Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Suzanne Elder shares information about Chicago's youth-focused agenda.
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Sue Catchings discusses the strategy of using school-based health centers to support youth and engage them in health.
The Office of Adolescent Health was established in 2010 within the Office of the Assistant Secretary for Health (OASH) at HHS in order to advance best practices to improve the health and well-being of America’s adolescents.
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Suzanne Elder shares information about Chicago's youth-focused agenda.
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Sue Catchings discusses the strategy of using school-based health centers to support youth and engage them in health.
The Office of Adolescent Health was established in 2010 within the Office of the Assistant Secretary for Health (OASH) at HHS in order to advance best practices to improve the health and well-being of America’s adolescents.
Cate Lane, Youth Advisor for USAID shares strategies to reach youth with positive messages on health and evaluates what works and what does not based on program experience.
WAY2GO! Is an online tool to help people:
Assess their own health
Learn why different aspects of their health are important
Set goals
Develop healthier habits
Monitor their progress
The information contained in these slides was shared during NAEYC's 2016 Institute for Professional Development conference held in Baltimore, Maryland June 5-8, 2016. These slides consolidate much of the early intervention information shared by SFL's Director of Early Childhood Education Initiatives, Kamna Seth, and Senior Manager, Gauri Shirali-Deo. The topic presented, Understanding Early Intervention: Reflecting on the Scope, Need for Early Diagnosis, and Implementation of Early Intervention, underscores the importance of identifying developmental delays and developing educational strategies to address the needs of diverse learners.
The Response Ability initiative, developed by the Hunter Institute of Mental Health and funded by the Australian Government Department of Health, provides specialised resources and practical support to assist in the preparation of teachers and educators.
www.responseability.org
The information in these slides was shared by Kamna Seth and Gauri Shirali-Deo of The Source for Learning, Inc's Early Childhood team, during VAECE's 2017 Annual Conference in Hampton Roads, VA on April 1, 2017.
PRESENTATION OVERVIEW
This session focused on the definition and scope of early intervention; reflected on the urgency and importance of early diagnoses of developmental delays; and provided techniques to meaningfully use information gathered through observational data and to connect child progress to educational decisions.
ABOUT EARLY CHILDHOOD AT THE SOURCE FOR LEARNING
SFL’s Early Childhood Education Division includes PreschoolFirst--a research-based, online child assessment system that has proven effective in early childhood classrooms -- as well as a wide range of professional development and management services for the early childhood community. The Division’s PD webinar series features cutting-edge and trending topics presented in a one-hour format by SFL’s early childhood education team, with guest appearances by ECE industry experts.
Acting Early, Changing Lives: How prevention and early action saves money and...Benevolent Society
The Benevolent Society has released a report to mark its 200th Anniversary that sounds a serious warning about the wellbeing of Australia’s children, and unsustainable future costs to fix social problems which can be prevented by more investment in support for families during children’s early years. http://bit.ly/acting_early_report
“In dealing with increasing problems such as crime, obesity, anti-social behaviour, child abuse and mental illness, our governments are stuck in a cycle of reacting too late when it’s more costly and less effective,” said The Benevolent Society CEO Anne Hollonds.
The report, Acting Early, Changing Lives: How prevention and early action saves money and improves wellbeing was commissioned by The Benevolent Society, Australia’s first and longest running not-for-profit organisation, and prepared by the Murdoch Children’s Research Institute. http://bit.ly/acting_early_report
Niall Sexton (PFL) - Preparing for Life: working together for our childrendri_ireland
Presentation given as part "Atlantic Stories from the Child and Youth Sector in Ireland"
This public history event was organised by the Digital Repository of Ireland in collaboration with the Children's Research Network of Ireland and Northern Ireland to reflect on the legacy of The Atlantic Philanthropies' investment in the child and youth sector across the island of Ireland, and the work and accomplishments of Atlantic grantees. It took place in the Royal Irish Academy, Dublin, on 13th November 2018.
AIILSG
Book 2 chapter 8
School health and nutrition services are services provided through the school system to improve the health and well-being of children and in some cases whole families and the broader community.
Improving Childhood Development in HIV Exposed Children in ZimbabweWorldEd
Despite an increasing recognition of the importance of early childhood development, over 200 million children in developing countries are unable to achieve their full developmental potential.
