The document provides an update on Zimbabwe's Impilo EHR project. It discusses recent meetings held in January 2021 to discuss progress and plan next steps. It outlines funding received from the Government of Zimbabwe and other partners to support equipment procurement and rollout. Plans for 2021 include activating an EHR taskforce, improving electronic data accessibility, a national launch in Q1, and rolling out the system to 1000-1200 facilities. It proposes structures and membership for the EHR taskforce and community of practice. Key asks for funding support in 2021 include project management, training, data management roles, and continuing rollout to reach full national coverage.
Community health unit database networking systemDrKelly4
The Community Health Units Database Networking Systems for Sustainable Technological Growth, Healthcare Delivery Equality and Broader e-Governance Implicit Measures in LDCs is developed within the scope of dynamically and automatically networking patient care health data and health unit management parameters such that the concerns of marginalised and vulnerable populations and health institutions can obtain instantaneous attention and solutions from everywhere.
module-8-ppt-session-1 for ehealth (1).pptxssuser2714fe
Explain key eHealth and mHealth concepts
Define commonly used eHealth and mHealth terms
Illustrate eHealth and mHealth applications
Describe limitations and considerations for eHealth and mHealth
Community health unit database networking systemDrKelly4
The Community Health Units Database Networking Systems for Sustainable Technological Growth, Healthcare Delivery Equality and Broader e-Governance Implicit Measures in LDCs is developed within the scope of dynamically and automatically networking patient care health data and health unit management parameters such that the concerns of marginalised and vulnerable populations and health institutions can obtain instantaneous attention and solutions from everywhere.
module-8-ppt-session-1 for ehealth (1).pptxssuser2714fe
Explain key eHealth and mHealth concepts
Define commonly used eHealth and mHealth terms
Illustrate eHealth and mHealth applications
Describe limitations and considerations for eHealth and mHealth
IT governance and its impact on National Healthcare ServiceMadhav Chablani
When properly implemented, IT governance is an organizational structure and set of processes that manage and control the enterprise's IT activities to achieve the enterprise's goals by adding value while balancing risk vs. return over IT. The article also highlights how COBIT5 framework is assisting healthcare delivery organizations in achieving their objectives and deliver value through effective governance and management of enterprise IT.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxjasoninnes20
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Case Studies in Telehealth AdoptionThe mission of The Comm.docxcowinhelen
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxwendolynhalbert
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
E-Government and E-Health Strategies by Mrs. Veronica Boateng,Director, Application Systems Ghana Information and Communications Technology Directorate (GICTeD)
Since 2005, a group of stakeholder associations known as the Long Term and Post Acute Care (LTPAC)
HIT Collaborative, recognized their common interests and vision for health information technology. The
collaborative was formed to advance HIT issues through coordinated efforts, hosting of an annual LTPAC
HIT Summit and publishing of a Road Map.
Johan Vendrig
GM Information Services – healthAlliance
Andrew Terris
Programme Director, Patients First
Darrin Hackett
GM HIQ, Acting CIO Waikato DHB
Martin Wilson
GP, Sexual Health Physician, Clinical Leader
Pegasus, executive NICLG
Tony Cooke
Manager Health Systems Investment and
Planning, Information Group, NHB
(Thursday, 4.15, Panel)
New approaches to using data to better program tailored outreach VMMC activit...JSI
This was presented at the ICT4D Conference in Lusaka, Zambia, May 2018.
The USAID DISCOVER-Health project provides health outreach services through 260 outreach sites across all ten Zambia provinces through a ‘hub and spoke’ model of health service delivery, to help reducing health service barriers and increase utilization of critical health services. The project employed community mobilization agents to create demand for VMMC in their communities. The particulars of those who express interest to be circumcised are entered into a register and their total number transmitted onto an online electronic real-time program via a coded text message. The program aggregates the totals per each site for the Hub Manager who uses this information to allocate adequate number of teams of qualified health providers for conducting VMMC in those locations where demand has been created.This greatly helps both service providers who make a prudent and effective use of their resources and the clients who do not incur into exhausting waiting times.
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
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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When properly implemented, IT governance is an organizational structure and set of processes that manage and control the enterprise's IT activities to achieve the enterprise's goals by adding value while balancing risk vs. return over IT. The article also highlights how COBIT5 framework is assisting healthcare delivery organizations in achieving their objectives and deliver value through effective governance and management of enterprise IT.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxjasoninnes20
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Case Studies in Telehealth AdoptionThe mission of The Comm.docxcowinhelen
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxwendolynhalbert
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
E-Government and E-Health Strategies by Mrs. Veronica Boateng,Director, Application Systems Ghana Information and Communications Technology Directorate (GICTeD)
Since 2005, a group of stakeholder associations known as the Long Term and Post Acute Care (LTPAC)
HIT Collaborative, recognized their common interests and vision for health information technology. The
collaborative was formed to advance HIT issues through coordinated efforts, hosting of an annual LTPAC
HIT Summit and publishing of a Road Map.
