Phosphorus Mission Educational Tool - Partnership between EDTNA/ERCA and Sanofi
Phosphorus Mission Educational Tool is a software package developed by Sanofi for use by dialysis nurses to educate their patients on how to maintain healthy phosphorus levels.
The patients themselves will also have the option of downloading Phosphorus Mission Educational Tool onto their computers or their mobile telephones outside of a clinic setting.
EDTNA/ERCA validated and accredited this educational tool.
Obesity group visits: Innovative obesity services at DHS facilities UCLA CTSI
Principal Investigators: Theodore Friedman (CDU), Jasmine Eugenio (DHS)
UCLA CTSI-Los Angeles County Department of Health Services (DHS) Projects
The overall objective of the study is to test the effect on body weight of attending a group weight loss program that serve an underserved population. The group setting is more likely to be successful than traditional physician patient encounters as it incorporates two crucial aspects of the patient’s health experience: the patient’s own effectiveness in managing medical problems together with his or her health care team, and the patient’s own community for support in integrating medical recommendations into his or her daily life. Our experience has found that the group setting is well received by patients and enhances access to care.
Tricia Strusowski, MS, RN
Director, Cancer Care Management
Helen F. Graham Cancer Center
Christiana Care Health System
Sharon Gentry, RN, MSN, AOCN, CBCN
Breast Health Navigator
Derrick L. Davis Forsyth Regional Cancer Center
Beginning this fall, Komen Greater NYC is mounting an ambitious initiative to explore the issues, examine the programs that are working, and propose solutions to making this vital piece of the healthcare puzzle available for all New Yorkers.
Patient Navigation: A Program to Enhance the Patient Experience and the Botto...Wellbe
In the eyes of a patient, especially one with a chronic or complex illness, the healthcare system can feel overwhelming. Compound the inherent complexities of the system with a variety of barriers patients can face – transportation, language, and many others – and patients can have difficulty following the care plan developed by their team of providers.
Founded and pioneered in 1990 by Dr. Harold P. Freeman, patient navigation originally focused on the critical window of opportunity to save lives from cancer by eliminating barriers to timely care between the point of suspicious finding and resolution by diagnosis and treatment. Since its inception as a community-based intervention program, patient navigation has expanded and transformed into a nationally recognized model that extends well beyond cancer care to include the timely movement of an individual across the entire healthcare continuum.
While patients clearly benefit from the guidance of a patient navigator, a growing body of evidence suggests that patient navigation increases both patient satisfaction and hospital revenue. Nationally, patient navigation is becoming well-recognized for being a cost-effective strategy to address several healthcare priorities. An attractive career choice for those looking to make a difference in healthcare, patient navigation also provides economic development opportunities in communities throughout the United States.
About the Speaker:
Carol Santalucia, Vice President, of CHAMPS Patient Experience, LLC is a seasoned healthcare leader with a passion and commitment to enhancing the patient experience. After 28 years in various service excellence and leadership roles at Cleveland Clinic, where she played a pivotal role in the design, creation and implementation of Cleveland Clinic’s service recovery model Respond with H.E.A.R.T., and the development of their patient navigation program and Service Excellence and Patient Advocacy Department, Carol began her own healthcare consulting practice, Santalucia Group, LLC.
Co-Chairs Laura S. Wood, RN, MSN, OCN, and Sumanta Kumar Pal, MD, and presenter Kathleen Burns, RN, MSN, AGACNP-BC, OCN, prepared useful Practice Aids pertaining to renal cell carcinoma for this CME/MOC/NCPD/ILNA activity titled “The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Patient Care.” For the full presentation, downloadable Practice Aids, complete CME/MOC/NCPD/ILNA information, and details on applying for credit, please visit us at https://bit.ly/30jWypm. CME/MOC/NCPD/ILNA credit will be available until May 16, 2022.
