This presentation outlines effective ways to create change within your community.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Advancing Health Equity: Building on Community-Based InnovationWellesley Institute
This presentation offers insights on how to advance health equity by building on community-based innovation.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation talks about the importance of health equity during difficult times.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Building Equity and Social Determinants of Health into 'Healthy Communities' ...Wellesley Institute
This presentation provides critical insights on how build equity and healthy communities.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
'Wicked' Policy Challenges: Planning, Tools, and Directions for Driving Healt...Wellesley Institute
This presentation offers insight into the policy challenges that inhibit health equity.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
A Health Equity Toolkit: Towards Health Care Solutions For AllWellesley Institute
This presentation offers health solutions that will help create a more equitable system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Acting on Social Determinants and Health Equity: An Equity Toolkit for Public...Wellesley Institute
This presentation examines the relationship between the social determinants of health and health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation examines the ways in which local action can achieve health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation offers ways to leverage a health equity strategy in order to inspire public action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Advancing Health Equity: Building on Community-Based InnovationWellesley Institute
This presentation offers insights on how to advance health equity by building on community-based innovation.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation talks about the importance of health equity during difficult times.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Building Equity and Social Determinants of Health into 'Healthy Communities' ...Wellesley Institute
This presentation provides critical insights on how build equity and healthy communities.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
'Wicked' Policy Challenges: Planning, Tools, and Directions for Driving Healt...Wellesley Institute
This presentation offers insight into the policy challenges that inhibit health equity.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
A Health Equity Toolkit: Towards Health Care Solutions For AllWellesley Institute
This presentation offers health solutions that will help create a more equitable system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Acting on Social Determinants and Health Equity: An Equity Toolkit for Public...Wellesley Institute
This presentation examines the relationship between the social determinants of health and health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation examines the ways in which local action can achieve health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation offers ways to leverage a health equity strategy in order to inspire public action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity into Action: Policy Change and Community Mobilization t...Wellesley Institute
This presentation offers critical insights on policy change and community mobilization.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides insight on how to drive health equity into action at a community level.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Person-Centred Care, Equity and Other Building Blocks For Excellent Care For AllWellesley Institute
This presentation examines the building blocks for excellent care.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Drawing Out Links: Health Equity, Social Determinants of Health and Social Po...Wellesley Institute
This presentation provides insight on health equity, social determinants of health and social policy.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity into Action: The Potential of Health Equity Impact Asse...Wellesley Institute
This presentation provides a critical analysis of the potential of a health equity impact assessment.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Building on the Evidence: Advancing Health Equity for Priority PopulationsWellesley Institute
This presentations offers critical insights on how to advance health equity for priority populations.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity in Canada: From Strategy to Action and ImpactWellesley Institute
This presentation provides insight on health equity and public action in Canada.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity into Action: Building on Partnerships and CollaborationsWellesley Institute
This presentation offers insight on how to put health equity into action by building on partnerships and collaborations.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Acting on Social Determinants and Health Equity: Opportunities and Promising ...Wellesley Institute
This presentation looks at the opportunities and practices that establish an effective public health system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity into Action: Strategy, Ideas, and Tools for Midwifery M...Wellesley Institute
This presentation provides a strategy, ideas and tools for the midwifery movement.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides insight on how to translate health equity into action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Not Lost in Translation: Interpretation and Other Drivers for Health EquityWellesley Institute
This presentation provides critical insight on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
New Directions in Medicaid - Initiatives for People with Mental IllnessOneVoiceTexas
Dana Stoner, Senior Policy Advisor with Texas Department of State Health Services, shared three examples of "changing the system" at the June 3, 2014 workshop on Designing Healthcare in Texas. The presentation was part of a Medicaid 101 overview and started the two day event sponsored by One Voice Texas, Harris County Healthcare Alliance, and Kinder Institute.
Driving Health Equity into Action: Hospital Planning and DeliveryWellesley Institute
This presentation provides insight on hospital planning and delivery.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation has made to health workers who have more than two decades of experience of managing/implementing public health programs in Nepal, especially at district level and below.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity Impact Assessment Workshop: Healthy Connection Wellesley Institute
This presentation provides insights on health equity.
