Rebekah Israel discusses how the African American HIV University Science and Treatment College helps community-based HIV organisations and Health Departments improve their performance in the treatment cascade.
ALERT: Active Linkage, Engagement, and Retention to TreatmentUCLA CTSI
This document outlines a research study to test interventions for improving linkage, engagement, and retention in HIV care and pre-exposure prophylaxis (PrEP). The study will use an ALERT specialist to link newly diagnosed HIV patients and high-risk HIV-negative individuals to care and clinics. It will also test if text messaging improves retention and adherence to PrEP for HIV-negative individuals. The goals are to determine how effective the ALERT specialist and text messaging are at improving outcomes like linkage to care, retention in care, and antiretroviral adherence over 48 weeks. Community engagement organizations will help establish the study and educate communities about HIV treatment and PrEP.
Sex, Drugs & Scotland's Health- Post-AIDS Health Promotion: Theories and MethodsHIVScotland
This document outlines Chase Ledin's research on post-AIDS health promotion theories and methods. The research aims to examine how strategies to end AIDS have been integrated or contested in the UK and Scottish contexts. It also examines how critical conversations about ending HIV can contribute to HIV literacy and how post-AIDS perspectives could help develop adapted intervention strategies. Key theories discussed include approaching the end of AIDS as a problem rather than a solution, and counterpublic health that contends with challenges of HIV infection and medicalization of pleasure and health. Key resources for ending HIV campaigns run by organizations are also mentioned.
The document discusses standards for non-medical community workers to competently conduct HIV testing. It reviewed literature on community health workers and conducted focus groups. The focus groups identified six categories of standards needed: client-centered care; HIV testing skills; responsibility for competent testing; relationship to community and agency; cultural competence; and monitoring and regulation. Community workers felt they could provide testing with proper training and oversight, though establishing standards and monitoring is challenging without a regulatory framework.
UCHAPS PrEP Experiences from Jurisdictional Presentations, December 2013Office of HIV Planning
Jen Chapman, Co-Chair of the Philadelphia HIV Prevention Planning Group (HPG) presented on experiences with PrEP from different jurisdictions across the country at the March 2015 HPG meeting.
This document summarizes a participatory action research study that aimed to explore barriers to HIV prevention, testing, and treatment services among commercial sex workers in Lilongwe, Malawi and identify solutions. The study found high HIV knowledge but low uptake of services due to barriers both within the community and health services. Through participatory meetings, priorities were identified as lack of early treatment seeking, poor treatment of sex workers at facilities, and lack of adherence. An intervention was implemented involving counseling, engagement at workplaces, joint committees, and health worker sensitization. Follow up surveys found improvements across areas, suggesting the process addressed barriers and increased service uptake. The study highlights the need for community involvement, addressing stigma, and integrating services to improve access
Barriers and Enablers Associated with Differentiated Models of ART Distributi...JSI
In an effort to expand access to antiretroviral treatment (ART), countries across sub-Saharan Africa have begun to implement and scale up differentiated approaches to ART distribution, particularly at the community level. These distribution models are typically designed to cater to stable adult patients and aim to bring ART closer to where patients live, which, in turn, serves to decongest clinics and reduce the overall strain on a country’s health system. While documentation on the results of these models exists, there is limited information on the specific barriers and enablers that have impacted the implementation of such models. This cross-country study describes various models of differentiated ART distribution and the barriers and enablers associated with their implementation.
The community models of ART distribution that were explored were: community adherence clubs, outreach and community distribution points.
It was concluded that While differentiated models of ART distribution aim to broaden patient access to ART, models that provide these services at the community level have additional challenges and considerations that should be assessed and planned for prior to implementation. Two important barriers seen across all countries assessed included stigma and poor linkage to care. Peer support and education for both patients and providers were noted as important drivers of the success of community models. Intensive education at the front-end of scale-up can help providers effectively market the community-level models and help patients pick a model that would work best for them. Understanding these barriers and enablers will help country programs effectively and efficiently implement differentiated models of ART distribution to fit varying contexts, and allow for rapid scale-up, resulting in expanded access to ART and the ability to better meet the demands of patients on ART on a global level.
This poster was presented at the Fifth Global Symposium on Health Systems Research in Liverpool in October by Nikki Davis.
The document summarizes healthcare access issues in Erie County, Pennsylvania. It finds that over 32,000 residents, or 11% of the population, live below the federal poverty level. Nearly 50% of eligible residents are not enrolled in public insurance programs. The document outlines three goals: 1) implement initiatives to improve quality and outcomes, 2) increase understanding of underserved groups and how to reach them, and 3) increase primary care access through leveraging federal resources. It recommends strategies like expanding community health centers, pursuing federal health center designations, and opening new dental clinics to address the identified needs.
This document summarizes a presentation about the I Choose Life-Africa (ICL) program, which aims to reduce HIV stigma among students at universities in Kenya. The presentation discusses ICL's background and objectives, current programs at multiple universities, key findings from assessments showing increased condom use and HIV testing but continued high rates of sexual activity. It also describes real stories of HIV stigma on campuses and ICL's current anti-stigma activities. Challenges include the need for more stigma reduction training and accessible HIV testing and care. Recommendations call for greater involvement of people living with HIV and reviewing HIV testing guidelines to address stigma.
ALERT: Active Linkage, Engagement, and Retention to TreatmentUCLA CTSI
This document outlines a research study to test interventions for improving linkage, engagement, and retention in HIV care and pre-exposure prophylaxis (PrEP). The study will use an ALERT specialist to link newly diagnosed HIV patients and high-risk HIV-negative individuals to care and clinics. It will also test if text messaging improves retention and adherence to PrEP for HIV-negative individuals. The goals are to determine how effective the ALERT specialist and text messaging are at improving outcomes like linkage to care, retention in care, and antiretroviral adherence over 48 weeks. Community engagement organizations will help establish the study and educate communities about HIV treatment and PrEP.
Sex, Drugs & Scotland's Health- Post-AIDS Health Promotion: Theories and MethodsHIVScotland
This document outlines Chase Ledin's research on post-AIDS health promotion theories and methods. The research aims to examine how strategies to end AIDS have been integrated or contested in the UK and Scottish contexts. It also examines how critical conversations about ending HIV can contribute to HIV literacy and how post-AIDS perspectives could help develop adapted intervention strategies. Key theories discussed include approaching the end of AIDS as a problem rather than a solution, and counterpublic health that contends with challenges of HIV infection and medicalization of pleasure and health. Key resources for ending HIV campaigns run by organizations are also mentioned.
The document discusses standards for non-medical community workers to competently conduct HIV testing. It reviewed literature on community health workers and conducted focus groups. The focus groups identified six categories of standards needed: client-centered care; HIV testing skills; responsibility for competent testing; relationship to community and agency; cultural competence; and monitoring and regulation. Community workers felt they could provide testing with proper training and oversight, though establishing standards and monitoring is challenging without a regulatory framework.
