This document discusses the importance of transitioning care for children and young people with diabetes from pediatric to adult healthcare services. It provides an overview of key challenges such as deteriorating health outcomes when transition is not well-supported. The document summarizes research on effective transition models, which emphasize a person-centered and structured process starting early, with shared pediatric and adult healthcare team involvement. It also outlines recommendations for improving transition, such as establishing transition policies and coordinators, training healthcare professionals, and developing standards and outcomes monitoring. The goal is to empower young people by providing continuous, developmentally-appropriate support as they gain independence over their diabetes care.
Getting the balance right - Adult services role in improving transition Helena Gleeson
Leicester Royal Infirmary Representing RCP YAASG
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Researching transition - Tim Rapley
Newcastle University, NHS Northumbria Healthcare Trust
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Implementing Transition - Ready Steady Go
Dr Arvind Nagra, Consultant Paediatric Nephrologist, Southampton Children's Hospital, University Hospitals of Southampton
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Transition to adult services - Gill Levitt
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Safe transition for young people to adulthood
Dr Jacqueline Cornish,
National Clinical Director Children, Young People and Transition to
Adulthood - NHS England
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
DH Policy on transition - Karen Turner
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Getting the balance right - Adult services role in improving transition Helena Gleeson
Leicester Royal Infirmary Representing RCP YAASG
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Researching transition - Tim Rapley
Newcastle University, NHS Northumbria Healthcare Trust
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Implementing Transition - Ready Steady Go
Dr Arvind Nagra, Consultant Paediatric Nephrologist, Southampton Children's Hospital, University Hospitals of Southampton
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Transition to adult services - Gill Levitt
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Safe transition for young people to adulthood
Dr Jacqueline Cornish,
National Clinical Director Children, Young People and Transition to
Adulthood - NHS England
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
DH Policy on transition - Karen Turner
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Person-centred care and patient activationNuffield Trust
Richard Owen, NHS England, and Dr Natalie Armstrong of the University of Leicester present on evaluating Person Centred Care through Patient Activation Measure (PAM).
People Helping People - Patient power learning about peer-to-peer healthcar...Nesta
This presentation was delivered at People Helping People - The future of public services - 3rd September 2014. For more information on the event visit http://www.nesta.org.uk/event/people-helping-people-future-public-services
Improving the Health of Adults with Limited Literacy: What's the Evidence?Health Evidence™
Health Evidence, in partnership with the National Collaborating Centre for Determinants of Health (NCCDH), hosted a 60 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on interventions to improve the health of adults with limited literacy, presenting key messages, and implications for practice on Wednesday October 31, 2012 at 1:00 pm EST. Maureen Dobbins, Scientific Director of Health Evidence, lead the webinar, which included interactive discussion with Karen Fish, Knowledge Translation Specialist, and Connie Clement, Scientific Director, both from the NCCDH.
This webinar focused on interpreting the evidence in the following review:
Clement, S., Ibrahim, S., Crichton, N., Wolf, M., Rowlands, G. (2009). Complex interventions to improve the health of people with limited literacy: A systematic review. Patient Education & Counseling, 75(3): 340-351.
http://westwood.belmontvillage.com/events/event_details/ucla-lecture-alzheimers-and-dementia-care/
UCLA Lecture: Alzheimer’s and Dementia Care
Tuesday, March 24, 2015 | 2:00 – 3:00 p.m.
Belmont Village Senior Living
10475 Wilshire Blvd., Los Angeles, CA 90024
Michelle Panlilio, GNP
Dementia Care Manager
Please join us for an informative presentation by Alzheimer’s and Dementia expert Michelle Panlilio. Ms. Panlilio will discuss the UCLA Alzheimer’s and Dementia Care program and how it addresses the complex medical, behavioral, and social needs of those affected by memory loss and cognitive impairment. The following topics will be discussed:
• Program background and benefits
• Key findings to date
• Challenges and solutions
• The future of dementia care
Beverages will be served.
RSVP to the Concierge on or before Friday, March 20 at 310.475.7501.
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
iWantGreatCare's 7th National Symposium - Building fantastic staff morale, improving quality and reducing costs - took place on Tuesday 21st June at The King's Fund, London.
NHS leaders share their experiences of how they are building excellence in their Trust, reducing costs and growing staff morale by listening to the voice of the patient.