Johan Vendrig
GM Information Services – healthAlliance
Andrew Terris
Programme Director, Patients First
Darrin Hackett
GM HIQ, Acting CIO Waikato DHB
Martin Wilson
GP, Sexual Health Physician, Clinical Leader
Pegasus, executive NICLG
Tony Cooke
Manager Health Systems Investment and
Planning, Information Group, NHB
(Thursday, 4.15, Panel)
New approaches to using data to better program tailored outreach VMMC activit...JSI
This was presented at the ICT4D Conference in Lusaka, Zambia, May 2018.
The USAID DISCOVER-Health project provides health outreach services through 260 outreach sites across all ten Zambia provinces through a ‘hub and spoke’ model of health service delivery, to help reducing health service barriers and increase utilization of critical health services. The project employed community mobilization agents to create demand for VMMC in their communities. The particulars of those who express interest to be circumcised are entered into a register and their total number transmitted onto an online electronic real-time program via a coded text message. The program aggregates the totals per each site for the Hub Manager who uses this information to allocate adequate number of teams of qualified health providers for conducting VMMC in those locations where demand has been created.This greatly helps both service providers who make a prudent and effective use of their resources and the clients who do not incur into exhausting waiting times.
Similar to Impilo Director's Update 22 Jan 2021 (4).pptx (20)
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
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
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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!
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
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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
2. Update 2021
• Jan 13 - MoHCC held an
internal departmental
update and planning
meeting on EHR
• Jan 14 – MoHCC held a
wider IEHR Taskforce
Meeting with partners
and other stakeholders –
This Taskforce will be the
central mechanism of
implementation
• Jan 21 – An internal
meeting was held with all
PMDs and some City
Health Directors on EHR. A
similar meeting is planned
with partners
• Jan 21 an internal preCOP
meeting was called by
Director ATP and included
EHR representation
3. Achievements:
GoZ Funding
for EHR 2021
PROJECT NAME PROJECT SCOPE
2021 BUDGET
ALLOCATIONS
ZWL$
Impilo National Electronic Health
Information System
Ambulances and utility vehicles
Procurement of high-grade servers, network
access points, laptops and solar systems
375,000,000
Procurement of 110 ambulances and utility
vehicles
590,000,000
Sub Total 965,000,000
Central Hospitals
Procurement of medical equipment for
Chitungwiza, Sally Mugabe, Mpilo,
Ingutsheni and United Bulawayo Hospitals. 515,000,000
Construction and refurbishment of facilities
at Chitungwiza, Sally Mugabe, Mpilo,
Ingutsheni and United Bulawayo Hospitals 1,317,147,000
Refurbishment and upgrading of
infrastructure at Parirenyatwa Group of
Hospitals
813,010,000
Sub Total 2,645,157,000
4. Impilo Funding - Breakdown of Commitments
Organisation Comments Confirmed and
Unconfirmed
Funding
Commitments
Communicated
to MoHCC/USD
Planned Use of Funding
GoZ The Ministry of Finance has so far allocated support for Impilo hardware/equipment
procurement in the 2020 supplementary budget as well as the 2021 budget. Conversion
from ZWL done at latest auction rates and subject to fluctuation
4 690 108 Will be used to procure Impilo equipment for
384 clinics, 30 secondary level hospitals, 7
provincial hospitals and 5 central hospitals
PEPFAR/CDC Estimated cost of rollout to 63 initial pilot sites 877 043
PEPFAR/CDC Supporting core Impilo software development, training and deployment at up to 969
sites by end 2021. This figure includes the estimated support for COP 21
14 928 888 There is need for clarity on what COP 20 will
cover.
GFATM Approval will be sought to use part of unallocated savings under NF2 to support
procurement of IT equipment. This figure does not include previous or anticipated
investments in site power and internet infrastructure which will be leveraged for Impilo.
4 966 382 1.7 Million under reprogrammed savings was
used procure Impilo equipment for 350 clinics
and 15 secondary level hospitals
GAVI Supporting supplemental Impilo development (Impilo Vaccinations Module) and
deployment at hard-to-reach health facilities.
1 596 030
MINISTRY OF
ICT/POTRAZ
Supporting internet connectivity infrastructure for health facilities in 3 initial districts for
POTRAZ and more for the MoICT in 2021
USAID Implementing partners’ 2020 Country Operational Plans include indicator targets and
budget to support transition to Impilo, and expectations to obtain data directly from
Impilo
5. 2021 -
Focus
Leadership, Ownership and Governance by
MoHCC
Usage, usage and usage
= Change Management
Translating
deployment to high
system availability
and usage
Collaboration,
collaboration and
collaboration!
