Presentation on the use of SystemOne's GxAlert tool in Nigeria, for monitoring reducing diagnostic errors and accelerating positive outcomes in TB.
Published courtesy of Kehinde Jimoh Agbaiyero, Senior Technical Advisor - TB, Abt Associates
Ipsos Healthcare executed a study on the future of connected health in the areas of patient-generated health data, security and the role of connected health in care outcomes.
So what exactly is GP2GP?
In simple terms, it’s a software application which enables the electronic component of a patient’s general practice health record to be transferred from one GP practice to another.
Such transfers are:
- secure and confidential
- direct
- and almost immediate, ensuring that GPs can usually have a patient’s medical history available to them for their first consultation
This presentation deck covers the following key areas and is further supplemented by speaker notes.
- How the system works
- The benefits of using GP2GP
- GP2GP process overview (with screen shots)
- How to deal with incoming records
- The stages of business change
- Considerations and file sizes
- Technical requirements
- How you can prepare for GP2GP at your local practice
- Implementation guidelines
Tracey Grainger, Head of Digital Primary Care Development, NHS England
Dr Robert Varnham,GP and Head of General Practice, NHS England
Tracey Watson, Head of Partners & Commercial Strategic Systems & Technology, Patients & Information, NHS England
GP2GP Electronic Health Transfer Record overview delivered at the Heathcare Efficiency Through Technology Expo 2013 by colleagues from The Health and Social Care Information Centre (HSCIC):
Content:
- Benefits of GP2GP
- Best Practice
- Future Developments
During this webinar we will discuss getting the maximum MU measure from your CPOE and e-prescribing as well as making sure you are hitting all the key buttons to get the most out of your medication prescribing for Meaningful Use.
Community pharmacy anticoagulation monitoring service, the Canterbury approach. Presented by Vanessa Buchan, Canterbury Health Laboratories, at HINZ 2014, 11 November 2014, 12pm, Marlborough Room
The Benefits of a Seamless IRT and EDC Integration in Clinical Trial ExecutionVeeva Systems
Watch the video here: https://bit.ly/3upehbN
Veeva and Suvoda have combined their offerings into a powerful streamlined integration, which accommodates advanced study designs while driving down build and casebook complexity.
Hear Catherine Munera, head of biometrics at Cara Therapeutics, share the benefits of moving from a single provider to taking a harmonized, best-of-breed approach with IRT and EDC.
AMCCBS Virtual2021 Conference Takeaways Part 1Carevive
Takeaways from Carevive's March 2nd presentation featuring Ethan Basch, Madelyn Trupkin Herzfeld, Bruno Lempernesse, and Nadia Still DNP, RN.
Learn more about Carevive's breakthrough cancer care platform:
https://bit.ly/3bJ5H1z
SlideShare now has a player specifically designed for infographics. Upload your infographics now and see them take off! Need advice on creating infographics? This presentation includes tips for producing stand-out infographics. Read more about the new SlideShare infographics player here: http://wp.me/p24NNG-2ay
This infographic was designed by Column Five: http://columnfivemedia.com/
No need to wonder how the best on SlideShare do it. The Masters of SlideShare provides storytelling, design, customization and promotion tips from 13 experts of the form. Learn what it takes to master this type of content marketing yourself.
Ipsos Healthcare executed a study on the future of connected health in the areas of patient-generated health data, security and the role of connected health in care outcomes.
So what exactly is GP2GP?
In simple terms, it’s a software application which enables the electronic component of a patient’s general practice health record to be transferred from one GP practice to another.
Such transfers are:
- secure and confidential
- direct
- and almost immediate, ensuring that GPs can usually have a patient’s medical history available to them for their first consultation
This presentation deck covers the following key areas and is further supplemented by speaker notes.
- How the system works
- The benefits of using GP2GP
- GP2GP process overview (with screen shots)
- How to deal with incoming records
- The stages of business change
- Considerations and file sizes
- Technical requirements
- How you can prepare for GP2GP at your local practice
- Implementation guidelines
Tracey Grainger, Head of Digital Primary Care Development, NHS England
Dr Robert Varnham,GP and Head of General Practice, NHS England
Tracey Watson, Head of Partners & Commercial Strategic Systems & Technology, Patients & Information, NHS England
GP2GP Electronic Health Transfer Record overview delivered at the Heathcare Efficiency Through Technology Expo 2013 by colleagues from The Health and Social Care Information Centre (HSCIC):
Content:
- Benefits of GP2GP
- Best Practice
- Future Developments
During this webinar we will discuss getting the maximum MU measure from your CPOE and e-prescribing as well as making sure you are hitting all the key buttons to get the most out of your medication prescribing for Meaningful Use.
