The document discusses incorporating complementary therapies into primary care by commissioning complementary healthcare practitioners. It provides context on the regulatory landscape for complementary healthcare in the UK over the past decade. Specifically, it notes the establishment of the Complementary and Natural Healthcare Council (CNHC) to provide voluntary regulation. It then uses the example of a local Primary Care Trust supporting a CNHC-registered complementary therapist to illustrate how CNHC registration can help commissioners in deciding which complementary practitioners to support.
This lecture provides an introduction to modern healthcare in the US. It defines key terms like health, healthcare, and healthcare systems. It describes different components of healthcare delivery including inpatient facilities like hospitals and outpatient facilities like physicians' offices. It also discusses the organization of the healthcare industry and different models of healthcare systems, ranging from public to private.
The document provides an introduction to physiotherapy including its definition, brief history, areas of practice, utility, and importance. Physiotherapy uses mechanical force, movement, manual therapy and other techniques to treat impairments, promote mobility and function. It has been practiced since ancient times and was further developed in the 19th century. Physiotherapy addresses various areas including orthopedics, neurology, geriatrics and more. It helps improve range of motion, manage pain, aid rehabilitation, and enhance quality of life.
Physiotherapy is an effective treatment for injuries and illnesses that uses scientifically-proven techniques. Physiotherapists are university-trained health professionals who are skilled in clinical reasoning and hands-on treatment approaches. They can help treat conditions like knee pain, back pain, sports injuries and more through techniques like exercises, manual therapy, electrical stimulation and acupuncture.
This document discusses integrating substance use disorder (SUD) treatment into patient-centered medical homes (PCMHs).
The key ideas are:
1) PCMHs are based on the chronic care model and focus on team-based care and care management.
2) SUDs are important for healthcare to address because they are prevalent, increase costs, and can cause or worsen other health conditions.
3) Integrating SUD treatment into PCMHs through approaches like behavioral health consultants in primary care, medication-assisted therapies, and on-site SUD services can improve health outcomes and reduce costs.
The document provides an overview of pain management in Traditional Chinese Medicine (TCM). It discusses the history and philosophies of TCM, including Yin-Yang theory and the five elements theory. It also describes TCM diagnostic techniques like pulse and tongue diagnosis. Key TCM concepts for pain like Qi, meridians, acupuncture points and bi syndromes are explained. The mechanisms of acupuncture for pain relief like the gate control theory and endorphin theory are summarized. Clinical applications of acupuncture for various pain conditions like headaches, arthritis and low back pain are also covered.
The study evaluated the success of an intervention in Eastern Visayas, Philippines to strengthen mental health services following Typhoon Haiyan. [1] Between 2014-2015, 1038 community workers were trained in psychosocial support and 290 healthcare providers received mental health training and supervision. [2] By March 2015, 97.5% of primary care units and 87.5% of district hospitals had trained providers, benefiting 50-200 patients each. [3] Regional hospitals added psychiatric beds and provincial hospitals established acute care capacity, improving availability across all levels of care.
The pharmaceutical industry has made it very difficult to know what the clinical trial evidence is regarding psychotropics. As a consequence, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence-based prescriptive practice. BARRY DUNCAN and DAVID ANTONUCCIO call for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. The authors assert that current prescribing practices are often empirically unsound and unduly influenced by pharmaceutical company interests, resulting in unnecessary risks to patients. In the spirit of evidenced-based medicine’s inclusion of patient values as well as the movement toward health home and integrated care, a patient bill of rights for psychotropic prescription is presented. Guidelines are offered to raise the bar of care equal to the available science for all prescribers of psychiatric medications. This is a Psychotherapy in Australia reprint of an earlier article.
Click here for a video of the presentation http://heartandsoulofchange.com/content/resources/viewer.php?resource=video&id=97
Click here for a pdf of the slides: http://heartandsoulofchange.com/content/resources/viewer.php?resource=handout&id=127
This document provides an overview of acupuncture presented by multiple presenters. It discusses the channel and network theory, the 12 regular channels and 8 extraordinary vessels, functions of channels and networks, and styles and systems of acupuncture including Chinese, Japanese, Korean, and Western medical acupuncture. Point categories and groups are explained including transport, alarm, and back transport points. The document also covers adjunctive techniques, the process for choosing treatment points, clinical efficacy research on conditions like pain and stroke, acupuncture theories, and safety.
This lecture provides an introduction to modern healthcare in the US. It defines key terms like health, healthcare, and healthcare systems. It describes different components of healthcare delivery including inpatient facilities like hospitals and outpatient facilities like physicians' offices. It also discusses the organization of the healthcare industry and different models of healthcare systems, ranging from public to private.
The document provides an introduction to physiotherapy including its definition, brief history, areas of practice, utility, and importance. Physiotherapy uses mechanical force, movement, manual therapy and other techniques to treat impairments, promote mobility and function. It has been practiced since ancient times and was further developed in the 19th century. Physiotherapy addresses various areas including orthopedics, neurology, geriatrics and more. It helps improve range of motion, manage pain, aid rehabilitation, and enhance quality of life.
Physiotherapy is an effective treatment for injuries and illnesses that uses scientifically-proven techniques. Physiotherapists are university-trained health professionals who are skilled in clinical reasoning and hands-on treatment approaches. They can help treat conditions like knee pain, back pain, sports injuries and more through techniques like exercises, manual therapy, electrical stimulation and acupuncture.
This document discusses integrating substance use disorder (SUD) treatment into patient-centered medical homes (PCMHs).
The key ideas are:
1) PCMHs are based on the chronic care model and focus on team-based care and care management.
2) SUDs are important for healthcare to address because they are prevalent, increase costs, and can cause or worsen other health conditions.
3) Integrating SUD treatment into PCMHs through approaches like behavioral health consultants in primary care, medication-assisted therapies, and on-site SUD services can improve health outcomes and reduce costs.
The document provides an overview of pain management in Traditional Chinese Medicine (TCM). It discusses the history and philosophies of TCM, including Yin-Yang theory and the five elements theory. It also describes TCM diagnostic techniques like pulse and tongue diagnosis. Key TCM concepts for pain like Qi, meridians, acupuncture points and bi syndromes are explained. The mechanisms of acupuncture for pain relief like the gate control theory and endorphin theory are summarized. Clinical applications of acupuncture for various pain conditions like headaches, arthritis and low back pain are also covered.
The study evaluated the success of an intervention in Eastern Visayas, Philippines to strengthen mental health services following Typhoon Haiyan. [1] Between 2014-2015, 1038 community workers were trained in psychosocial support and 290 healthcare providers received mental health training and supervision. [2] By March 2015, 97.5% of primary care units and 87.5% of district hospitals had trained providers, benefiting 50-200 patients each. [3] Regional hospitals added psychiatric beds and provincial hospitals established acute care capacity, improving availability across all levels of care.
The pharmaceutical industry has made it very difficult to know what the clinical trial evidence is regarding psychotropics. As a consequence, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence-based prescriptive practice. BARRY DUNCAN and DAVID ANTONUCCIO call for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. The authors assert that current prescribing practices are often empirically unsound and unduly influenced by pharmaceutical company interests, resulting in unnecessary risks to patients. In the spirit of evidenced-based medicine’s inclusion of patient values as well as the movement toward health home and integrated care, a patient bill of rights for psychotropic prescription is presented. Guidelines are offered to raise the bar of care equal to the available science for all prescribers of psychiatric medications. This is a Psychotherapy in Australia reprint of an earlier article.
Click here for a video of the presentation http://heartandsoulofchange.com/content/resources/viewer.php?resource=video&id=97
Click here for a pdf of the slides: http://heartandsoulofchange.com/content/resources/viewer.php?resource=handout&id=127
This document provides an overview of acupuncture presented by multiple presenters. It discusses the channel and network theory, the 12 regular channels and 8 extraordinary vessels, functions of channels and networks, and styles and systems of acupuncture including Chinese, Japanese, Korean, and Western medical acupuncture. Point categories and groups are explained including transport, alarm, and back transport points. The document also covers adjunctive techniques, the process for choosing treatment points, clinical efficacy research on conditions like pain and stroke, acupuncture theories, and safety.
