Cook County Department of Public Health staff who are presenters, moderators, and secondary authors at the annual meeting of the American Public Health Association are pictured. Their presentations are listed by Session number. The meeting attracts over 12,000 participants and is health in Philadelphia, PA from November 2nd to November 6th, 2019. #APHA2019 @PublicHealth @APHAAnnualMtg
New approaches for moving upstream how state and local health departments can...Jim Bloyd, DrPH, MPH
Growing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are “upstream” drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on “downstream” behavioral risks. Three factors explain the difficulty in translating this knowledge into practice. First, in their allegiance to the status quo, powerful elites often resist upstream policies and programs that redistribute wealth and power. Second, public health practice is often grounded in dominant biomedical and behavioral paradigms, and health departments also face legal and political limits on expanding their scope of activities. Finally, the evidence for the impact of upstream interventions is limited, in part because methodologies for evaluating upstream interventions are less developed. To illustrate strategies to overcome these obstacles, we profile recent campaigns in the United States to enact living wages, prevent mortgage foreclosures, and reduce exposure to air pollution. We then examine how health educators working in state and local health departments can transform their practice to contribute to campaigns that reallocate the wealth and power that shape the living conditions that determine health and health inequalities. We also consider health educators’ role in producing the evidence that can guide transformative expansion of upstream interventions to reduce health inequalities.
New approaches for moving upstream how state and local health departments can...Jim Bloyd, DrPH, MPH
Growing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are “upstream” drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on “downstream” behavioral risks. Three factors explain the difficulty in translating this knowledge into practice. First, in their allegiance to the status quo, powerful elites often resist upstream policies and programs that redistribute wealth and power. Second, public health practice is often grounded in dominant biomedical and behavioral paradigms, and health departments also face legal and political limits on expanding their scope of activities. Finally, the evidence for the impact of upstream interventions is limited, in part because methodologies for evaluating upstream interventions are less developed. To illustrate strategies to overcome these obstacles, we profile recent campaigns in the United States to enact living wages, prevent mortgage foreclosures, and reduce exposure to air pollution. We then examine how health educators working in state and local health departments can transform their practice to contribute to campaigns that reallocate the wealth and power that shape the living conditions that determine health and health inequalities. We also consider health educators’ role in producing the evidence that can guide transformative expansion of upstream interventions to reduce health inequalities.
Poster presentation outlining results of the University of Gloucestershire's Active Fans project - investigating sports fans' preferences for health improvement programmes
Ethics Grand Rounds: Cross-Cultural Care in a Culture of PovertyAndi Chatburn, DO, MA
Cultural Competence includes understanding and having empathy for the unique circumstances experienced in poverty. Presented in Providence Stevens County October 16 2015
A summary of the planning and response actions related to Pandemics in Peru. An attempt to explain why this country has the highest death rate per million in the world
Karen Minyard, GHPC Director, presented "Social Determinants of Health Equity and Levels of Potential Impact in the System: Opportunities for Leverage" at the Georgia Grantmakers Alliance in Macon, GA on August 25, 2011.
CommunityPublic Health NursingPromoting the Health ofLynellBull52
Community/Public Health Nursing
Promoting the Health of Populations
SEVENTH EDITION
Mary A. Nies, PhD, RN, FAAN, FAAHB
Director of Nursing Research and Professor College of Nursing, Joint Appointment MPH Program, Kasiska
Division of Health Sciences, Idaho State University, Pocatello, Idaho
Melanie McEwen, PhD, RN, CNE, ANEF
Professor, University of Texas Health Science Center at Houston, Cizik School of Nursing, Houston, Texas
2
Table of Contents
Cover image
Title page
Copyright
Dedication
About the Author
Acknowledgments
Contributors
Preface
Unit 1. Introduction to Community Health Nursing
1. Health: A Community View
Definitions of Health and Community
Determinants of Health and Disease
Indicators of Health and Illness
Definition and Focus of Public Health and Community Health
Preventive Approach to Health
Definition and Focus of Public Health Nursing, Community Health Nursing, and Community-
Based Nursing
Population-Focused Practice and Community/Public Health Nursing Interventions
Public Health Nursing, Managed Care, and Health Reform
Summary
Evolve Website
2. Historical Factors: Public Health Nursing in Context
Evolution of Health in Western Populations
3
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Advent of Modern Health Care
