healthAlliance (hA) is the regional business services agency that provides shared services like finance, procurement, information services, and human resources to four District Health Boards (DHBs) in the northern region of New Zealand. It was established in 2000 and now has over 500 employees serving a population of over 36% of New Zealanders. hA aims to deliver outstanding shared services in order to enable healthcare excellence for the northern region through lower costs, standardized processes, and quality services.
Members of the National Involvement Network (NIN) have been working with ARC Scotland and Evaluation Support Scotland to evaluate what difference the Charter for Involvement has made to peoples lives. They have produced an interim report.
"Profiling the senior team allowed them to see exactly what PPA was all about and the information it provided. Once they understood their profiles they were able to talk much more openly to one another about their preferred work style and how it can impact on those around them"
Global energy management company increases transparency of remuneration process.Pivot Software
Schneider Electric, the global specialist in energy management, was finding remuneration management a challenging process. Their existing remuneration review process was inconsistent and time consuming and needed to be improved.
Schneider decided on Pivot’s Remuneration Ally. “Through familiarity with Remuneration Ally I knew it was capable of managing the process here at Schneider and would tick all the boxes in terms of what we needed."
At Cardio we work actively in partnerships across your organisation to provide critical cultural insight. Our goal is to identify, surface, engage, connect and practically apply all the talent within your organisation to help you create your own internal ‘Intelligent Client’ consultancy capacity. Once you have enhanced your own in-house capability, we may be the last external consultants you’ll ever need.
Lead, Empower, Motivate! Monthly leadership workshops in Southern California for current and future supervisors, managers, and HR professionals. HRCI recertification credit.
Members of the National Involvement Network (NIN) have been working with ARC Scotland and Evaluation Support Scotland to evaluate what difference the Charter for Involvement has made to peoples lives. They have produced an interim report.
"Profiling the senior team allowed them to see exactly what PPA was all about and the information it provided. Once they understood their profiles they were able to talk much more openly to one another about their preferred work style and how it can impact on those around them"
Global energy management company increases transparency of remuneration process.Pivot Software
Schneider Electric, the global specialist in energy management, was finding remuneration management a challenging process. Their existing remuneration review process was inconsistent and time consuming and needed to be improved.
Schneider decided on Pivot’s Remuneration Ally. “Through familiarity with Remuneration Ally I knew it was capable of managing the process here at Schneider and would tick all the boxes in terms of what we needed."
At Cardio we work actively in partnerships across your organisation to provide critical cultural insight. Our goal is to identify, surface, engage, connect and practically apply all the talent within your organisation to help you create your own internal ‘Intelligent Client’ consultancy capacity. Once you have enhanced your own in-house capability, we may be the last external consultants you’ll ever need.
Lead, Empower, Motivate! Monthly leadership workshops in Southern California for current and future supervisors, managers, and HR professionals. HRCI recertification credit.
How can I better understand the inflation trends across the most complex market in the world?This report was design to understand what are the trends across China regarding inflation from a national and local point of view.
This is the fifth annual edition of the R3 China Media Inflation Report covering inflation forecasts for Y2015 in all key national and local media spaces.
Find out more about topline and methodology, click below:
http://www.rthree.com/r3/index.php/en/insights/by-topic/return-on-marketing-investment/return-on-media/1301-china-s-media-inflation-slows-for-2015-still-outstrips-cpi-by-3x
R3 (www.r3ww.com) was set up in 2002 in response to an increasing need from marketers to enhance their return on marketing investment, and improve efficiency and effectiveness.
Visit our website to learn more about our service and other publications.
www.rthree.com
Future Considerations is a global consultancy that develops leaders, strengthens relationships and helps organisations find direction and purpose in complex business environments.
Simply put, we work with our partners to transform their leadership, teams and organisations by applying leading edge thinking to business reality and effect deep personal change as a conduit for organisational change, and vice-versa.