UCHAPS PrEP Experiences from Jurisdictional Presentations, December 2013Office of HIV Planning
Jen Chapman, Co-Chair of the Philadelphia HIV Prevention Planning Group (HPG) presented on experiences with PrEP from different jurisdictions across the country at the March 2015 HPG meeting.
This document summarizes a participatory action research study that aimed to explore barriers to HIV prevention, testing, and treatment services among commercial sex workers in Lilongwe, Malawi and identify solutions. The study found high HIV knowledge but low uptake of services due to barriers both within the community and health services. Through participatory meetings, priorities were identified as lack of early treatment seeking, poor treatment of sex workers at facilities, and lack of adherence. An intervention was implemented involving counseling, engagement at workplaces, joint committees, and health worker sensitization. Follow up surveys found improvements across areas, suggesting the process addressed barriers and increased service uptake. The study highlights the need for community involvement, addressing stigma, and integrating services to improve access
Barriers and Enablers Associated with Differentiated Models of ART Distributi...JSI
In an effort to expand access to antiretroviral treatment (ART), countries across sub-Saharan Africa have begun to implement and scale up differentiated approaches to ART distribution, particularly at the community level. These distribution models are typically designed to cater to stable adult patients and aim to bring ART closer to where patients live, which, in turn, serves to decongest clinics and reduce the overall strain on a country’s health system. While documentation on the results of these models exists, there is limited information on the specific barriers and enablers that have impacted the implementation of such models. This cross-country study describes various models of differentiated ART distribution and the barriers and enablers associated with their implementation.
The community models of ART distribution that were explored were: community adherence clubs, outreach and community distribution points.
It was concluded that While differentiated models of ART distribution aim to broaden patient access to ART, models that provide these services at the community level have additional challenges and considerations that should be assessed and planned for prior to implementation. Two important barriers seen across all countries assessed included stigma and poor linkage to care. Peer support and education for both patients and providers were noted as important drivers of the success of community models. Intensive education at the front-end of scale-up can help providers effectively market the community-level models and help patients pick a model that would work best for them. Understanding these barriers and enablers will help country programs effectively and efficiently implement differentiated models of ART distribution to fit varying contexts, and allow for rapid scale-up, resulting in expanded access to ART and the ability to better meet the demands of patients on ART on a global level.
This poster was presented at the Fifth Global Symposium on Health Systems Research in Liverpool in October by Nikki Davis.
The document summarizes healthcare access issues in Erie County, Pennsylvania. It finds that over 32,000 residents, or 11% of the population, live below the federal poverty level. Nearly 50% of eligible residents are not enrolled in public insurance programs. The document outlines three goals: 1) implement initiatives to improve quality and outcomes, 2) increase understanding of underserved groups and how to reach them, and 3) increase primary care access through leveraging federal resources. It recommends strategies like expanding community health centers, pursuing federal health center designations, and opening new dental clinics to address the identified needs.
This document summarizes a presentation about the I Choose Life-Africa (ICL) program, which aims to reduce HIV stigma among students at universities in Kenya. The presentation discusses ICL's background and objectives, current programs at multiple universities, key findings from assessments showing increased condom use and HIV testing but continued high rates of sexual activity. It also describes real stories of HIV stigma on campuses and ICL's current anti-stigma activities. Challenges include the need for more stigma reduction training and accessible HIV testing and care. Recommendations call for greater involvement of people living with HIV and reviewing HIV testing guidelines to address stigma.
CSC Insight into Patient Access to Care in CancerBev Soult
The document summarizes key findings from a survey of 692 cancer patients and their families about access to care. It finds that while most patients had health insurance, many did not receive recommended social/emotional support services or referrals to such services. Over 20% reported delays in care and nearly 20% felt they did not have adequate time with providers. Only 34% discussed costs of treatment with providers. Nearly half paid more for care in the past year due to insurance premiums, deductibles, and co-pays. Over a third were seriously concerned about out-of-pocket costs and bankruptcy from medical expenses. The survey aimed to understand challenges patients face in accessing comprehensive cancer care.
The Patient Empowerment Project (PEP) aims to empower cancer patients to advocate for improvements in cancer control through focused training and hosting of Cancer Patient Forums. The goals are to prepare organizations to plan forums, support a national call to action on cancer, and contribute to national cancer burden efforts. Forums bring visibility to cancer issues and have led to policy changes in countries like France, Italy, Turkey, and South Africa. Patient voices are a powerful tool for advocating improvements through sharing stories and affecting long-term systemic change.
Public and patient engagement in the planning process 0609suelb
The document discusses public and patient engagement in health services planning and improvement. It defines public and patient engagement as the active participation of citizens, users, and carers in developing, commissioning, planning, designing, delivering and improving health services. The document also discusses the legal duty of NHS organizations to involve and consult users in planning, developing proposals for changes to services, and decisions affecting service operations. Examples are provided of engagement initiatives undertaken by NHS Milton Keynes, including involving patients in diabetes care redesign, using complaints to improve services, and using marketing to engage different populations.
This project aims to address mental health inequalities and integrate a non-medical mental health model into primary care settings. It will do this by influencing how GPs discuss mental health with patients and providing access to needs assessments. The goals are to integrate the model into primary care over 12 months, evaluate the impact on patients, staff and services, and disseminate the learnings. Outcomes could include improved mental health, reduced health service use, and more equitable care. The needs assessment approach targets practical problems that contribute to distress and limit recovery.
The Breast Cancer Update began in 1996 as an educational program organized by the Delaware Breast Cancer Coalition to provide healthcare professionals and the public with information on the latest topics in breast cancer diagnosis and treatment. It started as a panel discussion with regional experts and grew to include keynote speakers on a wide range of topics. Over the years, the Update has expanded from hosting 100 participants to 400, requiring larger venues. While initially planned by an education committee, today the Update Committee explores current issues and themes. Nationally recognized speakers have helped make the Update impactful for raising awareness of the Coalition's services and shaping its programs.
Policy memo-expanding access to healthcare resources to the undocumented immg...Ming XIE
The document discusses policy options for expanding healthcare access to undocumented immigrants in South Los Angeles through the United Muslim Medical Association community clinic. It evaluates starting a social media campaign, implementing a promotora outreach program, or purchasing a mobile medical unit. The recommendation is to start a promotora outreach program, which would train local community members to conduct healthcare outreach and education, potentially serving 850-2,700 new patients at a moderate cost.
The document summarizes ICAP Tanzania's peer education program which aims to increase adherence and psychosocial support for people living with HIV. The program trains people living with HIV to serve as peer educators who provide counseling, health talks, and community outreach. Peer educators help 180 people across 35 sites and have established over 100 support groups. Evaluation found the program increased clients' adherence, reduced stigma, and improved tracing of patients lost to follow up. Challenges include a lack of health worker support and no formal policy to institutionalize the peer education role in health facilities.
Mobile Clinics - Optimizing Access to Preventive CareMickelder Kercy
Mobile health clinics can enhance health care accessibility and quality in underserved communities. Immigration Policy change and new health care regulations are vital to long-term health care costs reduction and population health improvement.