Community pharmacy anticoagulation monitoring service, the Canterbury approach. Presented by Vanessa Buchan, Canterbury Health Laboratories, at HINZ 2014, 11 November 2014, 12pm, Marlborough Room
The Benefits of a Seamless IRT and EDC Integration in Clinical Trial ExecutionVeeva Systems
Watch the video here: https://bit.ly/3upehbN
Veeva and Suvoda have combined their offerings into a powerful streamlined integration, which accommodates advanced study designs while driving down build and casebook complexity.
Hear Catherine Munera, head of biometrics at Cara Therapeutics, share the benefits of moving from a single provider to taking a harmonized, best-of-breed approach with IRT and EDC.
AMCCBS Virtual2021 Conference Takeaways Part 1Carevive
Takeaways from Carevive's March 2nd presentation featuring Ethan Basch, Madelyn Trupkin Herzfeld, Bruno Lempernesse, and Nadia Still DNP, RN.
Learn more about Carevive's breakthrough cancer care platform:
https://bit.ly/3bJ5H1z
SlideShare now has a player specifically designed for infographics. Upload your infographics now and see them take off! Need advice on creating infographics? This presentation includes tips for producing stand-out infographics. Read more about the new SlideShare infographics player here: http://wp.me/p24NNG-2ay
This infographic was designed by Column Five: http://columnfivemedia.com/
No need to wonder how the best on SlideShare do it. The Masters of SlideShare provides storytelling, design, customization and promotion tips from 13 experts of the form. Learn what it takes to master this type of content marketing yourself.
10 Ways to Win at SlideShare SEO & Presentation OptimizationOneupweb
Thank you, SlideShare, for teaching us that PowerPoint presentations don't have to be a total bore. But in order to tap SlideShare's 60 million global users, you must optimize. Here are 10 quick tips to make your next presentation highly engaging, shareable and well worth the effort.
For more content marketing tips: http://www.oneupweb.com/blog/
Are you new to SlideShare? Are you looking to fine tune your channel plan? Are you using SlideShare but are looking for ways to enhance what you're doing? How can you use SlideShare for content marketing tactics such as lead generation, calls-to-action to other pieces of your content, or thought leadership? Read more from the CMI team in their latest SlideShare presentation on SlideShare.
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Turbocharge your online presence with SlideShare. We provide the best tips and tricks for succeeding on SlideShare. Get ideas for what to upload, tips for designing your deck and more.
I did a visit to new zealand in 2003 and did a number of talks from 2003 to 2005 on the transformation taking place in new zealand. back in NZ in 2014 so looked at those early slide so impressed with the leadership and the robust primary care
GxAlert Papua New Guinea Case Study 072518SystemOne
GxAlert's use in Papua New Guinea for disease surveillance and response. Initially used for Tuberculosis response, device management and second-line drug forecasting and stockage.
Feasibility of an SMS intervention to deliver tuberculosis testing results in...SystemOne
Pre-treatment loss to follow-up is common for patients diagnosed with tuberculosis (TB) in high-burden countries. Delivering test results by SMS is increasingly being considered as a solution, but there is limited information about its feasibility as a public health tool in low resourced settings. It was found that reporting Xpert results via automated SMS is technically feasible and results in approximately half of patients receiving their test results immediately. Additional research should be done to address process inefficiencies in order to maximize impact of this technology and link its successful utilization to improved patient outcomes.
The Role of Connected Diagnostics in Strengthening Regional, National and Con...SystemOne
Although numerous disease intelligence and surveillance systems exist, they are plagued with inaccurate or untimely data. We contend, furthermore, that it was this lack of data quality – and not
the lack of surveillance systems or networks – that prevented the global community from acting earlier in response to the Ebola outbreak in 2014–2016. The new field of ‘connected diagnostics’ is one solution to this concern, as it automates data collection directly from the diagnostic instruments to multiple levels of stakeholders for real-time decision-making and policy response.
This article details how the intervention of ‘connected diagnostics’ could solve the primary underlying failure in existing surveillance systems – the lack of accurate and timely data – to enable
difficult political decisions earlier. The use of connectivity solutions can enable critical health and operational data to empower the Africa CDC, regional hubs, and each country with a consistent
and automated data feed while still maintaining country privacy and controls.
GxAlert for Real-time Management and Strengthening of Remote GeneXpert Networ...SystemOne
Real-time monitoring of GeneXpert machines can contribute to reduced error rates and shorter turnaround
times for module replacement and can improve the overall
maintenance of the machines. Emails and SMS alerts can speed
up treatment initiation. The NTP now gets SMS alerts and emails for DR-TB patient enrollment; stockout and error (>5%) rates; critical module errors; and monthly MDR reports to ensure better
connections among diagnosis, enrollment, and treatment.