Consequences for The Health of Populations
Social Challenges and Public Health Nursing
Challenges for Public Health Nursing
Summary
Evolve Website
3. Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
Thinking Upstream: Examining the Root Causes of Poor Health
Historical Perspectives on Nursing Theory
How Theory Provides Direction to Nursing
Microscopic Versus Macroscopic Approaches to the Conceptualization of Community Health
Problems
Assessing a Theory’s Scope in Relation to Community Health Nursing
Review of Theoretical Approaches
Healthy People 2020
Summary
Evolve Website
4. Health Promotion and Risk Reduction
Health Promotion and Community Health Nursing
Determinants of Health
Theories in Health Promotion
Risk and Health
The Relationship of Risk to Health and Health Promotion Activities
Summary
Evolve Website
Unit 2. The Art and Science of Community Health Nursing
5. Epidemiology
Use of Epidemiology in Disease Control and Prevention
Calculation of Rates
Concept of Risk
4
Use of Epidemiology in Disease Prevention
Use of Epidemiology in Health Services
Epidemiological Methods
Summary
Learning Activities
6. Community Assessment
The Nature of Community
Healthy Communities
Assessing the Community: Sources Of Data
Needs Assessment
Diagnosing Health Problems
Summary
Evolve Website
7. Community Health Planning, Implementation, and Evaluation
Overview of Health Planning
Health Planning Model
Health Planning Projects
Health Planning Models in Public Health
Health Planning Federal Legislation
Nursing Implications
Summary
Evolve Website
8. Community Health Education
Connecting With Everyday Realities
Health Education in ...
Poster presentation outlining results of the University of Gloucestershire's Active Fans project - investigating sports fans' preferences for health improvement programmes
Ethics Grand Rounds: Cross-Cultural Care in a Culture of PovertyAndi Chatburn, DO, MA
Cultural Competence includes understanding and having empathy for the unique circumstances experienced in poverty. Presented in Providence Stevens County October 16 2015
A summary of the planning and response actions related to Pandemics in Peru. An attempt to explain why this country has the highest death rate per million in the world
Karen Minyard, GHPC Director, presented "Social Determinants of Health Equity and Levels of Potential Impact in the System: Opportunities for Leverage" at the Georgia Grantmakers Alliance in Macon, GA on August 25, 2011.
CommunityPublic Health NursingPromoting the Health ofLynellBull52
Community/Public Health Nursing
Promoting the Health of Populations
SEVENTH EDITION
Mary A. Nies, PhD, RN, FAAN, FAAHB
Director of Nursing Research and Professor College of Nursing, Joint Appointment MPH Program, Kasiska
Division of Health Sciences, Idaho State University, Pocatello, Idaho
Melanie McEwen, PhD, RN, CNE, ANEF
Professor, University of Texas Health Science Center at Houston, Cizik School of Nursing, Houston, Texas
2
Table of Contents
Cover image
Title page
Copyright
Dedication
About the Author
Acknowledgments
Contributors
Preface
Unit 1. Introduction to Community Health Nursing
1. Health: A Community View
Definitions of Health and Community
Determinants of Health and Disease
Indicators of Health and Illness
Definition and Focus of Public Health and Community Health
Preventive Approach to Health
Definition and Focus of Public Health Nursing, Community Health Nursing, and Community-
Based Nursing
Population-Focused Practice and Community/Public Health Nursing Interventions
Public Health Nursing, Managed Care, and Health Reform
Summary
Evolve Website
2. Historical Factors: Public Health Nursing in Context
Evolution of Health in Western Populations
3
kindle:embed:0006?mime=image/jpg
Advent of Modern Health Care
Consequences for The Health of Populations
Social Challenges and Public Health Nursing
Challenges for Public Health Nursing
Summary
Evolve Website
3. Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
Thinking Upstream: Examining the Root Causes of Poor Health
Historical Perspectives on Nursing Theory
How Theory Provides Direction to Nursing
Microscopic Versus Macroscopic Approaches to the Conceptualization of Community Health
Problems
Assessing a Theory’s Scope in Relation to Community Health Nursing
Review of Theoretical Approaches
Healthy People 2020
Summary
Evolve Website
4. Health Promotion and Risk Reduction
Health Promotion and Community Health Nursing
Determinants of Health
Theories in Health Promotion
Risk and Health
The Relationship of Risk to Health and Health Promotion Activities
Summary
Evolve Website
Unit 2. The Art and Science of Community Health Nursing
5. Epidemiology
Use of Epidemiology in Disease Control and Prevention
Calculation of Rates
Concept of Risk
4
Use of Epidemiology in Disease Prevention
Use of Epidemiology in Health Services
Epidemiological Methods
Summary
Learning Activities
6. Community Assessment
The Nature of Community
Healthy Communities
Assessing the Community: Sources Of Data
Needs Assessment
Diagnosing Health Problems
Summary
Evolve Website
7. Community Health Planning, Implementation, and Evaluation
Overview of Health Planning
Health Planning Model
Health Planning Projects
Health Planning Models in Public Health
Health Planning Federal Legislation
Nursing Implications
Summary
Evolve Website
8. Community Health Education
Connecting With Everyday Realities
Health Education in ...