This document discusses emerging pharmacological and non-pharmacological aspects in pain management. It notes that multimodal analgesia using combinations of drugs targeting different pain pathways can provide improved pain relief with reduced side effects compared to single drugs. Newer drugs targeting specific receptor subtypes are emerging. Non-invasive options such as topical agents, exercise, and interventional techniques are increasingly utilized before more invasive options. Interventional pain management techniques discussed include injections, neurolysis, and spinal cord stimulation.
Body Balance "The Holistic Homeostatis" for Instant Pain Relief.SRIKRISHAN Sharma
To promote (SEEEQ) Safety, Education, Efficacy, Efficiency, Quality, of Holistic Health Care Systems through cost effective TCAM, Integrative medicine, Complementary & Alternative medicine, Indigenous, Traditional Medicine and Wellness Services we have designed, promogated and developed wonderful healing system “Body Balance”. The Homeostasis in a general sense which, refers to stability, balance or equilibrium. It is the body's attempt to maintain a constant internal environment which requires constant monitoring and adjustments as conditions change outside the body. This adjusting of physiological systems within the body is called homeostatic regulation. The Most Important in Life e is Balance. Balance of Inner and Outer Side of You. Balance refers to an optimum state of mind between calm and alert.
Sir, with our efforts we have designed unique Balancing System covering all the universal Manipulative and body-based systems are divided into three subcategories; (i) chiropractic, sacrum- spinal manipulation; (ii) massage and body work (osteopathic manipulative therapy. kinesiology, reflexology, Alexander technique, rolling, Chinese tui na massage and acupressure), and (iii) unconventional physical therapies (hydro therapy, colonies, diathermy, light and color therapy. heat and electrotherapy, trigger point therapy). Once the Balance is done pain immediately reduces and “Energy and persistence conquer all things in a Balancing State”.
For the country like India this is unique therapy without any additional burden on the pockets and can be integrated or complemented for both the conventional and indigenous system of medicines. All the existing creed of doctor can be up-graded to this new skill for instant relief & better results.
Acupuncture is an ancient Chinese medical practice with a scientific basis. Traditional Chinese Medicine views the body as having meridians and qi that acupuncture can influence to promote health and treat illness. Recent biomedical research shows acupuncture may work through peripheral sensory stimulation and modulating pain pathways in the central nervous system. Theories on how acupuncture relieves pain include stimulating the release of endogenous opioids, blocking pain transmission, vasodilation effects, and autonomic nervous system regulation.
This document discusses a study on the effectiveness of slow back massage on sleep quality among intensive care unit (ICU) patients. The study used a non-equivalent pre-test post-test control group design with 60 patients divided into a control group and experimental group. The experimental group received 10-12 minutes of slow back massage nightly for 3 consecutive nights while in the ICU, while the control group received normal night nursing care without massage. Sleep quality was assessed before and after using a standardized scale. The results showed that the massage therapy helped induce sleep and improve sleep quality among the ICU patients compared to the control group.
The document discusses two different architectures - the current architecture and a goal state architecture. The current architecture lacks integration between different care settings. The goal state architecture aims to improve integration through a shared patient record, standardized clinical data exchange, and defined care pathways that can manage patient cases across different care settings. It outlines strategies like enabling integrated healthcare services, adopting health infocomm technologies, and connecting core health systems to support the goal state architecture.
Acupuncture, a therapeutic modality of the 2000+ year traditional Chinese medicine (TCM) toolkit, is getting greater recognition for the management of chronic pain syndromes without the use of narcotic drugs like opioids. Modern scientific perspectives, using both thermodynamics and engineering paradigms, help us think of the body at the systems level. These concepts will help us understand and integrate this whole system of medicine (NIH) in contemporary Western healthcare.
TCM therapeutics, an ancient integrative system of medicine, is best utilized from a systems level perspective that includes Body and Mind.
Please contact the clinic if you would like to hear more about these options at your organization or conference.
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
ISS Service Innovation Leadership Seminar, 28 March - Mrs Chew Kwee TiangNUS-ISS
ISS Service Innovation Leadership Seminar, 28 March - "Design Thinking and Service Innovation - The Khoo Teck Puat Hospital's Journey" by Mrs Chew Kwee Tiang, CEO, Khoo Tech Puat Hospital
Psychosocial interventions for fatigue during cancer treatment with palliativ...Maja Miljanović
Psychosocial interventions aim to reduce fatigue in cancer patients receiving palliative treatment through changing cognitions, emotions, behaviors, and social interactions. Such interventions include cognitive behavioral therapy, coping skills training, mindfulness, and psychoeducation. They teach patients to change thoughts, actions, or feelings related to symptoms. While psychosocial interventions show promise for managing cancer-related fatigue, it remains unclear if they are effective for patients receiving palliative cancer treatment specifically. This review will evaluate evidence from randomized controlled trials on the effectiveness of psychosocial interventions for reducing fatigue in patients with incurable cancer receiving palliative cancer treatment.
The document discusses electroacupuncture (EA), which applies small electrical currents to acupuncture needles inserted at specific points. It provides an overview of the history, mechanisms, efficacy, and safety of EA for pain management based on clinical studies and research findings. EA is shown to be an effective treatment for various types of pain, including chronic pain, musculoskeletal pain, and neuropathic pain.
This document outlines the complementary therapy policy for the Lodge Cancer Support & Information Centre. It defines the therapies provided (massage, aromatherapy, reflexology) and sets standards for practitioner qualifications and registration. Guidelines are established for safe practice, including obtaining patient consent and monitoring for contraindications. Precautions are specified for different cancer treatments and medical conditions. The policy aims to enhance support services safely and promote well-being for patients and carers.
RIWC_PARA_A185 icf, rehabilitation, health system, health policy and outcome ...Marco Muscroft
1. The document discusses the World Health Organization's (WHO) shift towards focusing on optimal functioning using the International Classification of Functioning, Disability and Health (ICF) as a framework.
2. It provides an overview of the ICF and recommendations for its clinical implementation, including establishing assessment schedules, using core sets and data collection tools, and reporting data in a standardized metric.
3. National rehabilitation societies are called to join international efforts led by WHO and the International Society of Physical and Rehabilitation Medicine to systematically implement the ICF in clinical practice and rehabilitation services.
This document discusses integrative medicine and its principles. It defines integrative medicine as patient-centered care that uses both conventional and alternative therapies. The document outlines the history of complementary and alternative medicine in the US healthcare system. It was largely pushed out after the Flexner Report in 1910 but continued growing. The document discusses the principles of integrative medicine, which include treating the whole person, using natural therapies when possible, and emphasizing prevention and health promotion. It provides a case study of how integrative medicine helped an 18-year-old with persistent headaches by addressing physical and lifestyle factors. The document advocates for a healthcare system grounded in these integrative principles.
This three-paragraph summary provides an overview of Sandhills Endoscopy Center's pain management policy:
The policy establishes a multi-disciplinary, patient-centered approach to pain management. It defines guiding principles that include commitment to the best level of pain control safely provided and acceptance of ethical responsibilities to manage and relieve pain.
The policy recognizes patients' rights to pain relief and management. It outlines assessment and treatment procedures, including discussing pain expectations pre-and-post procedures, monitoring pain levels, and using 0-10 or Wong-Baker scale tools to rate intensity.
Specific assessment includes location, intensity, character, and onset of pain. Effectiveness of treatment regimens is also evaluated to continually manage
This document summarizes a study investigating the efficacy of stimulating acupuncture points known as Jing-Well points. The study reviewed 35 studies published between 2001-2012 focusing on the clinical applications and mechanisms of Jing-Well point stimulation. The evidence found that stimulating various Jing-Well points can effectively treat conditions such as stroke, persistent vegetative state, respiratory infections, gynecological issues, and more. However, the authors call for more high-quality randomized controlled trials to improve the level of evidence regarding their effectiveness and safety.