Obesity group visits: Innovative obesity services at DHS facilities UCLA CTSI
Principal Investigators: Theodore Friedman (CDU), Jasmine Eugenio (DHS)
UCLA CTSI-Los Angeles County Department of Health Services (DHS) Projects
The overall objective of the study is to test the effect on body weight of attending a group weight loss program that serve an underserved population. The group setting is more likely to be successful than traditional physician patient encounters as it incorporates two crucial aspects of the patient’s health experience: the patient’s own effectiveness in managing medical problems together with his or her health care team, and the patient’s own community for support in integrating medical recommendations into his or her daily life. Our experience has found that the group setting is well received by patients and enhances access to care.
Tricia Strusowski, MS, RN
Director, Cancer Care Management
Helen F. Graham Cancer Center
Christiana Care Health System
Sharon Gentry, RN, MSN, AOCN, CBCN
Breast Health Navigator
Derrick L. Davis Forsyth Regional Cancer Center
Beginning this fall, Komen Greater NYC is mounting an ambitious initiative to explore the issues, examine the programs that are working, and propose solutions to making this vital piece of the healthcare puzzle available for all New Yorkers.
Patient Navigation: A Program to Enhance the Patient Experience and the Botto...Wellbe
In the eyes of a patient, especially one with a chronic or complex illness, the healthcare system can feel overwhelming. Compound the inherent complexities of the system with a variety of barriers patients can face – transportation, language, and many others – and patients can have difficulty following the care plan developed by their team of providers.
Founded and pioneered in 1990 by Dr. Harold P. Freeman, patient navigation originally focused on the critical window of opportunity to save lives from cancer by eliminating barriers to timely care between the point of suspicious finding and resolution by diagnosis and treatment. Since its inception as a community-based intervention program, patient navigation has expanded and transformed into a nationally recognized model that extends well beyond cancer care to include the timely movement of an individual across the entire healthcare continuum.
While patients clearly benefit from the guidance of a patient navigator, a growing body of evidence suggests that patient navigation increases both patient satisfaction and hospital revenue. Nationally, patient navigation is becoming well-recognized for being a cost-effective strategy to address several healthcare priorities. An attractive career choice for those looking to make a difference in healthcare, patient navigation also provides economic development opportunities in communities throughout the United States.
About the Speaker:
Carol Santalucia, Vice President, of CHAMPS Patient Experience, LLC is a seasoned healthcare leader with a passion and commitment to enhancing the patient experience. After 28 years in various service excellence and leadership roles at Cleveland Clinic, where she played a pivotal role in the design, creation and implementation of Cleveland Clinic’s service recovery model Respond with H.E.A.R.T., and the development of their patient navigation program and Service Excellence and Patient Advocacy Department, Carol began her own healthcare consulting practice, Santalucia Group, LLC.
Co-Chairs Laura S. Wood, RN, MSN, OCN, and Sumanta Kumar Pal, MD, and presenter Kathleen Burns, RN, MSN, AGACNP-BC, OCN, prepared useful Practice Aids pertaining to renal cell carcinoma for this CME/MOC/NCPD/ILNA activity titled “The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Patient Care.” For the full presentation, downloadable Practice Aids, complete CME/MOC/NCPD/ILNA information, and details on applying for credit, please visit us at https://bit.ly/30jWypm. CME/MOC/NCPD/ILNA credit will be available until May 16, 2022.
An aging population combined with the decline in the number of primary care providers places unique demands on the provision of health care. Adult-gerontology nurse practitioners provide primary care to adults and the elderly, serve in administrative roles in health care organizations, and evaluate and implement health care policy and programs.
Topics:
What’s the difference between the adult-gerontology nurse practitioner and the family nurse practitioner role?
What should I consider when choosing my nurse practitioner career path?
Focus on the adult-gerontology nurse practitioner specialization
Master’s level vs. doctoral level nursing degrees: Which is right for me?
What is a "super specialization?"