HFMG 4999- Health & Fitness Management CapstoneCase Study # 2SusanaFurman449
HFMG 4999- Health & Fitness Management Capstone
Case Study # 2
Thomas is a collegiate Division II track sprinter who missed most of his last season because of multiple lower body muscle strains. His off-season goals are to maintain his lower body power and strength while increasing his flexibility in order to decrease the frequency of in season muscle strains. Thomas’s strength coach has provided him with an offseason resistance program, but he has asked you to create a stretching program that will get him through his next season “injury free”. Thomas has been working with strength coaches for 10 years and will be using his schools weight room that is fully equipped with any amenities he may need.
Required: Include the following:
1. Conduct a needs analysis that includes common muscular injuries that track sprinters experience along with recommendations to decrease these occurrences.
2. In narrative form provide a list of the recommended stretches and the rationale for including them in Thomas’s program.
Include In the rationale:
A. Muscles stretched including cues
B. Training frequency
C. Sets and Reps
3. Discuss other methods and modalities that Thomas can add to his program to decrease the likelihood of straining muscles in the upcoming track season.
Policy & Politics in Nursing and Health
Care
EIGHTH EDITION
Diana J. Mason, PhD, RN, FAAN
Consultant and Journalist, Senior Policy Service Professor, Center for Health Policy and Media
Engagement, School of Nursing, George Washington University, Washington, DC
Professor Emerita, Hunter-Bellevue School of Nursing, City University of New York, New York,
New York
Elizabeth Dickson, PhD, RN
Assistant Professor, College of Nursing, Center for Participatory Research, University of New
Mexico, Albuquerque, New Mexico
Monica R. McLemore, PhD, RN, MPH, FAAN
Associate Professor, Family Health Care Nursing, Clinician-Scientist, Advancing New Standards in
Reproductive Health (ANSIRH), University of California, San Francisco, San Francisco, California
G. Adriana Perez, PhD, RN, CRNP, ANP-BC,
FAAN, FGSA
Assistant Professor of Nursing, Family and Community Health, School of Nursing, Senior Fellow,
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia,
Pennsylvania
2
Table of Contents
Cover image
Title page
Copyright
About the editors
Contributors
Reviewers
Contents
Forewords
Preface
Acknowledgments
UNIT 1. Introduction to Policy and Politics in Nursing and Health
Care
1. Frameworks for action in policy and politics
Focus on policy: What policy?
The affordable care act
Upstream factors: Social determinants of health
Nursing and health and social policy
4
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Policy and the policy process
Forces that shape health and social policy
The framework for action
Policy and political competence
Nursing essentials
Conclusion
Discussion questions
References
2. Historical perspective on policy, politics, and nursing
“ ...
RESEARCH ARTICLEPerceived discrimination in medical settin.docxrgladys1
RESEARCH ARTICLE
Perceived discrimination in medical settings
and perceived quality of care: A population-
based study in Chicago
Maureen R. BenjaminsID
1,2*, Megan Middleton2
1 Sinai Urban Health Institute, Sinai Health System, Chicago, Illinois, United States of America, 2 Chicago
Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, United States
of America
* [email protected]
Abstract
Perceived discrimination in medical settings remains prevalent within the U.S. health care
system. However, the details of these experiences and their associations with perceived
quality of care are not well understood. Our study assessed multiple measures of perceived
racial/ethnic discrimination in medical settings and investigated the locations and purported
perpetrators of the discriminatory experiences within a population-based sample of 1,543
Black, White, Mexican, Puerto Rican, and Other adults. We used logistic regression to esti-
mate associations between perceived discrimination in the medical setting and three quality
of care indicators. Overall, 40% of the sample reported one or more types of perceived dis-
crimination in a medical setting, with significant differences by race/ethnicity. Discrimination
was perceived across health settings and from a variety of providers and staff. In adjusted
logistic regression models, individuals reporting discrimination had more than twice the
odds of reporting fair or poor quality of care (OR = 2.4 [95% CI: 1.4–4.3]). In addition, per-
ceived discrimination in medical settings was significantly associated with report of not hav-
ing enough time with the physician and not being as involved in decision-making as desired.
