The document discusses various concepts related to well-being, including standard of living, level of living, quality of life, and indexes that measure well-being such as the Physical Quality of Life Index (PQLI) and Human Development Index (HDI). It also outlines biological, behavioral, socioeconomic, and environmental determinants that influence health. Key factors mentioned include genetics, lifestyle, environment, education, gender, ageing populations, and access to health services and information.
UNIT-II DETERMINANT OF HEALTH B.SC II YEAR.pptxanjalatchi
Health is influenced by many factors, which may generally be organized into five broad categories known as determinants of health: genetics, behavior, environmental and physical influences, medical care and social factors. These five categories are interconnected.
UNIT-II DETERMINANT OF HEALTH B.SC II YEAR.pptxanjalatchi
Health is influenced by many factors, which may generally be organized into five broad categories known as determinants of health: genetics, behavior, environmental and physical influences, medical care and social factors. These five categories are interconnected.
UNIT-II DETERMINANT OF HEALTH B.SC II YEAR.pptxanjalatchi
The determinants of health include: the social and economic environment, the physical environment, and. the person's individual characteristics and behaviours.
The WHO constitution sates that “ . . . the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition”.
Concept of health and wellbeing by Dr. Sonam Aggarwal Dr. Sonam Aggarwal
“Health is a state of complete physical, mental and social well-being and not merely an absence of disease or infirmity”. (given by: WHO, 1948)
In 1978, the ability to lead a “socially and economically productive life” was also added to the definition by WHO.
The concept of health as defined by WHO is broad and positive in its implications; it sets out the standard, the standard of “positive” health.
However, the WHO definition of health is not an “operational definition”.
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.
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
UNIT-II DETERMINANT OF HEALTH B.SC II YEAR.pptxanjalatchi
The determinants of health include: the social and economic environment, the physical environment, and. the person's individual characteristics and behaviours.
The WHO constitution sates that “ . . . the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition”.
Concept of health and wellbeing by Dr. Sonam Aggarwal Dr. Sonam Aggarwal
“Health is a state of complete physical, mental and social well-being and not merely an absence of disease or infirmity”. (given by: WHO, 1948)
In 1978, the ability to lead a “socially and economically productive life” was also added to the definition by WHO.
The concept of health as defined by WHO is broad and positive in its implications; it sets out the standard, the standard of “positive” health.
However, the WHO definition of health is not an “operational definition”.
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.
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
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
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
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
2. • 1.Standard of living
• 2.Level of Living
• 3.Quality of life
• 4.Physical quality of Life Index (PQLI)
• 5.Human Development Index (HDI)
3. 1.Standard of Living
• Refers to the usual scale of our Expenditure
the goods we consume
the services we enjoy
• It includes – level of education
employment status
food
dress
house
amusements
comforts of modern living
4. 2.Level of Living
• The parallel term for Standard of Living used in UN documents – Level of Living
• It consists of 9 components –
(a) Health
(b) Food consumption
(c) Education
(d) Occupation & working conditions
(e) Housing
(f) Social Security
(g) Clothing
(h) Recreation & Leisure
(i) Human Rights
5. 3.Quality of Life
• QOL – “The condition of life resulting from the combination of effects of
the complete range of factors such as those determining health,
happiness, education, social and intellectual attainments, freedom of
action, justice and freedom of expression”.
• Broad concept – incorporating a person’s physical health, psychological
state, social relationships, personal beliefs.
• Distinction between the concept of Level of Living & Quality of life
• People are now demanding a better - ???
6. Physical quality of Life Index (PQLI)
• It consolidates 3 indicators – Infant Mortality
Life Expectance at age 1
Literacy
• Each component performance is placed on a scale of 1-100
• The composite index calculated by averaging the 3 indicators , giving
equal weight to each of them. The resulting PQLI thus also is scaled
from 0 to 100.
• It measures results of social, economic & political policies.
• Per Capita GNP is not taken into consideration.
7.
8. Human Development Index (HDI)
• Defined as – A composite index focussing on 3 basic dimensions of
human development .
• (a) to lead a long & healthy life measured by life expectancy at birth
• (b) the ability to acquire knowledge , measured by years of schooling
and expected years of schooling
• (c) the ability to achieve a decent standard of living measured by
gross national income per capita
9. • The concept of HDI reflects achievements in the most basic human
capabilities , viz.
- leading a long life
- being knowledgeable
- enjoying a decent standard of living
• HDI value ranges between 0 to 1.
10.
11. Spectrum of Health
• The lowest point on the health – disease spectrum is death
• The highest point corresponds to the WHO definition of Positive health
12. • Health fluctuates within a range of optimum well-being to various levels
of dysfunction , including a state of total dysfunction , namely death.
• The transition is gradual from optimum health to ill-health.
Positive health
Better health
Freedom from sickness
Unrecognised illness
Mild sickness
Severe sickness
Death
13. Determinants of Health
• Health is multifactorial
• Man’s health depends on two factors – genetic factors
environmental factors
15. 1.Biological Determinants
• The state of health depends partly on the genetic make-up of man.
• Genetic counselling
• Health , defined as – State of the individual which is based upon the
absence from the genetic constitution of such genes as correspond to
characters that take the form of serious defect and derangement and
to the absence of any aberration in respect of the total amount of
chromosome material in the karyotype or stated in positive terms,
from the presence in the genetic constitution of the genes that
correspond to the normal characterization and to the presence of a
normal karyotype.
16. 2.Behavioural and Socio-cultural conditions
• Life-style denotes the way people live.
• It consists of cultural and behavioural patterns and life-long personal
habits.
• Lifestyles are learnt through social interaction with parents, peer groups,
friends and siblings and through schools and mass media.
• Health requires the promotion of a healthy lifestyle.
• Many current day health problems especially in the developed countries
– coronary heart disease, obesity, lung cancer, drug addiction are
associated with life style changes.
• In the developing countries – lack of sanitation , poor nutrition, personal
hygiene, etc.
17. 3.Environment
• Environment is classified into 2 – Internal environment &
External environment
• Internal environment – each & every tissue, organ and organ system
• External environment – “all that which is external to the individual
human host”.
• The external environment can be divided into physical, biological, and
psychosocial components.
19. 5.Health services
• Purpose of health services – Improve the health status of the population.
• Immunization
• Provision of safe drinking water
• Care of pregnant women and children
• Must be at the social periphery , equitably distributed, accessible,
affordable and acceptable.
20. 6.Ageing of the population
• By 2020, the population aged above 60 years – 1.4 billion
• Around 460 million elderly live in developing countries
• Increased prevalence of chronic diseases and disabilities
21. 7.Gender
• Women’s health issues –
- Nutrition
- Reproductive health ,
- Health consequences of violence,
- Ageing,
- Life style related conditions and
- Occupational environment.
22. 8.Other factors
• Tremendous development in Information & Communication
• Provide an instant access to medical information and dissemination of
information worldwide.
• Other contributions from systems outside the formal health care
system – Food & agriculture, education, industry, rural development
• This would include employment opportunities, increased wages,
prepaid medical programmes, and family support systems.