Anthony Mohamed, Aboriginal Health CAP
St. Michael's Hospital
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity into Action: Policy Change and Community Mobilization t...Wellesley Institute
This presentation offers critical insights on policy change and community mobilization.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides insight on how to drive health equity into action at a community level.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Person-Centred Care, Equity and Other Building Blocks For Excellent Care For AllWellesley Institute
This presentation examines the building blocks for excellent care.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Drawing Out Links: Health Equity, Social Determinants of Health and Social Po...Wellesley Institute
This presentation provides insight on health equity, social determinants of health and social policy.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity into Action: The Potential of Health Equity Impact Asse...Wellesley Institute
This presentation provides a critical analysis of the potential of a health equity impact assessment.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Building on the Evidence: Advancing Health Equity for Priority PopulationsWellesley Institute
This presentations offers critical insights on how to advance health equity for priority populations.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity in Canada: From Strategy to Action and ImpactWellesley Institute
This presentation provides insight on health equity and public action in Canada.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity into Action: Building on Partnerships and CollaborationsWellesley Institute
This presentation offers insight on how to put health equity into action by building on partnerships and collaborations.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Acting on Social Determinants and Health Equity: Opportunities and Promising ...Wellesley Institute
This presentation looks at the opportunities and practices that establish an effective public health system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity into Action: Strategy, Ideas, and Tools for Midwifery M...Wellesley Institute
This presentation provides a strategy, ideas and tools for the midwifery movement.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides insight on how to translate health equity into action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Not Lost in Translation: Interpretation and Other Drivers for Health EquityWellesley Institute
This presentation provides critical insight on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
New Directions in Medicaid - Initiatives for People with Mental IllnessOneVoiceTexas
Dana Stoner, Senior Policy Advisor with Texas Department of State Health Services, shared three examples of "changing the system" at the June 3, 2014 workshop on Designing Healthcare in Texas. The presentation was part of a Medicaid 101 overview and started the two day event sponsored by One Voice Texas, Harris County Healthcare Alliance, and Kinder Institute.
Driving Health Equity into Action: Hospital Planning and DeliveryWellesley Institute
This presentation provides insight on hospital planning and delivery.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation has made to health workers who have more than two decades of experience of managing/implementing public health programs in Nepal, especially at district level and below.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity Impact Assessment Workshop: Healthy Connection Wellesley Institute
This presentation provides insights on health equity.
Anthony Mohamed, Aboriginal Health CAP
St. Michael's Hospital
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Making Evaluations Matter for 'Wicked' Policy Problems; Supporting Strategy, ...Wellesley Institute
This presentation provides critical insights on supporting strategy, policy and interventions that drive health equity.
Bob Gardener, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity for Kids: From the Earliest Years to Transforming the S...Wellesley Institute
This presentation provides the history of health equity for children and how we need to transform the system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Advancing Health, Health Equity and Opportunities for Children and Youth in T...Wellesley Institute
This presentation examines the ways in which to advance health and health equity for children and youth during difficult times.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Realizing the Potential of Health Equity Impact AssessmentWellesley Institute
This presentations offers critical insight into the potential of an health equity impact assessment.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity for Immigrants and Refugees: Driving Policy ActionWellesley Institute
This presentation discusses health equity for immigrants and refugees.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity Impact Assessment: A Tool for Driving Equity into Action Wellesley Institute
This presentation provides insight on how to drive equity into action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Equity into Policy Action: A Policy Conversation at MOHLTCWellesley Institute
This presentation provides critical insights on how to transform health equity into policy action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
'Wicked' Policy Challenges: Tools, Strategies and Directions for Driving Ment...Wellesley Institute
This presentation provides critical insights on how to drive mental health and health equity strategy into action.
Bob Gardner, Director of Policy
Nimira Lalani
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Christopher p digiulio md - building integrated health service networksChristopherp3
Christopher p digiulio md achieve their goal of managing a healthcare team and ensuring the smooth day-to-day operations of a healthcare facility, Medical Officers perform various tasks.
Similar to Health Equity Strategy, Interpretation and Other Levers for Driving Change (16)
This presentation suggests that housing and homelessness are not just concerns for the city centre. It looks at how housing insecurity is deep and persisting; how poor housing effects people, communities, the economy and government; the diminishing federal investments in housing; and our lack of a comprehensive national plan.