Accreditation and Clinical Practice Guidelines as Tools for Quality - Introdu...Reynaldo Joson
Introduction to ROJoson's Lectures on Accreditation and Clinical Practice Guidelines as Tools for Quality - UPCPH Short Course on Total Quality Management - June 24, 2014
Enhancing Phosphorus Recovery from Scraped Liquid Dairy Manure Using Process ...LPE Learning Center
The full proceedings paper is at: www.extension.org/72840
Our long term goal is to develop a robust phosphorus (P) recovery technology suitable for use on dairy farms of all sizes through an integrated research and extension program for manure nutrient recovery. Enrichment of water bodies by P in agricultural runoff has been and remains the focus of water quality protection. Animal feeding operations (AFOs), regardless of size, especially in sensitive ecosystems and the Chesapeake Bay (Bay) in particular, have been identified as major contributors to water and air pollution. These operations are facing extra scrutiny by state and federal regulation agencies with regards to nutrient management. Although nutrient management plans have not been required for most dairy farms in Virginia, this status is changing rapidly. Nutrient reductions in unregulated small dairies has been identified as part of the strategy to clean up the Bay. Our project focuses manure P management on dairy farms and will particularly benefit dairy farms in Shenandoah Valley, Virginia and Lancaster County, Pennsylvania, where excess P in manure is a huge challenge. The dairies in these localities are predominantly small and are key drivers of local economies. About 1,928 (averaging 60 milking cows per farm) and 321 (averaging 80 cows per farms) facilities are located in Lancaster county and central Shenandoah Valley, respectively (USDA NASS, 2014). If implemented on farms, our project will help remove the excess P and allow the continued use of manure as a fertilizer in areas that may be restricted by the P-based manure application regulations. Also, it will help prevent over application of P, which is a typical result of applying manure to meet crop N needs.
An aging population combined with the decline in the number of primary care providers places unique demands on the provision of health care. Adult-gerontology nurse practitioners provide primary care to adults and the elderly, serve in administrative roles in health care organizations, and evaluate and implement health care policy and programs.
Topics:
What’s the difference between the adult-gerontology nurse practitioner and the family nurse practitioner role?
What should I consider when choosing my nurse practitioner career path?
Focus on the adult-gerontology nurse practitioner specialization
Master’s level vs. doctoral level nursing degrees: Which is right for me?
What is a "super specialization?"
Accreditation and Clinical Practice Guidelines as Tools for Quality - Introdu...Reynaldo Joson
Introduction to ROJoson's Lectures on Accreditation and Clinical Practice Guidelines as Tools for Quality - UPCPH Short Course on Total Quality Management - June 24, 2014
Enhancing Phosphorus Recovery from Scraped Liquid Dairy Manure Using Process ...LPE Learning Center
The full proceedings paper is at: www.extension.org/72840
Our long term goal is to develop a robust phosphorus (P) recovery technology suitable for use on dairy farms of all sizes through an integrated research and extension program for manure nutrient recovery. Enrichment of water bodies by P in agricultural runoff has been and remains the focus of water quality protection. Animal feeding operations (AFOs), regardless of size, especially in sensitive ecosystems and the Chesapeake Bay (Bay) in particular, have been identified as major contributors to water and air pollution. These operations are facing extra scrutiny by state and federal regulation agencies with regards to nutrient management. Although nutrient management plans have not been required for most dairy farms in Virginia, this status is changing rapidly. Nutrient reductions in unregulated small dairies has been identified as part of the strategy to clean up the Bay. Our project focuses manure P management on dairy farms and will particularly benefit dairy farms in Shenandoah Valley, Virginia and Lancaster County, Pennsylvania, where excess P in manure is a huge challenge. The dairies in these localities are predominantly small and are key drivers of local economies. About 1,928 (averaging 60 milking cows per farm) and 321 (averaging 80 cows per farms) facilities are located in Lancaster county and central Shenandoah Valley, respectively (USDA NASS, 2014). If implemented on farms, our project will help remove the excess P and allow the continued use of manure as a fertilizer in areas that may be restricted by the P-based manure application regulations. Also, it will help prevent over application of P, which is a typical result of applying manure to meet crop N needs.
The Phosphorus Problem: Treatment Options and Process Monitoring Solutions | YSIXylem Inc.
Recent events have demonstrated that excess phosphorus in receiving waters can create many serious problems including impairment of drinking water supplies. For this reason and others, incorporation of phosphorus limits into NPDES discharge permits is occurring in many states.
