1) Physical inactivity is a major public health issue, and workplace programs can help address it by changing behaviors and improving health outcomes. Signs encouraging stair use are a simple and effective intervention.
2) A study in a city center office building found that less than 20% of employees took the stairs before signs were installed encouraging stair use. After the signs were added, stair use increased to over 30%. This positive effect was maintained after 6 months.
3) A peer-led workplace weight management program across 35 organizations in Northern Ireland resulted in an average weight loss of 2.4kg. The program was low cost and effective, with health care cost savings exceeding program costs by the third year. It provided good value
The importance & facts about Physical Activity in Obesity Management on:
Weight loss &Weight loss maintenance
Physical activity & obesity prevention
Effects on general health risks
Mechanisms of Action
Recommendations for Physical Activity in Obesity
Physical Activity Recommendations in Patients
The importance & facts about Physical Activity in Obesity Management on:
Weight loss &Weight loss maintenance
Physical activity & obesity prevention
Effects on general health risks
Mechanisms of Action
Recommendations for Physical Activity in Obesity
Physical Activity Recommendations in Patients
Data Analytics Contest organised by ideatory.co
Stage 1: Survey rating for various events by users to be predicted
Stage 2 : Recommend predictive modeling idea based on daily routine life issues
Presentation from the 2016 International Conference on Aging in the Americas hosted at the University of Texas at San Antonio Downtown Campus, Sept. 14-16.
Data Analytics Contest organised by ideatory.co
Stage 1: Survey rating for various events by users to be predicted
Stage 2 : Recommend predictive modeling idea based on daily routine life issues
Presentation from the 2016 International Conference on Aging in the Americas hosted at the University of Texas at San Antonio Downtown Campus, Sept. 14-16.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
2. Background
Physical inactivity - public health priority
Worldwide, population attributable risk (9%)
greater than smoking (8.7%)
In NI (2012/13) - 41% men + 51% women in NI
not meeting minimum recommended PA levels
3. Workplace physical activity programmes are effective in:
Changing behaviours
Improving health-related outcomes –BMI, blood pressure
+ other cardiovascular disease risk factors
Facilitating organizational-level change – e.g. reduced
absenteeism
Other benefits:
Enhanced productivity
Improved corporate image
Completive advantage
Smart thing to do!
The workplace – a health promoting setting
Preventing Diseases in the Workplace through
Diet and Physical Activity (WHO/World Economic
Forum Report, 2007)
The workplace – a health promoting setting
4. But – why the stairs?
Simple, easy and effective
Incorporate physical activity into working day
No extra cost or time for employees
Minimal cost for employers
Great way to get “everybody active, every day”
(PHE, 2014)
5. The stairs – what’s the evidence?
PHE - ‘…strong evidence for the effectiveness of interventions to increase
stair use and that “the strongest evidence comes from signs placed to
encourage stair use” (9).
NICE - employers + representatives + PH professionals ….“help employees to
be physically active …by..putting up signs at strategic points and
distributing written information to encourage them to use the stairs
rather than lifts” (11).
NICE - “facility managers … ensure that staircases are clearly signposted
and are attractive to use” (12).
US Community Preventative Services Task Force - “recommends point-of-
decision prompts on the basis of strong evidence of effectiveness”
(10).
7. Methods
Conceived, designed, implemented and evaluated – in
PHA
Multi-component intervention
(1) Motivational Point of decision prompts (PODPs)
(2) Signposting footprints
Installed - each floor of building
Measurements made before, 4 weeks + 6mths after
8. How were we doing?
• Badly! - Less than
15% of upward journeys
19% of downward journeys
• Almost 1000 upward journeys + 900 downward
journeys with lift every working day.
• > 11,000 calories per day forgone
• Upward elevator journeys – 50% involve one person
- wastes electricity + damages environment.