Michael Shapcott, Director of Housing and Innovation
http://www.wellesleyinstitute.com/
Follow us on twitter @wellesleyWI
This presentation examines social housing and housing needs in Toronto and Canada.
Michael Shapcott, Director of Housing and Innovation
www.wellesleyinstitute.com
Follow us on twiter @wellesleyWI
Ending Homelessness in Kingston and Across Canada: What's the Plan?Wellesley Institute
This presentation examines the steps necessary to end homelessness in Kingston and Canada.
Michael Shapcott, Director of Housing and Innovation
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation focuses on the links between good housing and good health, and the critical role that federal investments play in assuring that all Canadians have access to good quality, healthy and affordable housing.
Michael Shapcott, Director of Housing and Innovation
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Getting to Yes: Overcoming Barriers to Affordable Family-friendly Housing in ...Wellesley Institute
This presentation examines the barriers that inhibit many people from accessing affordable and family-friendly housing in inner Melbourne, Australia.
Carolyn Whitzman, Professor of Urban Planning
The University of Melbourne
This presentation examines the link between quality cancer care and equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
State of homelessness infographic.
Stephen Gaetz, Jesse Donaldson, Tim Richter, & Tanya Gulliver (2013): The State of Homelessness in Canada 2013. Toronto: Canadian Homelessness Research Network Press.
This presentation looks at which indicators point to deep and persistent housing insecurity and homelessness and the opportunities for social change.
Michael Shapcott, Director of Housing and Innovation
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Housing Insecurity and Homelessness: What Should Be Done?Wellesley Institute
This presentation provides an overview of the erosion of federal housing funding over the past two decades and surveys the current policy landscape.
Michael Shapcott, Director of Housing and Innovation
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation introduces complexity and systems thinking, and how they relate to the social determinants of health.
Aziza Mahamoud, Research Associate, Systems Science and Population Health
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides facts about legalized gaming in Canada and situates these facts within the larger discussion on the negative impacts of Casinos on our health.
Jim Cosgrave, Professor of Sociology
Trent University
This presentation looks at the negative health impacts of a Casino in Toronto.
Dr. David McKeown, Toronto's Medical Officer of Health
Toronto Public Health
Building Inclusive Cities: Planning Tools that promote the Right to the CityWellesley Institute
This presentation looks at the ways in which cities can be inclusive and examines interesting projects happening around the globe.
Carolyn Whitzman, Professor of Urban Planning
University of Melbourne
This presentation commemorates the 100 year anniversary of the opening of the Wellelsey hospital in 1912.
Sue Williams, Co-Chair Wellesley Institute
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Concept Mapping of Photo Voices: Neighbourhood and HealthWellesley Institute
This presentation illustrates how one's neighbourhood influences their personal and family's health and wellbeing.
Nasim Haque, MD, DrPH
Director of Community Health
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Social Determinants of Health for Immigrant Youth: Experiences from St. James...Wellesley Institute
This presentation offers critical insight on immigrant youth and the living conditions, settlement, and acculturation issues that play a role in determining their health and well-being. Drawing largely from the Wellesley Institute's Youth Photovoice research findings, this presentation provides background knowledge on the social determinants of health and a glimpse into the lives of immigrant youth. The presentation was part of SickKids’ Adolescent Medicine Rounds, and was attended by physicians, residents, fellows, medical students, nurses, social workers, psychologists and therapists working in the adolescent health field.
Nasim Haque, MD, DrPH
Director of Community Health
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Photovoice as an Arts-Based Participatory Research ApproachWellesley Institute
This presentation offers insight on the uses of photovoice as an arts-based research approach.
Nasim Haque, MD, DrPH
Director of Community Health
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Community Based Participatory Research Approaches: Experiences from St. James...Wellesley Institute
This presentation is an overview of community based participatory research methodologies. It draws on examples from work in St. James Town to illustrate the range of information that could be drawn using an arts-based participatory research method. The aim of this presentation is to illustrate how participatory research methodologies can be effectively used in research resistant communities for: 1) engaging and empowering marginalized populations; 2) enabling communities to advocate for social changes; and 3) developing new partnerships with stakeholders and initiating community-level changes.
