Enviage Vaginal Biofeedback by David Bychkov, PhD, CEO of Exmovere HoldingsDavid Bychkov, PhD
In 2010-2012, Exmovere Holdings, Inc. was exploring how to provide high tech Kegel training exercises and pelvic floor psychophysiology services to female patients at Clinica of Virginia, it's Medicare/Medicaid clinic subsidiary in Fairfax, Virginia. For more info on Exmovere and David Bychkov, visit www.davidbychkov.com
Partnering for Community Health 2013 Hood River OregonTina Castañares
Presentation to regional health policy planning group ("Hood River Busytown") about upstream public health, determinants of health, community health workers, cross-sector collaboration, developmental origins and ACES study elements.
Kissito Healthcare Presient and CEO, Tom Clarke, met with OB-GYN professionsals from Carillion Hospital on September 30th to discuss Kissito's international child and maternal healthcare operations in Uganda and Ethiopia.
A Research paper on Male Involvement Strategy in Maternal, New-Born and Child...Stephen Olubulyera
The research paper highlights strategies on male involvement in Maternal, New-Born and Child Health in Turkana County. Different strategies to reach men with information and services will be appropriate in different contexts, as for Turkana County context
Enviage Vaginal Biofeedback by David Bychkov, PhD, CEO of Exmovere HoldingsDavid Bychkov, PhD
In 2010-2012, Exmovere Holdings, Inc. was exploring how to provide high tech Kegel training exercises and pelvic floor psychophysiology services to female patients at Clinica of Virginia, it's Medicare/Medicaid clinic subsidiary in Fairfax, Virginia. For more info on Exmovere and David Bychkov, visit www.davidbychkov.com
Partnering for Community Health 2013 Hood River OregonTina Castañares
Presentation to regional health policy planning group ("Hood River Busytown") about upstream public health, determinants of health, community health workers, cross-sector collaboration, developmental origins and ACES study elements.
Kissito Healthcare Presient and CEO, Tom Clarke, met with OB-GYN professionsals from Carillion Hospital on September 30th to discuss Kissito's international child and maternal healthcare operations in Uganda and Ethiopia.
A Research paper on Male Involvement Strategy in Maternal, New-Born and Child...Stephen Olubulyera
The research paper highlights strategies on male involvement in Maternal, New-Born and Child Health in Turkana County. Different strategies to reach men with information and services will be appropriate in different contexts, as for Turkana County context
“Women are not only victims, they have driving power of changes, exclusive knowledge and skills that have crucial importance for providing solutions and managing risks”.
During the last 10 years 3 400 natural disasters took place in the world – hurricanes, floods earthquakes and other natural calamities. More than 700000 people died, more than 1,4 mln were injured and 23mln lost shelter. In general disaster affected 1,5 bln people and women, children and vulnerable people were most affected.
You have been tasked with orienting new registered nurses in the emergency department in your hospital about how to manage child abuse and neglect cases. The orientation should cover child abuse and neglect definitions, prevention, detection, intervention and treatment, reporting, and interdisciplinary resources.
Defines disasters and conflict, delineates gender issues in conflicts and disasters, summarises UN Conventions/agreements on gender, disasters and conflict and good practices in addresses gender issues in conflicts and disasters
“Women are not only victims, they have driving power of changes, exclusive knowledge and skills that have crucial importance for providing solutions and managing risks”.
During the last 10 years 3 400 natural disasters took place in the world – hurricanes, floods earthquakes and other natural calamities. More than 700000 people died, more than 1,4 mln were injured and 23mln lost shelter. In general disaster affected 1,5 bln people and women, children and vulnerable people were most affected.
You have been tasked with orienting new registered nurses in the emergency department in your hospital about how to manage child abuse and neglect cases. The orientation should cover child abuse and neglect definitions, prevention, detection, intervention and treatment, reporting, and interdisciplinary resources.
Defines disasters and conflict, delineates gender issues in conflicts and disasters, summarises UN Conventions/agreements on gender, disasters and conflict and good practices in addresses gender issues in conflicts and disasters
The Three Legged Stool: Social Media, SEO, and Your WebsiteinterlinkONE
At the Dscoop7 conference, interlinkONE and Grow Socially CEO John Foley, Jr. presented "The Three Legged Stool: Social Media, SEO, and Your Website".
During the session, John helped attendees gain actionable guidance on how to grow their business by improving social media, search engine optimization and website efforts.
John shared case studies of other print service providers that are effectively taking actions in those three areas to increase awareness and demand for their services, generate more leads, and grow their revenue.
For more information on how Grow Socially can help your company do the same, please visit http://GrowSocially.com.
Black Legacy is a coalition committed to health equity. We are focusing on education reform for real changes that will result in multi-generational health and wellness.
Running head UNION COUNTY, GEORGIA .docxtoltonkendal
Running head: UNION COUNTY, GEORGIA 1
UNION COUNTY, GEORGIA 2
Union County, Georgia
Kimberly Crawford
January 30, 2017
Kaplan University
The following paper will answer the asked questions.
