Please view this video on Emergency Preparedness Planning from the CHC's Weitzman Institute focusing on the role of FQHC leadership, staff support, and key strategies for preparedness and easing anxiety.
An interactive learning session led by an infectious disease expert and primary care providers to discuss epidemiology, screening, diagnosis, and treatment options for COVID-19. We will walk through realistic scenarios of patients presenting with COVID-19. This session is designed for primary care providers and care teams.
An interactive learning session led by an infectious disease expert and primary care providers to discuss epidemiology, screening, diagnosis, and treatment options for COVID-19. We will walk through realistic scenarios of patients presenting with COVID-19. This session is designed for primary care providers and care teams.
Before starting his current role as CEO of the St. Hope Foundation in Houston, Robert Goodie served as executive director of the Donald R. Watkins Memorial Foundation. In his work with St. Hope, Robert Goodie oversees several health care delivery and prevention programs focused on chronic and communicable illnesses such as hepatitis C and HIV.
The prophylactic drugs PrEP and PEP have greatly advanced progress towards HIV elimination. PrEP is a daily pill that can reduce the likelihood of developing HIV. PrEP is recommended for people who have an elevated risk of contracting HIV. This includes people with HIV positive partners, people with multiple sexual partners, or people who inject drugs using shared needles.
When taken as recommended and combined with medical monitoring, PrEP can reduce HIV transmission through sex by 99 percent and through intravenous drug use by 70 percent. On the other hand, PEP is a short-term prophylactic intended for people who have been exposed to HIV. PEP is most effective when started less than three days after exposure. A PEP course is prescribed for 28 days.
Provides information on pre-exposure prophylaxis (PrEP) to prevent HIV acquisition, including clinical recommendations and key points regarding PrEP efficacy and candidates, contraindications, lab testing, prescription, and monitoring PrEP.
Find more information at https://www.hivguidelines.org/prep-for-prevention/prep-to-prevent-hiv/
Sponsored by the New York State Department of Health (NYSDOH) AIDS Institute (AI) and the HIV Clinical Guidelines Program
Presentation by Daniel Raymond, the Harm Reduction Coalition's Policy Director, to the Institute of Medicine's Committee on Prevention and Control of Viral Hepatitis Infections on March 3, 2009.
Treating Chronic Pain During the COVID-19 PandemicCHC Connecticut
The Pain of COVID-19:
Treatment of Chronic Pain During the COVID-19 Pandemic
Faculty presenters for this session include:
Bennet Davis, MD;
Pain Program Director,
Sierra Tucson
Amy Kennedy, PharmD, BCACP;
Clinical Assistant Professor,
University of Arizona College Pharmacy;
Clinical Pharmacist,
El Rio Health
Kathy Davis, RN, BSN, ANP-C;
Nurse Practitioner,
El Rio Health Pain Program
September 2, 2020
Value of secondary prevention in cardiac rehabilitationShagufaAmber
. Treatment of acute event: An initial step in the CV care continuum occurs when treatments are given to address the acute CVD event at hand. For an acute coronary syndrome, prompt provision of antiplatelet therapy, thrombolytic therapy, percutaneous coronary intervention, or some combination of these is critically important to help patients survive the acute event and to do so with minimal damage to the heart.2. Initiation of Secondary Prevention (SP) therapies: A second step in the care continuum occurs shortly after the acute event has resolved and a longer-term treatment plan is initiated. This long-term plan generally includes lifesaving lifestyle and medical therapies and is ideally started before discharge. In fact, evidence shows that when SP treatments are started in the hospital, patients are more likely to adhere to those treatments in the long term, and are more likely to remain free from recurrent CV events than when those treatments were not started before discharge.
A teaching aid on addressing hesitancy to Covid-19 vaccination. WHO has identified vaccine hesitancy as a major threat to global health. Learn more about how to work with patients, the public and communities to improve confidence in Covid-19 vaccines.