Many water resource recovery facilities (WRRFs) are being required to remove phosphorus for the first time and will need to add a process to the flow sheet. A discharge limit of 1.0 mg/L may be achieved most cost-effectively with chemical addition. Enhanced biological treatment may be needed to meet lower limits down to 0.5 mg/L and below. Additionally, biological treatment has other potential benefits.
Regardless of the treatment method, continuous monitoring is essential. Critical parameters include orthophosphate, dissolved oxygen, oxidation-reduction potential (ORP), total suspended solids, and nitrate.
Presentation at the ESPP conference Phosphorus stewardship in industrial applications, Brussels, 01-12-2016
European Sustainable Phosphorus Platform (ESPP)
www.phosphorusplatform.eu
Sustainable management of nutrients is crucial for agriculture, food, industry, water and the environment. ESPP brings together companies and stakeholders to address the Phosphorus Challenge and its opportunities for the circular economy.
Countries:
Austria AT
Belgium BE
Bulgaria BG
Cyprus CY
Czech Republic CZ
Germany DE
Denmark DK
Estonia EE
Spain ES
Finland FI
France FR
Greece EL
Hungary HU
Ireland IE
Italy IT
Lithuania LT
Luxembourg LU
Latvia LV
Malta MT
Netherlands NL
Poland PL
Portugal PT
Romania RO
Sweden SE
Slovenia SI
Slovakia SK
United Kingdom UK
Switzerland CH
Phosphorus:
Fosfor
Fosfor
Fòsfòr
Фосфор
Fosfor
Фосфор
Fosfor
Fosfor
Фосфор
Фосфор
Fosforas
Fosfors
Fuosfuors
Fosfor
Ffуsfforws
Fosfar
Fosfaras
Fosfaar
Fosforus
Φωσφορος
Ֆոսֆոր
Fosfor
Fosfor
Фосфор
Фосфор
ফসফরাস
فسفر
ફૉસ્ફરસનો
फास्फोरस
Fosfor
Fosfori
Foszfor
Фосфор
Фосфор
Паликандур
Fosfor
Fosfor
Фосфор
Фосфор
Фосфор
Фосфор
Fosfor
فوسفور
Fosfor
Fosforoa
ფოსფორი
[fūsfūr]
זרחן
Fosfru
Lìn
リン
인
ฟอสฟอรัส
Photpho
磷
Posporo
Fosfor
Pūtūtae-whetū
Fosforus
ഫോസ്ഫറസ്
பொஸ்பரசு
Fosofo
Fosforase
Posfori
Fósforo
Phusphuru
Fosforimi
Fosforo
Fosforon
Pesticium
Presentation contain Waste-water treatment technologies for the removal of nitrogen and phosphorus. It includes Eutrophication, Nitrogen Removal by Nitrification and denitrification, Phosphorus Removal by Enhanced Biological Phosphorus Removal and by Chemical Treatment.
Presentation at the ESPP conference Phosphorus stewardship in industrial applications, Brussels, 01-12-2016
European Sustainable Phosphorus Platform (ESPP)
www.phosphorusplatform.eu
Sustainable management of nutrients is crucial for agriculture, food, industry, water and the environment. ESPP brings together companies and stakeholders to address the Phosphorus Challenge and its opportunities for the circular economy.
