Challenges in information systems and research in global health. The case of Manhiça Health Research Center in Mozambique. Aponte J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Roy Head. “Media Strategies to Reduce Mortality.” (English)
Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health, Ottawa.
Session 4A: Advocacy and Outreach (Global Actions)
21-22 November 2011
Roy Head. “Media Strategies to Reduce Mortality.” (English)
Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health, Ottawa.
Session 4A: Advocacy and Outreach (Global Actions)
21-22 November 2011
Impact of Health Reform on Racial and Ethnic Inequitiesmasscare
This presentation collects all of the available data on how the 2006 Massachusetts health reform law impacted racial and ethnic inequities. Presentation reviews inequities in health insurance coverage, access to care, and some health outcomes.
This is a presentation of the results of the Global Programme to Enhance reproductive Health Commodity Security (GPRHCS), coordinated by the Commodity Security Branch (CSB) of the United Nations Population Fund (UNFPA)
Beyond Scaling Up: Working with patent medicine vendors in NigeriaIDS
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Oladepo presented on work with patent medicine vendors of malaria drugs in Nigeria.
Dr. Charles Jennissen, of the University of Iowa Department of Emergency Medicine presented this at CPSC's ATV Safety Summit Oct. 12, 2012. The study objective was to understand the effect of passengers on ATV-related crashes and injuries. Methods: A retrospective chart review was performed of ATV-related injuries from 2002-2009 at a university hospital. Results: 345 cases were identified of which 20% were passengers or drivers with passengers. Females and children were more likely to be passengers. Overall helmet use was low (~20%), and passengers were less likely than operators to wear helmets. There was a trend observed wherein passengers increased the likelihood of rollovers on sloped terrains, with backward rollovers the most likely to involve passengers. Victims who fell/were ejected to the rear were significantly more likely to have been on an ATV with passengers than were victims of other ejections or those not ejected, and also had more severe head injuries. Self-ejections and forward ejections appeared less likely with passengers. Patients who self-ejected had higher extremity injury scores than patients who fell/were ejected by other mechanisms, but had less severe head injuries. Conclusions: Passengers on ATVs may be at greater risk for fall/ejection to the rear and rearward falls/ejections appeared to increase the risk of head injury. Strict and well enforced "no passenger" laws could reduce risk of some ATV crashes and injuries.
Spatial-temporal analysis of the risk of Rift Valley fever in KenyaILRI
Presentation by Bernard Bett, Abisalom Omolo, An Notenbaert and Stephen Kemp at the 13th conference of the International Society of Veterinary Epidemiology and Economics, Maastricht, the Netherlands 20-24 August 2012.
Multidisciplinary care: a perspective from diagnosis and treatment of rare cancers. Casali P. Technical Conference: Multidisciplinary Care in Cancer as a model of health care quality (Madrid: Ministry of Health and Social Policy, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Sánchez de Toledo J. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Ortiz H. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Barnadas A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Oriol Díaz de Bustamante I. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Moreno Marín P. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Medina JA. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Fisas Armengol A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Ferro T. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Díaz Mediavilla J. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
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This presentation collects all of the available data on how the 2006 Massachusetts health reform law impacted racial and ethnic inequities. Presentation reviews inequities in health insurance coverage, access to care, and some health outcomes.
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Dr. Charles Jennissen, of the University of Iowa Department of Emergency Medicine presented this at CPSC's ATV Safety Summit Oct. 12, 2012. The study objective was to understand the effect of passengers on ATV-related crashes and injuries. Methods: A retrospective chart review was performed of ATV-related injuries from 2002-2009 at a university hospital. Results: 345 cases were identified of which 20% were passengers or drivers with passengers. Females and children were more likely to be passengers. Overall helmet use was low (~20%), and passengers were less likely than operators to wear helmets. There was a trend observed wherein passengers increased the likelihood of rollovers on sloped terrains, with backward rollovers the most likely to involve passengers. Victims who fell/were ejected to the rear were significantly more likely to have been on an ATV with passengers than were victims of other ejections or those not ejected, and also had more severe head injuries. Self-ejections and forward ejections appeared less likely with passengers. Patients who self-ejected had higher extremity injury scores than patients who fell/were ejected by other mechanisms, but had less severe head injuries. Conclusions: Passengers on ATVs may be at greater risk for fall/ejection to the rear and rearward falls/ejections appeared to increase the risk of head injury. Strict and well enforced "no passenger" laws could reduce risk of some ATV crashes and injuries.