To intervene at this important juncture in a child’s life, the Bantwana Initiative of World Education (Bantwana) is implementing an Early Childhood Stimulation (ECS) program in Zimbabwe, a community-based early childhood development intervention in pediatric HIV care and treatment program. The intervention includes three elements: 1) an early childhood stimulation parenting program, 2) an internal savings and lending scheme for caregivers, and 3) case management home visits by conducted by trained community case workers. This comprehensive, community-based program aims to improve early childhood development, and HIV retention and adherence outcomes among HIV-exposed and infected children aged 0-2 years. Furthermore, it improves adherence and retention in care and treatment for the mothers of these HIV-exposed children, while equipping them with important parenting knowledge and skills to better nurture their children. These critical educational parenting sessions help increase early childhood development outcomes for HIV exposed children, as well as improve retention and adherence on HIV care and treatment for the mother-baby pairs. Together, the increased parenting skills, economic resilience, and community case worker follow up aim to improve the future of this particularly-vulnerable group of children, intervening at an essential point in their developmental growth.
This was presented by Auxilia Badza at the CIES conference in March, 2018.
Book 2 Chapter 6
health education
A process aimed at encouraging people to want to be healthy, to know how to stay healthy, to do what they can individually and collectively to maintain health and to seek help when needed
iHV regional conf: Theresa bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting for Warwickshire.
Cate Lane, Youth Advisor for USAID shares strategies to reach youth with positive messages on health and evaluates what works and what does not based on program experience.
WAY2GO! Is an online tool to help people:
Assess their own health
Learn why different aspects of their health are important
Set goals
Develop healthier habits
Monitor their progress
The information contained in these slides was shared during NAEYC's 2016 Institute for Professional Development conference held in Baltimore, Maryland June 5-8, 2016. These slides consolidate much of the early intervention information shared by SFL's Director of Early Childhood Education Initiatives, Kamna Seth, and Senior Manager, Gauri Shirali-Deo. The topic presented, Understanding Early Intervention: Reflecting on the Scope, Need for Early Diagnosis, and Implementation of Early Intervention, underscores the importance of identifying developmental delays and developing educational strategies to address the needs of diverse learners.
The Response Ability initiative, developed by the Hunter Institute of Mental Health and funded by the Australian Government Department of Health, provides specialised resources and practical support to assist in the preparation of teachers and educators.
www.responseability.org
The information in these slides was shared by Kamna Seth and Gauri Shirali-Deo of The Source for Learning, Inc's Early Childhood team, during VAECE's 2017 Annual Conference in Hampton Roads, VA on April 1, 2017.
PRESENTATION OVERVIEW
This session focused on the definition and scope of early intervention; reflected on the urgency and importance of early diagnoses of developmental delays; and provided techniques to meaningfully use information gathered through observational data and to connect child progress to educational decisions.
ABOUT EARLY CHILDHOOD AT THE SOURCE FOR LEARNING
SFL’s Early Childhood Education Division includes PreschoolFirst--a research-based, online child assessment system that has proven effective in early childhood classrooms -- as well as a wide range of professional development and management services for the early childhood community. The Division’s PD webinar series features cutting-edge and trending topics presented in a one-hour format by SFL’s early childhood education team, with guest appearances by ECE industry experts.
Acting Early, Changing Lives: How prevention and early action saves money and...Benevolent Society
The Benevolent Society has released a report to mark its 200th Anniversary that sounds a serious warning about the wellbeing of Australia’s children, and unsustainable future costs to fix social problems which can be prevented by more investment in support for families during children’s early years. http://bit.ly/acting_early_report
“In dealing with increasing problems such as crime, obesity, anti-social behaviour, child abuse and mental illness, our governments are stuck in a cycle of reacting too late when it’s more costly and less effective,” said The Benevolent Society CEO Anne Hollonds.
The report, Acting Early, Changing Lives: How prevention and early action saves money and improves wellbeing was commissioned by The Benevolent Society, Australia’s first and longest running not-for-profit organisation, and prepared by the Murdoch Children’s Research Institute. http://bit.ly/acting_early_report
Niall Sexton (PFL) - Preparing for Life: working together for our childrendri_ireland
Presentation given as part "Atlantic Stories from the Child and Youth Sector in Ireland"
This public history event was organised by the Digital Repository of Ireland in collaboration with the Children's Research Network of Ireland and Northern Ireland to reflect on the legacy of The Atlantic Philanthropies' investment in the child and youth sector across the island of Ireland, and the work and accomplishments of Atlantic grantees. It took place in the Royal Irish Academy, Dublin, on 13th November 2018.