Countries:
Austria AT
Belgium BE
Bulgaria BG
Cyprus CY
Czech Republic CZ
Germany DE
Denmark DK
Estonia EE
Spain ES
Finland FI
France FR
Greece EL
Hungary HU
Ireland IE
Italy IT
Lithuania LT
Luxembourg LU
Latvia LV
Malta MT
Netherlands NL
Poland PL
Portugal PT
Romania RO
Sweden SE
Slovenia SI
Slovakia SK
United Kingdom UK
Switzerland CH
Phosphorus:
Fosfor
Fosfor
Fòsfòr
Фосфор
Fosfor
Фосфор
Fosfor
Fosfor
Фосфор
Фосфор
Fosforas
Fosfors
Fuosfuors
Fosfor
Ffуsfforws
Fosfar
Fosfaras
Fosfaar
Fosforus
Φωσφορος
Ֆոսֆոր
Fosfor
Fosfor
Фосфор
Фосфор
ফসফরাস
فسفر
ફૉસ્ફરસનો
फास्फोरस
Fosfor
Fosfori
Foszfor
Фосфор
Фосфор
Паликандур
Fosfor
Fosfor
Фосфор
Фосфор
Фосфор
Фосфор
Fosfor
فوسفور
Fosfor
Fosforoa
ფოსფორი
[fūsfūr]
זרחן
Fosfru
Lìn
リン
인
ฟอสฟอรัส
Photpho
磷
Posporo
Fosfor
Pūtūtae-whetū
Fosforus
ഫോസ്ഫറസ്
பொஸ்பரசு
Fosofo
Fosforase
Posfori
Fósforo
Phusphuru
Fosforimi
Fosforo
Fosforon
Pesticium
Phosphorous Recovery From Sewage Sludge Using Aqua Critox Super Critical Wate...Aquacritox
This presentation describes how the Aquacritox process can be used to generate renewable energy from wastewater sludge and enable phosphorus recovery. The Aquacritox supercritical water oxidation proces leads to complete sludge destruction. The presentation was presented at the European Biosolids Conference
Deals with the biological removal of nitrogen and phosphorus, Nitrification-denitrification removal of nitrogen, and Phosphate accumulating organisms and poly-hydroxibutirate in the phosphorus removal.
Biological Nutrient Removal (BNR) is a process used for nitrogen and phosphorus removal from wastewater before it is discharged into surface or ground water.To control eutrophication in receiving water bodies, biological nutrient removal (BNR) of nitrogen and phosphorus has been widely used in wastewater treatment practice, both for the upgrade of existing wastewater treatment facilities and the design of new facilities.
Bringing the patient voice into GSK for educational, awareness and patient ce...Nowgen
"Bringing the patient voice into GlaxoSmithKline for educational, awareness and patient centred decisions within medicine development", presented by Kay Warner, Global Manager, Focus on the Patient, GlaxoSmithKline, at the EUPATI-UK Network Conference on 6 March 2014 in Leeds, UK
Members of the Coleman Supportive Oncology Collaborative including over 169 cancer care providers from 44 institutions came together in person to share lessons from their 3-year project to improve supportive cancer care across the region and to launch the next step in the Coleman Foundation initiative which is to improve patient communication and experience.
Utilización de la evidencia cualitativa para mejorar la inclusión de las pref...GuíaSalud
Tercera intervención de la Mesa 1 de la Jornada científica GuíaSalud 2017: La implicación de pacientes en el desarrollo de GPC. Una estrategia necesaria para mejorar la toma de decisiones. Simon Lewin
Rare Diseases SA has been actively improving the quality of life for those impacted by Rare Diseases over the last 5 years.
Our key focus areas have remained advocacy, patient navigation and community engagement, and through these strategic objectives we have successfully managed to see positive impact in our community.
From the development of over 80 patient connect points, to the implementation of a mobile app, RDSA has ensured patients remain supported and connected whilst the organization remains focused on our advocacy efforts.
The successful roll-out of our Rare Assist service has also seen a reduction in out of pocket costs for patients in the private sector.
We have attached our 5 year impact report which demonstrates some of the impact our work has had within our community. We have also included our programme overview of the Rare Assist Programme.
We would love to have your feedback on these reports, as well as feedback on the following questions:
1. What interest do you have with our organisation?
2. What is your current opinion on our work?
3. How would you like to stay informed about what we do?
4. What motivates you to stay connected with us?
Should you have any questions for us, we would love to hear from you.
Kind Regards
Kelly du Plessis
CEO -Rare Diseases South Africa
info@rarediseases.co.za
MRC/info4africa KZN Community Forum | June 2012info4africa
Ms Philippa Barnard, a Nutritionist at Zoe-Life outlined the Tshwane Declaration of 2011, which advocated breastfeeding as the best infant feeding choice for all babies, regardless of HIV status. This great change in policy created massive potential for decreasing infant and child mortality. Ms Barnard also highlighted some of Zoe-Life's practical insights gained whilst training lay counsellors in infant and young child feeding.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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2. Disclosure
Frédérique Quinio has received funding from Sanofi to attend and speak at this educational
symposium. This is the first time funding has been received from Sanofi.
