This document discusses efforts to promote early childhood development and school readiness through healthcare partnerships in Holland, Michigan. It outlines the goals of the Healthy Task Force initiative to use the medical community for parental education and connect children to resources. Key partners in this work include healthcare providers, schools, colleges, health departments, and community organizations. The initiative employs strategies like Reach Out and Read, developmental screenings, care coordination, and nursing student outreach to support at-risk young children and their families. Evaluation data suggests these collaborative efforts are helping to improve early literacy, learning, and healthcare outcomes in the community.
Trends and Modern concepts of Pediatric Nursing RAVI RAI DANGI
In India, pediatric nursing was not given due in recognition in syllabi in the earlier periods of nursing training but with the introduction of under graduate degree programme in nursing in madras university CMC vellor,RAK Delhi, pediatric nursing as a course was introduced date back from 1950s.Child health nursing is undergoing tremendous advancement just like pediatric medicine and surgery. The current trends in the practice are based on researches that have taken make place in the field of pediatric nursing
Cost containment is a management technique utilized to reduce the cost of hospitalization. It is reduced in many ways in hospitals either by cutting nursing positions or by improving process of care and tightening non labour resources.
Current principles, practices and trends in pediatricGnana Jyothi
Evolution of pediatrics, Pediatrics in India, Evolution of Pediatric Nursing in relationship to Child health, Historical background on the care of the child, Factors influencing the care of the child.........
Prevention of disease.
Promotion of physical, mental and social well-being of children so that each child may achieve the full genetic potential with which he/she is born.
Primary Prevention
Secondary Prevention
Tertiary Prevention
Childhood is a period where the needs vary according to age.
For a pediatric nurse when dealing with children they should be aware of the needs of a healthy child.
Trends and Modern concepts of Pediatric Nursing RAVI RAI DANGI
In India, pediatric nursing was not given due in recognition in syllabi in the earlier periods of nursing training but with the introduction of under graduate degree programme in nursing in madras university CMC vellor,RAK Delhi, pediatric nursing as a course was introduced date back from 1950s.Child health nursing is undergoing tremendous advancement just like pediatric medicine and surgery. The current trends in the practice are based on researches that have taken make place in the field of pediatric nursing
Cost containment is a management technique utilized to reduce the cost of hospitalization. It is reduced in many ways in hospitals either by cutting nursing positions or by improving process of care and tightening non labour resources.
Current principles, practices and trends in pediatricGnana Jyothi
Evolution of pediatrics, Pediatrics in India, Evolution of Pediatric Nursing in relationship to Child health, Historical background on the care of the child, Factors influencing the care of the child.........
Prevention of disease.
Promotion of physical, mental and social well-being of children so that each child may achieve the full genetic potential with which he/she is born.
Primary Prevention
Secondary Prevention
Tertiary Prevention
Childhood is a period where the needs vary according to age.
For a pediatric nurse when dealing with children they should be aware of the needs of a healthy child.
Objective of this assignment is to write a descriptive essay on six theories ...Mahazona
Theories of learning and human resource development can help guide employees in their career development. By giving your staff access to a broad spectrum of courses, workshops and self-paced alternatives, you can enable their development and improve productivity for your business at the same time.
Objective of this assignment is to write a descriptive essay on six theories of learning and their implications on Employee Training.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
Presentation about the science behind early childhood brain development and how educators, parents and policy makers in Nebraska can ensure that every child gets off to the best possible start in life.
iHV regional conf: Theresa bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting for Warwickshire.
iHV regional conf: Theresa Bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting in Warwickshire.
The Child Illness Resilience Program: Promoting the wellbeing and resilience of families living with childhood chronic illness. Presentation at the 16th International Mental Health Conference by the Hunter Institute of Mental Health.
iHV regional conf London: Professor Viv Bennett - The Future is HV 456!Julie Cooper
Presentation by Professor Viv Bennett at the Institute of Health Visiting Regional Professional Conferences 2015 - London.
Professor Viv Bennett is Director of Nursing for Department of Health and Public Health England.
Beyond Checklists: Care Planning for Children with Special Health Care Needs ...LucilePackardFoundation
What does it take to create and implement an effective, family-centered plan of care for a child with special health care needs? In this webinar, two expert speakers discussed their approaches to the process of care planning in two very different settings—Children's Hospital of Philadelphia and a small private practice in Vermont.
A Conversation on Supporting Self-Management in Children and Adolescents with...LucilePackardFoundation
While self-management support has been a component of adult chronic care for decades, it is just emerging as a critical need for children, especially those with complex conditions. Self-management is a shared undertaking between the child, their parents and care providers, and must take into account the child’s developmental status and the family’s capacities. Clinicians need routine, standardized approaches and tools to address the unique needs of children and their families including assessing self-management skills, collaboratively setting goals, and promoting competence and autonomy in youth.
A brief research overview connecting parenting education with health related outcomes for children and families. Created by the Parenting Education team at Oregon State University with funding from the Oregon Parenting Education Collaborative.
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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.
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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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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
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 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
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.
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.
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.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
1. Ready for School
The Health and
Learning Connection:
Nature and Nurture?