Accenture-Singapore-Journey-to-Build-National-Electronic-Health-Record-SystemDr.Nilesh Sudam B
Singapore has embarked on a journey to build a National Electronic Health Record (NEHR) system to provide common access to medical information for its population. The NEHR project focused initially on "Continuity of Care" by developing a view-only system with clinical events, reports, alerts and records. The project addressed challenges like managing data from diverse sources and engaging clinicians. It took a disciplined approach to governance, operations, and a simple initial phase to lay the groundwork for more advanced capabilities in the future.
This document discusses medical acupuncture and its use in modern medicine. It provides background on acupuncture including its origins in ancient India and China. The document explains how acupuncture works based on Chinese concepts of qi and meridians. It outlines indications for acupuncture in treating various conditions and compares its effectiveness to drug therapies with fewer side effects. The document also discusses complications, limitations, and appropriate practitioners of acupuncture when used as a branch of medicine.
This document discusses the relationship between medical and wellness approaches to health. It notes that prevention is better than cure and that wellness considers total health, including mental and physical health through lifestyle. Wellness is becoming more evidence-based and uses natural products and services. The document compares western preventative wellness approaches to eastern European curative models and notes countries like the UK emphasize alternative therapies while Hungary relies more on traditional medicine. Overall it argues that wellness and medical tourism are large industries that are converging to focus more on prevention, longevity and total health.
El documento presenta un orden de prioridades para el entrenamiento físico, colocando primero la velocidad y resistencia máxima, seguido de saltos y fuerza, luego técnica rápida y resistencia anaeróbica, y finalmente resistencia aeróbica.
The document analyzes contents pages from VIBE magazine. It notes that the contents pages have a consistent simple yet sophisticated style across issues with full bleed images, plain backgrounds, and section headings. The full bleed images of artists are used to attract readers to feature articles. The fonts and lack of colors suggest the magazine is aimed at older, sophisticated readers.
This document discusses emerging pharmacological and non-pharmacological aspects in pain management. It notes that multimodal analgesia using combinations of drugs targeting different pain pathways can provide improved pain relief with reduced side effects compared to single drugs. Newer drugs targeting specific receptor subtypes are emerging. Non-invasive options such as topical agents, exercise, and interventional techniques are increasingly utilized before more invasive options. Interventional pain management techniques discussed include injections, neurolysis, and spinal cord stimulation.
Body Balance "The Holistic Homeostatis" for Instant Pain Relief.SRIKRISHAN Sharma
To promote (SEEEQ) Safety, Education, Efficacy, Efficiency, Quality, of Holistic Health Care Systems through cost effective TCAM, Integrative medicine, Complementary & Alternative medicine, Indigenous, Traditional Medicine and Wellness Services we have designed, promogated and developed wonderful healing system “Body Balance”. The Homeostasis in a general sense which, refers to stability, balance or equilibrium. It is the body's attempt to maintain a constant internal environment which requires constant monitoring and adjustments as conditions change outside the body. This adjusting of physiological systems within the body is called homeostatic regulation. The Most Important in Life e is Balance. Balance of Inner and Outer Side of You. Balance refers to an optimum state of mind between calm and alert.
Sir, with our efforts we have designed unique Balancing System covering all the universal Manipulative and body-based systems are divided into three subcategories; (i) chiropractic, sacrum- spinal manipulation; (ii) massage and body work (osteopathic manipulative therapy. kinesiology, reflexology, Alexander technique, rolling, Chinese tui na massage and acupressure), and (iii) unconventional physical therapies (hydro therapy, colonies, diathermy, light and color therapy. heat and electrotherapy, trigger point therapy). Once the Balance is done pain immediately reduces and “Energy and persistence conquer all things in a Balancing State”.
For the country like India this is unique therapy without any additional burden on the pockets and can be integrated or complemented for both the conventional and indigenous system of medicines. All the existing creed of doctor can be up-graded to this new skill for instant relief & better results.
Acupuncture is an ancient Chinese medical practice with a scientific basis. Traditional Chinese Medicine views the body as having meridians and qi that acupuncture can influence to promote health and treat illness. Recent biomedical research shows acupuncture may work through peripheral sensory stimulation and modulating pain pathways in the central nervous system. Theories on how acupuncture relieves pain include stimulating the release of endogenous opioids, blocking pain transmission, vasodilation effects, and autonomic nervous system regulation.
This document discusses a study on the effectiveness of slow back massage on sleep quality among intensive care unit (ICU) patients. The study used a non-equivalent pre-test post-test control group design with 60 patients divided into a control group and experimental group. The experimental group received 10-12 minutes of slow back massage nightly for 3 consecutive nights while in the ICU, while the control group received normal night nursing care without massage. Sleep quality was assessed before and after using a standardized scale. The results showed that the massage therapy helped induce sleep and improve sleep quality among the ICU patients compared to the control group.
The document discusses two different architectures - the current architecture and a goal state architecture. The current architecture lacks integration between different care settings. The goal state architecture aims to improve integration through a shared patient record, standardized clinical data exchange, and defined care pathways that can manage patient cases across different care settings. It outlines strategies like enabling integrated healthcare services, adopting health infocomm technologies, and connecting core health systems to support the goal state architecture.
Acupuncture, a therapeutic modality of the 2000+ year traditional Chinese medicine (TCM) toolkit, is getting greater recognition for the management of chronic pain syndromes without the use of narcotic drugs like opioids. Modern scientific perspectives, using both thermodynamics and engineering paradigms, help us think of the body at the systems level. These concepts will help us understand and integrate this whole system of medicine (NIH) in contemporary Western healthcare.
TCM therapeutics, an ancient integrative system of medicine, is best utilized from a systems level perspective that includes Body and Mind.
Please contact the clinic if you would like to hear more about these options at your organization or conference.
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
ISS Service Innovation Leadership Seminar, 28 March - Mrs Chew Kwee TiangNUS-ISS
ISS Service Innovation Leadership Seminar, 28 March - "Design Thinking and Service Innovation - The Khoo Teck Puat Hospital's Journey" by Mrs Chew Kwee Tiang, CEO, Khoo Tech Puat Hospital
Psychosocial interventions for fatigue during cancer treatment with palliativ...Maja Miljanović
Psychosocial interventions aim to reduce fatigue in cancer patients receiving palliative treatment through changing cognitions, emotions, behaviors, and social interactions. Such interventions include cognitive behavioral therapy, coping skills training, mindfulness, and psychoeducation. They teach patients to change thoughts, actions, or feelings related to symptoms. While psychosocial interventions show promise for managing cancer-related fatigue, it remains unclear if they are effective for patients receiving palliative cancer treatment specifically. This review will evaluate evidence from randomized controlled trials on the effectiveness of psychosocial interventions for reducing fatigue in patients with incurable cancer receiving palliative cancer treatment.
The document discusses electroacupuncture (EA), which applies small electrical currents to acupuncture needles inserted at specific points. It provides an overview of the history, mechanisms, efficacy, and safety of EA for pain management based on clinical studies and research findings. EA is shown to be an effective treatment for various types of pain, including chronic pain, musculoskeletal pain, and neuropathic pain.
This document outlines the complementary therapy policy for the Lodge Cancer Support & Information Centre. It defines the therapies provided (massage, aromatherapy, reflexology) and sets standards for practitioner qualifications and registration. Guidelines are established for safe practice, including obtaining patient consent and monitoring for contraindications. Precautions are specified for different cancer treatments and medical conditions. The policy aims to enhance support services safely and promote well-being for patients and carers.
RIWC_PARA_A185 icf, rehabilitation, health system, health policy and outcome ...Marco Muscroft
1. The document discusses the World Health Organization's (WHO) shift towards focusing on optimal functioning using the International Classification of Functioning, Disability and Health (ICF) as a framework.
2. It provides an overview of the ICF and recommendations for its clinical implementation, including establishing assessment schedules, using core sets and data collection tools, and reporting data in a standardized metric.
3. National rehabilitation societies are called to join international efforts led by WHO and the International Society of Physical and Rehabilitation Medicine to systematically implement the ICF in clinical practice and rehabilitation services.