Ayala monitoring and evaluation talk pcb june 2012Mat Southwell
This document discusses the advantages of meaningful community involvement in monitoring and evaluation (M&E) of HIV prevention programs. It notes that community members are often relegated to peripheral advisory roles rather than active contributors. However, involving the community results in more precise questions, stronger validity of interventions and measures, and a focus on feasibility and sustainability. A case study of a global online survey of men who have sex with men found that factors like connection to community and comfort with providers influenced HIV testing and PrEP access. The implications are that tailoring approaches to different sub-groups and ensuring enabling prevention environments will help scale up PrEP and treatment.
Innovations conference 2014 sandra turley cancer care referral pathwayCancer Institute NSW
The document describes the development of a Cancer Care Referral Pathway (CCRP) in a rural community. It was developed to address issues like fragmented care, poor coordination after a local oncology service closed. The CCRP aims to promote the Cancer Care Coordinator as the first point of contact and integrate care. It was developed through stakeholder consultations and implemented using electronic and paper referral templates. After implementing the CCRP, referrals increased from 43 to 148 from more sources, and outcomes include more timely care and patients feeling more supported. The CCRP has been embedded and its components could transfer to other rural communities.
The document provides guidance and learning opportunities for nursing students completing community placements. It discusses several types of community placements including primary health care, sexual health clinics, practice nursing, community nursing, palliative care, and placements with health visitors. For each placement type, it lists the services provided, roles of healthcare professionals, and potential learning opportunities for students such as observing clinical procedures, developing communication skills, and exploring multidisciplinary teamwork. Guidelines are also provided on home visiting, practice nursing, and medicine administration in the community setting.
Members of the Coleman Supportive Oncology Collaborative including over 169 cancer care providers from 44 institutions came together in person to share lessons from their 3-year project to improve supportive cancer care across the region and to launch the next step in the Coleman Foundation initiative which is to improve patient communication and experience.
Joan Saddler: Implications for putting patients and the public firstNuffield Trust
The document discusses the implications of NHS reforms for patient and public engagement and outlines three key points:
1) The reforms emphasize patient-led care and involvement of patient experience in quality measures and GP commissioning will require effective public engagement.
2) Mandatory engagement requirements may cause tension with discretionary powers and consortia will be legally required to involve and consult patients.
3) Understanding patient priorities from surveys and improving patient-centered care can boost outcomes, but sustaining change requires long-term cultural shifts more than quick fixes.
Bringing knowledge to bear: MK revised Feb 2011 v7suelb
This document summarizes a presentation on knowledge management and its application to healthcare commissioning.
The presentation covers:
1) An introduction to knowledge management and the speakers.
2) An overview of how knowledge management can be applied, from applying existing knowledge to continuing to learn.
3) An example of how data on referrals is being used to improve referrals management.
4) A discussion of how knowledge management supports various stages of the commissioning process.
5) A librarian discusses resources for sourcing evidence to inform clinical practice and commissioning decisions.
The overall message is that systematically capturing and sharing knowledge can improve healthcare outcomes and save costs by ensuring the right knowledge reaches decision-makers
The document summarizes best practices in rural health care presented at the 2010 Virginia Rural Health Summit. It identifies common barriers to rural health care access such as lack of providers and long distances. It then highlights exemplar programs in four areas - oral health, maternal/newborn health, behavioral health, and telemedicine. For each area, one or two programs are described that improved health outcomes through innovative models of service delivery. The document concludes with policy opportunities to advance rural health, such as improving Medicaid reimbursement and reforming regulations around dental hygienists and malpractice insurance.
A randomized controlled trial of the bruthas programCAPSUCSF
This study is a randomized controlled trial that will compare an enhanced HIV counseling intervention called the Bruthas Program to a standard HIV counseling and testing program. The trial aims to recruit 400 African American men who have sex with men but do not identify as gay from the San Francisco Bay Area. Participants will be randomly assigned to receive either the enhanced counseling intervention focusing on identity, safer sex skills, and regular HIV testing or the standard program. The effectiveness of the enhanced intervention will be evaluated based on whether it reduces sexual risk behavior more than the standard program based on behavioral assessments at 6 and 9 month follow ups.
The document describes a program in Malawi that uses a community-based tool called MyVillage My Home (MVMH) to track infant vaccination rates. The objectives are to (1) increase fully immunized children compared to baseline, and (2) monitor immunization status of infants under 12 months in two districts. MVMH engages communities and leaders to identify newborns, register them, and mobilize families for vaccination. Health surveillance assistants use MVMH to record vaccination data and meet monthly with leaders to discuss statuses. The goal is for communities to take ownership over immunization through the visual tool.
2014 DESIS Lab Melbourne swinburne Case: Needle and Syringe Program OnlineDESIS_projects
This document discusses the Needle and Syringe Program Online project which aimed to address barriers to accessing clean needles through needle and syringe programs (NSPs) in Australia. Researchers conducted interviews and surveys with drug users and NSP staff to understand issues with confidentiality and perceived judgment when accessing services. The design process involved mapping the existing NSP system and proposing an online and anonymous NSP platform to provide education resources and clean needles by mail to help achieve 100% coverage of new needles per injection. The student designers developed empathy for NSP users through this community service learning project while also gaining research and design skills.
Geoff Honnor (ACON) redefines wellness in an evolving HIV epidemic, as well as discussing the context of the UN Goals for reducing HIV transmission 2010-2015 and the ACON response.
This presentation was given at the AFAO Positive Services Forum 2012.
This shot list contains 179 shots across 17 scenes detailing the story of cupids bringing a mannequin girl and boy to life to fall in love. Key shots include establishing shots of various rooms, close-ups of characters faces, mid shots of characters interacting, and tracking shots of characters exploring rooms and the school. The climax of the story involves the boy and girl sharing a meal together in the canteen and confessing their love for each other outside in the street as the sun rises.
CSC Insight into Patient Access to Care in CancerBev Soult
The document summarizes key findings from a survey of 692 cancer patients and their families about access to care. It finds that while most patients had health insurance, many did not receive recommended social/emotional support services or referrals to such services. Over 20% reported delays in care and nearly 20% felt they did not have adequate time with providers. Only 34% discussed costs of treatment with providers. Nearly half paid more for care in the past year due to insurance premiums, deductibles, and co-pays. Over a third were seriously concerned about out-of-pocket costs and bankruptcy from medical expenses. The survey aimed to understand challenges patients face in accessing comprehensive cancer care.
The Patient Empowerment Project (PEP) aims to empower cancer patients to advocate for improvements in cancer control through focused training and hosting of Cancer Patient Forums. The goals are to prepare organizations to plan forums, support a national call to action on cancer, and contribute to national cancer burden efforts. Forums bring visibility to cancer issues and have led to policy changes in countries like France, Italy, Turkey, and South Africa. Patient voices are a powerful tool for advocating improvements through sharing stories and affecting long-term systemic change.