It takes all of us
Donna LB Lowry, MD
Associate & Medical Director
2. Inform and Engage Parents
Goal of HTF
• To utilize the medical community as a forum for
parental education and engagement
• Identify and refer children and families to
community resources including Ready for School
• Assure that all children 0-5y connect with a
medical home
3. Partners in Health
• Holland PHO
• OCHD- DHS- CMH
• Holland Community Health
Center
• InterCare
• Lakewood Family Medicine
• SH Pediatrics
• SH Zeeland Physicians
• Georgetown Physicians
• Hope College
• Holland Hospital
• Spectrum Health Zeeland
Community Hospital
• Lakeshore Health Partners
• Priority Health
• BCBS Michigan
• CPS
• Physician Donors
7. Nature
• Critical Concepts in Early
Brain Development
• Proportional brain
growth
• Neural plasticity
• Critical periods
• Sequential development
• Role of experience
Early Brain
and Child Development
8. Nurture
• The human brain is shaped by
experience
• Experience, in turn, leads to
changes in the brain
• Birth: 50 trillion synapses
• 1 year: 1,000 trillion
• 20 years: 500 trillion
• These changes in the brain
make new experiences
possible
Early Brain
and Child Development
9. SERVICE IMPLICATIONS
Early Brain Development
• For optimal effectiveness, services must begin
as early as possible
• Stimulation during the first three years is
particularly critical to ensure optimal development
• “use it or lose it”
• Services must be comprehensive and aligned
with children’s developmental stages and needs
10. Birth
Early Infancy
Late Infancy
Early Toddler
Late Toddler
Early Preschool
Late Preschool
Prenatal 6 mo 12 mo 18 mo 24 mo 3 yrs 5 yrs
“ReadytoLearn”
“School Readiness Trajectories”
“At Risk” Trajectory
“Delayed/Disordered ” Trajectory
“Healthy” Trajectory
Parental education
Emotional health
Prenatal care
Family social connections
Quality ECE
Positive parenting
Neighborhood violence
Inaccessible health services
Poverty
Graphic Concept Adapted from Neal Halfon , UCLA Center
for Healthier Children, Families, and Communities
Health services
11. • Children with developmental/behavioral
problems are eluding early detection
• Many initiatives exist to provide services to
young children, their families
• A gap exists between child health and child
development/early childhood education
programs
• Children and their families would benefit from
a coordinated, region-wide system of early
detection, intervention for children at
developmental risk
ASSUMPTIONS
Creating a Healthy Beginning
12. Goals
• Identify critical concepts in early brain
development and early child development that
inform health services delivery
• Explain the benefits of children’s health services
focusing on promoting the optimal development
of at-risk children
• Identify the importance of whole community
cross-sector collaboration in strengthening child
health service delivery
13. Healthy Beginnings
Healthcare Provider Participation
Reach Out and Read
ASQ Assessment & Referrals
Healthcare Coordination
RN Case Manager
Community Health Worker
Healthcare Outcomes
Data Management
Data Reporting
Partnership participation
14. ROAR Outcomes
4 million children worldwide
Parents are up to 4x more likely to read aloud to
their children.
@ age 2 developmental gains in language & literacy
with a six month developmental edge over peers.
Kindergarteners score higher on vocabulary tests
and school readiness assessments.
15. Reach Out and Read
Holland Community Health Center
Mary Bosscher, Reach Out and Read coordinator
She reads, educates and encourages kids and parents to read.
16. Reach Out and Read
Holland Community Health Center
“Bringing my son to the Holland Community Health
Center was a very good thing because here they
taught us to read to him and teach him at home and
that would prove to be very helpful because he is
now a 1st grader and top of his class.
We are extremely grateful that they had Reach out
and Read program in his physicians’ office. And will
continue to use this method at home with our future
children.”
HCHC Father, November 2012
17. Developmental Surveillance
• Developmental and social-emotional delays
can be subtle and can occur in children who
appear to be developing typically so most
children who would benefit from early intervention
are not identified until after they start school.
• Pediatricians don’t detect delays more than 70% of
the time when they rely on clinical judgment alone.
18. ASQ 3
The ASQ looks at strengths and trouble spots,
educates parents about developmental milestones,
relies parents’ expert knowledge about their children.
20. Partners in Outreach
Holland Rescue Mission
Read to Eat
Hope College’s Community Health Nursing Student,
Kaylee Marcinkus @ Stepping Stones Preschool
22. 2012 Accomplishments
• 100% increase Organizational Partners in Health
• Restructured the Health Task Force
• Healthy Beginnings: Unified program, built team
• 50K BCBSM Community Partners Grant
• Health Outcomes: Public Health Research Intern
• Reached all Providers of pediatric care
• Expanded Hope College relationships
• Nursing Department, English Department, Pre Health Professions
23. 2013 Ready Set Talk
• Speech Pilot over summer 2013-2014
• Target children 24 3 ½ -5y per summer
• 6 week program, 2 ½ hours for 18 session
• Total of 45 hours of intervention
• Build partnerships
• With Parents
• With Parent Educators
• With Kindergarten Teachers
24. 2013 ROAR Lakeshore Initiative
Goal
To support all health care providers in the Holland,
Zeeland & Hamilton area who desire to participate in
the Reach Out and Read program
What Ready for School will offer
• Provision of funds for books until 2015
• Volunteer coordination and support
• Highlighting your work in the community
25. What Next? Things to consider
• How do we sustain these efforts?
Local support
The Affordable Care Act
Insurance Companies
Large employers
Editor's Notes
Ready for school is a movement integrating civic, school, health, non-profit, corporate and faith-based efforts …to assure that every child in the Holland/Zeeland/Hamiltonarea enters Kindergarten prepared to succeed.Guided by the results of a community forum in June 2007, the Community Foundation of the Holland/Zeeland Area …embraced quality early education and school readiness as one of the most critical issue of our time.In 2008 we launched the initiative with the testing of incoming kindergarteners through the use of a pre-literacy test DIBELS and surveyed parents obtainingDemographic information Obstacles to receiving the kinds of services they would have like for their childrenServices they feel their neighbors could use
Mary Bosscher is a volunteer who comes to our office 2 days a week and reads, educates and encourages children and parents to read to their children.