AIILSG
Book 2 chapter 8
School health and nutrition services are services provided through the school system to improve the health and well-being of children and in some cases whole families and the broader community.
Improving Childhood Development in HIV Exposed Children in ZimbabweWorldEd
Despite an increasing recognition of the importance of early childhood development, over 200 million children in developing countries are unable to achieve their full developmental potential.
To intervene at this important juncture in a child’s life, the Bantwana Initiative of World Education (Bantwana) is implementing an Early Childhood Stimulation (ECS) program in Zimbabwe, a community-based early childhood development intervention in pediatric HIV care and treatment program. The intervention includes three elements: 1) an early childhood stimulation parenting program, 2) an internal savings and lending scheme for caregivers, and 3) case management home visits by conducted by trained community case workers. This comprehensive, community-based program aims to improve early childhood development, and HIV retention and adherence outcomes among HIV-exposed and infected children aged 0-2 years. Furthermore, it improves adherence and retention in care and treatment for the mothers of these HIV-exposed children, while equipping them with important parenting knowledge and skills to better nurture their children. These critical educational parenting sessions help increase early childhood development outcomes for HIV exposed children, as well as improve retention and adherence on HIV care and treatment for the mother-baby pairs. Together, the increased parenting skills, economic resilience, and community case worker follow up aim to improve the future of this particularly-vulnerable group of children, intervening at an essential point in their developmental growth.
This was presented by Auxilia Badza at the CIES conference in March, 2018.
Book 2 Chapter 6
health education
A process aimed at encouraging people to want to be healthy, to know how to stay healthy, to do what they can individually and collectively to maintain health and to seek help when needed
iHV regional conf: Theresa bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting for Warwickshire.
iHV regional conf: Theresa Bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting in Warwickshire.
iHV regional conf London: Professor Viv Bennett - The Future is HV 456!Julie Cooper
Presentation by Professor Viv Bennett at the Institute of Health Visiting Regional Professional Conferences 2015 - London.
Professor Viv Bennett is Director of Nursing for Department of Health and Public Health England.
A brief research overview connecting parenting education with health related outcomes for children and families. Created by the Parenting Education team at Oregon State University with funding from the Oregon Parenting Education Collaborative.
Join Dr. Anthony Levinson and Kalpana Nair, PhD from McMaster University as they discuss the Early Years Check-In (EYCI) and its companion web-based resource, Play&Learn. Designed for parents of children 18 months to 6 years of age, the EYCI helps parents quickly identify any concerns they may have about their child’s development across four domains: social and emotional, language, movement, and thinking and learning. The EYCI can be used as a discussion aid to foster dialogue about early child development between parents and practitioners providing early years services, creating opportunities to build relationships as well as provide education and support to parents to foster their child’s development.
iHV regional conf: Dr Karen Whittaker - The evaluation of health visiting pra...Julie Cooper
Presentation by Dr Karen Whittaker at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Karen Whittaker is Senior Lecturer in the School of Health at the University of Central Lancashire.
As you may know, Virginia Mason Medical Center (VMMC) in Seattle was one of the first health care organizations to implement Lean methods and principles. You may also know that they have successfully been using these improvement tools originally designed for manufacturing to improve quality and safety. What may surprise you is that they have also unleashed the creativity of their staff, providers, and patients, by integrating innovation tools and methods with Lean. Through powerful stories and concrete examples, Paul Plsek will share how VMMC has created a culture of innovation, providing tools for everyone to think differently about their work and radically transform the care and services they provide.
This session will bust the myth that creative thinking is a rare gift, bestowed on only a special few. Anyone and everyone can think creatively. Take advantage of this unique opportunity to learn, from Paul Plsek, how to recapture your own capacity for creative thinking and unleash the creative energy of those you work with. Find out how formal and informal leaders can contribute to a culture that supports everyone in the organization to think differently about their work, and to find innovative ways to improve that work every day.
The CDM-QIP session relates directly to both Better Care and Better Health and will focus on how the program helps clinicians across Saskatchewan to manage chronic conditions in their patients. The current chronic conditions included in the program are Diabetes and Coronary Artery Disease and will be expanding to include COPD and congestive heart failure. The presentation will include a demonstration CDM-QIP, an overview of its delivery and information regarding participation for those who want to sign up. A clinician will discuss how they have used CDM-QIP in their practice to benefit their patients. Early results generated by the program will be shared.