In the age of internet and social media, Dr. Carl Abelardo Antonio teaches us how to evaluate online health resources so we can tell which of them is gold and which of them is junk.
Remote Health Monitoring become an inevitable part of today’s health care delivery system. Remote Health Monitoring is also called Remote Patient Monitoring. Remote Health Monitoring is beneficial to both the patient as well as healthcare professional
because it helps to monitor the health condition outside clinical setting, for example, home.
Webinar Series on COVID-19 vaccine: Jointly organized by Malaysian Society of Infection Control and Infectious Diseases (MyICID) & Institute for Clinical Research (ICR), NIH
Speaker: Dr. Rizah Mazzuin Razali, the head of Geriatric Unit and Internal Medicine Physician working in Kuala Lumpur Hospital, Ministry of Health Malaysia.
With the pandemic overclouding the whole world it has effected every strato of people including the Orthopaedic groups. This is to highlight the impact of COVID 19 on the orthopaedic in general.
Retaining Healthcare Quality During COVID-19 and Future of Care Delivery. By....Healthcare consultant
With the onset of COVID-19, healthcare delivery organizations around the world were collectively faced with one primary challenge: How to effectively deliver quality healthcare to all patients, regardless of the entry point into the system, while protecting the well-being of non-COVID-19 patients and the healthcare workforce.
What can a Clinical Nurse Leader do for your critical care nursing unit? Plenty! Consider this new nursing role as one that can improve patient outcomes and increase satisfaction for both clients and staff. Successful microsystems begin with empowering patients, families and front line nurses.
Before starting his current role as CEO of the St. Hope Foundation in Houston, Robert Goodie served as executive director of the Donald R. Watkins Memorial Foundation. In his work with St. Hope, Robert Goodie oversees several health care delivery and prevention programs focused on chronic and communicable illnesses such as hepatitis C and HIV.
The prophylactic drugs PrEP and PEP have greatly advanced progress towards HIV elimination. PrEP is a daily pill that can reduce the likelihood of developing HIV. PrEP is recommended for people who have an elevated risk of contracting HIV. This includes people with HIV positive partners, people with multiple sexual partners, or people who inject drugs using shared needles.
When taken as recommended and combined with medical monitoring, PrEP can reduce HIV transmission through sex by 99 percent and through intravenous drug use by 70 percent. On the other hand, PEP is a short-term prophylactic intended for people who have been exposed to HIV. PEP is most effective when started less than three days after exposure. A PEP course is prescribed for 28 days.
Provides information on pre-exposure prophylaxis (PrEP) to prevent HIV acquisition, including clinical recommendations and key points regarding PrEP efficacy and candidates, contraindications, lab testing, prescription, and monitoring PrEP.
Find more information at https://www.hivguidelines.org/prep-for-prevention/prep-to-prevent-hiv/
Sponsored by the New York State Department of Health (NYSDOH) AIDS Institute (AI) and the HIV Clinical Guidelines Program
Presentation by Daniel Raymond, the Harm Reduction Coalition's Policy Director, to the Institute of Medicine's Committee on Prevention and Control of Viral Hepatitis Infections on March 3, 2009.
Treating Chronic Pain During the COVID-19 PandemicCHC Connecticut
The Pain of COVID-19:
Treatment of Chronic Pain During the COVID-19 Pandemic
Faculty presenters for this session include:
Bennet Davis, MD;
Pain Program Director,
Sierra Tucson
Amy Kennedy, PharmD, BCACP;
Clinical Assistant Professor,
University of Arizona College Pharmacy;
Clinical Pharmacist,
El Rio Health
Kathy Davis, RN, BSN, ANP-C;
Nurse Practitioner,
El Rio Health Pain Program
September 2, 2020
Value of secondary prevention in cardiac rehabilitationShagufaAmber
. Treatment of acute event: An initial step in the CV care continuum occurs when treatments are given to address the acute CVD event at hand. For an acute coronary syndrome, prompt provision of antiplatelet therapy, thrombolytic therapy, percutaneous coronary intervention, or some combination of these is critically important to help patients survive the acute event and to do so with minimal damage to the heart.2. Initiation of Secondary Prevention (SP) therapies: A second step in the care continuum occurs shortly after the acute event has resolved and a longer-term treatment plan is initiated. This long-term plan generally includes lifesaving lifestyle and medical therapies and is ideally started before discharge. In fact, evidence shows that when SP treatments are started in the hospital, patients are more likely to adhere to those treatments in the long term, and are more likely to remain free from recurrent CV events than when those treatments were not started before discharge.