These findings expand our understanding of perceived discriminatory experiences in health
care and the consequences of it for patients, providers, and health care systems. This infor-
mation is essential for identifying future provider interventions and improving the training of
health care professionals.
Introduction
Racial and ethnic disparities in access to, and quality of, health care are pervasive and contrib-
ute to the persistent negative health outcomes seen among communities of color [1–7]. Per-
ceived discrimination may underlie both disparities in health care and health outcomes [8,9].
In particular, research is needed to better understand racial and ethnic discrimination in the
health care setting, which likely impacts health care perceptions and outcomes [10–13].
PLOS ONE | https://doi.org/10.1371/journal.pone.0215976 April 25, 2019 1 / 15
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OPEN ACCESS
Citation: Benjamins MR, Middleton M (2019)
Perceived discrimination in medical settings and
perceived quality of care: A population-based study
in Chicago. PLoS ONE 14(4): e0215976. https://
doi.org/10.1371/journal.pone.0215976
Editor: Leonidas G Koniaris, Indiana University,
UNITED STATES
.
The attached presentation is Jenny Byelick’s UIC School of Public Health Capstone project for her Master of Public Health degree, relating the introductory public health course at Pedro Albizu Campos High School as part of a comprehensive public health curriculum. Public health curricula at the high school level may be a vehicle for addressing health disparities and improving health outcomes among adolescents, particularly in socially marginalized communities. Public health curricula may address health disparities and contribute to the composition of the future health professions workforce; this is especially relevant when high school education programs are linked to career pipelines. This presentation addresses how a school course encompassed aspects of population wellness utilizing social constructionist methods of education. The course was developed adhering to a theoretical framework influenced by principles of positive youth development, critical race theory and school connectedness. This presentation also discusses lessons learned and future directions of the public health curriculum in Humboldt Park. Next steps include improving and evaluating the public health curriculum and career-linked pipeline and connecting this program with other area schools.
Effects of Community-Based Health WorkerInterventions to Imp.docxSALU18
Effects of Community-Based Health Worker
Interventions to Improve Chronic Disease
Management and Care Among Vulnerable
Populations: A Systematic Review
Kyounghae Kim, RN, MSN, Janet S. Choi, MPH, Eunsuk Choi, RN, PhD, MPH, Carrie L. Nieman, MD, MPH, Jin Hui Joo, MD, MA,
Frank R. Lin, MD, PhD, Laura N. Gitlin, PhD, and Hae-Ra Han, RN, PhD
Background. Community-based health workers (CBHWs) are frontline
public health workers who are trusted members of the community they
serve. Recently, considerable attention has been drawn to CBHWs in pro-
moting healthy behaviors and health outcomes among vulnerable pop-
ulations who often face health inequities.
Objectives. We performed a systematic review to synthesize evidence
concerning the types of CBHW interventions, the qualification and
characteristics of CBHWs, and patient outcomes and cost-effectiveness
of such interventions in vulnerable populations with chronic, non-
communicable conditions.
Search methods. We undertook 4 electronic database searches—PubMed,
EMBASE, Cumulative Index to Nursing and Allied Health Literature, and
Cochrane—and hand searched reference collections to identify randomized
controlled trials published in English before August 2014.
Selection. We screened a total of 934 unique citations initially for titles
and abstracts. Two reviewers then independently evaluated 166 full-
text articles that were passed onto review processes. Sixty-one studies
and 6 companion articles (e.g., cost-effectiveness analysis) met eligi-
bility criteria for inclusion.
Data collection and analysis. Four trained research assistants extracted
data by using a standardized data extraction form developed by the
authors. Subsequently, an independent research assistant reviewed
extracted data to check accuracy. Discrepancies were resolved through
discussions among the study team members. Each study was evaluated
for its quality by 2 research assistants who extracted relevant study
information. Interrater agreement rates ranged from 61% to 91% (av-
erage 86%). Any discrepancies in terms of quality rating were resolved
through team discussions.
Main results. All but 4 studies were conducted in the United States.