Public and patient engagement in the planning process 0609suelb
The document discusses public and patient engagement in health services planning and improvement. It defines public and patient engagement as the active participation of citizens, users, and carers in developing, commissioning, planning, designing, delivering and improving health services. The document also discusses the legal duty of NHS organizations to involve and consult users in planning, developing proposals for changes to services, and decisions affecting service operations. Examples are provided of engagement initiatives undertaken by NHS Milton Keynes, including involving patients in diabetes care redesign, using complaints to improve services, and using marketing to engage different populations.
This project aims to address mental health inequalities and integrate a non-medical mental health model into primary care settings. It will do this by influencing how GPs discuss mental health with patients and providing access to needs assessments. The goals are to integrate the model into primary care over 12 months, evaluate the impact on patients, staff and services, and disseminate the learnings. Outcomes could include improved mental health, reduced health service use, and more equitable care. The needs assessment approach targets practical problems that contribute to distress and limit recovery.
The Breast Cancer Update began in 1996 as an educational program organized by the Delaware Breast Cancer Coalition to provide healthcare professionals and the public with information on the latest topics in breast cancer diagnosis and treatment. It started as a panel discussion with regional experts and grew to include keynote speakers on a wide range of topics. Over the years, the Update has expanded from hosting 100 participants to 400, requiring larger venues. While initially planned by an education committee, today the Update Committee explores current issues and themes. Nationally recognized speakers have helped make the Update impactful for raising awareness of the Coalition's services and shaping its programs.
Policy memo-expanding access to healthcare resources to the undocumented immg...Ming XIE
The document discusses policy options for expanding healthcare access to undocumented immigrants in South Los Angeles through the United Muslim Medical Association community clinic. It evaluates starting a social media campaign, implementing a promotora outreach program, or purchasing a mobile medical unit. The recommendation is to start a promotora outreach program, which would train local community members to conduct healthcare outreach and education, potentially serving 850-2,700 new patients at a moderate cost.
The document summarizes ICAP Tanzania's peer education program which aims to increase adherence and psychosocial support for people living with HIV. The program trains people living with HIV to serve as peer educators who provide counseling, health talks, and community outreach. Peer educators help 180 people across 35 sites and have established over 100 support groups. Evaluation found the program increased clients' adherence, reduced stigma, and improved tracing of patients lost to follow up. Challenges include a lack of health worker support and no formal policy to institutionalize the peer education role in health facilities.
Mobile Clinics - Optimizing Access to Preventive CareMickelder Kercy
Mobile health clinics can enhance health care accessibility and quality in underserved communities. Immigration Policy change and new health care regulations are vital to long-term health care costs reduction and population health improvement.
Ayala monitoring and evaluation talk pcb june 2012Mat Southwell
This document discusses the advantages of meaningful community involvement in monitoring and evaluation (M&E) of HIV prevention programs. It notes that community members are often relegated to peripheral advisory roles rather than active contributors. However, involving the community results in more precise questions, stronger validity of interventions and measures, and a focus on feasibility and sustainability. A case study of a global online survey of men who have sex with men found that factors like connection to community and comfort with providers influenced HIV testing and PrEP access. The implications are that tailoring approaches to different sub-groups and ensuring enabling prevention environments will help scale up PrEP and treatment.
Innovations conference 2014 sandra turley cancer care referral pathwayCancer Institute NSW
The document describes the development of a Cancer Care Referral Pathway (CCRP) in a rural community. It was developed to address issues like fragmented care, poor coordination after a local oncology service closed. The CCRP aims to promote the Cancer Care Coordinator as the first point of contact and integrate care. It was developed through stakeholder consultations and implemented using electronic and paper referral templates. After implementing the CCRP, referrals increased from 43 to 148 from more sources, and outcomes include more timely care and patients feeling more supported. The CCRP has been embedded and its components could transfer to other rural communities.
The document provides guidance and learning opportunities for nursing students completing community placements. It discusses several types of community placements including primary health care, sexual health clinics, practice nursing, community nursing, palliative care, and placements with health visitors. For each placement type, it lists the services provided, roles of healthcare professionals, and potential learning opportunities for students such as observing clinical procedures, developing communication skills, and exploring multidisciplinary teamwork. Guidelines are also provided on home visiting, practice nursing, and medicine administration in the community setting.
Members of the Coleman Supportive Oncology Collaborative including over 169 cancer care providers from 44 institutions came together in person to share lessons from their 3-year project to improve supportive cancer care across the region and to launch the next step in the Coleman Foundation initiative which is to improve patient communication and experience.
Joan Saddler: Implications for putting patients and the public firstNuffield Trust
The document discusses the implications of NHS reforms for patient and public engagement and outlines three key points:
1) The reforms emphasize patient-led care and involvement of patient experience in quality measures and GP commissioning will require effective public engagement.
2) Mandatory engagement requirements may cause tension with discretionary powers and consortia will be legally required to involve and consult patients.
3) Understanding patient priorities from surveys and improving patient-centered care can boost outcomes, but sustaining change requires long-term cultural shifts more than quick fixes.
Bringing knowledge to bear: MK revised Feb 2011 v7suelb
This document summarizes a presentation on knowledge management and its application to healthcare commissioning.
The presentation covers:
1) An introduction to knowledge management and the speakers.
2) An overview of how knowledge management can be applied, from applying existing knowledge to continuing to learn.
3) An example of how data on referrals is being used to improve referrals management.
4) A discussion of how knowledge management supports various stages of the commissioning process.
5) A librarian discusses resources for sourcing evidence to inform clinical practice and commissioning decisions.
The overall message is that systematically capturing and sharing knowledge can improve healthcare outcomes and save costs by ensuring the right knowledge reaches decision-makers
The document summarizes best practices in rural health care presented at the 2010 Virginia Rural Health Summit. It identifies common barriers to rural health care access such as lack of providers and long distances. It then highlights exemplar programs in four areas - oral health, maternal/newborn health, behavioral health, and telemedicine. For each area, one or two programs are described that improved health outcomes through innovative models of service delivery. The document concludes with policy opportunities to advance rural health, such as improving Medicaid reimbursement and reforming regulations around dental hygienists and malpractice insurance.
A randomized controlled trial of the bruthas programCAPSUCSF
This study is a randomized controlled trial that will compare an enhanced HIV counseling intervention called the Bruthas Program to a standard HIV counseling and testing program. The trial aims to recruit 400 African American men who have sex with men but do not identify as gay from the San Francisco Bay Area. Participants will be randomly assigned to receive either the enhanced counseling intervention focusing on identity, safer sex skills, and regular HIV testing or the standard program. The effectiveness of the enhanced intervention will be evaluated based on whether it reduces sexual risk behavior more than the standard program based on behavioral assessments at 6 and 9 month follow ups.