This document discusses integrative medicine and its principles. It defines integrative medicine as patient-centered care that uses both conventional and alternative therapies. The document outlines the history of complementary and alternative medicine in the US healthcare system. It was largely pushed out after the Flexner Report in 1910 but continued growing. The document discusses the principles of integrative medicine, which include treating the whole person, using natural therapies when possible, and emphasizing prevention and health promotion. It provides a case study of how integrative medicine helped an 18-year-old with persistent headaches by addressing physical and lifestyle factors. The document advocates for a healthcare system grounded in these integrative principles.
This three-paragraph summary provides an overview of Sandhills Endoscopy Center's pain management policy:
The policy establishes a multi-disciplinary, patient-centered approach to pain management. It defines guiding principles that include commitment to the best level of pain control safely provided and acceptance of ethical responsibilities to manage and relieve pain.
The policy recognizes patients' rights to pain relief and management. It outlines assessment and treatment procedures, including discussing pain expectations pre-and-post procedures, monitoring pain levels, and using 0-10 or Wong-Baker scale tools to rate intensity.
Specific assessment includes location, intensity, character, and onset of pain. Effectiveness of treatment regimens is also evaluated to continually manage
This document summarizes a study investigating the efficacy of stimulating acupuncture points known as Jing-Well points. The study reviewed 35 studies published between 2001-2012 focusing on the clinical applications and mechanisms of Jing-Well point stimulation. The evidence found that stimulating various Jing-Well points can effectively treat conditions such as stroke, persistent vegetative state, respiratory infections, gynecological issues, and more. However, the authors call for more high-quality randomized controlled trials to improve the level of evidence regarding their effectiveness and safety.
Accenture-Singapore-Journey-to-Build-National-Electronic-Health-Record-SystemDr.Nilesh Sudam B
Singapore has embarked on a journey to build a National Electronic Health Record (NEHR) system to provide common access to medical information for its population. The NEHR project focused initially on "Continuity of Care" by developing a view-only system with clinical events, reports, alerts and records. The project addressed challenges like managing data from diverse sources and engaging clinicians. It took a disciplined approach to governance, operations, and a simple initial phase to lay the groundwork for more advanced capabilities in the future.
This document discusses medical acupuncture and its use in modern medicine. It provides background on acupuncture including its origins in ancient India and China. The document explains how acupuncture works based on Chinese concepts of qi and meridians. It outlines indications for acupuncture in treating various conditions and compares its effectiveness to drug therapies with fewer side effects. The document also discusses complications, limitations, and appropriate practitioners of acupuncture when used as a branch of medicine.
This document discusses the relationship between medical and wellness approaches to health. It notes that prevention is better than cure and that wellness considers total health, including mental and physical health through lifestyle. Wellness is becoming more evidence-based and uses natural products and services. The document compares western preventative wellness approaches to eastern European curative models and notes countries like the UK emphasize alternative therapies while Hungary relies more on traditional medicine. Overall it argues that wellness and medical tourism are large industries that are converging to focus more on prevention, longevity and total health.
El documento presenta un orden de prioridades para el entrenamiento físico, colocando primero la velocidad y resistencia máxima, seguido de saltos y fuerza, luego técnica rápida y resistencia anaeróbica, y finalmente resistencia aeróbica.
The document analyzes contents pages from VIBE magazine. It notes that the contents pages have a consistent simple yet sophisticated style across issues with full bleed images, plain backgrounds, and section headings. The full bleed images of artists are used to attract readers to feature articles. The fonts and lack of colors suggest the magazine is aimed at older, sophisticated readers.
Digital stories are short videos that allow people to share personal experiences through a combination of images, music, narrative and voice. They are typically 3-5 minutes long and focus on a specific moment, relationship or incident in someone's life. Digital stories have been used in classrooms and communities to help people connect through sharing their personal stories in a creative digital format.
Un mainframe es un computador de alta capacidad diseñado para tareas computacionales intensivas, que suele tener varios usuarios conectados a través de terminales. Los mainframes más potentes, llamados supercomputadoras, realizan cálculos muy complejos y que requieren mucho tiempo.
Este documento proporciona definiciones y descripciones breves de varias aplicaciones y sitios web populares de Web 2.0 como SlideShare, Cameroid, PizaP, Flickr, Twitter, WordPress, YouTube, Gmail, LiveJournal. Explica sus funciones principales y cómo pueden usarse.
El documento define el término Web 2.0 como sitios web que facilitan el compartir información, la interoperabilidad, el diseño centrado en el usuario y la colaboración entre usuarios. Ejemplos incluyen comunidades web, redes sociales, blogs y wikis. El término Web 2.0 está asociado con una conferencia de 2004 y se refiere a cambios en cómo los desarrolladores y usuarios usan la Web, más que una actualización técnica.
Este documento resume los tipos de mantenimiento de computadores, incluyendo mantenimiento preventivo, que se enfoca en la conservación del equipo a través de revisiones y reparaciones para garantizar un buen funcionamiento, y mantenimiento correctivo, que corrige defectos u averías encontradas. También describe los roles de componentes clave como el disco duro para almacenar información de manera permanente, la memoria RAM para cargar instrucciones del procesador de manera temporal, y dispositivos ópticos como CD-ROM, CD-RW y DVD para almacenar
Instituto de educación superior tecnológico privadoDani Cordova
Este documento presenta un diagrama del corazón humano y sus principales partes, incluyendo la aurícula izquierda, la arteria pulmonar, la aorta, el ventrículo derecho, la vena cava inferior y la vena cava superior.
Workflow Tool für den SAP Workflow Engine Produktpräsentation inPuncto GmbH
Handhabungstool für den SAP Workflow zur Unterstützung von dokumentenbasierten
Geschäftsprozessen in SAP. Prüfung und Freigabe von Dokumenten auch für Nicht - SAP - Anwender. Unterschiedlichste Dokumente wie z.B. Rechnungen, Bestellungen / Banf, Lieferscheine, Wareneingangsbescheinigungen, Auftragsbestätigungen, etc.
A questionnaire about interest in a potential Grime music magazine had the following key results:
- Most respondents were interested in reading about Grime music and buying a Grime magazine.
- £1.50 and £2 were the most popular amounts people would pay for the magazine.
- Monthly was the most popular magazine release frequency.
- "Riddim 'Ting" was the most suitable proposed magazine name.
El documento discute los argumentos a favor y en contra de celebrar el Halloween. A favor, menciona que es un día especial para que los niños se disfracen y recolecten dulces, lo que los llena de satisfacción. Sin embargo, también señala que puede ser contraproducente debido al alto consumo de azúcar y dulces que conlleva riesgos para la salud, y que la celebración requiere gastos que disminuyen los recursos monetarios.
El documento habla sobre los perros y gatos como los mejores compañeros de vida debido a su fidelidad y amor incondicional. Citas de Mark Twain y otros enfatizan que los perros son leales y brindan consuelo y alegría a los humanos.
El documento trata sobre la globalización, la educación y el uso de las tecnologías de la información y comunicación (TIC) en la enseñanza. Explica que las TIC son fundamentales en la sociedad actual y deben integrarse en todos los niveles educativos para formar ciudadanos con competencias digitales. También describe diferentes teorías del aprendizaje como el conductismo, cognitivismo, constructivismo y conectivismo y cómo cada una explica cómo se produce el aprendizaje.
La tecnología educativa es el resultado de diferentes concepciones y teorías educativas para resolver problemas de enseñanza mediante el uso de tecnologías de información y comunicación. Consta de modelos de instrucción con cuatro elementos: objetivos, estrategias didácticas, materiales y evaluación. El uso de recursos tecnológicos mejora la calidad de la educación al proporcionar experiencias concretas que aumentan el interés y aprendizaje permanente de los estudiantes.
OPORTUNIDAD LABORAL - CONTRATACIÓN COORDINADOR/A TÉCNICO DE PROYECTOSInvierto En Niñez
Este documento describe un puesto de Coordinador/a Técnico/a de Proyectos en la organización Intervida. Los principales deberes del puesto incluyen apoyar la ejecución de proyectos de desarrollo sostenible, monitorear y dar seguimiento a las acciones, facilitar el buen desarrollo de los proyectos, coordinar equipos de trabajo, y establecer relaciones interinstitucionales. Se requiere licenciatura universitaria, experiencia en gestión de proyectos, planificación estratégica y coordinación
This song is about a calf lamenting its fate compared to a free flying swallow. The calf sees the swallow winging through the sky and wishes it had wings too. The farmer tells the calf to stop complaining and that it was meant to be a calf without wings. The song expresses that calves are easily slaughtered without understanding why, while those that value freedom learn to fly like the swallow.