Racing for results: lessons learnt in improving the efficiency of HIV VL and ...SystemOne
In pursuit of the 90–90–90 goals, emphasis has been placed on accelerating centralized laboratory HIV viral load testing of a population that is largely rural and decentralized. Successful
outcome requires effective specimen transport, laboratory testing, and results delivery. This paper focuses on the methods currently employed for results delivery. New innovations in this area are
yielding mixed results; we analyze different approaches and estimate the impact of each on achieving the third ‘90.’
Bangladesh case study on how we implemented a connected diagnostics solution using GxAlert for infectious disease surveillance, TB program optimization and leveraging diagnostic data.
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
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.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
GxAlert Monitors and Reduces High Testing Error Rates in Nigeria's GeneXpert Machine
1. GxAlert SMS Improves Patient
Enrollment and Management in
Nigeria
46th Union World Conference on Lung Health
Cape Town, South Africa
Kehinde Jimoh , MD
5 December 2015
2. Abt Associates
Outline
Session Objectives
Background
Approach and Process of Using GxAert
Value of integrating the GxAlert application
Implementation of Innovation
Results
To share Lessons Learned
3. Abt Associates
Session Objectives
To orient participants to the technology-supported
GxAlert system in Nigeria.
To present improvements in DR-TB patient
enrollment.
To share lessons learned to date.
4. Abt Associates
Background
Nigeria is a Country in W/Africa with a
population of 165 million
Nigeria is ranked 13th among the 27 high
DR-TB burden countries in the world
Prevalence of MDR-TB among New
Cases is 2.9%
Prevalence of MDR-TB among
Retreatment Cases is 14.3%
Number of GeneXpert Site is 151
presently
Nigeria is implementing technology-
supported GxAlert system to improve
DRTB patients notification and enrollment
in about 60 Labs.
5. Abt Associates
Challenges to Intervention
Reporting TB testing results is a
lengthy process due to a
continued reliance on paper
records and slow data transit
systems.
Quality of results data is often
poor and subsequent program
management decisions are not
always timely or focused on
priority needs.
7. Abt Associates
What is GxAlert?
GeneXpert
Health
Systems
Connects the device via
secure network. Allows
automatic real-time
reporting of test results.
Routes the information
so it can become
“actionable” within the
health system.
Open-Source Software
Source Code Available for free
Any funded development
available to all users/countries
8. Abt Associates
Approach and Process of GxAert
GxAlert is configured on GeneXpert
systems by installing a modem from
a telecom that encryps and gives
access to internet to send
GeneXpert MTB/RIF diagnostic
results in real time to a secure web-
based database in mere seconds
GXAlert is a real time online
database. Data can be analyzed
and aggregated by: Cartridge,
Module, Device, Facility, LGA, or
State.
The system then sends the results
in an SMS alert to program decision
makers at the state and national TB
program, shortening the new-case
reporting period from months to
seconds.
9. Abt Associates
Results
The proportion of DR-TB patients
enrolled for treatment based on
GxAlert messages received from 35
GeneXpert facilities jumped to 85%
in March, 2015 from only 20%
enrolled in April 2014.
SMS or text message alerts are sent
to TB Local Government supervisor,
State program manager and National
Program DR-TB enrollment officer
upon GeneXpert confirmation of a
MTB+ Rif+ case to speed treatment
initiation.
Weekly reports of all new TB+ cases
are both emailed and sent by SMS to
local health officials to ensure better
connection between diagnosis,
enrollment and treatment.
10. Abt Associates
Can we get
better quality
data, faster?
Does it lead to
NTP action?
Do results get
to patients?
“We saw 3x the
level of MDR we
expected!”
YES!
11. Abt Associates
GxAlert Allows Data to Flow Across the
Health System
GH Kumo
Kwali GH
IDH Kano
Zankli Lab
NIMR Yaba
SMS
Email
Computer
App
Other Systems:
e-TB Manager
DHIS2
• Connects diagnostic devices
• Collects custom data
• Sends alerts, notifications and reports
to different level of care providers
• Monitors and manages
cartridge inventory
• Records service, warranty,
and maintenance events
• Integrates with other
health systems
12. Abt Associates
Recap: Take Home Messages
GxAlert eliminates the need for human error in data
entry, reduces the lag time, and helped pinpoint
patients that should be place on care.
GxAlert strengthened surveillance of DR-TB, TB in
children and TB in the HIV infected, speeding
response and improving programmatic decision
made for enrollment and placement of DR-TB patient
on treatment.
The use of GxAlert SMS notification of GeneXpert
testing suggests a scalable model for sustainability:
Installation is done once and in-country.
Supervisors have noted both the ease of the tool for information collection purposes but also in highlighting corrective action
Talk a little bit about training/capacity building among NTBLCP staff and state/LGA supervisors
Talk about how errors are decreased
Talk about how supervisors use R-YG (example on next slide)
Talk about how the database/future dashboard will help State and National Levels.