View the slides from these well-regarded delegates:
Alwen Williams, Chief Exective, Barts Health NHS Trust
David Behan, Chief Executive, Care Quality Commission
Dr Nadeem Moghal, Medical Director, Barking, Havering and Redbridge University Hospitals NHS Trust
Liz Mouland, Chief Nurse, First Community Health and Care
Jeremy Howick, clinical epidemiologist and philosopher
Physical Health Action at Last! by Karen Conlon, SMI Project Lead, Mike Leonard, clinical Pharmacist and Pauline Smith, Physical Healthcare Project Nurse
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Dave Atkinson
Lead on Department of Health’s Positive and Safe Guidance
Independent Consultant Nurse working who led on Department of Health's ' 'Positive and Proactive Care'
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people...NHS Improving Quality
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people with psychological / social needs, by King's College Hospital NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners
Chris Elliot - Editor Case Study: Implementing a Social Media Strategy for th...Wiley
Dr Elliot will discuss how the Journal of Paediatrics and Child Health developed a social media strategy, defined its goals, and successfully implemented it to "be useful" to the journal's readers, authors and editors. The presentation is accompanied by a purpose-built website: SocialMedia.JPCHonline.com, which contains resources to assist other editors formulate their own social media goals and strategies.
Chris Elliot
Online Editor, Journal of Paediatrics and Child Health
Presented at the 2015 Wiley Publishing Seminar, 5 November, Melbourne, Australia.
Person-centred care and patient activationNuffield Trust
Richard Owen, NHS England, and Dr Natalie Armstrong of the University of Leicester present on evaluating Person Centred Care through Patient Activation Measure (PAM).
People Helping People - Patient power learning about peer-to-peer healthcar...Nesta
This presentation was delivered at People Helping People - The future of public services - 3rd September 2014. For more information on the event visit http://www.nesta.org.uk/event/people-helping-people-future-public-services
Improving the Health of Adults with Limited Literacy: What's the Evidence?Health Evidence™
Health Evidence, in partnership with the National Collaborating Centre for Determinants of Health (NCCDH), hosted a 60 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on interventions to improve the health of adults with limited literacy, presenting key messages, and implications for practice on Wednesday October 31, 2012 at 1:00 pm EST. Maureen Dobbins, Scientific Director of Health Evidence, lead the webinar, which included interactive discussion with Karen Fish, Knowledge Translation Specialist, and Connie Clement, Scientific Director, both from the NCCDH.
This webinar focused on interpreting the evidence in the following review:
Clement, S., Ibrahim, S., Crichton, N., Wolf, M., Rowlands, G. (2009). Complex interventions to improve the health of people with limited literacy: A systematic review. Patient Education & Counseling, 75(3): 340-351.
http://westwood.belmontvillage.com/events/event_details/ucla-lecture-alzheimers-and-dementia-care/
UCLA Lecture: Alzheimer’s and Dementia Care
Tuesday, March 24, 2015 | 2:00 – 3:00 p.m.
Belmont Village Senior Living
10475 Wilshire Blvd., Los Angeles, CA 90024
Michelle Panlilio, GNP
Dementia Care Manager
Please join us for an informative presentation by Alzheimer’s and Dementia expert Michelle Panlilio. Ms. Panlilio will discuss the UCLA Alzheimer’s and Dementia Care program and how it addresses the complex medical, behavioral, and social needs of those affected by memory loss and cognitive impairment. The following topics will be discussed:
• Program background and benefits
• Key findings to date
• Challenges and solutions
• The future of dementia care
Beverages will be served.
RSVP to the Concierge on or before Friday, March 20 at 310.475.7501.
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
iWantGreatCare's 7th National Symposium - Building fantastic staff morale, improving quality and reducing costs - took place on Tuesday 21st June at The King's Fund, London.
NHS leaders share their experiences of how they are building excellence in their Trust, reducing costs and growing staff morale by listening to the voice of the patient.
View the slides from these well-regarded delegates:
Alwen Williams, Chief Exective, Barts Health NHS Trust
David Behan, Chief Executive, Care Quality Commission
Dr Nadeem Moghal, Medical Director, Barking, Havering and Redbridge University Hospitals NHS Trust
Liz Mouland, Chief Nurse, First Community Health and Care
Jeremy Howick, clinical epidemiologist and philosopher
Physical Health Action at Last! by Karen Conlon, SMI Project Lead, Mike Leonard, clinical Pharmacist and Pauline Smith, Physical Healthcare Project Nurse
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Dave Atkinson
Lead on Department of Health’s Positive and Safe Guidance
Independent Consultant Nurse working who led on Department of Health's ' 'Positive and Proactive Care'
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people...NHS Improving Quality
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people with psychological / social needs, by King's College Hospital NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners
Chris Elliot - Editor Case Study: Implementing a Social Media Strategy for th...Wiley
Dr Elliot will discuss how the Journal of Paediatrics and Child Health developed a social media strategy, defined its goals, and successfully implemented it to "be useful" to the journal's readers, authors and editors. The presentation is accompanied by a purpose-built website: SocialMedia.JPCHonline.com, which contains resources to assist other editors formulate their own social media goals and strategies.