Este documento define la logística y la distribución. Explica que la logística optimiza los procesos desde la adquisición de materias primas hasta la entrega al cliente, e involucra procesos como etiquetado, empaque, transporte, almacenamiento y distribución. También describe los tipos de transporte logístico internacional y los canales de distribución para productos industriales y de consumo.
Consensus Guidelines For The Management Of Chronic Pelvic PainEliana Cordero
The document provides clinical practice guidelines from the Society of Obstetricians and Gynaecologists of Canada (SOGC) for the management of chronic pelvic pain (CPP). It includes:
1) An overview of CPP, including its burden and complex multifactorial causes.
2) Recommendations across various areas of CPP management, including general assessment, myofascial pain, medications, imaging, and multidisciplinary care.
3) Evidence and guidelines related to specific sources of CPP, such as endometriosis, adnexal torsion, hysterectomy, and interstitial cystitis.
4) Emphasis on the need for improved education of healthcare professionals and research
This document discusses evidence-based practice (EBP) and its application to a case study of a patient with diabetic peripheral neuropathy. It begins by defining EBP and outlining its key principles. It then presents the case study, formulating the clinical question using the PICO framework. It describes searching relevant literature databases using search terms derived from the PICO elements to address the clinical question. The goal is to evaluate pharmacological and alternative treatments like acupuncture for diabetic peripheral neuropathy based on the best available evidence.
Learning outcome 1The chronicity of COPD allows for self manage.docxaryan532920
Learning outcome 1
The chronicity of COPD allows for self management by sufferers. (Spencer & Barcomb 2014). The self management goal is reduced hospital admissions and improved life quality (Bedra et al 2013). Sufferers should have access to a wide range of skills available from the multidisciplinary team. Those include exacerbation limitation, respiratory failure, chronic productive cough and anxiety and depression.
Symptom Recognition.
Patients discharged from hospital are susceptible to readmission (Bedra et al 2013). Understanding the condition and knowing when they are having an exacerbation is imperative for self management, and what to do in the given circumstances, and when and what medication to take, or realise they need hospital treatment.
Treatment.
The main form of treatments comes from inhaled therapies and explained below would be when they would be administered and their understandings are a major factor in self management.
For breathlessness and exercise limitations: A short acting Beta2 agonist (as required) or short acting muscarinic antagonist (as required).
For exacerbations or persistent breathlessness: A long acting beta2 agonist, long acting muscarinic antagonist, to – long acting beta2 agonist + inhaled corticosteroid (Combination Inhaler) OR a long acting muscarinic antagonist (must discontinue short acting antagonist once this is commenced).
(Remember if using Corticosteroids, this has no evidence of long terms benefits).
If experiencing persistent exacerbations or breathlessness. Long acting Muscarinic antagonist + long acting beta2 agonist and inhaled corticosteroid (combined inhaler).
Niesters et al, (2012) describe how oxygen therapy can also be used, but awareness of inappropriate oxygen therapy with COPD patients is imperative as this can cause respiratory depression.
Self Monitoring.
The British Thoracic Society (BTS) have identified five high impact actions that can improve outcomes for people being discharged after an acute exacerbation of COPD. The form is a quick way of identifying patients need for those interventions, ensuring their needs are met. The aim is for lessened hospital readmission rates with self monitoring patients. The five actions are;
Review of medication and demonstration of inhalers they will be using.
Provide a written Self Management plan and Emergency drug pack.
Asses and offer referral for smoking sensation.
Assess for suitability for pulmonary rehab.
Arrange a follow up call within 72 hours of discharge.
Educational Interventions.
Reardon et al, (2005) explain pulmonary rehabilitation as programs which work with patients to help manage their condition, muscle strength, ability to cope with their disease, help with social requirements as people can become quite isolated.
Test includes incremental shuttle walk a 10 metre course, consecutive runs, each time getting faster, measured how far they got, will give idea of what they can endure on the exercise programme th ...
This document discusses integrated primary care models for delivering behavioral health services. It reviews literature showing that treating behavioral health disorders can reduce overall healthcare costs. While most people receive mental health care from primary care physicians, integrated models aim to better coordinate behavioral health specialists with primary care teams. The document explores a variety of integrated models and the roles of behavioral health consultants in providing brief, targeted interventions to support primary care providers in treating behavioral health issues.
The document summarizes an interview with Dr. Alexander Nesbitt, a physician who transitioned from family practice to focus full-time on hospice and palliative care. He helped establish palliative care services at a hospital and opened an inpatient hospice. This required convincing administrators of the benefits and assembling different parts of the practice over time. The interview discusses how he built his practice and makes the case for hospice and palliative care services.
This document discusses the role of physiotherapists in primary health care. It defines what a physiotherapist is and outlines their training. Physiotherapists can provide services across various areas like chronic disease management, falls prevention, and treatment of musculoskeletal issues. Integrating physiotherapists into primary care teams has benefits like increased patient and physician satisfaction, decreased wait times, and reduced costs compared to specialist care. The document provides examples of physiotherapists' roles in assessing and managing issues like diabetes, arthritis, obesity, incontinence and more. It also discusses evidence supporting physiotherapists' integration into primary health care in Ontario.
This document provides an overview of a handbook for chronic disease management in Saskatchewan. It discusses three models that are used together in the collaborative - a learning model, the model for improvement, and the chronic care model. The vision is to improve care and health for those with coronary artery disease and diabetes, as well as access to physician practices. The mission is to help healthcare professionals deliver sustainable improvements in chronic disease care through quality improvement methods.
Chapter 5
Subacute and
Postacute Care
Learning Objectives
1. Define and describe subacute
and postacute care
2. Identify where subacute care fits
in the continuum of care
3. Identify sources of financing for
subacute care
Learning Objectives (continued)
4. Identify and describe regulations
affecting subacute care
5. Identify and discuss ethical issues
affecting subacute care
6. Identify trends affecting subacute
care for the near future and the
impact of those trends
What is Postacute Care?
Postacute care:
Improves transition from hospital to
the community
Provides services to patients needing
additional support following
discharge from the hospital
Postacute Care Providers
Include:
Inpatient rehabilitation facilities
Long-term care hospitals
Skilled nursing facilities
Home health agencies
What is Subacute Care?
Comprehensive inpatient care
Comes after, or instead of, acute care
Between acute and long-term care
Usually for a defined period of time
Developed largely for cost savings
Philosophy of Care
Four types:
Transitional
General
Chronic
Long-term transitional
Ownership of Subacute Facilities
Mostly freestanding SNFs (two-thirds)
• Rehabilitation focus
Hospital-based
• Medical focus
Many owned by corporate chains
Services Provided
• Rehabilitation • Chemotherapy
• Physical therapy • Parenteral nutrition
• Occupational therapy • Dialysis
• Respiratory therapy • Pain management
• Cardiac rehabilitation • Complex medical care
• Speech therapy • Wound management
• Postsurgical care• Ventilation care
• Other specialty care
Care Planning
Focus on quality of care and outcomes
Initial assessment
Interdisciplinary team
Weekly team conferences
Ongoing evaluation
Case Management
Focus on efficiency, cost-effectiveness
Manage resources to optimize outcomes
at lowest cost
Case managers may be:
• “External” – hired by payer
• “Internal” – hired by provider
Consumers of Subacute Care
Post hip-replacement surgery
Spinal cord or brain injuries
Strokes
Cancer
AIDS
Wounds
Cardiac recovery
Respiratory ventilation
I.V. therapy or feedings
Market Forces
Cost-saving efforts
Managed care
Choice
Regulations
Purpose of regulations:
Care is safe and of high quality
Care is not unnecessarily expensive
Services are uniformly accessible
Rights of workers are protected
Types of Regulations
Medicare
OBRA
Other – similar to other providers
Accreditation
Joint Commission
CARF International
NCQA
Financing Subacute Care
Reimbursement Sources:
Medicare – two-thirds
• Pays as SNF
Other third:
• Managed care
• Medicaid
• Private insurance, self-pay, and other
Staffing
Interdisciplinary team:
Program administrator
Physicians
Nursing
Other professional staff
Nonlicensed staff
Legal and Ethical Issues
Meeting regulations
Liability issues
Management Qualifications
Licensed by the s ...