An ongoing 7-year partnership between the University of Saskatchewan and LutherCare Communities provides an opportunity for health professions students in the “Longitudinal Elderly Person Shadowing (LEPS) Project” to learn with, from and about their senior partners through a series of social events and structured small group visits. Participating students learn about health issues associated with aging, gain an appreciation for events that have shaped their senior partners’ lives, examine their own attitudes towards older adults and aging, and experience the benefits and challenges of working in interprofessional teams, while participating seniors enjoy sharing their wealth of knowledge and experience with the students whom they find to be professional and full of vitality.
Clients and family members are credible and powerful sources of information when trying to understand the quality of care we provide in the Saskatoon Health Region. By having a trained patient advisor actually go and speak to the patients about their experience, we are getting never before seen response rates, and a wealth of meaningful quantitative and qualitative data from which to base our improvement efforts on.
Food is very important to the quality of life for elders in long-term care. (Viveky et al.2013) Due to the lack of standards in mealtime management education, a Regina Qu’Appelle Health Region (RQHR) dietitian worked in partnership with Regina Lutheran Home and Medical Media to develop a mealtime management video to enhance the training and education of staff (care assistants, nursing staff, food service workers, etc.) working with adults living in long term care (LTC) homes. During each stage of development this video, dieticians and other health care-professionals working in LTC from across Canada were consulted and feedback was incorporated. The video focuses on providing a safe, nutritious, and pleasurable meal experience for all residents. This video was developed for all departments in LTC to train both new and existing staff. The video is 12 minutes in length and after initial evaluation will be accessible internationally. This video can ensure that all LTC staff receive high quality education on basic mealtime management. The purpose of this session is to provide highlights of the development of the project, show excerpts of the video, present the research findings from a student-led pilot project, and discuss future goals.
If you want to learn more about how and why Saskatchewan is using Lean in health care, join us for this introductory session. During the Quality Summit, you will hear about various Lean tools, concepts and principles, and this session will serve as a quick primer for you, covering some “lean essentials” to enhance your Summit experience!
In working within the parameters of the SaferHealth Care Now bundle what have we within Sunrise been able to do to increase patients safety. By looking at indicators of infection we have been able to set up improvement projects to work towards a goal of zero clean surgical site infections. This session is to describe three of these improvement projects.
Visual Management is a lean communication tool to help keep focus on priority initiatives in the workplace as well as keeping your thumb on the pulse of daily operations. I will take you through the evolution of one areas visibility management system and how this has now spread through all divisions of our Pathology and Laboratory Medicine Department to become standard work. You will take away ideas and inspiration to incorporate this communication system in your workplace. Success comes from ensuring the loop of communication goes full circle from leadership to front line and back to leadership for full understanding.
In June 2013, a medical student research project was conducted which looked to characterize how long patients waited in line before being registered and triaged. This study took place at Royal University Hospital and St. Paul’s Hospital. This project inspired RPIW #51, which was aimed at reducing patient lead time at the emergency department in SPH. RPIW #51 successfully reduced the lead time from patients entering the ED to being assigned a bed by 50%. Audience members will learn how a research project translated into an RPIW that greatly improved multiple aspects of the patient experience in St. Paul’s ED.
More from Saskatchewan Health Care Quality Summit (20)
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.
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.
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
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!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
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.
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.
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
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Early Years Health and Development - Improvement Science Works in Populati…
1. Early Years Health and Development -
Improvement Science works in Population and
Public Health
Mary Smillie
This Session is sponsored by:
2. Early Years Health and Development
Improvement Science in Population and Public Health
Presentation and Discussion at Inspire Conference, April 10, 2013
Dr. Julie Kryzanowski, Saskatoon Health Region & Mary Smillie, Improvement Advisor
3. Needed to define a path forward
Need: Improve
outcomes for 0 -5
year olds.
Challenge: Time
Opportunity:
Child Health
Report
Interest:
Improvement
Science
4. Went looking for help
Health Promotion
Manager Tanya Dunn-
Pierce called Mary Smillie.
• Public Health
• Health Promotion
• Improvement Science
5. How could
improvement
science help?