The document describes a program in Malawi that uses a community-based tool called MyVillage My Home (MVMH) to track infant vaccination rates. The objectives are to (1) increase fully immunized children compared to baseline, and (2) monitor immunization status of infants under 12 months in two districts. MVMH engages communities and leaders to identify newborns, register them, and mobilize families for vaccination. Health surveillance assistants use MVMH to record vaccination data and meet monthly with leaders to discuss statuses. The goal is for communities to take ownership over immunization through the visual tool.
2014 DESIS Lab Melbourne swinburne Case: Needle and Syringe Program OnlineDESIS_projects
This document discusses the Needle and Syringe Program Online project which aimed to address barriers to accessing clean needles through needle and syringe programs (NSPs) in Australia. Researchers conducted interviews and surveys with drug users and NSP staff to understand issues with confidentiality and perceived judgment when accessing services. The design process involved mapping the existing NSP system and proposing an online and anonymous NSP platform to provide education resources and clean needles by mail to help achieve 100% coverage of new needles per injection. The student designers developed empathy for NSP users through this community service learning project while also gaining research and design skills.
Geoff Honnor (ACON) redefines wellness in an evolving HIV epidemic, as well as discussing the context of the UN Goals for reducing HIV transmission 2010-2015 and the ACON response.
This presentation was given at the AFAO Positive Services Forum 2012.
This shot list contains 179 shots across 17 scenes detailing the story of cupids bringing a mannequin girl and boy to life to fall in love. Key shots include establishing shots of various rooms, close-ups of characters faces, mid shots of characters interacting, and tracking shots of characters exploring rooms and the school. The climax of the story involves the boy and girl sharing a meal together in the canteen and confessing their love for each other outside in the street as the sun rises.
Finn O'Keefe (AFAO) highlights the value of HIV Australia - AFAO's flagship publication - in highlighting key and emerging issues, providing a snapshot of current thinking, and as a tool for advocacy and education.
This presentation was given at AFAO's Positive Services Forum 2012.
(ATS4-PLAT10) Planning your deployment for a 64 bit worldBIOVIA
Pipeline Pilot 9.0 requires 64-bit server deployments. For those planning to migrate from existing 32-bit deployments this session will outline the key differences between Linux and Windows, 32-bit-specific vs 64-bit functionality on Windows, and explore using the Component Reader to help identify and assess published protocols and components that might require modifications when deployed to a new platform.
Ele Morrison from AIVL outlines the extreme impact of criminalisation on the lives of people who use drugs.
This presentation was given at the AFAO National HIV Forum, 17 October 2014.
HIV Today is an initiative of the AIDS Action Council of the ACT that targets human service providers - in the community, public and private sectors. It is specifically designed to enhance the quality of life of people affected by HIV through appropriate mainstream service responses founded on a sound knowledge base. This presentation was given by Nada Ratcliffe, (Manager, Client Services, AIDS Action Council of the ACT), at the AFAO Positive Services Forum 2012.
Rebekah Israel of the Black AIDS Institute discusses health literacy among the HIV/AIDS workforce and the implications for moving people with HIV along the continuum of care.
This presentation was given at the Under the Baobab African Diaspora Networking Zone at the International AIDS Conference, AIDS 2014.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
This webinar discussed how to educate Nurse Practitioners who have completed Community Health Center. Inc’s NP Residency or NPs who have significant experience as a Primary Care Provider on the integration of specialty care for key populations, including:
• HIV care
• Hepatitis C management
• Medication-assisted treatment for opioid use and other substance use disorders
• Sexually transmitted disease (STI) screening and management
• Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, Asexual (LGBTQIA+) health, including hormone replacement therapy and gender affirming care.
Panelists:
• Charise Corsino, MA, Program Director, Nurse Practitioner Residency Programs, Community Health Center, Inc.
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
Engaging House Ball Communities Utilizing Culturally Appropriate MethodsStephaun Wallace
The document summarizes engagement strategies for working with house ball communities on HIV/STD issues. It discusses establishing trust and respect within communities before engagement. Successful strategies included developing cultural competency, transparency, long-term partnerships, and capacity building. Specific projects like Project VOGUE in New York and REACH LA engaged communities through balls, workshops, and testing events. The BHAP conference in Texas addressed health disparities among house/ball and pageant communities in the South. A consultation formed a national coalition to develop an HIV clinical trials research agenda focused on house ball communities. Barriers to engagement included distrust, lack of access, and stigma, while facilitators included reciprocity, whole community involvement, and empowerment.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the first in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Enhancing Linkages to HIV Care & Services in Jail Settings Initiative (Jail Linkages Initiative), as they share lessons learned and advice for others hoping to create or expand similar programs.
Explore how to secure buy-in and foster partnerships within correctional settings, as well as how to navigate the “culture of corrections.” Hannah Zellman of Philadelphia FIGHT, a SPNS Jail Linkages grantee, will present alongside Dr. Linda Rose Frank and Debra D’Alessandro of the PA/MidAtlantic AIDS Education and Training Center about the work their organizations have done individually and collaboratively in the corrections setting.
This guide provides program managers with information and tools to plan, implement, and evaluate HIV testing and linkage programs in non-clinical settings. It emphasizes the importance of such programs in identifying undiagnosed individuals and linking them to care. The guide was developed with input from experts in health departments and community-based organizations. It covers topics such as targeting high-risk groups, implementing testing strategies, ensuring quality assurance, and evaluating programs. Appendices include a glossary, list of resources, and templates to support non-clinical HIV testing and linkage efforts.
The document summarizes the National Aboriginal Health Forum taking place on May 20-21, 2015 in Calgary, Alberta. The forum will feature presentations and discussions on improving Aboriginal healthcare, including addressing challenges in data management and health privacy, understanding health issues in Aboriginal communities, integrating traditional and western medicine, and developing culturally appropriate healthcare programs. Topics will focus on research, cultural approaches to care, and program development. Presentations will provide insights into priority health concerns, integrating data systems, the role of traditional healing, and the work of organizations like the First Nations Health Authority. The goal is to enhance delegates' knowledge and skills for meeting the needs of Aboriginal patients.
Overview of the 2018 Update to the Integrated Plan and PrEP Workgroup Draft R...Office of HIV Planning
Mari Ross-Russell (Office of HIV Planning) and Matthew McClain (Public Health Policy & Planning Consultant) presented these slides to the PrEP Workgroup of the Philadelphia EMA HIV Integrated Planning Council on January 16, 2019.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the second in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) initiative on Jail Linkages, as they share lessons learned and advice for others hoping to create or expand similar programs.
Learn how to build a new jail linkage program and what to consider for expanding an existing one. Jail Linkages SPNS grantees—including Dr. Timothy Flanigan of Miriam Hospital, Alison Jordan of New York City Department of Health and Mental Hygiene, and Dr. Ann Avery of Care Alliance Health Center describe the steps their programs took to implement their respective jail linkage programs, and provide advice for others hoping to replicate this work.
Where's the hope? Dialogues for Solidarity - Session 4ReShape
This session explored current work experiences in HIV care from a specialist point of view and looked at how current conditions impacted related care providers. Reflecting on the changing nature of HIV care and the changing needs of people living with HIV, the session examined the policy implications of a fragmented system and the patients' perspective on HIV care.
