Adaptive implementation of a community nutrition and asset transfer program d...POSHAN
Yunhee Kang, PhD, Johns Hopkins School of Public Health
Heeyeon Kim, PhD, independent consultant
Eunsuk Lee, PhD, Korea Institute for International Economic Policy
Md.Iqbal Hossain, World Vision Bangladesh
Jaganmay Prajesh Biswas, World Vision Bangladesh
Julie Ruel-Bergeron, PhD, World Bank
Yoonho Cho, World Vision Korea
POSHAN District Nutrition Profile_Balesore_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Bhadrak_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Adaptive implementation of a community nutrition and asset transfer program d...POSHAN
Yunhee Kang, PhD, Johns Hopkins School of Public Health
Heeyeon Kim, PhD, independent consultant
Eunsuk Lee, PhD, Korea Institute for International Economic Policy
Md.Iqbal Hossain, World Vision Bangladesh
Jaganmay Prajesh Biswas, World Vision Bangladesh
Julie Ruel-Bergeron, PhD, World Bank
Yoonho Cho, World Vision Korea
POSHAN District Nutrition Profile_Balesore_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Bhadrak_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Ijsrp p8825 Caregiver factors influencing seeking of Early Infant Diagnosis (...Elizabeth kiilu
Caregiver factors influencing seeking of Early Infant Diagnosis (EID) of HIV services in selected hospitals in Nairobi County, Kenya:A qualitative Study
Increasing Access to Institutional Deliveries Using Demand and Supply Side In...IDS
This presentation was given by Elizabeth Ekirapa-Kiracho of Makerere University School of Public health to XII Ascon, Dhaka, February 2009. The author is a member of the Future Health Systems Research Programme Consortium (www.futurehealthsystems.org).
P. Compston - Identifying and addressing the barriers to effective FMD vaccin...EuFMD
Session VI
Foot-and-mouth disease (FMD) is endemic in Kenya, with frequent outbreaks. Understanding socioeconomic drivers affecting disease control within Kenya’s livestock systems, and the cost-effectiveness of control options, are important components of designing an FMD control programme. This study aimed to integrate quantitative economic analysis with qualitative data to provide recommendations for disease control.
This short presentation was made at the Zambia Medical Association 2014 Annual General Meeting. It was given by one of the members of the project team, Dr Bellington Vwalika who is Head of the Obstetrics & Gynaecology Department at the University Teaching Hospital, Lusaka. It's a short (10 minute) summary of the pregnancy termination law in Zambia and the headline findings from our study of the costs and consequences of unsafe abortion for women, their households and others and for the Zambian health system.
Trends in nutrition outcomes, determinants and interventions between 2016 and...POSHAN
This slide deck is an evolving work in progress, with updates being made frequently. If you want to use or cite this,
please email us at IFPRI-POSHAN@cgiar.org to receive the most updated version
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
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
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
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.
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.
COVID-19: Access to maternal health service in informal settlements of Mumbai
1. DELIVERING FOR NUTRITION IN SOUTH ASIA
Implementation Research in the Context of COVID-19
2 December,2021
Presenter: Dr. Rijuta Sawant
Co-authors: Ms. Sushmita Das
Dr. Manjula Bahuguna
Dr. Anuja Jayaraman
COVID-19: Access to maternal
health service in informal
settlements of Mumbai
SNEHA: Society for Nutrition, Education & Health Action
2. • COVID-19 outbreak overwhelmed the health systems
• Nationwide lockdowns, disruption of health-care
services, and financial hardships resulted in poor
uptake of health services especially among pregnant
women in Mumbai - one of the hotspots of COVID-19
cases
Rationale
3. Objective
To assess the uptake of maternal health
services and related experiences of
expectant and new mothers residing in
informal settlements of Mumbai during
COVID-19 pandemic
4. Study: Cross-sectional survey
Study period: July-August 2020
Study area: 3 informal settlements in
SNEHA’s project implementation area
Sampling method: Simple random
Sample size: 436
Methods
Study participants: Pregnant women and
