The Charles J. Andrew Youth Treatment Centre (CJAY) opened in 2000 to address substance abuse and suicide crises among Indigenous youth. It provides holistic healing programs grounded in Indigenous culture and traditions. CJAY's family program, piloted in 2013, offers 6-week residential treatment that is 50% clinical and 50% land-based cultural activities. Being on the land helps strengthen families and youths' cultural identities while teaching traditional skills, with participants reporting it is a highlight that promotes healing, peace, and bonding.
Manuel Miandica of Kuwangisana shares the organization's community outreach initiative in rural Mozambique which works with religious leaders and communities to prevent the spread of HIV/AIDS and assist people living with HIV.
We'll show you how to make your school a healthy school! Parents, teachers & principals - learn how to make your school healthier using our free toolkit and find out why schools are an ideal place to focus on improving kids’ health. Presented by People for Education and the Ontario Physical and Health Education Association.
Diya Foundation is a ray of hope that has lit up the lives of many unfortunate children, It is founded by a group of doctors, professionals and entrepreneurs with a common objective of propagating welfare of the underprivileged in the society with special emphasis on the welfare of slum children, handicapped, aged and destitute.
Manuel Miandica of Kuwangisana shares the organization's community outreach initiative in rural Mozambique which works with religious leaders and communities to prevent the spread of HIV/AIDS and assist people living with HIV.
We'll show you how to make your school a healthy school! Parents, teachers & principals - learn how to make your school healthier using our free toolkit and find out why schools are an ideal place to focus on improving kids’ health. Presented by People for Education and the Ontario Physical and Health Education Association.
Diya Foundation is a ray of hope that has lit up the lives of many unfortunate children, It is founded by a group of doctors, professionals and entrepreneurs with a common objective of propagating welfare of the underprivileged in the society with special emphasis on the welfare of slum children, handicapped, aged and destitute.
The Foundation for Family and Community Healing’s goal is to help others learn to create healthier, and more rewarding relationships with each other and Earth. We will be creating online educational materials for students, parents, teachers, and community members, and fostering conversations and solutions around a more holistic approach to Earth healing and environmental sustainability.
Families Commission - Anne Kerslake Hendricks and Steve Attwoodihc
The IHC Childrens Rights Seminar on 23 March in Wellington which focused on Early and Sustained Support for Children with a Disability was a resounding success! Government and non-Government agencies, parents, advocates, and professionals from all sectors came together to discuss a range of issues facing children with a disability and their families in early life. The three presentations from the seminar can be accessed here and a further document stating IHC’s round up of the issues and plan for action will be released shortly.
IHC also announced the beginning of a new e-discussion group on this topic which received huge support, if you are interested in joining this group please email laura.o.donovan@ihc.org.nz indicating your interest and what you would like to get from this discussion group.
Foundation for Family and Community Healing - PartnershipsSusanna Calvert
The Foundation for Family and Community Healing's mission is to help people learn to create healthy and rewarding relationships to ourselves, each other, and with Earth. We foster mental, emotional, and relationship wellbeing and skill development in young people, their parents, and the community and we advocate that we cherish Earth so that we may thrive together.
Suicide Prevention for At-risk Youth via a Horse Culture ProgramCG Hylton Inc.
Do troubled kids want to go see a white coat? If you send a troubled youth to a Psychologist or Psychiatrist will they actually go? What is the cost of this referral? What is the outcome? If you ask a troubled kid if he/she wants to learn to ride a horse, the conversation is different.
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
1. HEALING ON THE LAND
Charles J. Andrew
Youth Treatment
Centre
2. CJAY:
opened in 2000 in response to a crisis of
gas-sniffing and suicides among Innu
youth
has served over
350 Innu, Inuit and
First Nations youth
from across
Canada
3. CJAY’s mission:
to empower Aboriginal youth and
families by providing a holistic healing
treatment program
to strengthen and
renew Aboriginal
culture, practices,
spiritual beliefs
and values.
4. CJAY fosters the values of:
respect
trust
generosity and
sharing
acceptance
cooperation and
family bonding
5. CJAY works to:
build on the strengths of the youth
and families
reduce risk factors
help youth and
families make
healthy changes
and life choices
6. CJAY learning and evolving
accredited since 2002 with well-trained
staff
in 2011 piloted first ever in-depth land-
based program (50% held on land)
in 2013 held a
successful 6-weeks
family program
7. Why families and on the land?
2009 regional needs assessment
showed a need for more services for
families
NNADAP Renewal
Report called for
family healing and
parenting programs
8. NNADAP Renewal Report:
Healthy families provide children with a home
where they feel loved, nurtured, safe, and
connected to their spirit, community, and
culture. Within First Nations families, children
can have many caregivers apart from parents.
First Nations identity comes from a healthy
family, community as well as the land and clan
systems. These supports and connections
promote a strong identity and pride in culture,
which can prevent or delay substance use and
mental health problems.