• Leadership team
• Project team
• Content Consultants
Engaged Leadership
Five Dedicated Staff plus
Mary
3 Month Focus and Finish
DMAIC – define, measure
and analyse
9. Video – Change the First Five Years and
You Change Everything
10. Neighbour Discussion
• What do you think needs to be done to
improve health and development outcomes
for small children?
(5 minutes)
11. Health Inequities Exist Among Children
• Saskatoon Health Region
children generally healthy,
but
• Many indicators revealed
health inequities by
neighbourhood and
Registered Indian Status
– Almost 25% of the children in
Saskatoon lived in areas of
highest deprivation
Early Years Report
13. Ethnicity
• Birth rates of the RIS
population is up to three
times higher than the non-
RIS population (33.4
compared to 12.3 in 2009)
• Higher rates of:
– Preterm births (10.5% vs.
7.1%)
– Low and high birth weights
– Teen pregnancy (160.5 vs.
23.5 per 1,000)
– Vulnerable IHBQ score (70.3
vs. 27.7%)
Early Years Report
14. Readiness to Learn
Based on Early Development
Instrument (EDI)scores across
the five key domain areas:
• Physical health & well-being
• Social competence
• Emotional maturity
• Language & cognitive
development
• Communication skills &
general knowledge
Early Years Report
16. A life course perspective
Health trajectories are the
pathways that individuals
follow from a health
perspective.
These pathways evolve over
time, and the directions taken
depend on individual actions,
as well as the circumstances
and conditions experienced
throughout life.
Impacts of Poverty on Marginalized Groups
MCH Life Course Toolbox: www.citymatch.org/lifecoursetoolbox
21. What we learned about Canadians
• So many programs exist
to reduce isolation –
single family dwellings
• Parents connect with
each other through
scheduled
appointments – play
dates
• Ideal community size is
walkable, services and
basic household
commodities available
22. Dr. James Heckman
• Economist
• Nobel Laureate
• University of
Chicago
http://www.heckmanequation.org/content/resource/
why-early-investment-matters
24. The Heckman Equation
“One dollar spent in
the early years is
estimated to save
between $3 and $9
in future spending
on health, social and
justice services.”
Grunewald, R. & Rolnick, A.
(2006), from The Chief Public
Health Officer’s Report on The
State of Public Health in
Canada 2009
26. Aim, Measures and Strategies
• Less than 18% EDI by 2018
• Measurement infrastructure
• 25 Recommendations
– Support parents
– Invest in early years
– Act as one system
27. Measures for Early Childhood
In-Hospital
Birth
Questionnaire
Early
Development
Instrument
Bookends of Early Childhood
Community Risk Indicators
What is the community like where children are growing up?
% teen
mothers
% low
birth
weights
% Social
Assistance
Program
recipients
% of housing
in need of
major repair
% of adults
with low
education
% lone
parents
Prenatal Birth Age 1 Age 3Age 2 Age 4 Age 5 Age 6
Grade 1 –
Mandated
school
attendance
Kindergarten
Entry
28. RECOMMENDATIONS
Encourage and
Support Health
Sector Action
Develop and Implement a
Provincial Early Childhood Health
and Development Strategy
1. Agreement on a key goal = “18 by 18”
2. A focus on family needs
4. Commitment of targeted investments
5. Robust monitoring tools
1. Deliver family-centred,
accessible, integrated
services.
2. Bolster health promotion
and protection, illness and
injury prevention efforts
3. A holistic approach for improving the
health and development of First Nations
and Métis children
3. Work with partners to better
protect children from
environmental health risks
30. What worked well:
• Engaged leadership
with questions
• Dedicated staff and
dedicated time
• Focus and Finish
• Plan Do Study Act cycles
• Engaged parents and
community agencies
• Mapping
• Compelling data
• Elegant design for
learning
31. Even better if:
• More time prior to
getting started
• More time to develop
trust and relationships
with First Nations and
New Canadian parents
32. Much better when:
We achieve EDI scores less than 18% by 2018
When we set a new aim for EDI less than 10% and achieve it.
A child born to any family anywhere in Saskatchewan has the
same opportunity for success as the next child born.
33. Thank you!
For more information
contact:
Dr. Julie Kryzanowski
julie.kryzanowski@saskatoon
healthregion.ca
Or Mary Smillie
msmillie@sasktel.net