postpartum women who had delivered
between April-August 2020
Questionnaire:
oAdapted from Coronavirus Perinatal
Experiences Impact Survey (COPE-IS)
Telephonic interviews with informed, verbal
consent
*Thomason, M.E., Graham, A., VanTieghem, M.R. (2020). The COPE-IS: Coronavirus Perinatal
Experiences – Impact Survey. University Langone Health, New York
6. Pregnancy details
Pregnancy status: Pregnant-226 (52%)
Post-partum-210 (48%)
Parity: Primipara-155 (36%)
Pregnancy associated risk factor: Anemia-93 (21%)
Profile of respondents
(N=226)
Demography
Age group: 86% belong to 20-30 years age group
Education: 61% completed secondary schooling
Occupation: 5% had a paid employment
7. Post-partum mothers
(N=210)
• Institution delivery-168 (80%)
Pregnant women
(N=226)
• Registration for ANC-209 (92%)
Antenatal and Delivery care
69%
25%
6%
PREFERRED HEALTH FACILITY
FOR ANTENATAL CARE
Government hospitals Private hospitals Others
64%
35%
1%
PREFERRED HEALTH FACILITY
FOR DELIVERY CARE
Government hospitals Private hospitals Other
*ANC: Antenatal care
*LSCS: Lower segment Cesarian section
8. 179 (85%) had regular antenatal check ups
193 (92%) availed laboratory & diagnostic
services
Access to Antenatal care services
63%
53%
51%
51%
Change in hospital/care provider
Changed format of ANC visits
Reduction in ANC visits
No outreach/field camps in area
(N=226)
*ANC: Antenatal care
20% reported uninterrupted delivery care services, 80%
experienced unavailable/changed ANC services during pandemic
*Multiple choices
9. Postnatal care
Delivery care
Access to Delivery and Postnatal care services
(N=210)
50%
23%
13%
9%
Change in planned delivery
Denial/referral to other
facility
Change in type of delivery
Unavailability of planned
healthcare provider
15% reported uninterrupted Delivery and Postnatal care services while 84% faced unavailability or changed
services during pandemic
49%
26%
25%
11%
No outreach by frontline
workers
Incomplete/postponed
immunization
Unavailability of healthcare
provider/services
In-person to virtual
postpartum visit
*Multiple choices
10. Perception about Health service status during pandemic
Pregnant women
(Antenatal care services)
N=226
Health service
status
Post-Partum women
(Delievery care services)
N=210
47% No change 48%
46% Worsened 40%
7% Improved 12%
11. Support received from health providers
Pregnant women
(Antenatal care services)
N=226
Support from health
providers
Post-Partum women
(Delievery care services)
N=210
47% Very well supported 56%
51% Somewhat well supported 40%
2% Not very well supported 4%
12. • Our findings indicate that lack of information on the status of available services was one
of the major limiting factors for accessing services.
• Effective communication channels to make this information publicly available to all for
ease of accessing services is required.
• Additionally, health care systems can be strengthened by the government in order to
cope with any shocks in the future.
• Advocacy with the health system on resumption of outreach services
• Frontline workforce of the community-based or non-governmental organizations can be
reached for this purpose along with the use of different social media platforms
Policy implications
1.Burki T. The indirect impact of COVID-19 on women. Lancet Infect Dis 2020; 20: 904–05.
2.Roberton T, Carter ED, Chou VB, et al. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. Lancet Glob Health 2020; 8: e901–08.
3. Economic Times. 2020, May 10. Five cities that contribute nearly 50% of total cases key to India's Covid success. [Internet] Available from: https://economictimes.indiatimes.com/news/politics-and-nation/five-cities-that-contribute-nearly-50-of-total-cases-key-to-indias-covid- success/articleshow/75654952.cms?from=mdr
Frequencies and proportions were used to describe access and utilization of health services
Telephonic interviews after informed, verbal consent
It’s a measure designed to learn about the experiences of new and expectant mothers experiences of accessing and utilizing maternal health services in the time of the COVID-19 pandemic. Telephonic interviews
Adapted from Coronavirus Perinatal Experiences Impact Survey (COPE-IS)* which is a measure designed to learn about the experiences of new and expectant mothers experiences of accessing and utilizing maternal health services in the time of the COVID-19 pandemic.
29 (14%) availed virtual antenatal care services
Remove 6%