The 2 most common areas for CBHW interventions were cancer pre-
vention (n = 30) and cardiovascular disease risk reduction (n = 26). The
roles assumed by CBHWs included health education (n = 48), counseling
(n = 36), navigation assistance (n = 21), case management (n = 4), social
services (n = 7), and social support (n = 18). Fifty-three studies provided
information regarding CBHW training, yet CBHW competency evalua-
tion (n = 9) and supervision procedures (n = 24) were largely under-
reported. The length and duration of CBHW training ranged from 4
hours to 240 hours with an average of 41.3 hours (median: 16.5 hours) in
24 studies that reported length of training. Eight studies reported the
frequency of supervision, which ranged from weekly to monthly. There ...
Howdy! Check this cool example of DNP captone project . To get more examples visit https://www.nursingcapstone.net/our-dnp-capstone-projects-writing-services/
Towards a Critical Health Equity Research Stance: Why Epistemology and Method...Jim Bloyd, DrPH, MPH
Qualitative methods are not intrinsically progressive. Methods are simply tools to conduct research. Epistemology, the justification of knowledge, shapes methodology and methods, and thus is a vital starting point for a critical health equity research stance, regardless of whether the methods are qualitative, quantitative, or mixed. In line with this premise, I address four themes in this commentary. First, I criticize the ubiquitous and uncritical use of the term health disparities in U.S. public health. Next, I advocate for the increased use of qualitative methodologies—namely, photovoice and critical ethnography— that, pursuant to critical approaches, prioritize dismantling social–structural inequities as a prerequisite to health equity. Thereafter, I discuss epistemological stance and its influence on all aspects of the research process. Finally, I highlight my critical discourse analysis HIV prevention research based on individual interviews and focus groups with Black men, as an example of a critical health equity research approach.
Links to Recommended Readings from June 4, 2020 presentation “Work With Organ...Jim Bloyd, DrPH, MPH
Links to Recommended Readings from June 4, 2020 presentation “Work With Organizers to Build People Power for Health Equity” by Jim Bloyd, MPH, Regional Health Officer, Cook County Department of Public Health (IL) jbloyd@cookcountyhhs.org Presented as part of “Covid-19 and Health Equity: A Policy Platform and Voices from Health Departments” by Human Impact Partners, co-sponsored by APHA, ASTHO, Big Cities Health Coalition, HealthBegins, and NACCHO. (Links current as of June 12, 2020 prepared by Jim)
Senators call for investigation into Pulaski County jail amid COVID-19 outbreakJim Bloyd, DrPH, MPH
News article published May 30, 2020 "The senators’ letter follows the efforts of several health-justice advocates to implore the Illinois Department of Public Health to take a more active role in managing the outbreak in Pulaski County. Those individuals, which include representatives from the Collaborative for Health Equity Cook County and the Health & Medicine Policy Research Group, Chicago-based health justice organizations, DePaul University and the University of Illinois Chicago School of Public Health, are circulating a petition that demands IDPH make site visits to ICE detention sites across Illinois, and specifically the facility in Pulaski County, to ensure compliance with care plans and infectious disease control."
A 5-Year Retrospective Analysis of Legal Intervention Injuries and Mortality ...Jim Bloyd, DrPH, MPH
There has been a public outcry for the accountability of law enforcement agents who kill and injure citizens. Epidemiological surveillance can underscore the magnitude of morbidity and mortality of citizens at the hands of law enforcement. We used hospital outpatient and inpatient databases to conduct a retrospective analysis of legal interventions in Illinois between 2010 and 2015. We calculated injury and mortality rates based on demographics, spatial distribution, and cause of injury. During the study period, 8,384 patients were treated for injuries caused during contact with law enforcement personnel. Most were male, the mean age was 32.7, and those injured were disproportionately black. Nearly all patients were treated as outpatients, and those who were admitted to the hospital had a mean of length of stay of 6 days. Most patients were discharged home or to an acute or long-term care facility (83.7%). It is unclear if those discharged home or to a different medical facility were arrested, accidentally injured, injured when no crime was committed, or injured when a crime was committed. Surveillance of law enforcement-related injuries and deaths should be implemented, and injuries caused during legal interventions should be recognized as a public health issue rather than a criminal justice issue.
Life Expectancy and Mortality Rates in the United States, 1959-2017Jim Bloyd, DrPH, MPH
Importance: US life expectancy has not kept pace with that of other wealthy countries and is now decreasing.
Objective: To examine vital statistics and review the history of changes in US life expectancy and increasing mortality rates; and to identify potential contributing factors, drawing insights from current literature and an analysis of state-level trends.