Chris Elliot
Online Editor, Journal of Paediatrics and Child Health
Presented at the 2015 Wiley Publishing Seminar, 5 November, Melbourne, Australia.
Transition for Young People to Adulthood Rachel Gair
NHS Improving Quality
Presentation from an event held in London on Wednesday 9 October with the Teenage and Young Adult (TYA) Centre Champions and our Clinical Leads to share learning, good practice examples, the successes, challenges and barriers to implementing:
Treatment summaries
End of treatment care plans
Increased self-management for TYAs after cancer treatment
The output from the meeting will be to define what support NHS IQ can provide locally to assist TYA teams in order to make progress with their implementation plans.
Team as Treatment: Driving Improvement in DiabetesCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: June 11, 2019 | 3 p.m. EST
This webinar will share evidence-based models that will provide a framework for health centers to optimize the team in primary care. Experts will describe how utilization of extended team members and technology can reduce gaps in care for prediabetics and diabetics. With a focus on lifestyle and community based projects, this webinar will highlight the strategies and resources to improve the health and behaviors of patients at risk for diabetes and manage uncontrolled diabetes. Through early detection and providing diabetes management through a team-based care, health centers can help patients’ live long, healthy lives.
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
Enhancing the quality of life for people living with long term conditions.
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
Apresentação realizada no I Seminário Internacional de Atenção às Condições Crônicas, pela diretora do Programa da Gestão de Doenças Crônica dos Serviços Sanitários De Alberta/Canadá, Sandra Delon.
Belo Horizonte, 11 de novembro de 2014
This document describes work undertaken by NHS Kidney Care around young people with kidney disease, and the issues faced by their families and carers.The emergent themes have significant alignment with current NHS Improving Quality and NHS England national programmes, including Long Term Conditions, Experience of Care, Transition from Paediatric to Adult Services and Living Longer Lives.
Improving acute care for children and young people, pop up uni, 10am, 3 septe...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Perinatal mental health, pop up uni, 9am, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Presentation delivered by Scott Kashman, MHA, FACHE, Market President & CEO, St. Dominic Health Services & St. Dominic Hospital at the marcus evans National Healthcare CXO Summit October 16-18, 2022 in Boston MA
Risk profiling, multiple long term conditions & complex patients, integrated ...Dr Bruce Pollington
Dr Bruce Pollington web-ex presentation to LTC QIPP programme
Utilising risk profiling, and risk stratification to identify patients with multiple long term conditions requiring complex care through integrated care teams.
Similar to Children and Young People with Diabetes fiona campbell (20)
Stopping over-medication of People with Learning Disabilities
(STOMPLD) 2016.
Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
Frailty: building understanding, empathy and the skills to support self-care
Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:-
To better understand the role that the Fire and Rescue service can provide as a community asset to support health needs Enhancing the quality of life for people by supporting them to stay in their own home, even in a crisis
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
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
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Children and Young People with Diabetes fiona campbell
1. Children and Young People with Diabetes
A National Approach to Improving Care
and Outcomes
Dr Fiona M Campbell
Consultant Paediatric Diabetologist
Leeds Teaching Hospitals Trust
&
NHS Diabetes Clinical Lead for Paediatric
Diabetes Network Development
NHSE Transition Scoping Event July 2013
2. The Human Costs Of Diabetes
Stroke
Diabetic
retinopathy
Leading cause
of blindness
in working-age
adults
2- to 4-fold increase
in
cardiovascular
mortality and stroke
Cardiovascular
disease
8/10 diabetic patients
die from CV events
Diabetic
nephropathy
Leading cause of
end-stage renal disease
Diabetic
neuropathy
Leading cause of
non-traumatic lower
extremity amputations
Life Expectancy is reduced by 23 years in patients with Type 1 diabetes when diagnosed under the age of 10 years
3. National Diabetes Audit
Mortality Report
http://www.ic.nhs.uk/webfiles/Services/NCASP/audits%20and
%20reports/NHS_Diabetes_Audit_Mortality_Report_2011_V2.0.pdf
5. DCCT RESULTS
15
13
11
Retinopathy
9
Nephropathy
7
“
it
l i
) y e kl er o ms e m ” X (
Relative Risk of Complications
HbA1c and Relative Risk of Diabetic Complications
Neuropathy
5
3
1
6
6.5*
7
8
9
10
11
HbA1c
Adapted from DCCT Research Group: N England Journal of Medicine. 1993;329:977-986
*Endocrine Practice 2002, 8 (supp 1), pg. 7. AACE recommends less than or equal to 6.5 HbA1c.
