time.
Also they reported nightmares and night crying spells as when they are having
the nightmare they themselves or a loved one is also deported to a place where
they have never been.”
“People are afraid to
leave their homes to
even go to the doctor for
basic services, let alone
emergency services.”
A patient's husband was arrested on an old immigration issue and
despite having good legal representation it took weeks to get him
released. In the meantime she struggled with the care of 3 small
children and a full time job, hoping to be able to keep her job. Even
if he is eventually cleared and able to complete his green card, the
family's finances may never recover. The children are traumatized.
If he is eventually deported, I do not know how the family will
survive on her income or how the children will cope.
Clients are refusing to
renew DACA since it will
have personal information
and believed to be used
solely for deportation.
26. In your words…
Large Latino population that once attended
our health fairs this past year, all were poorly
attended even with free screenings available.
Poor attendance to Know your Rights sessions
as well. Poor attendance to parent teacher
conferences. Students state they live in fear
with suitcase packed.
We have seen a decrease in
residents coming to our
organization to request assistance
with enrolling in health insurance
since enrolling either in Medicaid or
the Marketplace would require
them to enter personal information
in a government database system.
I previously saw an undocumented married
female for issues related to domestic violence
in individual therapy and she was reluctant to
consider additional recommended options
such as a support group for women due to
fear of deportation.
Our hospital is not seen as a welcoming place. Undocumented
patients don't even try to establish care here, because they
see us an inaccessible and expensive, when really we have
great programming and easily navigable charity care available
for them.
Some of our clients are less likely right now to sign up for
health insurance or even for state programs that help them
get their medical information. We have also seen a large drop
of phone calls of people interested in getting into medical care.
27. Summary of Issues Reported in Stories
0
5
10
15
20
25
30
35
less likely to sign up
for public
programs, services
and healthcare
drop in program
utilization or
participation
greater risk of
losing housing
greater risk of
losing jobs/wages
greater risk of
losing other
necessities
greater risk for
detention or
deportation
increased fear,
stress or other
mental and
emotional health
impacts
afraid to leave their
house or
neighborhood
afraid to travel
N = 41
30. LEFT: Public Health Woke members
with signs at a Meeting of the
CCHHS Board.
BELOW: Planning meeting hosted by
Dr. Griselle Torres, Coordinating
Center for Public Health Practice, UIC
School of Public Health.
LEFT & ABOVE: Over 140 people attended
the February 3, 2018 Sanctuary Healthcare
for All Conference, Chicago, IL.
RIGHT: Public Health Woke
members in hallway after providing
testimony to CCHHS Board.
33. Videos of 9-1-17 CCHHS Board Testimony
checookcounty.org [Video Credit: Anna Yankelev]
34. USA Immigrants
2008
Brief Overview : Immigration to USA and Public Health
October 2017 : Medicine Grand Rounds
Linda Rae Murray M.D. MPH F.A.C.P.
35. Dr. John Jay Shannon, chief executive officer for the Health System, said that the department’s general counsel is
reviewing information used to train staff to ensure that it is thorough and clear so that employees know what to do in
the wake of Immigration and Customs Enforcement agents showing up at a county health facility.
“They are examining our information on policies and procedures as it relates to taking care of individuals who come to
us,” Shannon said. Especially for staffers at outlying facilities, knowing how to handle ICE agents or any other authority
figures is vital, according to Shannon. “They need to know ‘If this, then this,’” Shannon said at the April 27 Health and
Hospitals System Board of Directors meeting.
Shannon said if an ICE agent or any other law enforcement official does not have a warrant, he does not get access to
a Health System patient.
“We need to make sure all staff is aware of that,” Shannon said.
Cook County Health to immigrants: ‘You
are welcome here’
By Kevin Beese For Chronicle Media — May 2, 2017
36. Public Health Woke:
Seventh District (Commissioner Jesus Chuy Garcia) Health Task Force
Collaborative for Health Equity – Cook County
Health & Medicine Policy Research Group
Coordinating Center for Public Health Practice – UIC School of Public Health
Organizational Supporters
* AIDS Foundation of
Chicago
* Brighton Park
Neighborhood Council
*Centro de Trabajadores
Unidos-Immigrant
Workers Project
* Coalición Nacional para
Latinxs con
Discapacidades
* Enlace Chicago
* EverThrive Illinois
* Healthy Illinois Campaign
REPORT CARD ON DEMANDS FOR CCHHS 10/27/2017
F 1. Place abundant and clear signage in multiple languages assuring a welcoming
institution.
D- 2. Give staff training and resources addressing needs of marginalized patients
and families.