Evidence: Life expectancy data for 1959-2016 and cause-specific mortality rates for 1999-2017 were obtained from the US Mortality Database and CDC WONDER, respectively. The analysis focused on midlife deaths (ages 25-64 years), stratified by sex, race/ethnicity, socioeconomic status, and geography (including the 50 states). Published research from January 1990 through August 2019 that examined relevant mortality trends and potential contributory factors was examined.
Findings: Between 1959 and 2016, US life expectancy increased from 69.9 years to 78.9 years but declined for 3 consecutive years after 2014. The recent decrease in US life expectancy culminated a period of increasing cause-specific mortality among adults aged 25 to 64 years that began in the 1990s, ultimately producing an increase in all-cause mortality that began in 2010. During 2010-2017, midlife all-cause mortality rates increased from 328.5 deaths/100 000 to 348.2 deaths/100 000. By 2014, midlife mortality was increasing across all racial groups, caused by drug overdoses, alcohol abuse, suicides, and a diverse list of organ system diseases. The largest relative increases in midlife mortality rates occurred in New England (New Hampshire, 23.3%; Maine, 20.7%; Vermont, 19.9%) and the Ohio Valley (West Virginia, 23.0%; Ohio, 21.6%; Indiana, 14.8%; Kentucky, 14.7%). The increase in midlife mortality during 2010-2017 was associated with an estimated 33 307 excess US deaths, 32.8% of which occurred in 4 Ohio Valley states.
Conclusions and Relevance: US life expectancy increased for most of the past 60 years, but the rate of increase slowed over time and life expectancy decreased after 2014. A major contributor has been an increase in mortality from specific causes (eg, drug overdoses, suicides, organ system diseases) among young and middle-aged adults of all racial groups, with an onset as early as the 1990s and with the largest relative increases occurring in the Ohio Valley and New England. The implications for public health and the economy are substantial, making it vital to understand the underlying causes.
Revisiting the Corporate and Commercial Determinants of HealthJim Bloyd, DrPH, MPH
We trace the development of the concept of the corporate determinants of health. We argue that these determinants are predicated on the un- checked power of corporations and that the means by which corporations exert power is increasingly unseen.
We identify four of the ways corporations influence health: defining the dominant narra- tive; setting the rules by which society, especially trade, oper- ates; commodifying knowledge; and undermining political, so- cial, and economic rights.
We identify how public health professionals can respond to these manifestations of power. (Am J Public Health. 2018;108: 1167–1170. doi:10.2105/AJPH. 2018.304510)
Public Health, Politics, and the Creation of Meaning: A Public Health of Cons...Jim Bloyd, DrPH, MPH
"The creation of meaning may be an unfamiliar role for public health, but one whose import comes into sharp relief when we recognize the inevitability of the political at the heart of what we do."
This transcript is useful for a small group exercise when participants are listening to Dr. Linda Rae Murry discuss her critique of the Ten Essential Services as a frame popular in the USA for describing what public health is and should do. It was used along with a worksheet to successfully generate small group discussion on September 12, 2019. Available at RootsofHealthInequity.org
Exercise Linda Murray Voices of Public Health questions worksheet Used Septem...Jim Bloyd, DrPH, MPH
This was one of two 20-minute exercises used by Jim Bloyd and Rachel Rubin with a 30-minute slide presentation. The exercises generated discussion among groups of 2-3 people. The group also listened to the audio of Dr. Murray's 6-minute statement, and followed along reading a transcript of the statement. Both the audio and the transcript are available at RootsofHealthInequity.org of NACCHO.
Roots of Health Inequity Dialogues: Designing Staff Development to Strengthen...Jim Bloyd, DrPH, MPH
Presentation and 3 20-minute exercises prepared for the annual conference of the Illinois Public Health Association, September 12, 2019 in Springfield, Illinois, USA. Abstract: The Cook County Department of Public Health (CCDPH) used the National Association of County and City Health Officials' online course for the public health workforce Roots of Health Inequity, to accomplish three goals: change the way staff think about public health; change the way staff practice public health; and apply health equity principles to the daily work. Chief Operating Officer Terry Mason, MD, required all staff to participate in the training.
Increasing the integration of a health equity approach by first training staff on health equity and how it is relevant to their work was a priority of the agency strategic plan, as well as a QI and Workforce Development priority for CCDPH.
Components of the CCDPH Roots of Health Inequity Dialogues include the creation of 1small groups for in-person discussion; a leadership committee; training staff as facilitators; evaluation; a commitment to dialogue. The small group-approach accomplished two things: dialogue and discussion were maximized, while disruption of regular duties and health department functions was minimized.