This is a quick powerpoint slide deck of who we are and what we are able to offer. If you’d like to know more contact me at peter@futureconsiderations.com
PowerPoint Presentation used by Lorri Lennon during her 'Influencing Leadership Communication' presentation. The event was organised by London Communicators and Engagement Group and was hosted by Hay Group on 8 May 2012.
CPA Vision on a page created for the AICPA by the Business Learning Institute.
Horizons 2025 Future Forums were conducted in 8 cities across the US using their i2a: Insights to Action Strategic Thinking System. This document was used to explain the original CPA Vision that was checked against the future trends developed by grassroots CPAs
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
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
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
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
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.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
2. A proud history... a bright future
Counties Manukau DHB and Waitemata DHB established
healthAlliance (hA) in July 2000 to support the effective
delivery of key business services for these two DHBs. In
March 2011 the scope and ownership of hA was changed
to incorporate all four Northern DHBs as owners, together
with Health Benefits Ltd.
healthAlliance is now the regional business services agency
for the four DHBs.
The key service activities are:
•Finance (transactional processing)
•Procurement and Supply Chain
•Information Services
•Regional Internal Audit Services
•Staff Service Centre – payroll processing and HRIM
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
3. hA at a glance
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
4. Our Region
Some facts about healthAlliance:
• 500+ employees in 8 locations
• Serving a population base of 36.1% of New
Zealanders
• Our services support 26,500 DHB staff, 15,000
computers, 10 hospital sites, 94 community sites
and 266 dental sites
• 81,500 assets worth over $1.1B (NBV $60
million)
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
5. What we do:
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
6. hA exists to provide:
• Efficient & effective delivery of transactional activities
• Lower costs
• Improved quality & sustainability of service
• Elimination of inefficiencies
• Integrated & seamless processes
• Centres of excellence, expertise & staff development
• Regional alignment & standardisation of activities
within customer DHBs
Resulting in the release of funding for front-line services
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
7. Our Purpose: Our Principles to live by:
healthAlliance provides shared services to benefit NZ health
organisations. We will deliver increasing value to our
customers through:
Lower cost
Standardised system and processes
Reducing variation or rework
Quality and innovation
Our Vision:
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
Developing lasting Developing trust by being Leading by example Delivering exceptional
partnerships through open and honest results through high Encourage forward thinking
Open, fair, honest and
collaboration performing teams ideas and challenge status
Listening to and transparent in everything
quo
Working to a common goal understanding others views we do Enhance the complete
customer experience Measure our performance
Facilitating joint solutions Valuing everyone’s Courage to speak up and
and see it as an opportunity
within our means contribution challenge when things don’t Continually improve and add
to learn and grow
seem right value
Recognising and celebrating Celebrating diversity
Creating positive change by
success Act ethically and Being action orientated,
Have fun and enjoy what we developing smarter ways to
professionally at all times responsible and accountable
Open communication to do as a team work
share knowledge and Can do, will deliver on our Providing consistent and
Empowering people to
information promises, obligations and reliable services
maximise potential
commitments
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
8. Delivering Savings
Since inception healthAlliance has reduced
the transactional services costs for its
shareholders by almost 2% of their provider
arm revenues - representing expenditure
avoidance of approx $20 million per year.
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.
9. Definition of Shared Service
Common management practices that can be concentrated in a business oriented unit
focussed entirely on delivering the highest quality services at the lowest cost to internal
customers. There is accountability in the organisation that is more effective that having
multiple points of responsibility and varied management practices.
In a Shared Services company a unique service provider / recipient relationship is
established. Customers can specify what services and how much they need and can expect
those to be met. Providers can expect to have their performance evaluated objectively as a
result of having measurable criteria in place.
Shared services should be staffed with some of the best and brightest people for those
services that are characterised as expertise of knowledge based as they must expect to
become suppliers of choice. Shared service providers will become as good as the best
professional services firms that the organisation may have worked with in the past.
As a result the Shared Services company must be able to perform at levels equal to or better
than other service providers.
To deliver outstanding shared services that enable healthcare
excellence for the Northern Region’s population.