Nasim Haque, MD, DrPH
Director of Community Health
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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
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.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
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
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
2. One Critical Quality Barrier
• from a resident participating in Wellesley
community-based research in St James Town
“Language is a big barrier to us whenever we
use any services. When our doctor is on
leave then we are unable to visit a different
one due to language problem. So we may
have to go to a walk-in clinic or emergency.
There were no interpreter services. I do not
know if they arrange them in hospitals. I
couldn’t follow what the doctor said.”
2
3. The Big Picture Problem to Solve:
Health Inequities in Ontario
•there is a clear gradient in
health in which people with
lower income, education or
other indicators of social
inequality and exclusion tend
to have poorer health
•+ major differences between
women and men
•the gap between the health of
the best off and most
disadvantaged can be huge –
and damaging
•impact and severity of these
inequities can be
concentrated in particular
populations
3
4. Three Cumulative and Inter-Dependent Levels
Shape Health Inequities
1. because of inequitable access to 1. gradient of health in which more
wealth, income, education and other disadvantaged communities have
fundamental determinants of health poorer overall health and are at
→ greater risk of many conditions
2. also because of broader social and 2. some communities and populations
economic inequality and exclusion→ have fewer capacities, resources and
resilience to cope with the impact of
poor health
3. because of all this, disadvantaged 3. these disadvantaged and vulnerable
and vulnerable populations have communities tend to have
more complex needs, but face inequitable access to services and
systemic barriers within the health support they need
and other systems →
4
5. Key Message
• health disparities are pervasive and damaging
• will set out how these disparities can be addressed through
comprehensive health equity strategy
• equitable access to high quality interpretation is:
• crucial to breaking down barriers to good health care for newcomers
• an indispensable pre-condition for achieving equal opportunities for
good healthcare for all-- especially in an increasingly diverse society
• vital to other key components of an effective health system – from
ensuring good quality, patient-centred care, to enhancing access to
primary care, and preventing and managing chronic conditions
• building high quality interpretation services is a crucial
element of an effective overall health equity strategy
5
6. Health Equity = Reducing Unfair
Differences
• Health disparities or inequities are differences in health outcomes that
are avoidable, unfair and systematically related to social inequality and
disadvantage
• This concept:
• is clear, understandable and actionable
• identifies the problem that policies will try to solve
• is also tied to widely accepted notions of fairness and social justice
• The goal of health equity strategy is to reduce or eliminate socially and
institutionally structured health inequalities and differential outcomes
• A positive and forward-looking definition = equal opportunities for good
health
• Equity is a broad goal, including diversity in background, culture, race
and identity
7. Planning For
Complexity
Need to look at how these
other systems shape the
impact of SDoH:
•access to health
services can mediate
harshest impact of
SDoH to some degree
•community resources
and resilience are
important
POWER Study: Gender and
Equity Health Indicator
Framework
7
8. Equity Into Health System: Why
• even though roots of health disparities lie in far wider social and
economic inequality
• how the health system is organized and how care is delivered is
still crucial to tackling health disparities
1. it’s in the health system that the most disadvantaged in SDoH
terms end up sicker and needing care
• equitable healthcare and support can help to mediate the
harshest impact of the wider social determinants of health on
health disadvantaged populations and communities
2. in addition, there are systemic disparities in access and quality
of healthcare that need to be addressed
• people lower down the social hierarchy can have poorer
access to health services, even though they may have more
complex needs and require more care
• unless we address inequitable access and quality, healthcare
and community support services could make overall
disparities even worse
8
9. Building Equity Into the Health System: How
1. building health equity into all health care planning and delivery
• doesn’t mean all programs are all about equity
• but all take equity into account in planning their services and outreach
2. aligning equity with system drivers and priorities
• quality improvement, chronic disease prevention and management, wait
times
• none of these directions can succeed without taking equity barriers,
social determinants of health and differential risks and needs into
account
• aligning with key priorities also enhances chance for success and
sustainability of equity focus
3. identifying those levers that will have the greatest impact on reducing health
inequities and driving system change
• enhanced primary care
• here = how access to interpretation can advance quality and equity
priorities
May-14-12 9
10. Building Equity Into the Health System: How II
4. embedding equity in provider organizations’
deliverables, incentives and performance management
5. targeting some resources or programs specifically:
• looking for investments and interventions that will have the
highest impact on reducing health disparities or improving the
health of most disadvantaged, fastest
• key access barriers – language, culture, availability
• addressing disadvantaged populations – poor, isolated,
racialized, homeless
6. while investing up-stream in health promotion and
addressing the underlying determinants of health
10
11. Equity Into Health System: How III
comprehensive strategy
developed in 2008 for Toronto
Central LHIN
many recommendations have
been acted on:
• LHIN-wide interpretation
resources
• equity-relevant patient data
• needs of non-insured
• enhancing coordination of
services in disadvantaged
neighbourhoods
other LHINs are also prioritizing
and moving to address health
disparities
11
12. Start From Communities
• goal is to reduce health disparities and speak to needs of
most vulnerable communities – who will define?
