The document discusses the goals and strategies of various Five Year Plans in India related to health and sanitation. Key goals included eradicating diseases, increasing access to primary healthcare, population control, and developing health resources. Plans aimed to provide safe drinking water, control communicable diseases, improve nutrition, and promote indigenous medicine. Targets included reducing infant and maternal mortality, increasing literacy, and achieving universal vaccination and family planning coverage.
Rwanda: a tremendous health system narrativeJoseph Pategou
The development of the health system was completely disrupted at the time of the 1994 genocide. Much of the infrastructure, equipment, personnel, and health system itself was destroyed. Rwanda was known as one of the countries in Africa with the poorest healthcare system.
However, during the past decade, great improvements have been made. The government has been working to rebuild the health system. Rwanda operates a universal health care system and is now considered to have one of the highest-quality health systems in Africa.
Rwanda: a tremendous health system narrativeJoseph Pategou
The development of the health system was completely disrupted at the time of the 1994 genocide. Much of the infrastructure, equipment, personnel, and health system itself was destroyed. Rwanda was known as one of the countries in Africa with the poorest healthcare system.
However, during the past decade, great improvements have been made. The government has been working to rebuild the health system. Rwanda operates a universal health care system and is now considered to have one of the highest-quality health systems in Africa.
On 19 November 1985, GOI renamed EPI program, modifying the schedule as ‘Universal Immunization Program’ dedicated to the memory of Late Prime Minister Mrs Indira Gandhi.
UIP has two vital components: immunization of pregnant women against tetanus, and immunization of children
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
On 19 November 1985, GOI renamed EPI program, modifying the schedule as ‘Universal Immunization Program’ dedicated to the memory of Late Prime Minister Mrs Indira Gandhi.
UIP has two vital components: immunization of pregnant women against tetanus, and immunization of children
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
ELEVENTH FIVE YEAR PLAN AND TWELVETH FIVE YEAR PLANSarda Laishram
ELEVENTH FIVE YEAR PLAN AND TWELVETH FIVE YEAR PLAN
ELEVENTH FIVE YEAR PLAN
AIMS
GOALS
PRIORITIES
BOUND GOALS
MAJOR OBJECTIVES#
TWELVETH FIVE YEAR PLAN
OUTCOME INDICATE OF TWELVETH FIVE YEAR PLAN
Fulll chapter of national diarroheal control programme in nepalMonikaRijal1
National diarroheal control programme in nepal , presented and prepared this information was taken on 2076/77 and will be valid untill the next update of NDHS comes out, this is useful for bachleor level, community Health Nursing
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
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.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
2. The Five Year plan were conceived to rebuilt
rural India, to lay the foundation of industrial
progress and to secure the balanced
development of all parts of the country.
3. Control or eradication of major
communicable diseases.
Strengthening of the basic health
services through primary health
centers and subcenters.
Population control and
Development of health manpower
resources.
4. Water supply and sanitation.
Control of communicable diseases.
Nutrition.
Indigenious system of medicine.
5. Establishment of institutional
facilities.
Development of the technical
manpower.
Development of institutions to
control communicable diseases.
Improvement of environment
hygiene through campaign.
Family planning.
6. A Major thrust to provide safe
drinking water. Small pox
eradication was perceived.
Malaria eradication activities were
consolidated.
Development was seen in programes
to control TB,leprosy,cholera,and
filaria.
Improved basic sanitation in urban
and rural areas.
8. Health Manpower development by
training different categories of
medical personnal.
Strengthening of available health
infrastructure to improve the quality
of services.
Consolidation of the advances made
during previous five year plans.
9. Maternal and child health
components were integrated with
family planning to make it a family
welfare programe.
More and more vertical programe
workers were converted to multi
purpose workers.
10. Health care delivery in rural and
urban areas.
Population stabilization,MCH care.
Control of communicable diseases
and blindness.
Control of containment of non-
communicable diseases.
Medical/health research and
development.
11. Medical education, manpower planning and
training.
Health information, education and
communication.
Indigenous system of medicine and
homeopathy.
12. To achieve the following goals by 2000,they are
1.Virtual elimination of poverty.
2.Virtual elimination of illiteracy.
3.Ensuring near full employment.
4.Ensuring basic need of food, clothing and shelter
for all.
They also aimed to provide,
Safe drinking water,
Basic sanitation for at least 80%of urban and 25%of
rural.
Envisaged universal coverage of vaccination against
six killer disease.
Attempted to achieve couple protection rate of 42%
by the end of this plan.
13. A long term strategy was developed
ANNUAL PLAN-1990 TO 1991.
ANNUAL PLAN-1991 TO 1992.
14. Same goals and strategy was formed as
seventh plan,
To achieve couple protection rate of 56% by
the end of eighth five year plan.
15. The initiatives are
A revised approach to MCH service under
redesigned RCH programe.
Meeting all felt needs for contraceptives.
Integration of vertical programes like NLEP
with primary care system.
Develop a disease surveillance system at all
district level.
Develop integrated non-communicable
disease control programe.
Apply management system for
emergency, disaster and accident.
16. Targets of tenth five year plan,
Reduction of IMR 45/1000 live birth by 2007
and 28 by 2012.
Reduction of MMR 2/1000 live birth by 2007
and 1by 2012.
Increase in literacy rate to 75%by 2007.
All children in the school by 2003 and all
completing 5yrs of schooling by 2007.
Reduction of poverty ratio by 5%points by
2007 and 15% points by 2012.
17. All villages to have sustained access to
portable drinking water by 2007.
Clearing of all major polluted rivers by 2007
and other notified stretches by 2012.
Achieve zero level increase of HIV/AIDS
prevalence by 2007.
25% reduction in mortality and morbidity
due to malaria by 2007 and 50% by 2010.
Reduction in decadal growth rate(2001-
2011)to 16.2%.
18. Goals of eleventh five year plan’
Reducing MMR to 1/1000 live birth.
Reducing IMR to 28/1000 live birth.
Reducing total fertility rate to2.1
Providing clean drinking water for all by 2009
and ensuring no slip backs.
Reducing mal nutrition among children of age
group 0-3 to half its present level.
19. Reducing anemia among women and girls by
50%.
Rasing the sex ratio for age group 0-6 to 935
by 2011-2012 and 950 by 2016-2017.
20. Twelve statergy challenges,
Enhancing the capacity of growth.
Enhancing skills and faster generation of
employment.
Managing the environment.
Markets for efficiency and inclusion.
Decentralization, Empowerment and
information.
Technology and innovation.
21. Securing the energy future for India.
Accelerated development of transport
infrastructure.
Rural transformation and sustained growth of
agriculture.
Managing urbanization.
Improved access to quality education.
Better preventive and curative health care.