A teaching aid on addressing hesitancy to Covid-19 vaccination. WHO has identified vaccine hesitancy as a major threat to global health. Learn more about how to work with patients, the public and communities to improve confidence in Covid-19 vaccines.
In the age of internet and social media, Dr. Carl Abelardo Antonio teaches us how to evaluate online health resources so we can tell which of them is gold and which of them is junk.
Remote Health Monitoring become an inevitable part of today’s health care delivery system. Remote Health Monitoring is also called Remote Patient Monitoring. Remote Health Monitoring is beneficial to both the patient as well as healthcare professional
because it helps to monitor the health condition outside clinical setting, for example, home.
Webinar Series on COVID-19 vaccine: Jointly organized by Malaysian Society of Infection Control and Infectious Diseases (MyICID) & Institute for Clinical Research (ICR), NIH
Speaker: Dr. Rizah Mazzuin Razali, the head of Geriatric Unit and Internal Medicine Physician working in Kuala Lumpur Hospital, Ministry of Health Malaysia.
With the pandemic overclouding the whole world it has effected every strato of people including the Orthopaedic groups. This is to highlight the impact of COVID 19 on the orthopaedic in general.
Retaining Healthcare Quality During COVID-19 and Future of Care Delivery. By....Healthcare consultant
With the onset of COVID-19, healthcare delivery organizations around the world were collectively faced with one primary challenge: How to effectively deliver quality healthcare to all patients, regardless of the entry point into the system, while protecting the well-being of non-COVID-19 patients and the healthcare workforce.
What can a Clinical Nurse Leader do for your critical care nursing unit? Plenty! Consider this new nursing role as one that can improve patient outcomes and increase satisfaction for both clients and staff. Successful microsystems begin with empowering patients, families and front line nurses.
SLC CME- Evidence based medicine 07/27/2007cddirks
Saint Luke's Care, a quality improvement organization within Saint Luke's Health System, presents a CME presentation by Dr. Brent Beasley on Evidence Based Medical Care.
Advancing Team-Based Care: A Team Approach to Prevention and Chronic Illness ...CHC Connecticut
This webinar explored the benefits of teamwork in allowing staff to more effectively deliver preventive services and manage chronic illness. It built on the content from previous webinars to describe how to optimize the core team to provide population management, self-management support and planned care. Infrastructure considerations to improve team-based care were also discussed including training, career ladders, and communication management.
This webinar was present April 21, 2016 3:00 PM.
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
This presentation is from an AORN webinar that helps guide perioperative team members through the evidence appraisal and rating process using the AORN appraisal tools and evidence-rating model. The webinar replay is available for free at http://bit.ly/1i9r4En. Get the 2014 edition of Perioperative Standards and Recommended Practices at http://bit.ly/1bJmXAT.
NONPF - 1NURSE PRACTITIONER CORE COMPETENCIES April 201.docxkendalfarrier
NONPF - 1
NURSE PRACTITIONER CORE COMPETENCIES
April 2011
Amended 2012*
Task Force Members
Anne C. Thomas, PhD, ANP-BC, GNP - Chair
M. Katherine Crabtree, DNSc, FAAN, APRN-BC
Kathleen R. Delaney, PhD, PMH-NP
Mary Anne Dumas, PhD, RN, FNP-BC, FAANP
Ruth Kleinpell, PhD, RN, FAAN, FCCM
M. Cynthia Logsdon, PhD, WHNP-BC, FAAN
Julie Marfell, DNP, FNP-BC, FAANP
Donna G. Nativio, PhD, CRNP, FAAN
Note: Terms in bold are defined within the glossary found at the end of the competencies.