The Care Providers session was expected to lay the groundwork for a future session on the failing Health Economy as a leading issue.
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxAASTHA76
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use Only - see specific sponsoringTitle:Union County of Georgia cancer prevention programagency for the proper forms)Date:12-May-17RFA no.PI:Project Period:2017/2018Budget Period:2017-2018Year 1Field researchResearch assitants( Salaries & benefits)250,000Transport120,000Research tools( questionaires and interviews)50,000420,000Screening actvitiesLocal hospital staff service fees80,000Electricity consumed by equipment20,000Maintenace expenses40,000140,000MarketingNutrionists service fees150,000Local gym service15,000Formation of chamber fo commerce180,000Education workshops ( schools and community centers)50,000395,000
pasterme:
rate as of 7/1/05
subject to change
confirm with the SPH
Business Office
pasterme:
part-time student rate as of 7/1/04 subject to change confirm with the SPH Business Office
pasterme:
rate subject to change Please review all budgets with the SPH
Business Office.
Running head: COMMUNITY COALITION 1
COMMUNITY COALITION 3
Community Coalition
Kimberly Crawford
Kaplan University
January 8, 2018
Community Coalition
1. Choose 5 partnerships to engage and explain why you would invite each of these people//organizations to be a part of the coalition.
The creation of community health promotion and education programs takes into consideration several agencies or parties who help in the achievement of the desired health goals. Each of the partners will address its roles using different approaches depending on their area of expertise. This is an important factor to consider as different institutions address health promotion using different approaches and perspectives. The overall outcome from the contribution of every partner should be able to restore and promote the physical, emotional, spiritual, psychological, and social wellness of the community in relation to the health issue being suffered (Minelli, & Breckon, 2009). Chronic diseases are currently the leading causes of death in the community due to their complexity and the severe effects on human health. The community health promotion and education program will be provided by the ‘Health Concerns Coalition’ which will be made up of the following partners; community religious groups, Cancer Supportive Care Foundation, an association of cancer-survivor patients, nutritional organizations, and the local authority.
1. Cancer Supportive Care Foundation – This is an important part of the coalition as it will offer technical expertise in education and diagnosis of chronic diseases. The foundation team will include medical experts who will diagnose the community members of any chronic illnesses. Examinations for diseases such as breast cancer, prostate cancer, diabetes and blood pressure will be conducted by this partner as they will provide modern machines needed for the diagnosis of chronic illnesses.
2. Community religious groups – Community religious groups ca ...
The document proposes a social determinants of health internship program for secondary school students in Trinidad and Tobago and the Caribbean. The program aims to develop a pipeline of students interested in public health careers by training them on the social determinants of health and having them conduct community-based research projects. It would leverage strategic partnerships between government agencies, academic institutions like UWI, and NGOs. Over three years, the program hopes to engage 20 students in Trinidad and Tobago the first year, expanding to 40 students across Trinidad and Jamaica in year two and 60 students across three locations in year three. The goal is to strengthen the regional health system by fostering the next generation of health leaders.
Building the case for expanded support services to young breast cancer surviv...ICF
The unique reproductive and psychological health needs of young breast cancer survivors are often unmet. ICF did an evaluation of 7 organizations that offer tailored support and education services to young breast cancer survivors. With increased funding, organizations are better able to develop and enhance young breast cancer survivor-focused initiatives.
Abt Associates and Atlas Research have partnered to conduct qualitative research on HIV prevention, care, and treatment through in-depth interviews, focus groups, observations, and data analysis. This research aims to better understand the context of risk behaviors and the barriers and facilitators experienced by those at risk or living with HIV. The organizations have expertise in qualitative methods and working with hard-to-reach populations. They are currently conducting several studies, including on barriers healthcare providers face and barriers transgender women face in HIV prevention and care.
Learning Disabilities: Share and Learn Webinar – 18 May 2017NHS England
This webinar focuses on the Model Service Specification for Community Based Forensic Support and aims to explain core functions that need to be in place locally in order to provide effective specialist Community-based Forensic Support to meet the needs of adults with a learning disability, autism or both who display behaviours that challenge which have led to contact with the criminal justice system, or where there is risk of this.
AHRQ's Health Care Innovations Exchange held a Web Seminar on Linking Clinical Care and Communities for Improved Prevention on September 1, 2011. For more information, visit https://innovations.ahrq.gov/events/2011/09/linking-clinical-care-and-communities-improved-prevention.
The Clinical and Translational Science Awards (CTSA) Program: What can it do ...CTSciNet .org
The Clinical and Translational Science Awards (CTSA) Program aims to transform clinical and translational research. It establishes a national consortium of academic health centers to break down barriers between disciplines. The program's goals are to build research capabilities, train scientists, enhance collaboration, improve community health, and advance translational research. Each CTSA institution provides resources like training, mentoring, informatics tools, and community partnerships to researchers to improve efficiency and quality of clinical research.
CURES Pilot Grant Research Guide - ap editsTaiwo Adewunmi
This document provides information about the Community-University Research Partnership Award (CURES) pilot grant funding from the Michigan Center for Integrative Research in Critical Care (MICHR). It discusses the goals of building capacity for community-engaged research partnerships and enhancing networks to promote this work. CURES will fund up to $25,000 for one-year pilot projects with no department match required. Eligible partners include academic faculty and community organizations. Examples of funded projects provide mental health education and study factors in HIV testing. Resources are available to support partnership development and grant writing.
This document summarizes ¡Una Vida Sana!, a multi-disciplinary service learning program that provides health screenings to Richmond, Virginia's Hispanic community. It describes the program's goals of assessing community health risks, providing a valuable learning experience for students, and increasing access to healthcare. Over 350 individuals were screened across several events staffed by over 50 healthcare students. Preliminary results found participants at risk of future health issues, and students reported gaining knowledge around cultural competence and community health challenges through their involvement.
Similar to Increasing HIV Science Literacy in the US (20)
This presentation on AFAO's recent work with Culturally and Linguistically Diverse (CALD) communities was given by Michael Frommer at the SiREN Symposium in Perth, June 2016.
The document outlines a four-phase activity to develop culturally appropriate online health resources for Aboriginal and Torres Strait Islander communities as well as several CALD populations in Australia. The activity will be overseen by ASHM and involves auditing existing resources, consulting with communities, developing new resources, distributing and promoting them, and evaluating their uptake. Key steps include establishing advisory committees, reviewing current resources, holding workshops to prioritize new materials, subcontracting organizations to create resources, and measuring the impact through surveys and web analytics. The goal is to prevent blood-borne viruses and sexually transmitted infections among these at-risk communities through improved health education.
The document discusses changes to the structure and priorities of AFAO for 2016/17. Due to funding changes, AFAO's international program will expand while its domestic program shrinks. Some staff will leave and the organization will restructure accordingly. Key priorities will include leadership and communications, advocacy, coordination, policy, capacity building, and international work. The organization will need to work smarter with its reduced capacity by collaborating with other community organizations.