Plenary Sue Hill and Robert Winter - Improving outcomes for people with respi...NHS Improvement
Improving outcomes for people with respiratory disease: Keeping up the momentum
Professor Sue Hill and Dr Robert Winter
Joint National Clinical Directors for Respiratory Disease
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
Diagnoses and visit length in complementary and mainstream medicinehome
CM physicians diagnosed different complaints than mainstream GPs. In CM practices, general problems like fatigue, allergic reactions and infections were diagnosed more often. Psychological problems and nervous system issues were also more frequent. Each CM specialty focused on specific areas: acupuncturists saw more musculoskeletal issues, homeopaths more skin problems, and naturopaths more gastrointestinal issues. CM visits were at least twice as long as GP visits, suggesting ample time for patients is an attractive feature of CM.
The British National Health Service (NHS) is often criticized in politically funded US television ads as an example of a "socialized" healthcare system that the US should avoid. However, the UK spends less per capita on healthcare than the US and has achieved better health outcomes through a focus on primary care. Key strengths of the NHS include its universal coverage, cost controls, and emphasis on preventative care and management of chronic conditions in the community through strong primary care practitioners. The US could learn from these aspects of the NHS as it reforms its own healthcare system.
This document summarizes evidence from randomized controlled trials on the use of complementary health approaches for pain management in the United States. It examines trials of acupuncture, massage therapy, osteopathic manipulative therapy, relaxation techniques, natural supplements, tai chi, and yoga for managing chronic low back pain, osteoarthritis, neck pain, and headaches. The trials generally found modest benefits of these approaches for pain relief and functional improvement compared to usual care or placebo, with few reported adverse effects. Larger and longer trials are still needed to provide more definitive evidence.
The article discusses the impacts of the COVID-19 pandemic on physiatry and rehabilitation medicine. It highlights how physiatrists played a vital role in the front lines during the pandemic by converting rehabilitation units and innovating care delivery. However, the pandemic has also caused significant disruptions and stress for medical practices through reduced patient volumes, higher costs, and threats of reimbursement cuts from insurers and governments. Moving forward, physicians are questioning the level of support they will receive from their employers and the government given the sacrifices many have made during the pandemic.
This document discusses the new Allied Health Directorate at CETI which aims to provide leadership and coordination for clinical education and training of allied health professionals in NSW. It oversees 23 allied health disciplines and will develop resources to build capacity for allied health education. The directorate held a consultation forum with allied health leaders to inform its operational plan for 2011-2012 and will collaborate with stakeholders to meet education needs and support high quality patient care. It introduces the two new Allied Health Learning and Teaching Coordinators, Jacqueline Dominish and Daniella Pfeiffer, who have clinical experience in occupational therapy and social work, respectively.
This document discusses why costs for treating low back pain have not decreased despite increased understanding and recommendations for more conservative treatment approaches. It argues that one reason is the continued reinforcement of the belief that low back pain has a structural mechanical cause by various "hands-on" health care providers. While large-scale public education programs have attempted to change beliefs, they have had little influence on behaviors or costs. The document suggests more must be done to educate not just doctors but alternative providers about evidence-based best practices to truly reduce the economic burden of low back pain.
CONCEPT OF HOLISTIC AND CONTINUOUS CARE IN FAMILY PRACTICE - JAN 2016 1.pdfNouahOgar
This document outlines the key concepts of holistic and continuous care in family practice. It begins with defining holistic health care and family practice. It discusses the principles of holistic medical practice including viewing illness as more than just physical, the importance of prevention, and establishing trust with patients. It also covers traditional and alternative medicines, issues to consider for holistic care like attitudes, knowledge and circumstances, and factors that can undermine holistic care.
Community health nursing involves promoting health, preventing disease, and managing factors affecting health at the community level. It aims to raise the overall health status of populations. A community is defined as a group of people living in a specific geographical area with common characteristics or interests. Community health nursing utilizes the nursing process to provide care to individuals, families, population groups, and communities. It combines public health science with nursing skills and social assistance. The community is considered the patient, with the family as the unit of care.
This document summarizes a presentation on regenerative medicine from a European healthcare technology assessment perspective. It defines regenerative medicine and discusses the few treatments that have received regulatory approval in Europe so far, noting challenges with reimbursement. It also outlines issues healthcare technology assessors face with "cures" and potential ways forward like pay-for-performance and amortizing costs over time. The presentation concludes there is potential for regenerative medicine but high upfront costs pose barriers that innovative payment models may help address.
Similar to Article about me and Blossom in Primary Care Today!! (20)
CLASSIFICATION OF H1 ANTIHISTAMINICS-
FIRST GENERATION ANTIHISTAMINICS-
1)HIGHLY SEDATIVE-DIPHENHYDRAMINE,DIMENHYDRINATE,PROMETHAZINE,HYDROXYZINE 2)MODERATELY SEDATIVE- PHENARIMINE,CYPROHEPTADINE, MECLIZINE,CINNARIZINE
3)MILD SEDATIVE-CHLORPHENIRAMINE,DEXCHLORPHENIRAMINE
TRIPROLIDINE,CLEMASTINE
SECOND GENERATION ANTIHISTAMINICS-FEXOFENADINE,
LORATADINE,DESLORATADINE,CETIRIZINE,LEVOCETIRIZINE,
AZELASTINE,MIZOLASTINE,EBASTINE,RUPATADINE. Mechanism of action of 2nd generation antihistaminics-
These drugs competitively antagonize actions of
histamine at the H1 receptors.
Pharmacological actions-
Antagonism of histamine-The H1 antagonists effectively block histamine induced bronchoconstriction, contraction of intestinal and other smooth muscle and triple response especially wheal, flare and itch. Constriction of larger blood vessel by histamine is also antagonized.
2) Antiallergic actions-Many manifestations of immediate hypersensitivity (type I reactions)are suppressed. Urticaria, itching and angioedema are well controlled.3) CNS action-The older antihistamines produce variable degree of CNS depression.But in case of 2nd gen antihistaminics there is less CNS depressant property as these cross BBB to significantly lesser extent.
4) Anticholinergic action- many H1 blockers
in addition antagonize muscarinic actions of ACh. BUT IN 2ND gen histaminics there is Higher H1 selectivitiy : no anticholinergic side effects
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
Home
Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
BBB and BCF
control the entry of compounds into the brain and
regulate brain homeostasis.
restricts access to brain cells of blood–borne compounds and
facilitates nutrients essential for normal metabolism to reach brain cells
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Allopurinol, a uric acid synthesis inhibitor acts by inhibiting Xanthine oxidase competitively as well as non- competitively, Whereas Oxypurinol is a non-competitive inhibitor of xanthine oxidase.
As the world population is aging, Health tourism has become vitally important and will be increased day by day. Because
of the availability of quality health services and more favorable prices as well as to shorten the waiting list for medical
services regionally and internationally. There are some aspects of managing and doing marketing activities in order for
medical tourism to be feasible, in a region called as clustering in a region with main stakeholders groups includes Health
providers, Tourism cluster, etc. There are some related and affecting factors to be considered for the feasibility of medical
tourism within this study such as competitiveness, clustering, Entrepreneurship, SMEs. One of the growth phenomenon
is Health tourism in the city of Izmir and Turkey. The model of five competitive forces of Porter and The Diamond model
that is an economical model that shows the four main factors that affect the competitiveness of a nation and its industries
in this study. The short literature of medical tourism and regional clustering have been mentioned.
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxFFragrant
There are many traditional Chinese medicine therapies to treat blocked fallopian tubes. And herbal medicine Fuyan Pill is one of the more effective choices.