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RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
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Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Couples presenting to the infertility clinic- Do they really have infertility...
Challenges in information systems and research in global health. The case of Manhiça Health Research Center in Mozambique
1. Challenges in information systems
and research in global health.
The case of Manhiça Health
Research Center in Mozambique
John Aponte, MD, MSc
CRESIB – Hospital Clinic Barcelona
CISM - Mozambique
2. Centro de Investigação em Saúde da
Manhiça
Moçambique
Fighting disease
Promoting development
Collaborative programme
Ministerio da Saude - Faculdade de Medicina (UEM)
Fundacio Clinic de Barcelona - Spanish Agency for International
Cooperation
3. Study area
MOZAMB IQU E
MOZAMB IQU E
Manhica District
Manhica District
DSS Site
DSS Site
Mozambique
Mozambique
Maputo Province
Maputo Province
0 100200
100200
0 100200
0 100 200
0
0 50
50 100
100
Kilometers
Kilometers
Kilometers
Kilometers
Kilometers
LOCATION OF MANHICA DSS SITE, MOZAMBIQUE, 36,000
4. Research
Paediatric deaths in communitty
Rank Age Group
based on
Tackling the main causes of proportion
0–27 28 d – 11 12–59 6-14
morbidity and mortality in children days1 months2 months3 years4
under the age of 5 years and
pregnant women in sub saharan 1 Premat
(31%)
Malaria
(22.6%)
Malaria
(31.4%)
Malaria
(18.2%)
Africa: the most vulnerable
population groups 2 Neonatal
asphyxia
Pneumoni
(19.1%)
Malnutriti
(20.1%)
Open
wounds,
(16.3%) burns, etc.
(10.4%)
Total Fertility Rate 5,1 3 Septicaeia Malnutritin Pneumon Trauma
(14.6%) (10.0%) (10.4%) (10.4%)
IMR 88,9
Neonatal MR 41,8 4 Pneumoni Diarrhoea Diarrhoea Pneumoa
5q0 172,7 (10.6%) (8.0%) (6.0%) (9.1%)
Life Expectancy 55 y No Meningitis No Meningitis
5
consensus (7.5%) consensus (9.1%)
(7.3%) (5.7%)
4
5. The Problem…
• In many places in south saharan Africa, people
can live and die without being registered ever..
• How to optimize resources?
6. Demographic Platform
- 85 000 under control by follow up (DSS)
-Births
-Deaths
-Pregnancies
-Migration
- Personal identification by an unique permanent number
- House visits 2/year
80-84
- Key informants weekly 70-74
60-64
- Daily maternal services (3)
50-54
40-44
30-34
20-24
10-14
0-4
10 5 0 5 10
S. Masculino S.femenino
6
7. Geographical Platform
- Well defined study area
Manhiça (1996)
Mantchiana, Palmeira (2002)
Ilha Josina (2002)
Taninga (2006)
Palmeira (2009)
- Identification of Households
in the study area and GPS
position
- Map generation
- Geographical distrubution of
risk factors and confounders
Incidence of Malaria by ACD
7
8. Morbidity Surveillance Platform
- Passive Case Detection Surveillance
Hospital system operating for all paediatric attendances round
the clock
Manhiça Hospital (24 hours/day)
Maragra health centre
Ilha Josina, Taninga, Palmeria and Malavene health post
- Active Case Detection Cohorts
Based on the localization of individuals in DSS
- Cross sectional studies
Random samples from targeted population from DSS
8
9. Interactions
Morbidity Surveillance
Geographical
Permanent
ID
Number
Demographical Research Specific
Activities
Modular system that allows to measure the incidence/prevalence of
several diseases as well as risk factors which allows to evaluate the
effect of specific health interventions
10.
11. Tools
• In 1996 the infrastructure available in the zone
was minimum
• Unreliable electrical supply
• No phones
• No support for technology
• Paper was the only reliable tool
12.
13.
14.
15. Challenges for the future
Paper free work –>
Now days the infrastructure has change and
make possible new alternatives
- Capture of information using mobile devices
- Electronic CRFs for clinical trials
- Lab information systems to process all information
from the labs
Tools to identify people at health facilities ->
- Identification based on finger prints