F 3. Establish referral systems for legal services, know your rights information and
other resources needed by immigrant and other marginalized communities.
F 4. Clarify, revise and strengthen policies and procedures that focus on
protecting immigrant and marginalized patients.
F 5. Identify and monitor indicators and neighborhood stress in immigrant and
marginalized communities.
F 6. Design and implement best practices for clinical and public health providers
to deliver appropriate care.
* ICAH Illinois Caucus
for Adolescent Health
* Our Revolution
Illinois/Chicago
*Protect Our Care
Illinois
* Public Health
Awakened
* Radical Public Health
* Restaurant
Opportunities Center
Chicago (ROC Chicago)
* Southsiders Organized
for Unity and Liberation
* Syrian Community
Network
37. WHAT CAN YOU DO ?
1. Get Public Health Awakened Guide: Public Health Action for Immigrant Rights.
2. Register & get National Immigrant Law Center: Health Care Toolkit for Providers.
3. Work to help CCHHS adopt best practices in this area.
4. WEBINAR: Friday, November 3rd 1:00-2:30 CST
“Creating a Welcoming Environment for All: Learn from Immigrant Health national
experts” – is geared toward health care and social service providers in Chicagoland and
across Illinois. This is a follow-up to the webinar that was presented in April 2017, with
a focus on practical tools, resources, and examples for how healthcare and social
service providers can welcome, support, and protect immigrants in our communities.
Please register at https://attendee.gotowebinar.com/register/8170756065298810371
5. SAVE THE DATE Train-the-trainers :
Public Health Woke’s training:
Sanctuary Healthcare: Protecting the Rights of
Immigrants and Marginalized Groups
SATURDAY February 3, 2018 9AM – 4PM
at 2229 Halsted St. Chicago.
37
38. Dialogue—in pairs and large group
• 5 minute discussion with person next to you:
What stood out or was surprising to you?
What do you plan to do in your community or work?
• Write a question or comment on the 3x5 cards for Enlace Chicago
promotoras Ilda Hernandez & Sahida Martinez and give them to us.
• 25 minutes: Dialogue
39. References
publichealthawakened.com 2018. Guide to Public Health Actions for
Immigrant Rights
Pettit, J. (2013). Power Analysis: A Practical Guide. Stockholm, Sweden:
Swedish International Development Cooperation Agency.
https://www.sida.se/contentassets/83f0232c5404440082c9762ba3107d55/
power-analysis-a-practical-guide_3704.pdf
Thunderclap
Bloyd, J. 2018. Unpublished. Facebook screenshots “August 2018 stop on
Lake Michigan of businessman by US Coast Guard results in deportation.”
Personal communication from Benitez, A.
Guevara, Miguel (2018) “Speaking Out For Health Equity.” Chicago, Illlinois
Unpublished. miguelguevara@gmail.com
40. Credits
Video “Speaking Out For Health Equality:” Miguel Guevara
Videos Testimony to CCHHS Board at www.CHECookCounty.org : Anna Yankelev
Public Health Woke Survey: Steven Chrzas, Stephanie Salgado, Hope Reyes, Alexandria Christianson.
Sanctuary Health Care Conference: Joe Zanoni; SEIU Healthcare; Multiple Sponsors.
Technical Assistance (Thunderclap): Sari Bilick, Human Impact Partners
Organizing with Oakland, CA Partners: Cook County Commissioner Elect (7th) Alma Anaya; Linda
Coronado.
Technical Assistance & Strategic Support: Amanda Benitez, Griselle Torres
Guide to Public Health Actions for Immigrant Rights: PublicHealthAwakened.com national
community
Leadership Development for Health Equity: National Collaborative for Health Equity, Washington,
DC; Human Impact Partners, Oakland, CA.
Sign “Sanctuary for our People:” Chicago ACT Collective
41. Thank You!
Presenters:
Susan Avila, 7th District Health Task Force,
Avila.Susan@gmail.com (@injuryno)
James E. Bloyd, Cook County Department of Public
Health; Collaborative for Health Equity Cook Count,
jbloyd@cookcountyhhs.org,
info@CHECookCounty.org (@j_bloyd)
Ilda Hernandez, Enlace Chicago
ihernandez@EnlaceChicago.org
Sahida Martinez, Enlace Chicago
semartinez@EnlaceChicago.org
Linda Rae Murray, University of Illinois School of
Public Health; National Collaborative for Health
Equity LindaRae.Murray@gmail.com
(@LindaRaeMurray)
Itedal Shalabi, Arab American Family Services
ishalabi@aafsil.org ( @aafs_il )