• can’t just be ‘experts’, planners or professionals
• have to build community into core planning and priority setting
• not as occasional community engagement
• but to identify equity needs and priorities
• and to evaluate how we are doing
• how:
• many hospital have community advisory panels
• CHCs have community members on their boards
• innovative methods of engagement – e.g. citizens’ assemblies or
juries in many countries
• community-based research, needs assessment and evaluation
12
13. And Start From a Solid Strategic
Commitment
• need to make equity one of driving priorities for health
system and reform
• equity and a population health focus are among key principles enshrined in
new Excellent Care for All Act = opening and context
• need clear provincial strategy for equity:
• implicit from MOHLTC, but promised ten year strategy has not been released
• equity and population health are in public health standards
• need strategic coherence across health system in approach to equity
• LHINs, CCACs, and other coordinating agencies need to
prioritize equity – and many have
• cascading down to all providers prioritizing equity in their
overall strategic plans and then into service delivery and
resource allocation
13
14. Align Equity With Health System Drivers
• Excellent Care For All Act and quality agenda
• providers have to develop Quality Improvement Plans
• hospitals first reported April 2011
• other providers will report in subsequent years
• equity should be developed as one of dimensions to report on – but
wasn’t really in first hospital plans
• patient-centred care → means taking the full range of
people’s specific needs into account → customizing delivery
and quality for more health disadvantaged populations with
greater/more complex needs
• improving quality and outcomes also requires addressing
equity barriers such as language
14
15. Align Equity With Health System Drivers:
Interpretation as a Key Quality Lever
• key things that worry health care EDs and CEOs:
• delivering high-quality care efficiently
• reducing risk and enhancing safety
• meeting provincial priorities – wait times, re-admissions, ALCs
• access to interpretation underlies all of these system drivers –
consistent evidence that:
• poor communication between provider and patient due to language or cultural
barriers can contribute to misdiagnoses and inappropriate prescriptions
• inability to read or understand instructions can lead to medication errors → safety,
cost and re-admission implications
• promising indications that good interpretation helps keep people out of hospital
and gets them out sooner
• aligning to such drivers and incentives = crucial to build support
for interpretation strategy
15
16. Into Practice Through Equity-Focused Planning
• addressing health disparities in service delivery and planning requires a solid
understanding of:
• key barriers to equitable access to high quality care
• the specific needs of health-disadvantaged populations
• gaps in available services for these populations
• requires an array of effective and practical equity-focused planning tools
• Health Equity Impact Assessment analyzes potential impact of program or
policy change on health disparities and/or health disadvantaged populations
• intended to be relatively easy-to-use tool
• essentially prospective, helping plan forward
• HEIA was first piloted in 2009 and is being used by LHINs and providers
across the province
• Toronto Central has required HEIA within recent funding application
processes, and refreshing hospital equity plans → many hospitals are
extending its use
16
17. Success Condition: Equity-Focussed Data
• driving change through better planning and
performance management will require better
social determinants type data
• in addition to language needs, clients’ socio-economic and
cultural background → contributes to building up better
picture of community needs
• pilot project underway in 3 Toronto hospitals
• need to analyze impact of interpretation services
• comparing re-admission rates, satisfaction, post-hospital
recovery, infection, etc.