12
10. National Service Framework
Standard 6
“All young people with diabetes will
experience a smooth transition of
care from paediatric diabetes
services to adult diabetes services,
whether hospital or communitybased, either directly or via a
young people’s clinic.
The transition will be organised in
partnership with each individual
and at an age-appropriate time.”
(pg. 7 DH 2001)
12. What is transition?
Definition for diabetes transition:
“The period of time during which
there is planned, purposeful and
planned
supported change in a young
adult’s diabetes management from
child orientated to adult orientated
services, mirroring increasing
independence and responsibility in
other aspects of their life.”
David, 2001
13. Why is transition important?
How do we get
back to
Childrens
services?
That’s NOT what the
Paediatric team said!!
Semi-intelligent comment
about patients care
If only I knew
what the
Paediatric
team said!
Who is this person?
Do they know
anything?
Doubt I ’ll be back….
14. Is transition really important?
Cynics View
• Adolescence is physiological why medicalise it?
• Patients get through it in any case.
• It is a lot of time and resources for a small group of
patients.
16. Why is transition important?
Enthusiasts counter arguements
• Adolescence is physiological why medicalise it?
• High risk period and transfer of care
• Patients get through it in any case.
• Improved outcomes if supported
• It is a lot of time and resources for a small group of
patients.
• Health behaviour established in adolescence
is maintained in adulthood
17. What we already know……
• “young people with physical health problems have
more health difficulties the less contact they have
with healthcare services ……
……dropping out and failing to attend clinic
appointments and lack of concordance with
treatment regimens have been extensively
documented as a consequence of failing to provide
adequate transition support.”
Christie and Viner, 2009
18. What we already know……
•
•
•
•
•
Marked deterioration in glycaemic control
Increased incidence of loss to follow-up
Increased rates of emergency presentations
Transfer rather than transition leads to a “lost tribe”
10- 69% of young adults with diabetes have no medical
follow up after leaving paediatric care
• Disengagement with services leads to poor control &
increased risk of long term complications
• Diabetes services that are not tailored to the needs of
adolescents may be rejected
Can we do anything about this?
19. Transition Guidelines
• Encouraged to attend clinics on a
regular basis
• Sufficient time to familiarise
themselves with the practicalities
of transition
• Local protocols for transferring
young people with diabetes
• Advised that some aspects of
diabetes care will change at
transition
• Joint clinics between paediatric
and adult services would be ideal
20. Improving transitional diabetes care
There were two aims for the
project:
• To undertake an
assessment of current best
practice.
• To develop a future work
programme to improve
transition processes in
diabetes care.
NHS Diabetes Aug 2012
22. Systematic review of transition models for young
people with long-term conditions: A report for NHS Diabetes
• What models or components of models are effective in ensuring
a successful transition process for young people with LTCs?
• What are the main barriers and facilitating factors in
implementing a successful transition programme?
• What are the key issues for young people with LTCs and
professionals involved in the transition process?
29 published studies (including 16 systematic reviews) of transition
from paediatric to adult secondary health care
services for young people with LTCs.
Kime N, Bagnall A-M, Day R. (2013) NHS Diabetes
23. Key Findings
• There are various transition models and no single model
was identified as the most effective.
Components of individual models for successful transition were:
• Young people-centred
- Individualised transition programme dependent on developmental
stage and circumstances. Started early and be flexible
• A planned and structured process
- Embedded in service delivery with clear expectations
- Designated transition clinics attended by both paediatric and adult
HCPs
- Orientation tours of adult clinics
- Post-transition support and monitoring
- Evaluation of young people’s outcomes
• Self-management education
- Continuous education programme with assessment of young
people’s self-management competencies, confidence and emotional
skills
Kime N, Bagnall A-M, Day R. (2013) NHS Diabetes
24. Key Findings
Multidisciplinary approach
- Transition needs to encompass inter- and intra- agency
communication and coordination.
Collaboration and communication
- Between paediatric & adult HCPs and young people and their families
before, during and after transition.
- Young person’s portfolio
Training of HCPs
- Highlight the importance of effective interpersonal and
communication skills.