Reliance on staff to facilitate dialogues strengthened leadership for health equity within the health department, and eliminated the need for external facilitation. In addition, the “insider” knowledge of the Facilitators—most of whom have years of experience working at CCDPH---ensured that dialogue leaders understood the institutional culture, and increased the likelihood that the dialogues will be able to examine real barriers as well as opportunities to practice transformation.
Chicago Panels Details COOKED documentary Film July 12-25, 2019Jim Bloyd, DrPH, MPH
This is a list of the panels and panelists for the July 12-25 2019 screenings of COOKED in Chicago, Illinois at the Gene Siskel Film Center, 164 N. State St., Chicago, Illinois. USA
Editorial: Evidence based policy or policy based evidence? by Michael MarmotJim Bloyd, DrPH, MPH
A simple prescription would be to review the scientific evidence of what would make a difference, formulate policies, and implement them—evidence based policy making. Unfor- tunately this simple prescription, applied to real life, is simplistic. The relation between science and policy is more complicated. Scientific findings do not fall on blank minds that get made up as a result. Science engages with busy minds that have strong views about how things are and ought to be.
Can health equity survive epidemiology? Standards of proof and social determi...Jim Bloyd, DrPH, MPH
Objective. This article examines how epidemiological evidence is and should be used in the context of increasing concern for health equity and for social determinants of health.
Method. A research literature on use of scientific evidence of “environmental risks” is outlined, and key issues compared with those that arise with respect to social determinants of health.
Results. The issue sets are very similar. Both involve the choice of a standard of proof, and the corollary need to make value judgments about how to address uncertainty in the context of “the inevitability of being wrong,” at least some of the time, and to consider evidence from multiple kinds of research design. The nature of such value judgments and the need for methodological pluralism are incompletely understood.
Conclusion. Responsible policy analysis and interpretation of scientific evidence require explicit consideration of the ethical issues involved in choosing a standard of proof. Because of the stakes involved, such choices often become contested political terrain. Comparative research on how those choices are made will be valuable.
The importance of public policy as a determinant of health is routinely acknowledged, but there remains a continuing absence of mainstream debate about the ways in which the politics, power and ideology, which underpin public policy influence people's health. This paper explores the possible reasons behind the absence of a politics of health and demonstrates how explicit acknowledgement of the political nature of health will lead to more effective health promotion strategy and policy, and to more realistic and evidence-based public health and health promotion practice
REDSACOL ALAMES ante la intromision imperial [REDSACOL ALAMES facing imperial...Jim Bloyd, DrPH, MPH
Statement from the Red de Salud Colectiva of the Asociacion Latinoamericana de Medicina Social y Salud Colective (Latin American Association of Social Medicine and Collective Health) distributed February 1, 2019 on the ALAMES list serve by Oscar Feo Isturiz, physician, specialist in public health and occupational health, and retired professor at the University of Carabobo, Venezuela. He advises the Ministries of Health of El Salvador and Bolivia. He is on the Consultative Committee of ALAMES.
A Chicago case example of public health professionals allying with community ...Jim Bloyd, DrPH, MPH
Inspired by the Guide to Public Health Actions for Immigrant Rights, a coalition of health workers and community allies in Chicago have been organizing to pressure the Cook County Health and Hospitals System (CCHHS) to meet six demands to Protect Immigrant Health Now! Two promotoras de salud-Community Health Workers-from Enlace Chicago provided testimony at the September 1, 2017 meeting of the CCHHS Board,
marking a milestone in this campaign. Four additional leaders of the Public Health Woke coalition will join the two promotoras on the panel. They will describe the coalition’s collection of new data, use of the Thunderclap social media tool, relationship-building, analysis of local power structures, and the ethical duties of public health professionals in the context of mass deportation. The Co-Founder and Executive Director of Arab- American Family Services will describe her experience as an ally, and the importance of centering immigrant voices in the fight for sanctuary health care for immigrants and all marginalized people; The role of Cook County Commissioner Jesús ‘Chuy’ García’s 7th District Health Task Force will be
described; A Past-President of APHA (faculty at UIC School of Public Health and National Collaborative for Health Equity Board Member) will discuss the historical commitment of Cook County, Illinois, to provide health care to all people; and a leader with the Collaborative for Health Equity Cook County will moderate and guide one participatory activity. This session will emphasize audience participation & dialogue.