3. Agenda
• Compliance and therapeutic education
• Phosphorus Mission
• Phosphorus Mission demonstration
• Feedback on independent EDTNA validation
4. Chronic Disease & Treatment Compliance
The WHO defines compliance with treatment as « the
concordance between the behaviour of a person (use of
prescribed drugs, diet and changes of behaviour) and the
recommandations of caregivers »
Source: OMS.2003.Adherence to Long Term Therapies:Evidences for Action.OM/MNC/03.01.
www.who.int/chronic_conditions/en/adherencereport.pdf
5. Determinants For Non Compliance
• Socio-demographic factors (age, gender, socio-economic &
professional background, family situation, personality and
psychological state of the patient)
• Belief system (religion, representation of the disease, the
treatment, the role of caregivers)
• Pathology (intensity of symptoms, duration, severity, prognosis)
• Treatment regimen (number of pills, side effects, daily frequency,
drug form, treatment understanding)
Source: OMS.2003.Adherence to Long Term Therapies:Evidences for Action.OM/MNC/03.01.
www.who.int/chronic_conditions/en/adherencereport.pdf
6. Therapeutic Education: Strengthening
Treatment Compliance
• The WHO defines therapeutic education as « all the actions
done to help patients to improve, maintain the skills /
competences they need to manage their lives with a chronic
disease »
• Goals
- allow patients and their environment to better understand the pathology
and the treatments
- co-operate with caregivers
- introduce patient empowerment into their lives to better manage their
disease
- help patients to maintain and improve their quality of life
Source: WHO-Europe report Therapeutic Patient Education- Continuing Education Programs for Health Care Providers in the
field of chronic disease.1996
7. Therapeutic Education: 4 Stages
• Personalised educational diagnosis
• Definition of a personalised education program - identifying
short and long term learning priorities
• Planning and implementing individual sessions and collective
workshops
• Evaluation of learned skills and program flow
Source : Sandrin.B.(2009) : Education thérapeutique du patient : de quoi s’agit il ? . ADSP n° 66 mars 2009
8. Personalised Diagnosis
• Allows the educational team to be aware of the patient’s five
dimensions (bioclinical, cognitive, socio-professional, psychoaffective
and projective)
• Gives healthgivers elements to understand the reality of living with a
chronic disease
– problems experienced
– Prioritized and identified by the patient
– adaptive strategies already developed
– representation of the disease, the treatment and the relation between caregivers
and the patient)
• Strengthens the therapeutic alliance between the patient and the
multi-disciplinary care giver team
Source : Sandrin.B.(2009) : Education thérapeutique du patient : de quoi s’agit il ? . ADSP n° 66 mars 2009
9. Personalised Program
• Joint definition and priorization of learning priorities
• Joint definition of educational goals so to ensure common
aims between patient and health care team
• Establish an « education contract » between patient and
educational team
Source : Sandrin.B.(2009) : Education thérapeutique du patient : de quoi s’agit il ? . ADSP n° 66 mars 2009
10. The Journey In Therapeutic Education
• Presentation of existing programs (themes, frequency,
individual and group modalities, resources, learning tools and
professionals involved in the process)
• Organisation of the patient’s own program (planning
individual and group sessions)
• Assessing procedures for mid and final term evaluations
Source : Sandrin.B.(2009) : Education thérapeutique du patient : de quoi s’agit il ? . ADSP n° 66 mars 2009
11. Assessment And Re-adjustment
• Provided while designing the program
• Occurs during program at different defined stages
– allows a readjustment of already learned skills
– an adaptation to the patient’s learning speed
– consolidation and valorisation of the changes seen during the program
• Necessary for both patient and educational team
• Final evaluation is undertaken at end of patient involvement
in program
Source : Sandrin.B.(2009) : Education thérapeutique du patient : de quoi s’agit il ? . ADSP n° 66 mars 2009
12. What About CKD ?
• Main concerns for both health carers and patients
- Disease understanding
- Understanding dialysis - what is happening during procedure?