“Environmental sanitation means the art and science of applying sanitary, biological and physical science principles and knowledge to improve and control the environment therein for the protection of the health and welfare of the public”.The overall importance of sanitation are to provide a healthy living environment for everyone, to protect the natural resources (such as surface water, groundwater, soil ), and to provide safety, security and dignity for people when they defecate or urinate .Sanitation refers to public health conditions such as drinking clean water, sewage treatment, etc. All the effective tools and actions that help in keeping the environment clean come under sanitation. Sanitation refers to public health conditions such as drinking clean water, sewage treatment. All the effective tools and actions that help in keeping the environment clean and promotes public health is the necessary in todays life.
Article about me and Blossom in Primary Care Today!!
1. 24 PrimaryCare TODAY November/December 2011
Complementary Therapy Clinical Focus Incorporating Complementary Therapy HIV Asthma Nutrition Diabetes
When commissioning complementary
By Maggy Wallace The report concluded by making it explicit that regulation in general, including both statutory and
more regulation was needed for this sector. And from voluntary regulation.
Much is currently being written about commissioning – but it appears not this report and subsequent associated activity arose CNHC now registers a range of practitioners qual-
everyone is entirely clear what it all entails. the CNHC, established with DH funding, as the
voluntary regulator for complementary healthcare
ified in a number of complementary disciplines. So
what does this mean as far as commissioning com-
W
ander around the net and definitions complementary healthcare? We would describe it practitioners in the UK. plementary healthcare is concerned? A very recent
abound: take your pick: the NHSACE as a collective approach to healthcare, that sits
example will help to illustrate quickly what CNHC
website (1) offers both narrow definitions: alongside allopathy, in offering choice and options The current picture
‘the cumulative effect of GP referral and prescribing for people with some healthcare problems. Often The HoL Report was published over 10 years ago. registration can mean in practice, with application
decisions’; and wider ones: ‘more about the decisions referred to as complementary therapies (and some- Table 1 shows the current picture for healthcare for commissioners.
made by the holders of public budgets whether and times as alternative), The House of Lords Science and
when to make or buy healthcare’. Doug Forbes of Technology Sixth Report in 2000 (4) classified what
The Institute of Commissioning Professionals puts was available then as follows:
it very simply, it is about ‘what to acquire’ (2). Group 1: Professionally organised alternative ther-
Another level of commissioning describes it is as apies ‘Principal disciplines which claim to have an
‘understanding how to achieve successful prevention, individual diagnostic approach and are considered
and working with patients in community settings the ‘big 5’ by most of the CAM world’. This includes
on the ongoing management of their long-term acupuncture, chiropractic, herbal medicine, home-
conditions’ (3). But there always appears to be a opathy and osteopathy.
caveat, neatly summed up by Julie Wood, National Group 2: Complementary therapies ‘Therapies
Lead for Clinical Commissioning, who talks about which are most often used to complement con-
‘fingers being crossed behind the system’s back’ in ventional medicine and do not purport to embrace
promising to deliver the Promised Land for the NHS. diagnostic skills’. This includes: Alexander Technique,
Certainly all seem to agree that it’s hard, including the aromatherapy, Bach and other flower remedies,
King’s Fund’s CEO Professor Chris Ham. body work therapies, including massage, counselling
stress therapies, hypnotherapy, meditation, reflexol-
How can CNHC help to simplify the com- ogy, shiatsu, healing, Maharishi Ayurvedic Medicine,
missioning of complementary healthcare? nutritional medicine, yoga.
The Complementary & Natural Healthcare Council Group 3: Alternative disciplines ‘Those which
(CNHC) was set up with Department of Health sup- purport to offer diagnostic information as well as
port to provide a national register of complementary treatments…which are indifferent to the scientific
healthcare practitioners. As such, we can help by principles of conventional medicine.’
giving commisioners accurate, timely and useful Group 3a: includes long established and tradi-
information on which to base their decisions in rela- tional systems of healthcare: eg: anthroposophi-
tion to commissioning complementary healthcare. To cal medicine, Ayuvedic medicine, Chinese herbal
find out how can we do that, read on. medicine, Eastern medicine, naturopathy, Traditional
It is clear that the complementary healthcare sec- Chinese Medicine.
tor is confusing. What is complementary healthcare? Group 3b: Other alternative disciplines ‘Other
Who does it? Who actually has an accurate picture alternative disciplines which lack any credible evi-
and how do I commission it? dence base’ eg: crystal therapy, dowsing, iridology,
Let’s start with a definitition of sorts.What is kinesiology, radionics.
Bowen Therapy: allowing chronic pain to roll off your back
• According to a report* out in September 2010 there are eight million chronic pain sufferers in Britain alone.
Most problems involve the back, which costs the nation £12.3billion annually, in health bills and lost productivity.
• Bowen Therapy is an alternative, natural, drug-free, non-invasive complementary therapy.
• A national study, carried out by The Bowen Therapy Professional Association (BTPA) in the summer of 2006, showed
that 95 per cent of back pain sufferers experienced either complete relief or a marked improvement, after a series of no
more than three Bowen treatments.
• The technique involves the therapist using only thumbs and fingers, to make gentle rolling movements over
muscles and tendons at precise points. It is believed that the moves send impulses to the brain to
trigger the body’s own healing systems. A gap of 5 to 10 days is recommended between Bowen sessions;
so that the body can process the subtle information it has been given.
• Short-term (acute) injury may be resolved in 1 – 3 Bowen treatments, while
• long-standing (chronic) conditions may require longer.
• As well as chronic back pain, Bowen Therapy can also help with a host of other health
• issues such as: frozen shoulders, sports injuries,whiplash, migraine, hay fever,
• asthma, IBS, fertility matters to name but a few.
• The Bowen Therapy Professional Association (BTPA) is the largest UK professional
association for qualified Bowen Therapists.
• For further information on Bowen Therapy, registered BTPA members in your area,
• how to become a BTPA member and/or testimonials visit www.bowen-therapy.co
• or call 0844 561 7173.
*The September 2010 report was sponsored by drugs giant, Pfizer
2. November/December 2011 PrimaryCare TODAY 25
Clinical Focus Incorporating Complementary Therapy HIV Asthma Nutrition Diabetes Complementary Therapy
healthcare – prepare for challenges
a Case Study meet this need and if these therapies are offered to recruit a ninth: “As a team we aim to provide
CNHC registrant Jane McGrath has gained sup- then practitioners must be properly registered. I feel evidence based high quality care and ensure patient
port from her local Primary Care Trust (PCT), that McGrath’s CNHC registration is really impor- safety. Within the recruitment we ask for CNHC
Mind and Enabled4Growth, which is run by tant in providing the service, as it gives the user a registration as this is assurance and safeguard of the
Leonard Cheshire Disability, to set up an innova- guarantee of quality.” professional qualification of the practitioner. We
tive new social enterprise in the London Borough James Coke, fundraiser for Hammersmith &
Fulham Action on Disability (HAFAD) agreed: “Jane work in tertiary care and also in the community
of Hammersmith & Fulham. Called ‘Blossom’, the
organisation provides what McGrath describes as worked with HAFAD on our summer fayre offering setting. It’s important for us to model best practice
registration can offer to commissioners: viz: assur-
‘high end’ complementary therapies to those who complementary therapy which went down a storm to the complementary therapy community and also
ance that registrants:
can afford to pay and uses the profit to deliver ther- with our members. The fact she is CNHC registered within the health and social care setting. CNHC
gave peace of mind and incentivised members to a) have met national occupational standards (ie registration ensures that the team comply with Trust
apy services at substantially reduced cost to patients
explore her therapies as they knew they would be achieved occupational competence) for their
in the Borough’s deprived areas. Blossom was policy on recruitment of therapists and also the
launched in August 2011 and McGrath has received in safe hands.” discipline;
National Cancer Peer Review Programme, Manual
an award from UnLtd to develop her marketing. In terms of the service itself, McGrath says the full b) meet requirements for staying up-to-date with for Cancer Services 2008 Complementary Therapy
The reduced cost therapy services are only paying clients are really happy with the approach. the new CPD requirements; (Safeguarding Practice ) Measures.”