More info go to CHECookCounty.org Follow @CHECookCounty
Sign On Public Letter-Minimum Wage Cook County, IL October 2018Jim Bloyd, DrPH, MPH
CHE Cook County served as the public health organization which distributed a sign on letter on its letterhead in October 2018 calling on municipal governments in Cook County, Illinois, to abide by the County ordinance raising the minimum wage. Many home-rule municipalities have chosen to opt out of the ordinance. Community organizers from Centro de Trabajadores Unidos and Arise also worked on this campaign. The Chicago Sun Times published the letter as an op-ed on November 19, 2018, signed by Dr.s Linda Rae Murray and David A. Ansell.
Police-Related Deaths and Neighborhood Economic and Racial/Ethnic Polarizatio...Jim Bloyd, DrPH, MPH
Objectives.
To estimate the association between rates of police-related deaths and neighborhood residential segregation (by income, race/ethnicity, or both combined) in the United States.
Methods. We identified police-related deaths that occurred in the United States (2015 –2016) using a data set from the Guardian newspaper. We used census data to estimate expected police-related death counts for all US census tracts and to calculate the Index of Concentration at the Extremes as a segregation measure. We used mul-tilevel negative binomial models for the analyses.
Results. Overall, police-related death rates were highest in neighborhoods with the
greatest concentrations of low-income residents (vs high-income residents) and resi-
dents of color (vs non-Hispanic White residents). For non-Hispanic Blacks, however, the risk was greater in the quintile of neighborhoods with the highest concentration of non-Hispanic White residents than in certain neighborhoods with relatively higher concentrations of residents of color (the third and fourth quintiles).
Conclusions. Neighborhood context matters—beyond individual race/ethnicity—for understanding, preventing, and responding to the occurrence of police-related deaths. Public Health Implications.
Efforts to monitor, prevent, and respond to police-related deaths should consider neighborhood context, including levels of segregation byincome and race/ethnicity. (Am J Public Health. Published online ahead of print January 24, 2019: e1–e7. doi:10.2105/AJPH.2018.304851)
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.
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.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
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).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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.
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Cook County Department of Public Health at APHA 2019
1. Cook County Department of Public Health
at APHA 2019
L to R: Terry Mason, Kiran Joshi, Ken Campbell, Freda Holloway-Beth, Hanna Kite, Percy Harris, Jim Bloyd, Rachel Rubin.
Presentations by Session Number
274.0 Black Caucus of Health Workers 101: History, Mission, Goals and Our Future
3134.0 Restoring Health Equity to Ailing Cook County Communities: A Quantitative Approach to Characterizing
and Improving the Joint Socio-demographic, Built Environment and Health Status of Communities"
3147.0 Using NACCHO's Roots of Health Inequity in a staff development initiative to transform public health
practice in Cook County, IL
3270.0 Table 7 - Local Health Department Use of Legal Epidemiology on Affordable Housing Policy
3276.0 A trend analysis to examine the effects of climate change on heat-related illnesses and deaths among
United States construction workers
3345.1 Table 5 - Levels of Emotional Intelligence as a Contributing Factor to Substance Use Behaviors among
College Athletes: A Quantitative Approach
4131.1 Table 8 - Follow-Up Study: Restoring Health Equity to Ailing Cook County Communities: A Quantitative
Approach to Characterizing and Improving the Joint Socio-demographic, Built Environment and Health Status
of Communities
4240.0 A Quantitative Approach to Characterizing the Joint Socio-demographic, Built environment and Health
Status of Communities
4258.0 Health implications of cross-border militarism
4387.0 Table 9 - Follow-up Study: Quantitative Approach to the Effects of Emotional Intelligence, Persistence,
and Graduation Rates on Substance Use Behaviors Among African American College Students
5066.0 African American Health Status: The Role of the Myth of Race and a History of Slavery in Adverse
Health Outcomes
5121.0 Disappearance and Failure of Black Owned & Operated Hospitals: Fewer Choices to Eliminating Health
Disparities, Health Inequality and Poor Health Outcomes within the Black Community
5121.0 Follow-up Study: Quantitative Approach to Exploring the Social Determinants of Health on Racial
Inequities in Preventative Health Care in Young African American Men Versus Young Caucasian Men at
Universities in the Midwest
5121.0 Public Health Impact of Slavery on Identity: The Cultural Self-Identity Destruction and Gun Violence in
Chicago
5121.0 Closing the Health Gap and Improving Self-Esteem among Black and Immigrant Communities in
Suburban Cook County: Using Urban Farming to Build Community Wealth & Improve Healthy Self-Esteem
Behaviors
www.cookcountypublichealth.org 15900 S. Cicero Av., Oak Forest, IL 60452