Name of County and State
Union County, Georgia.
County population with racial and gender breakdowns
As of July 1, 2015 estimates, the County population was 22, 267 individuals. Of this, 51.7% were Females, while as the males were 48.3%. The white people were 96.5%, the African Americans were 1.0%, the American Indian and Alaska Natives were 0.5%, Asians were 0.7%, Hispanics were 3.2%, and people with two or more races present accounted for 1.3%.
Number of Senior Citizens
The number of senior citizens was 32.5%.
Number of Disabled Individuals
The number of disabled individuals under the age of 65 was 13.9%.
Number of Children
The number of children was 16.1%.
Of the populations above, I choose the senior citizens. The first health concern for this population is elder abuse. At this age, this people are not able to actively take care of themselves like they would a while back. For this reason, they constantly required to be taken care of, in almost all the aspects of their lives. However, elder abuse is a common occurrence in which, the caregivers neglect this population so much, to the extent of some of them even dying. It is such a shame that such a thing might happen to such a delicate population. A second health concern for this population, is the risk of heath disease and other chronic diseases. According to the Centre for Disease Control (CDC), heart disease is one of the leading killers for the senior citizens because at this age, they are delicate and their hearts are very weak (Motooka et al., 2006).
The senior citizens require a number of community health interventions and public policies, which are aimed at ensuring they lead a comfortable life. For instance, they should have access to caregivers when they cannot adequately take care of themselves (Takano, 2002). In addition, they should have access to proper diets, and they should be provided with as much assistance as possible when they are at home and in public places. They should also have regular medical check-ups, to ascertain their health conditions, as well as have access to a hospital and a personal doctor in case they need consultation before their regular sessions (Anderson, 2003). Regular exercises is also good for ensuring their lives are going on smoothly.
Health Risk Assessment
In the health risk assessment tests, I took the eating behaviour test. The questions asked basically were about the kind of foods and drinks that I take on a daily basis, how often I take the meals per day, the rate and posture at which I take the meals, my favourite comfort food, and the circumstances under which I take th ...
Taking your event social network literacy webinar 110712Marissa Stone
Taking Your Event Social: Using Social Media to Promote the Priester National Health Extension Conference
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ASA GUIDELINE
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Castañares Partnering Together for Community Health
1. Tina Castañares, MD
Partnering Together for
Community Health
Going Upstream
ACES, DOHad and Epigenetics
Community health workers
Priester Conference
April 2013 in Corvallis, Oregon
2. In the wise words of Dr. Don Berwick…
Founder, Institute for Healthcare Improvement
President Obama’s original director of Medicare and Medicaid (CMS)
3. “The best hospital bed
is empty.
The best CT scan
is the one we don’t need.
The best doctor’s visit
is the one we don’t need.”
4. % Oregon Population Defined as Obese
We know we’re
(BMI > 30)
30
in trouble
% of Population
20
10
0
1989 1996 2003 2007
Trends in Diabetes in USA
Year Measured
Data from NHANES, CDC 2009
With thanks to Kent Thornburg,
PhD, OHSU
12. Overall, “upstream” population
health work:
•Promotes wellness, prevents disease and
improves health status
•Avoids “blame games” about individual
responsibility for health
•Reduces demand for health care (overall
spending, workforce, infrastructure)
•Raises all boats at once: truly equitable
because population- and community-wide
13. Population-based Health is…
…more than twice as responsible
historically for health improvement
than medical, nursing, oral health
and mental health services
combined.
14. The poor and minorities experience serious
health disparities
15. ….because of risk factors such as:
•barriers to physical activity in schools,
workplaces, neighborhoods
•food subsidies making fast and processed
foods cheaper
•environmental contaminants
•targeted tobacco & alcohol advertising
•lack of access to fresh foods
•crowding and substandard housing
•many other well-documented social factors
16. Achieving social equity
• …is the only real answer to preventable
health disparities.
• …is a goal we have an ethical
responsibility to work toward
… as citizens, voters, leaders and
members of the human commons.
18. Early childhood, neonatal, fetal,
embryonic…. transgenerational !
ACES DOHaD research
Adverse Childhood Developmental Origins
Experiences Study of Health and Disease
19.
20.
21. “The Adverse Childhood
Experiences Study -- The
Largest Public Health
Study You Never Heard Of”
Huffington Post October 2012 3 parts
22. So now, more upstream still….
The Developmental Origins of Health and Disease
(DOHaD)
24. Low Birth Weight (LBW)
• US babies more likely to be LBW than in
almost every other developed country. 2
• LBW = 2nd leading cause of infant
mortality in the US (after birth defects).
• Surviving infants at risk for serious
medical conditions and learning
disorders. 3
25. Unacceptable disparities
•LBW climbing for minority mothers
•African-Americans: 2 X likelier than
whites, Hispanics for LBW babies
•Problem is not “in the genes” …and not
always linked to current income
26.
27. How can this be?
Epigenetics is the key.
• Our GENES themselves aren’t all that different.
• People with identical genes turn out differently,
get different diseases, etc.