A transition coordinator
- A need for a nominated individual to be responsible for overseeing
the management and administration of the transition process
Resources
- All sectors need to be committed to providing the necessary
resources
Kime N, Bagnall A-M, Day R. (2013) NHS Diabetes
26. Developmental Psychology
YOUNG ADULTHOOD
EMERGING ADULTHOOD
Age late teens – mid 20s
Transitioning away from
the parental home :
• Geographically
• Economically
• Emotionally
• Medically
Age mid-20s to 30s
Maturing sense of:
• Self-identity
• Assume adult-like roles
• Stable relationships
• Full-time employment
• Plan for the future
Competing academic, economic, and
social priorities with potentially a high
rate of disengagement
Arnett JJ Am Psychol 2000;55:469–480
27. How do we improve the situation?
“Sir, I’m helping to put a man on the moon!”
Janitor NASA 1961
28. Healthcare Delivery & Chronic Disease
MACRO
National strategy
MESO
Local delivery
Regional networks
PCTs
Service
redesign
Individual level
MICRO
Diabetes Teams
Co-ordinated approach of ALL 3 improves
care & outcomes
29. Aiming for Best Practice
• Quality of the consultation more important than the
location, timing etc
– See young adult on their own for part of the consultation
– Non-judgemental, respect privacy
– Consistency of individual and approach
• Involve young people in service development
• Introduce the concept of transition earlier
• Involve a shared paediatric and adult MDT
30. Key Recommendations
•
•
All units be asked to sign up to the core values of a quality consultation.
Agree minimum standards for the contents of a transition policy
– Review policy initially through the paediatric diabetes network coordinators and then
formally through self-assessment, peer review and ultimately via Best Practice Tariff
(BPT).
•
•
•
•
•
•
Ensure there are paediatric and adult lead diabetologists.
An adult diabetologist on each of the regional paediatric networks.
Identify training needs for HCPs around young adult communication and
consultation skills.
Develop a health plan & transition planning process prompt sheets.
Improve the standard in the Best Practice Tariff on transition and consider
taking into account the age group 18 to 30.
Offer support to Diabetes UK
31. Diabetes Transition:
What your service should offer…
Process
•
•
•
•
•
•
An identified lead for transition in each paediatric and adult diabetes
service.
A joint paediatric/adult transition policy.
Evidence of consultation and user involvement in the policy
development.
The transition period last at least 12 months with input from
paediatric and adult teams over that period with at least one
combined appointment.
Experience of care audit.
Evidence of use of a shared care planning template e.g. the North
West Individual Transition Plan
32.
33. Diabetes Transition:
What your service should offer…
Outcome
• DNA rates monitored and followed up over the course of the
transition period.
• Reduction in admissions for emergency DKA/hypoglycaemia.
• HbA1c levels less than 58 mmol/mol.
• Outcomes from a care audit to be undertaken by units.
• All standards relating to the implementation of Best Practice Tariff
for Paediatric Diabetes need to be met by all paediatric units.
34.
35.
36. Summary of Objectives of Service
•
•
•
•
•
•
•
•
•
•
•
To work with and empower young people ,both individually and collectively, in the
delivery and development of their care
To provide a service that achieves control of diabetes by conforming to guidelines
but is personalised to each individuals needs, values and preferences
To promote independence
To provide effective emotional and psychological support to people with diabetes
and their families
To minimise the impact of a move to higher education
To manage the transition to young adult services successfully
To prevent inequity
To promote research
To develop the skills of the generalist and specialist staff
To make the best use of resources
To produce an annual report about the population served
37. Moving Forward
• Adolescence & emerging adulthood is unique
• Planned purposeful transitional care is paramount
• Clear guidance regarding key components of transitional
care
• Modifying current models of care are required to make
them fit for purpose
• Most professionals don’t want to offer a poor service!
• If we don’t do it no one else will……..
38. Transitions of the young adult from
the paediatric to adult service
A final word…..
"Nothing in the world is worth having or worth
doing unless it means effort, pain &
difficulty...”
Theodore Roosevelt
Editor's Notes
The DCCT results clearly show that the higher the HbA1c, the greater the risk of complications.
If we look at the chart we can see that if your HbA1c is 9%. Then you are 5 times more likely to have Retinopathy than if your HbA1c was 6%. If your HbA1c is 11% then you are 13 time more likely!
During the early phase of emerging adulthood, the person may be transitioning geographically, economically, and emotionally away from the parental home.
Competing academic, economic, and social priorities often detract from a focused commitment to chronic disease management. Even as young adults face these competing demands, most do not believe that they have achieved all of the skills necessary to remain independent and accept these responsibilities on their own
During the second phase of the young adult period, the 25- to 30-year-old often has a maturing sense of identity and assumes adult-like roles in society, such as entering into stable intimate relationships or full-time employment. This phase, when the individual starts making plans about his/her future life, is often accompanied by a growing recognition of the importance of striving for better glycemic control and receptiveness to improving self-care behavior.