available for people with clinical need who are “People who can afford to pay have said they are c) can be called to account for poor practice Lamont continued: “The Belfast Health and
receiving support for recovery of long term medical really pleased to be able to put something back through the robust Fitness to Practice processes;
conditions and mental illness. Due to the nature of into their local community. I’m thrilled because Social Care Trust with funding from our local cancer
the client group, McGrath’s CNHC registration was this model gives me the opportunity to deliver d) are properly insured; charity, Friends of the Cancer Centre, has recently
crucial. “The first question the PCT practice man- high-quality services to patients who would not e) have access through the web site to relevant appointed two therapists, Tracy McAloney and Patsy
ager asked me was ‘Are you CNHC registered?”, otherwise be able to afford these kind of therapies.” information on a range of healthcare issues relat- McDaniel, as complementary therapist facilitators
McGrath said. “He told me they are approached But perhaps most importantly, McGrath talks ing to regulation. to develop outreach services to cancer patients and
by a lot of therapists wanting to work with these about the difference it makes to her patients: “I their carers throughout Northern Ireland. This role
work with some very vulnerable people, particularly CNHC is finding that increasing numbers of com-
patients but they will only recommend CNHC reg- will be working in partnership with NHS providers,
those who are in recovery from mental health prob- missioners and employers are requiring their com-
istered practitioners.” charities and private practitioners and although
CNHC registration was also a key factor for lems. They always ask me where I’ve trained and plementary healthcare practitioners to be CNHC
registered to ensure public safety. Many view CNHC registration with CNHC is voluntary we will be
Blossom’s partner organisations. Enabled4Growth want to know that I am properly registered. They
want to know that I am credible and that they can registration as a demonstration of best practice for promoting registration so that service commissioners
supports disabled people to make choices which
are right for them and is working with McGrath on trust me. My CNHC registration provides this reas- practitioners as well as the profession itself. can ensure best practice.” McAloney said: “CNHC
the project. Enabled4Growth’s Business Adviser, surance and that’s very important.” Jan Wilkinson, Complementary Therapies promotes the professionalism of complementary
Leonore Lord, said: “As Blossom provides com- McGrath (right) is aiming to do research on the Co-ordinator for Guys and St Thomas’s NHS therapy and reassures patients and clients that
plementary services for people with all types of impact of the service and Foundation Trust said: “CNHC registration is essen- therapists meet the required occupational standards
Photo: Karen Lois Whiteread
disabilities – it is absolutely essential that any com- if the business model is tial for any complementary practitioners who wish before they can be added to the register.”
plementary service we are working with has been successful hopes to work to work for us. This is in line with guidance from
with Leonard Cheshire the National Cancer Action Team and demonstrates Maggy Wallace is Chair of CNHC, the voluntary
vetted and approved. The CNHC quality mark gives
both us and our service users peace of mind.” Disability to roll the service our commitment to meeting national occupational regulatory body for complementary healthcare.
Similarly, Alex Tambourides, Chief Executive of out nationally. standards.”
(1) 2011 ACE web site home page October 2011
Hammersmith and Fulham Mind commented: “The Lyn Lamont, Complementary Therapies
(2) Forbes, Doug ‘Achieving Commissioning Excellence’ available on www.
standard suite of interventions for people with The value of CNHC Co-ordinator for the Cancer Centre, Belfast Health commisioning.org.uk
mental health is not enough so there is a big need registration and Social Care Trust agrees. Lamont said the Trust (3 )Forbes, Doug, ‘Achieving Commissioning Excellence.’
for complementary therapies, as different things This case study helps to currently employs a team of eight CNHC regis- (4) 2000 House of Lords Science and Technology Select Committee 6th Report
work for different people. Blossom is helping to demonstrate what CNHC tered practitioners within cancer care and is due Complementary and Alternative Medicine
Western Medical Acupuncture BRITISH MEDIAL
ACUPUNCTURE SOCIETY
– ancient and modern FOUNDATION COURSES IN WESTERN
MEDICAL ACUPUNCTURE
by Allyson Brown, British Medical Acupuncture Society
The BMAS runs Foundation Courses for healthcare professionals who are subject to
A
cupuncture has been around for centuries, from account of a number of large studies carried out mostly statutory regulation, registered in the UK, or the country in which they practice, and for
the telltale tattoo marks on Ötzi the Iceman in Germany, and a subsequent Cochrane review. whom acupuncture is within the scope of their professional practice.
preserved in an alpine glacier to the traditional Cochrane reviews also concluded that ‘available
concepts from ancient China. So what’s new? studies suggest that acupuncture is at least as effective FOUNDATION COURSE VENUES
Western medical acupuncture takes a fresh look as, or possibly more effective than, a prophylactic drug YORK, BRISTOL, LONDON, MANCHESTER,
at needling as a therapeutic modality, using current treatment, and has fewer adverse effects’ for migraine, GLASGOW, BIRMINGHAM, NEWCASTLE
knowledge of anatomy, physiology and pathology, and and that it is ‘a valuable non-pharmacological tool in
the principles of evidence based medicine. We know
SUPPLEMENTARY COURSES
patients with frequent episodic or chronic tension type
now that acupuncture acts principally by stimulating headaches’.
the nervous system; its known modes of action include Acupuncture for nausea and vomiting was the first * BACK PAIN * ELECTROACUPUNCTURE * (free machine)
local andtidomitic axon reflexes, segmental and area with a positive systematic review, and the latest LUMBOGLUTEAL / SHOULDER & ARM / HEAD & NECK POINTS
extrasegmental modulation, and other central nervous
Cochrane review on the subject concluded that there
system effects. Simply put, it modifies the way that
pain signals are received by the brain.
was ‘no reliable evidence for differences in risks of
JOIN THE BMAS
postoperative nausea or vomiting after P6 acupoint
Acupuncture is frequently incorporated into pain
stimulation compared to antiemetic drugs’. * Discounted course fees * Recognition by health insurers (subject to accreditation)
management programmes within pain clinics, and is * Free online Points resource – video demonstrations of examination & techniques
So one of the most ancient therapies used by
probably used most often to treat musculoskeletal and (Cross over package available for experienced acupuncture practitioners)
myofascial trigger point pain. But there are proven man is finding a new place in current contemporary
healthcare as a safe, cost efficient and demonstrably
effects of muscle tone, hormone outputs, circulation,
effective therapy. WEBCASTS NOW AVAILABLE
antibody production and allergic responses. It is also
effective for post-operative pain and nausea. The British Medical Acupuncture Society was Online presentations of the BMAS Spring/Autumn meetings
established in 1982 to promote the use and scientific CPD hours available on completion of quizzes
An increasing number of GPs and hospital doctors
provide acupuncture for their patients, with it being understanding of acupuncture within medicine for
of particular value to those who are unwilling or the public benefit. It seeks to enhance the education Book online at: www.medical-acupuncture.co.uk
unable to rely on a pharmaceutical intervention, such and training of suitably qualified practitioners, and
as pregnant women, those already on medication to promote high standards of working practices in Tel: 01606 786782 Fax: 01606 786783
for chronic diseases, or patients in palliative care. acupuncture.
Nurses and midwives are also learning to incorporate The Society offers four-day foundation courses in Email: admin@medical-acupuncture.org.uk
acupuncture into their practice in these scenarios, and medical acupuncture, designed to build on the existing
physiotherapists are among a group of allied health medical training of regulated health professionals, BMAS House, 3 Winnington Court
professionals adding medical acupuncture to their giving them the skills they need to incorporate medical Northwich CW8 1AQ
portfolio of therapies. Audits are starting to show that acupuncture into their existing practice.
acupuncture is both safe and cost effective, and patient
demand for this treatment seems to be growing. To find out more about the British
NICE guidelines for the early management of non- Medical Acupuncture Society visit
specific low back pain (six months to one year) include www.medical-acupuncture.co.uk
consideration of 12 sessions of acupuncture over Material for this article was drawn from the document ‘The latest
three months. These guidelines were drawn up taking evidence for acupuncture’ on the BMAS website.