Preamble
In August 2008, NONPF endorsed the evolution of the Doctorate of Nursing Practice (DNP) as the entry
level for nurse practitioner (NP) practice (NONPF, 2008a). Nurse practitioner education, which is based
upon the NONPF competencies, recognizes that the student’s ability to show successful achievement of
the NONPF competencies for NP education is of greater value than the number of clinical hours the
student has performed (NONPF, 2008b).
The Nurse Practitioner Core Competencies (NP Core Competencies) integrate and build upon existing
Master’s and DNP core competencies and are guidelines for educational programs preparing NPs to
implement the full scope of practice as a licensed independent practitioner. The competencies are
essential behaviors of all NPs. These competencies are demonstrated upon graduation regardless of the
population focus of the program and are necessary for NPs to meet the complex challenges of translating
rapidly expanding knowledge into practice and function in a changing health care environment.
Nurse Practitioner graduates have knowledge, skills, and abilities that are essential to independent
clinical practice. The NP Core Competencies are acquired through mentored patient care experiences
with emphasis on independent and interprofessional practice; analytic skills for evaluating and
providing evidence-based, patient centered care across settings; and advanced knowledge of the
health care delivery system. Doctorally-prepared NPs apply knowledge of scientific foundations in
practice for quality care. They are able to apply skills in technology and information literacy, and engage
in practice inquiry to improve health outcomes, policy, and healthcare delivery. Areas of increased
knowledge, skills, and expertise include advanced communication skills, collaboration, complex decision
making, leadership, and the business of health care. The competencies elaborated here build upon
previous work that identified knowledge and skills essential to DNP competencies (AACN 1996; AACN,
2006; NONPF & National Panel, 2006) and are consistent with the recommendations of the Institute of
Medicine’s report, The Future of Nursing (IOM, 2011).
At completion of the NP program, the NP graduate possesses the nine (9) core competencies regardless
of population focus.
* Amended as result of additional validation through the 2011-2012 Population-Focused Competencies Task Force.
Competencies 7, 6, & 7 .
Improving Patient Rounds (IPR): Medical College of Georgia/Georgia HealthPicker Institute, Inc.
Principal investigator: Walter J. Moore, MD, Center for Patient- and Family-Centered Care
The IPR project will initiate patient- and family-centered- care rounds in adult medical and surgical rounds. Project will initially follow and measure improvement of one service team, practicing patient- and family-centered rounds, on the inpatient medicine unit, with attention to patient, family, staff and physician satisfaction; unit costs; resident and unit efficiency; and quality and safety. Educational effectiveness and team performance in PFCC rounds will also be evaluated through student/faculty culture survey (pre/post), written evaluations, student debriefing and videotaped session(s). Project results include identifying steps and strategies applicable to other adult-care units, and discovering and overcoming specific obstacles in PFCC rounds. Results will be developed into a blueprint for use in MCG units and other institutions.
The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
Utilizing the Readiness to Train Assessment Tool (RTAT™) To Assess Your Capac...CHC Connecticut
Improve educational training experiences at your health center by assessing your capacity and infrastructure to host health professions students.
Join the upcoming hands-on interactive activity session to learn how to utilize the Readiness to Train Assessment Tool (RTAT™). This tool was developed by HRSA-funded National Training and Technical Assistance Partners (NTTAP) at Community Health Center, Inc. (CHC) to understand organizational readiness to host health professions student training programs.