• “Behavioral genetics” has long sought
explanations.
• Epigenetics brings biological evidence.
28. What does epigenetics tell us?
• Gene REGULATION and EXPRESSION are
mostly in charge.
• Gene regulation is subject to many influences.
• “Social” influences not so very separate from
“biological” influences
• Amazing: some gene regulation and expression
can be inherited…. So this is trans-
generational.
29. Two key epigenetic factors
I want to share today :
• Maternal and placental nutrition
• Maternal and fetal chronic stress (sustained
elevated levels of stress hormones )
(A proven, very important third factor is
maternal exposure to toxins.
Another involves paternal health and age.
Doubtless, more will emerge.)
30. Poor nutrition
or sustained stress hormones:
• Developing embryo / fetus biochemistry
responds by
-- making sub-standard vital organs
(mostly smaller ones)
-- bigger placenta, lower birthweight
31.
32. Risk of chronic disease is
predicted epigenetically,
right from grandmother’s
preconception health,
through grandchild’s
early life.
So EARLY prevention and
corrections are imperative.
33. Epigenetic risk factors are
preventable and even reversible.
• The earlier, the better
• First 1000 days post-conception
• Pre-conception too
Interventions must improve
maternal (community !!!!)
nutritional status, and prevent or
reverse chronic stress.
34. This is good news, not bad news…
and not “biological determinism”
• new scientific evidence to guide social
policy, strategies, and investments !
• hope for better health for our society –
a reversal of the last 100 years of
downward health trends!
35. Why should we do these things?
The future of human health
is at stake.
37. I am passionate about
Community Health Workers
• Peer-to-peer
• Culturally competent: understanding from
within the culture or subculture
• Natural leadership Community-building.
Community asset forever.
• Special learning and teaching tools/pedagogy
(popular education, motivational
interviewing)
• knowledge not restricted; infinite
• role carefully defined, supported: a prestigious
and valued position stable staff
40. Imagine that we live in a
region….
…which is the best place in the world for
every baby to be born
…which is the best place in the world for
every child to grow up
41. Thank you, Extension! You do so much
for our communities….
and for population health, way upstream!
I welcome your feedback.
tina.castanares@gorge.net
Editor's Notes
I want to focus on two areas of research with profound, paradigm-shifting implications for us all….as scientists, ethicists, health care and public health professionals, and members of the human community. The first is the ACES, the Adverse Childhood Experiences Study. As I’ll talk about briefly, we have very, very solid evidence that certain adverse experiences during early childhood are strong predictors of learning disabilities, some mental illness, and numerous other chronic illnesses during later childhood and throughout adult life. Many of the correlated conditions don’t appear until decades after the childhood traumas -- in other words, the horse has long ago left the barn. So I’ll speak more about that first. But my great passion, recent, life-changing new information for me, is even more involved with DOHaD, a very rapidly emerging field of research, and I’ll want to spend evenn more time on that today.So get ready, because here we go upstream, to learn about causes, and more causes, and to reflect together, I hope, about the implications.
The ACES was started at Kaiser Permanente in the 1990s though a suggestive predecessor study was conducted earlier in the Kaiser system. Dr. Vincent Felitti looked at 18,00 adults in ACES, asking them to answer a very simple survey – 10 simple questions – about their early childhoods. He was then able to demonstrate a significant correlation between early childhood trauma experiences and severe obesity, heart disease, depression and other psychiatric disorders, diabetes and many other ailments later in life. According to the Oregon Public Health Division, 16% of adult Oregonians had an ACE score of 4 or higher…16% (you get one point for every answer “yes” in the questionnaire). Compared to people with ACE scores of 0, those with an ACE score or 4 or higher are now known to be twice as likely to smoke, 7 times more likely to have alcoholism, 10 times more likely to inject street drugs, and 12 times more likely to commit suicide. But that’s not all – you see other chronic diseases in this very dramatic bar graph (above)
And more illnesses and disabilities continue to be associated with ACES scores…COPD, GI disorders, GU disorders, STIs, sexual dysfunction, and pre-term delivery….
The original ACES work has its own CDC website now, has been internationally received, validated and applied, and the data from the original as well as newer cohorts are behind very robustly studied to see if there are even more chronic health and social conditions that appear after, and correlate with, adverse childhood experiences. I urge you to research ACES for yourself if it’s new to you – the CDC website is a fine place to start. This slide shows a headline from the online newspaper The Huffington Post, which ran a good series of 3 articles for the general public last fall about ACES. But while it’s true that ACES may be the largest public health study you never heard of, I would argue that this is even more true of DOHaD research – it’s just that DOHaD work hasn’t come as closely under the umbrella of public health OR social science research yet….so it’s even less widely known.
So let’s go to DOHaD. If there’s one thing I hope you’ll take away from this morning plenary, it’s that the Developmental Origins of Health and Disease – and more broadly, the field and discoveries of epigenetics that are a part of DOHaD, are standing on its head our former knowledge of genetics, nature and nurture. As I said, paradigm-shifting, and with profound implications for healthcare, public health, the law, social policy and ethics.