- Understanding importance of healthy diet ,
- Informing and communicating with the family (support of family crucial
to help patient cope with CKD diet restrictions)
- Treatment understanding (potassium, phosphate binders, etc.
rationale for use and compliance)
- Liquid restrictions
Source: http/www.ipcem.org/Ressources/PDFress/complet%20dialyse.pdf
13. Goals For The Future Of CKD Patients’
Support Teams
• Bring knowledge with attractive, interactive, useful and easy
to use methods
• Promote life style changes according to patient’s reality and
needs
• Encourage sharing of patient experience between key
stakeholders (expert patient, support groups, alternative
educational methods, etc.)
• Empower patient and their environment to help them cope
with disease
14. Phosphorus Mission
• Phosphorus Mission is a mobile application designed and
developed by Sanofi for people with advanced chronic kidney
disease (CKD)
• Phosphorus Mission helps patients better understand their
disease, treatment options and dietary choices related to their
health
• Phosphorus Mission enables patients to better assimilate
essential information on CKD and understand the impact of food
choices and the role of prescribed treatments
15. CONNECTING NURSES | 15
The Information Shareapy Community gives access to
practice tips and best practice information gleaned
by nurses and KOL nursing organizations. By
uploading and sharing links on the platform, every
single nurse can make patient support tools and
materials available to their peers and patients.
Nurses can share their education, practice and
research projects on Care Challenge and discover
their colleagues innovations worldwide : they get
immediate visibility and recognition
• Connecting Nurses is a worldwide recognition program for nurses supported by
sanofi, built in partnership with nursing organizations as
International Council of Nurses and EDTNA
• Discover both web platforms through the www.connecting-nurses.com portal and post
your project in Renal Care NOW : your project might be championed in May 2015
18. Phosphorus Mission
• April 2014 EDTNA/ERCA members validated Phosphorus Mission via
on line survey
• Responses were anonymous and based on members reviewing PC
version of Phosphorus Mission
• Survey five areas:
• Patient educational challenges in pre dialysis and dialysis patients
• Overall impressions of Phosphorus Mission
• Feedback on individual sections of Phosphorus Mission
• The best location to use Phosphorus Mission
• Ease of use
• https://fr.surveymonkey.com/s/ValidationCommitteePhosphorusMissioneducationaltool
19. Country Feedback
• Belgium
• Greece
• Israel
• Netherlands
• Poland
• Slovenia
• Spain
• Sweden
• UK
• Two skipped country responses
20. Three Main Challenges: Life Style Changes, Treatment
Compliance & Change To Low Phosphate Diet
Answered: 10 Skipped: 2
What do you see as the biggest patient education challenges for your pre-dialysis patients?
21. Three Main Challenges: Lifestyle Change, Change To
Low Phosphate Diet & Treatment Compliance
Answered: 10 Skipped: 2
What do you see as the biggest patient education challenges for your dialysis patients?
22. Phosphorus Mission Valuable For Nurses
Answered: 9 Skipped: 3
How would you rate the usefulness of Phosphorus Mission as an education tool ?
23. Good Acceptance By Nurses
Answered: 9 Skipped: 3
Based on your experience how likely do you think other dialysis nurses will use the
Phosphorus Mission educational tool?
24. Value For Other Clinical Team Members
Answered: 9 Skipped: 3
What other disciplines would find the Phosphorus Mission educational tool useful?
25. What Did You Like Most About Phosphorus Mission?
“ Animation”
“It really makes you think about how hard it is to keep phosphate down with high
phosphate foods”
“Interesting, raising awareness about phosphorus and possible complications”
“Patient friendly” “Simplicity”
“Fun, and looked easy to use. made the
subject enjoyable not a chore”
“Useful as a guide for clinical practice”
“The possibility to find extra information and explication
during and after the game”
“”
The clearness of illustrations contents