This presentation on key strategies for addressing HIV among people from CALD communities and people who travel to high prevalence countries was given by Corie Gray from Curtin University and CoPAHM at AFAO'S HIV and Mobility Forum on 30 May 2016.
This presentation on a directory of HIV health promotion programs and resources that engage with people from CALD communities was given by Jill Sergeant from AFAO at AFAO'S HIV and Mobility Forum on 30 May 2016.
This presentation on findings from a trial of providing HIV medication to people not eligible for Medicare was given by Tony Maynard from the National Association of People With HIV Australia (NAPWHA) at AFAO'S HIV and Mobility Forum on 30 May 2016.
This presentation on HIV diagnoses among people from CALD communities was given by Praveena Gunaratnam from the Kirby Institute at AFAO'S HIV and Mobility Forum on 30 May 2016.
Drawing upon HIV surveillance data and the Seroconversion Study, this presentation explores reasons for late diagnosis of HIV and barriers to testing among gay men and other MSM in Australia. The presentation was given by Phillip Keen from the Kirby Institute at AFAO's National Gay Men's HIV Health Promotion Conference in April 2016.
This document provides a summary of a directory of health promotion programs and resources for HIV and culturally and linguistically diverse (CALD) communities. The directory aims to support organizations working with CALD communities on HIV-related issues. It includes summaries of program activities, objectives, outcomes, evaluation details, downloads, and contact information for each listing. The feedback on the directory was positive, noting it is a valuable resource for research and ideas. Recommendations include organizations using the resource, updating it regularly, and holding a forum to further build capacity and identify programs for national support.
A report on findings from the AHOD Temporary Resident Access Study, which looked at access to HIV treatments for people not eligible for Medicare. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
Lea Narciso from SA Health discusses the changing epidemic in South Australia, which now includes an increasing number of people born overseas, and the government's policy response. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
This Report Card provides an overview of national momentum on HIV and mobility, highlighting areas with strong momentum and areas that are limited. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
ComePrepd is the Queensland AIDS Councils (QuAC) new campaign for pre-exposure prophylaxis (PrEP) which aims to encourage open discussion in the gay community. This presentation discusses the design of the campaign and its various stages. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
Alison Coelho from the Centre for Culture, Ethnicity and Health describes a program which partnered with faith & community leaders around preventing BBV/STI transmission in migrant and refugee communities. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
An overview of how the 2 Spirits Program at the Queensland AIDS Council adapts a western health promotion framework into a cultural framework to engage Aboriginal & Torres Strait Islander communities around HIV and sexual health. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
This presentation on the priorities and challenges for the HIV response in Aboriginal and Torres Strait Islander communities was given by Michael Costello-Czok (Executive Officer – Anwernekenhe National HIV Alliance - ANA) at the AFAO Members Forum - May 2015.
This presentation on the expansion of AFAO's African communities project to encompass other CALD and mobile populations was given by Jill Sergeant, AFAO Project Officer, at the AFAO Members Forum - May 2015.
This document discusses using systems approaches to better understand peer-based programs for HIV and HCV. It summarizes work done with various organizations representing people who use drugs, gay men, people living with HIV, sex workers, and others. Systems approaches were used to develop more sophisticated theories of how peer-based programs work and influence communities. System dynamics maps showed how interventions engage with communities. Key functions and draft indicators were identified to demonstrate influence and help programs evaluate their work and influence on communities and policies. The document provides an overview of the Understanding What Works & Why (W3) project which aims to help answer questions about program influence and effectiveness using systems approaches.
This presentation on what social research indicates will be effective anti-stigma interventions was given by Prof John de Wit, Centre for Social REsearch in Health (CSRH), at the AFAO Members Forum - May 2015.
More from Australian Federation of AIDS Organisations (20)
Gene therapy can be broadly defined as the transfer of genetic material to cure a disease or at least to improve the clinical status of a patient.
One of the basic concepts of gene therapy is to transform viruses into genetic shuttles, which will deliver the gene of interest into the target cells.
Safe methods have been devised to do this, using several viral and non-viral vectors.
In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient's cells instead of using drugs or surgery.
The biggest hurdle faced by medical research in gene therapy is the availability of effective gene-carrying vectors that meet all of the following criteria:
Protection of transgene or genetic cargo from degradative action of systemic and endonucleases,
Delivery of genetic material to the target site, i.e., either cell cytoplasm or nucleus,
Low potential of triggering unwanted immune responses or genotoxicity,
Economical and feasible availability for patients .
Viruses are naturally evolved vehicles that efficiently transfer their genes into host cells.
Choice of viral vector is dependent on gene transfer efficiency, capacity to carry foreign genes, toxicity, stability, immune responses towards viral antigens and potential viral recombination.
There are a wide variety of vectors used to deliver DNA or oligo nucleotides into mammalian cells, either in vitro or in vivo.
The most common vector system based on retroviruses, adenoviruses, herpes simplex viruses, adeno associated viruses.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Congestive Heart failure is caused by low cardiac output and high sympathetic discharge. Diuretics reduce preload, ACE inhibitors lower afterload, beta blockers reduce sympathetic activity, and digitalis has inotropic effects. Newer medications target vasodilation and myosin activation to improve heart efficiency while lowering energy requirements. Combination therapy, following an assessment of cardiac function and volume status, is the most effective strategy to heart failure care.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
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Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
- Video recording of this lecture in English language: https://youtu.be/RvdYsTzgQq8
- Video recording of this lecture in Arabic language: https://youtu.be/ECILGWtgZko
- 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
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
1. Increasing HIV Science Literacy
in the US: AAHU Model
African American HIV University
Science and Treatment College
2. AAHU
Aimed at strengthening organizational and
individual capacity to address the HIV/AIDS
epidemic in Black communities, the African
American HIV University (AAHU) is a
comprehensive training fellowship and
scholarship program. The program is designed
to decrease stigma and misperception and
increase the engagement of the Black
community in HIV prevention and treatment
services. This is achieved through leadership
development and information transfer among
key stakeholders.
3. AAHU Science and Treatment College
The STC curriculum prepares community-based, and
AIDS service organizations, and Health Departments on
how to improve their performance in the treatment
cascade. (CBOs/ASOs) to serve as liaisons between
people living with HIV/AIDS and the entities that serve
them. STC focuses on HIV and its relationship to human
biology, virology, pharmacokinetics, epidemiology, and
treatment strategies. By the end of AAHU STC,
organizations and their Fellows will be stewards of a
living, breathing Black Treatment Advocates Network
(BTAN).