9. Research shows that:
reclaiming and nurturing culture is healing
traditional activities such as hunting integrate
spiritual beliefs, values, and family and community
relationships
culture nurtures self-esteem,
provides a sense of meaning
and purpose in life, staves off
self-destructive feelings
a cultural and family-based
approach are seen as best practices
(Mayfield et al, 1984; Kirmayer et al, 2003; Leslie et al, 2001;
Mussell, 2005; Blackstock et al, 2007; Bamblett et al, 2007; Harckham, 2002)
10. Where do we go from here?
In Sept 2014 CJAY will offer a 6-weeks
live-in family healing program
CJAY’s vision will stay the same
program adapted to
each family’s needs
and may extend to 10
weeks
15. CJAY partners:
Sheshatshiu Innu First Nation Social Health
Department
Mushuau Innu Health Commission
Nunatsiavut Department of Health and Social
Development
Atlantic Policy Congress
Child Youth and Family
Services
Mapping the Way
Project
16. Family program provides:
a safe and trusting space to heal 24/7
a focus on mind, body, spirit and heart
a multi-disciplinary approach
50% clinical residential
program and 50%
cultural program on
the land
17. Family program includes:
detoxing, with sweat lodge, traditional
medicines and elder care
individual and family
assessments and
counseling
professional referrals
and consultations
after care community and
land-based support plan
Navarana Igloliorte
18. Family program addresses:
impacts of intergenerational trauma from
colonization, history, residential schools,
child welfare, etc.
alcohol and substance
abuse, including impacts
on family
sexual, physical and
emotional abuse
dual disorders
19. Communication and reconnecting:
family and other relationships
values and virtues
parenting skills, including talking, bonding
and discipline
managing emotions
(e.g. grief & anger)
stress and coping
skills
20. Strengthening the family:
health and wellness
life skills such as budgeting, shopping and
cooking healthy foods
healthy leisure and recreation
employment and
education needs
FASD and healthy pregnant
moms
22. Land-based programming:
draws on Innu, Inuit and First Nations natural
connection with the land
develops self-esteem and a strong Aboriginal
identity
provides a safe, caring and
comfortable environment
to heal
teaches responsibility,
traditional values and
beliefs
23. Land program also:
teaches self-sufficiency and survival skills
explores opportunities to live well as an
Aboriginal person
calms families, especially anxious children
like those with ADHD
nurtures a sense
of belonging and
purpose in life
24. Skills learned in land program:
hunting and fishing
canoeing and snowmobiling
hiking and snowshoeing
berry-picking
preparing traditional
and healthy foods
pitching a tent and breaking
camp
traditional crafts
building a lean-to
25. Land-based program includes:
storytelling and sharing circles
spiritual rituals such as sweats and Kudlik
lighting
families sharing their
own cultures
learning respect for the
land, animals, fish, birds
and plants
26. Participants say land program is:
the highlight of their CJAY experience
healing
peaceful
calming
a reprieve from
community
distractions
27. Participant quote:
“In the country it was better. They showed
us how to be spiritual. Sometimes we went
fishing. At night we played games. We
talked, bonded, laughed. Everyone really
connected. The staff would take us for
really good long walks,
one-on-one. There’s
always friendliness in the
country.”
28. Partner quote:
“Culture and the land program are seen as a best
practice…The kids connect with the land and
culture, with their spirit. It’s peaceful. Through talk
— gently, naturally — the kids learn, like through
storytelling. They learn about how culture can help
them with their long-term
healing, how it relates to
their strengths and
resilience.”
29. Other programming at the Centre
swimming and family beach days
walks
skating
bowling
cross-country skiing
church services
family gym night
library visit
shopping
30. Schooling at the Centre:
a teacher works with children during the
school year
classes are offered in the summer by CJAY
workers and invited
guests.
31. School prevention program
early intervention education program with
local schools
focus on gas-sniffing
starting in kindergarten
includes day counselling
and treatment for youth and
families
32. Referrals to CJAY can be made by:
social worker, doctor or nurse
parents, grandparents or other family members
priest, minister, chaplin or spiritual leader
teacher or principal
First Nations constable or police
local Nunatsiavut
representative
Or you can refer yourself
and decide to come on
your own.
33. Confidentiality
Confidentiality is very important.
Information about the youth and family is not
shared with anyone outside the treatment
program, except when:
someone could cause
harm to him/herself or to
others
by law, it must be
reported to the
authorities
35. CJAY needs you.
CJAY needs the support of the community through:
referring youth and families who need help
supporting youth and families from other communities
and cultures to come to CJAY
working for CJAY as staff
volunteering for our board
Together we can help youth and
families struggling with substance
abuse!
36. Thank you
CJAY would like to thank
Navarana Igloriorte,
Paula McLean-Sheppard,
Alex Andrew and Iris Allen
for the use of
their beautiful photos
in this presentation.