Method: Direct observation for Baseline measurement - over one working day
9. The Physical activity / health gap
-100
100
300
500
700
900
1100
Count
Time
Cumulaitve total taking lift vs stairs - Going up (8am to 5.10pm)
Cumulative Lift UP
Cumulative Stairs UP
17. Reminder - Physical activity / health gap
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Count
Time
Cumulaitve total taking elevator vs stairs - Total journeys
Elevator total - PRE
Stairs total - PRE
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Count
Time
Cumulaitve total taking elevator vs stairs - Total journeys
Elevator total - PRE
Elevatortotal - POST
Stairs total - PRE
Stairs total - POST
20. Effectiveness and cost effectiveness of the
£ for lb. workplace-based, peer-led
weight management programme, 2016
21. Intervention – key elements
Peer (not professional) led – Work champions
[Training of Champions – 2workshops (start + mid-point) -
BHSCT dietitian + physical activity professional]
Workplace based
Low cost - < £20K
Incentivised - £1 pledge to charity for every lb.
weight loss
Foundation – NHS Choices 12-week guide,
Losing weight: Getting Started
24. Analysis
Department of Health recommendations - Developing a
specification for lifestyle weight management services: Best
practice guidance for tier 2 services
Categories
Enrolled, Engaged (≥ 1 session), Completed – (last 3 sessions)
Variables
Weight, % Weight, BMI
Tests
Chi squared, t-tests, Multivariate and logistical regression analysis
Cost-effectiveness - PHE weight management economic
assessment tool
25. Results - effectiveness
Overall
• Mean weight loss = 2.4kg (2.7%)
• Mean BMI loss = 0.8 kg/m2 (2.6%)
• 24% lost ≥ 5% baseline weight
Gender
Men lost significantly more weight than women
(Average 3.3kg v 1.6kg, 3.4% v 1.9% bodyweight)
Males over 3 times as likely to lose ≥ 5% weight
(Logistical regression)
33% of males vs 16% of females lost ≥ 5% weight (p <
0.0001)
26. Results – cost effectiveness
By year 3 benefits > costs - all perspectives (social care,
employment and healthcare)
Benefits increase rapidly for 6 yrs, gradually for next 20 yrs
Over 25 years - cumulative economic benefit = £156,223
Main healthcare savings - diabetes care = £37,410
Cost per QALY (health and social care) = £5,807 in first
year + cost saving thereafter.
Excellent value for money!!
27. Results – Cost Savings
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Cumulaitvesavings
Year of intervention
Economic
benefit of
additional
employment
Savings in
social care
costs
Savings in
healthcare
costs
Cumulative net savings in costs by cost
perspective over 25 years (with discounting)
28. Lose – win – win
LOSE – Av 2.4kg loss, 24%
> 5% weight loss
WIN – Excellent VFM - cost
saving from Year 2
WIN – physical + mental
health benefits
WIN – positive corporate
image
WIN - £17,000 - NI charities
BOUNS
Male participants:
- over twice as likely to complete
- three times more likely to lose ≥ 5% weight
If physical inactivity reduced by 25% > 1.3 million deaths prevented annually
“Employers are recognizing the competitive advantage that a healthy workplace can provide to them (WHO 2010)
….it’s the smart thing to do
Peer-led workplace based programmes – very powerful due to “multiple levels of influence” (WHO 2007).
- employers + representatives (e.g. HR directors and senior managers), facilities managers, PH professionals, trade unions, employee reps and employees “help employees to be physically active during the working day by..putting up signs at strategic points and distributing written information to encourage them to use the stairs rather than lifts” (11).
Significant increases post-intervention.
82% increase - total stair journeys -16.6% to 30.2%
(14% absolute increase, p=1.9 x 10-26)
81% increase - upward journeys - 14.5% to 26.3%
(11.8% absolute increase, p=3.5 x 10-12)
86% increase - downward journeys - 18.8% to 34.7%
(16% absolute increase, p=3.4 x 10-16)
At the IPH conference recently the pres on Green Gyms and the TCV schemes highlighted 2 elements that were key to their successful schemes-
The importance of doing things together
feeling appreciated.
PFP relies heavily on these in its operation on the ground as its delivered in the workplace by volunteer champions.
Charitable donation a KEY element as ensures a lot of people join and keep going to the end as they knew their efforts would help others.
NB – promotes an evidence based methods to safe sustainable weight loss.
Incorporates NICE guidance on calorie restriction - recc 600 cal deficit.
At enrolment – measure wt, height and waist circumference and demographic details. At each of the 12 sessions weight was measured and at 12 week weight and waist circumference were measured.
with most gains from employment (≈ £87,000), followed by healthcare (≈ £38,000) and social-care (≈ £30,000) savings.
with much smaller savings associated with CHD, stroke and cancers.