NTTAP Webinar Series - May 18, 2023: The Changing Landscape of Behavioral Hea...CHC Connecticut
The COVID-19 pandemic has resulted in significant shifts in the mode of care from face-to-face to virtual interactions. Join us as we discuss the challenges currently facing behavioral health care and at least one strategy for each. Along with these strategies, panelists will go over what integrated behavioral health care was and is before and following COVID-19, as well as what actions should be taken going forward to increase access to comprehensive care.
Panelists:
• Dr. Tim Kearney, PhD, Chief Behavioral Health Officer, Community Health Center, Inc.
• Melinda Gladden, LCSW, PMHC, Behavioral Health Clinician, Community Health Center, Inc.
• Jodi Anderson, LMFT, Virtual Telehealth Group Coordinator, Community Health Center, Inc.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
Implement Behavioral Health Training Programs to Address a Crucial National S...CHC Connecticut
Health centers are uniquely positioned to address the unprecedented need for behavioral health services but are challenged by the workforce shortage. Participants will gain the knowledge needed to begin conceptualization of a training pathway.
Join us to discuss the considerations of sponsoring an in-house training program across all educational levels, including the benefits, program structure, design, curriculum, supervisors' role, and required resources.
Experts will provide participants with examples from practicum and postdoctoral level training programs to help them gain confidence in developing a behavioral health training pathway.
HIV Prevention: Combating PrEP Implementation ChallengesCHC Connecticut
Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.,
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NTTAP Webinar Series - December 7, 2022: Advancing Team-Based Care: Enhancing...CHC Connecticut
Join us as expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services.
Expert faculty will discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions.
Participants will leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc.
• Tierney Giannotti, MPA, Senior Program Manager, Population Health, Community Health Center Inc.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Training the Next Generation within Primary CareCHC Connecticut
This webinar discussed the various avenues of workforce development including:
• training non-clinical roles
• the value of an administrative fellowship
• the key questions to ask before establishing a fellowship at your agency
The discussion referenced CHC Chief Operating Officer Meredith Johnson and CHC Project Manager Megan Coffinbargar’s publication “Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders” for the National Association of Community Health Centers (NACHC).
Panelists:
• April Joy Damian, PhD, MSc, CHPM, PMP, Vice President and Director of the Weitzman Institute, Community Health Center, Inc.
• Megan Coffinbargar, MHA, Project Manager, Optimizing Virtual Care Initiative, Community Health Center, Inc.
- 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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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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
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.
2. Veena Channamsetty, MD, FAAFP
Chief Medical Officer – CHC, Inc.
Mary Blankson, DNP, APRN, FNP-C
Chief Nursing Officer – CHC, Inc.
Natalie Bycenski, MSN, RN
Nurse Manager, Chair of Infection Control – CHC, Inc.
Faculty Presenters
3. Review Established Plan
Leadership
Staff
Communication
Other Considerations
3
Emergency Preparedness Planning
4. Readiness assessment & risk assessment
Annual flu
Other emergencies
COVID-19
4
Review Established Emergency Preparedness Plan
5. Understand the evidence and guidelines to address
challenges
Operationalize guidelines to each practice
Acknowledge how challenges are similar across sites and
areas
Support your teams
5
The Role of Leadership
6. Personal protective equipment
Choreography
Functional drills
Remote working policies
6
Supporting Staff
7. Communicate often and to everyone
Identify point person who regularly
reviews updated CDC guidance
Proactively reserve time to communicate
ongoing guidance
7
Communication Strategies
8. Ordering supplies
Cleaning and disinfecting
Technology
Other disciplines
8
Other Considerations
9. 9
COVID-19’s Global Spread: NIH’s Lead
on Coronavirus, Dr. Anthony Fauci, Talks
about the Growing Epidemic and
Whether America is Safe
What You Need to Know About
COVID-19 with Dr. Saad Omer of
the Yale Institute for Global Health
Pulitzer Prize winning New York Times
correspondent and Executive Producer of
the Netflix documentary “Pandemic: How
to Prevent an Outbreak,” Dr. Sheri Fink