→ builds case for investing in interpretation
17
18. Beyond Planning: Embed Equity in System
Performance Management
• clear consensus from research and policy literature, and
consistent feature in comprehensive policies on health equity
from other countries:
• setting targets for reducing access barriers, improving health
outcomes of particular populations, etc
• developing realistic and actionable indicators for service delivery and
health outcomes
• tying funding and resource allocation to performance
• closely monitoring progress against the targets and indicators
• disseminating the results widely for public scrutiny
• need comprehensive performance measurement and
management strategy
• then choose appropriate equity targets and indicators for
particular populations/communities
18
19. Success Condition: Effective Equity Targets
• innovative work underway to develop equity
indicators – but don’t need to wait
• build equity into existing targets:
• reducing avoidable hospitalization and/or readmissions
→ equity target = reduce differences in rates of
hospitalization between populations or areas
• many programs assess their services through client
satisfaction surveys and look for high and improving
satisfaction
→ reduce any differences in satisfaction by gender, income,
ethno-cultural background, etc.
• NRC Picker has been translated into several languages
19
20. Getting Specific: Building Language and
Interpretation Into Performance Management
• need to define clear equity-focussed expectations:
• all providers will deliver sufficient high-quality interpretation
services to meet the needs of the people, communities and
catchment areas they serve
• WWLHIN could make that a clear expectation across the system
• then build requirements to meet these expectations – and
targets and indicators to measure progress -- into
performance management systems:
• Quality Improvement Plans = major opportunity
• Service Accountability Agreements between LHINs and
providers
• accreditation requirements and processes
• professional Colleges and other regulatory mechanisms
20
21. Connecting the Dots and Driving Change: Building
Interpretation Into Performance Management
• for providers to meet these requirements, they will need
to:
• know the language needs of the communities they serve
• this is far more than just the languages of those who come to them
for services
• also need to know who is not coming in because of language and
other barriers = unmet need
• and it doesn't mean just basic demographic data on languages
spoken
• it means what language people are most comfortable receiving care
in
• so building interpretation into performance mgmt →
providers assessing community needs far better, and
integrating that richer knowledge into their planning
21
22. Use Available Levers: Equity Plans
• a promising direction several LHINs have taken up is to require providers to
develop equity plans
• hospitals in Toronto Central and Central LHINs – just refreshed 2nd generation
in TC
• and other providers in Central
• CHCs have developed a sector-wide plan in GTA
• these plans are designed to:
• identify access barriers, disadvantaged populations, service gaps and
opportunities in their catchement areas and spheres
• develop programs and services to address those gaps and better meet
healthcare needs of disadvantaged communities
• these provider plans have the potential to:
• raise awareness of equity within the organizations
• build equity into planning, resource allocation and routine delivery
• pull their many existing initiatives together into a coherent overall equity
strategy
• build connections among providers for addressing common equity issues
22
24. Build on Available Opportunities and
Resources
• identify key levers or locations for change where better
interpretation can have a major impact =
• discharge planning
• communications around medications
• draw on lessons learned in other LHINs and jurisdictions:
• Toronto Central is creating a system-wide phone interpretation
system for hospitals and community providers
• specific innovations – ‘phone-on-a-pole’ in UHN hospitals
• adapt resources already developed
• several Toronto hospitals have translated material that is
available to others
• data collection processes, indicators, etc.
• need to ensure interpretation practitioners and experts are at
planning tables
24
25. Never Just Equitable Access, But Quality:
Customize Service Delivery
• taking adverse social context and living conditions into account is part of
good service delivery
→ can increase risk of mental and physical health illness
→ fewer resources to cope (from supportive social networks, to good food and
being able to afford medication)
• providers and programs need to know this to customize and adapt care
to SDoH and population needs and contexts
• focus in acute sectors and ECFAA on patient-centred care → good
communications and provider-patient relationship means taking the full range
of people’s specific needs into account → more intensive case management,
referral planning and post-discharge follow-up
• in an increasingly diverse society, high quality care = culturally competent care
• beyond acute
• health promotion has to be delivered in languages and cultures of particular
population/community
• well-baby care has to be more intensive for poor or homeless women
25
26. Not Just at Individual Care Level: Build Equity-
Driven Service Models
• drill down to further specify needs and barriers:
• health disadvantaged populations have more complex and greater needs for
services and support → continuum of care especially important
• also face greater barriers – e.g. availability/cost of transportation, childcare,
language, discrimination → facilitated access is especially important
• e.g. Community Health Centre model of care
• explicitly geared to supporting people from marginalized communities
• comprehensive multi-disciplinary services covering full range of needs
• CHCs, public health and many community providers have established
‘peer health ambassadors’ to provide system navigation, outreach and
health promotion services to communities facing particular barriers
• innovative coordinating bodies – Hospital Collaborative on Marginalized
Populations in Toronto
26
27. Extend That → Address Roots of Health
Inequities in Communities
• look beyond vulnerable individuals to the communities in which they live
• have to take Social Determinants of Health into account in planning
and program design
• WWLHIN roundtables
• cross-sectoral coordination and planning are key means to address wider
SDoH
• public health departments and LHINs are pulling together or
participating in cross-sectoral planning tables → Prov should make this
an explicit expectation
• Local Immigration Partnerships, Social Planning Councils
• explicit SDoH/equity planning networks such as SETo in Toronto
• providing and partnering to provide related services/support such as
settlement, language, child care, literacy, employment training, youth
support, etc.