4. AAHU STC 2013-2014
Cohort
11 US Cities 10 States
Atlanta, GA
Baltimore, MD
Chicago, IL
Jackson, MS
Kingston, Jamaica
Little Rock, AR
Los Angeles, CA
Melbourne, FL
Oakland, CA
Richmond, VA
St. Paul, MN
Washington, DC
Arkansas
California
District of Columbia
Florida
Georgia
Illinois
Maryland
Minnesota
Mississippi
Virginia
16 Fellows representing eleven U.S. Cities, ten States and Jamaica:
5. AAHU STC Trainings
Training 1: Science Academy (30 Days)
Internship 1
Training 2: Community Mobilization (7 Days)
Internship 2
Training 3: Program Planning, Implementation, &
Evaluation (7 Days)
Internship 3
Training 4: Advanced Science and Presentation Skills (7
days)
Internship 4
6. STC Internship Periods
60-90 day internships allow Fellows to apply the skills and
knowledge gained during trainings.
Internships allow Fellows to demonstrate proficiency in
executing key components of each training, that establishes a
(or contributes to an existing) Black Treatment Advocates
Network (BTAN).
Fellows have specific assignments during internships such as
conducting face-to-face meetings with local ASOs, CBOs,
health department staff, research institutions, and other
potential BTAN partners.
8. HIV Science & Treatment Knowledge
Assessment 30-Day Boot Camp
57%57%
90%90%
*Scores over 100% indicate extra credit awarded
9. Fellows’ Feedback
“Having the
opportunity to get a
firm foundation on
basic sciences and
the HIV lifecycle and
how they both
impact HIV
treatment.”
“Having the actual medical practitioners, researchers and
scientists instructing us was like an experience that can't
be matched by any other training I have ever
experienced.”
“The site visits
gave
tremendous
insight into the
behind the
scenes real-life
action of the
war against
HIV.”
10. Internship 1: From Boot Camp to the
Battlefield
16 STC Fellows trained approximately 500 people in
their local areas.
Chicago Fellows, facilitated three post-boot camp
presentations.
Approximately 70 participants were trained on the
following topics: The Origin of HIV &Basic HIV Science
Average pre-test of participants 40.2%
Average post-test of participants 94.2%
11. The mission of the Black Treatment Advocates
Network (BTAN) is to increase patient access to and
utilization of treatment and care, strengthen local
leadership and advocate for policy change in Black
communities.
BTAN is guided by the premise that when
people understand the science of HIV/AIDS
they are:
Less likely to participate in stigmatizing
behavior
More likely to access treatment
Better able to adhere to their regimens
Better positioned to influence HIV policy
Internship 2: BTAN Responding to the
Needs of the Community
13. Internship 2: BTAN Responding to the
Needs of the Community
13 STC Fellows facilitated
trainings on HIV Science and
Treatment. Total reach was
approximately 450 people in
their local areas.
8 BTAN cities hosted National
Black HIV/AIDS Awareness Day
reaching 925 people.
Internship 2 reach: 1,375
people
Total Fellowship reach: 1,875
people
14. BTAN National Black HIV
Awareness Day PrEP Events
The following BTAN cities hosted
NBHAAD PrEP themed events:
BTAN Little Rock
BTAN Bay Area
BTAN Atlanta
BTAN Los Angeles
BTAN Minneapolis
BTAN Broward
BTAN Jackson
BTAN Louisiana
Reaching 925 individuals
15. Training 3: Program Planning, Implementation, and
Evaluation
Internship 3
Training 4: Advance Science Skills
Internship 4
20. 7 New BTAN
Chapters
6 Re-launched
BTAN Chapters
1,875 People
Trained
520 People
Tested
350 New BTAN
Members
Community Impact
10 New
Community
Partnerships
24. THANK YOU!
FOR MORE INFORMATION PLEASE VISIT
www.BlackAIDS.org
OR CONTACT ME
Rebekah Israel
Training and Evaluation Coordinator
Black AIDS Institute
rebekahi@BlackAIDS.org
Editor's Notes
Hi risk testing
Linkage to care
Adherence
ART
Viral suppression
Understanding biomedical interventions
AAHU STC…. And their fellows will be charged with developing and sustaining local BTAN
Each BTAN with 4 programmatic areas, treatment education, patient navi, disclosure, advocacy
r
Over 50 training days total in 11-months
Training 1: August 3-30, 2013
Training 2: November 10-15, 2013
Training 3: March 16-21, 2014
Training 4: May 18-23, 2014
Graduation & Symposium: July 10-13, 2014
For the purpose of this time, I’m going to talk about Training 1, Int 1, Internship 2 and overall impact.
Most Valuable Aspects of the 30-Day Science Academy
The following four aspects were most mentioned as being the most valuable in the evaluation
Internship 1 Requirements:
upload a weekly blog sharing their experiences as an AAHU Fellow
present a one of the Science Academy Modules; at least 4 hours of training
Coordinate and attend face-to-face meetings to form partnerships and initiate collaboration on the AAHU project
develop a draft CitySheet
attend between 3-5 webinars hosted by the Black AIDS Institute and AAHU Faculty
Internship 1 Report
Internship 2 Requirements:
upload a weekly blog sharing AAHU experiences on the Black AIDS Institute webpage
engage in activities and gain access to local data; to aid in assessing community needs
attend and/or join a local planning committee
launch Black Treatment Advocate Network (BTAN) and conduct a 3-day training
attend between 3-5 webinars hosted by the Black AIDS Institute and AAHU Faculty
Internship 2 Report including a needs assessment
Example: John Curry, Melbourne FL
Leaders of 2 of the largest Black churches attended
Secured partnerships with Gilead, Bristol Myers Squibb, and ViiV
BTAN members who hadn’t registered for an insurance plan could register during the training. There was a Marketplace Coordinator onsite!!!
There were speakers who were HIV positive that spoke at adherence (positive and negative examples). The participants got a chance to meet someone who was resistant to all the meds and has been given 12 months to live.
The Florida Faces of HIV 18 wheeler truck was on display to promote HIV testing
The HIV/AIDS Program Coordinator, the highest HIV position in the area was on site for Day 3
HIV staff from Orange County (Orlando) and Brevard (Melbourne)
I would estimate that the food and rental space cost between $1,000-$1,500 and it was all covered by the pharmaceutical companies
What were some successes from the events?
Participants commented that the PREP information sheets were thorough and simple enough that someone with no previous knowledge of PREP could easily comprehend.
Increased amount of clergy participation
We were able to have various community leaders in attendance; Black elected officials, Black clergy, Black media personalities, minority agency administrators, and consumers.
Gaining new partnership for future events.
Attendance; diversity of group; speed dating set-up; Phill; sponsors
How PrEP works; the location where PrEP is being implemented; and how a person can enroll in PrEP.
Great turn out!! The community came together to make the event a success The word got out successfully about the event
What were some of the challenges?
The primary challenge for me was the fact that the event almost seemed like a Department of Health event instead of a BTAN event.
Access to community.
Communication and Institute support
There were no Challenges
We were not prepared for the influx of people that we had. We were expecting only 300 but we had over 500 and we had to keep going out to get extra food. We didn't have enough volunteers to serve food and coordinate activities.
Summary of Pre/post test results and community impact
AAHU is just one of the methods that we use to in crease health literacy among the HIV work workforce. To heal move Black people along the Continuum of care