Special mention to
ZACH, FHI 360, OPHID,
ZIMTTECH and
SolidarMed who have
reached out to have
their teams trained
6. 2021 Plans
• To Activate the Integrated EHR Taskforce
• Improve the accessibility to electronic data from EHR for
reporting, monitoring and management
• National launch of the Impilo in the first Quarter 2021
• Roll out Impilo EHR technology to a cumulative 1000 –
1200 health facilities by end of 2021
• Increase paper reduction at Impilo sites to cover 43 paper
tools from the current 8.
• Capacitate Provincial Medical Directorates and Districts to
be at the forefront of implementations
• Create a platform for better engagement with program
managers and their M&E teams for data use as well as
input into the EHR.
• Activate the Impilo Community of Practice
• Optimisation of the Impilo solution and addition of more
modules
8. IEHR Taskforce : Coopted Members
Co-opted Members Role
Other Government and Parastatal Organisations
Office of the President and Cabinet
(Chief Secretary / Delegated Individual)
Representing the President’s office with keen interest on national strategic systems and data security, protection, hosting and
sharing policies.
Ministry of ICT
(Permanent Secretary / Delegated Individual)
Advocate for alignment of the IEHR with the eGovernment strategy, ICT policy and advocate for deployment of affordable ICT
infrastructure to support the rollout.
Ministry of Finance
(Permanent Secretary / Delegated Individual)
Participate in discussions focusing on funding of the IEHR as a strategic system for the MoHCC.
POTRAZ
(Director General / Delegated Individual)
Participate in discussions to drive telecommunications access for remote areas through the USF and making sure that MNOs
prioritise MoHCC EHR Roadmap.
Implementing partners
MNOs
(CEO / Delegated Individuals)
Provision of affordable, reliable and accessible connectivity across the country.
FBOs
(CEOs / Delegated Individuals)
Participate in discussions and decisions related to IEHR awareness, adoption and efficient rollout at their health facilities across the
country led, funded and managed by their key representatives and supporting health staff.
Technical Assistants
(Program Directors / CEOs / Delegated Individuals)
Coordinate and manage the IEHR system development, deployment, maintenance, training of users and support staff, assessment
of adoption and usage of the systems. Support the transition of the IEHR system to the MOHCC.
Donor Partners
(Program Directors / Delegated Individuals)
Advocate for the rollout of the IEHR to support the scale up of their funded programmes and access system level programme data
for their reporting and impact evaluations while bringing efficiencies in operationalising their programmes.
Academic Institutions
Universities/Polytechnics
(Deans / Head of Department / Delegated Individuals)
Advocate and offer training of experts in computer science, engineering, health informatics, medicine and other health related
professions to support the adoption of the IEHR. Focusing on the setting up of communicate of practice and driving postgraduate
research in health information systems.
Nursing Schools
(Deans / Head of Department / Delegated Individuals)
Advocate for inclusions of IEHR systems training of nurses across the country to increase adoption and usage of the system.
10. Key Gaps and
Asks for
COP21
• Clear funding for Project management, change management
and support for MoHCC structures like the IEHR Taskforce and
their activities.
• We have hardware and equipment for 800+ sites but no
training budget = Training Support for those facilities
• Data management in a system that is transitioning to
electronic systems needs another set of skills = Funding for 2
Data Managers/Data Scientists Posts to work with the Dep Dir
EHR & Telemedicine
• Change Management and Coordination requires more hands
to help the Director and EHR Coordinator (Post designated to
morph into Dep Director EHR & Telemedicine) = Salary
Support or Level of Effort for the other Posts on the
organogram e.g M&E, Workforce & Training and Strategy &
Investment Coordinators
• Funding for rollout to the remaining 600+ sites in 2022
• Clear Definition of roles for Clinical Partners = MoHCC has
developed a draft Template for Clinical Partners’ Annual
Workplans and will ask each of them to present on the next
Taskforce and PMD Meetings.
11. Plans –
Software
Development
Priorities
• 2021 will see the following approach to the ongoing Impilo
EHR Development:
• Optimisation of existing modules as per users’ evolving needs
• Development and validation of more reporting tools in Impilo
to facilitate further paper reduction
• Development of new modules from the following list:
• HIV Prevention – VMMC and PREP
• Cancer Module
• Health Service Costing and Billing Module
• Picture Archiving and Communication Service (PACS) in
Impilo
• Health Investigations Module
• Comprehensive Inpatient Services Module
• Health Procedures and Operations Module
• Mobile applications development – this is expected to be a
major game changer!!