• healthy communities strategic approach developed by the former
Ministry of Health Promotion and Sport (now in MOHLTC)
• focus on community development as part of mandate for many CHCs,
public health and others
May-14-12 | www.wellesleyinstitute.com 27
28. Extending Collaboration →Look for Policy Windows to
Intervene to Advance Health Equity
A broad collaborative of leading
Toronto health sector
institutions and experts came
together to:
• ensure that health and
health equity were taken
into account by the current
Commission on the Reform
of Social Assistance in
Ontario
• define a vision of a health-
enabling social assistance
system; and
• identify practical actions to
implement such a system
28
29. Look Widely for Community Innovation
MiVIA (my Way)
• personal electronic health record originally developed for
mostly Hispanic seasonal farm workers in California – and
then extended to other vulnerable populations
• supports continuity and efficiency – highlighting the potential
of eHealth for even the most marginalized
• the web-based portal and records are in Spanish as well →
helping to reduce language barriers
• a vital element of success has been ‘promotores’ --
community/peer health promoters – who recruit people into
the program, train them on the tools and support them in
their own health management
• all services are free
29
30. Look Widely for Community Innovation II
Edmonton Multi-Cultural Health Brokers Cooperative --
http://www.mchb.org/
• provides navigation, counselling and other support to people, who
because of language or cultural barriers have trouble making their way
through the health system
• they work in some 30 languages and also provide perinatal outreach,
home visits, family and seniors support, services for multi-cultural children
with disabilities and cultural competence training
• arose from a grass-roots recognition that these barriers were increasingly
important but not being addressed
• jointly developed by the local regional health authority, public health and
other stakeholders
• many of the brokers were internationally trained providers -- doing this
work allowed them to use their skills and become familiar with the
provincial system as they waited for recognition of their qualifications
30
31. Conclusions: Driving Equity-Focused Health
Care Reform
• driving health care innovation and reform to enhance equitable access
and quality is possible:
• through solid integrated strategy
• systematically implemented – highlighted mechanisms and levers
• many innovations underway to draw lessons and inspiration from
• ensuring equitable access to high-quality interpretation will contribute
to creating an equitable healthcare system by:
• addressing critical barriers -- language and culture are among most important
barriers to equitable access and quality of care
• supporting key system drivers – linking interpretation to system priorities like
safety, quality, managing ER, ALC and other bottlenecks, risk management,
mental health, chronic conditions
• enhancing impact of innovation – new ways to reduce barriers such as
language and culture are necessarily part of wider quality improvement
• making connections – where building interpretation services intersects with –
and underpins – an overall equity strategy
31
32. Further Resources
amongst a wide literature, two useful starting points are:
• the Disparities Solutions Center:
• out of Massachusetts General Hospital, Harvard and other
leading Boston institutions
• range of evidence-based resources for embedding equity in
service delivery and organizational best practices, including a
guide for hospital leaders
http://www2.massgeneral.org/disparitiessolutions/resources.html
#imqual
• Access Alliance Multicultural Health and Community
Services :
• a range of research reviews and resources on newcomer health
• literature review on the risks and costs of not providing health
care interpretation
http://accessalliance.ca/sites/accessalliance/files/documents/Lit_
Review_Cost_of_Not_Providing_Interpretation.pdf
32