This document discusses options to reduce injury and attrition rates during military training by addressing underlying health conditions prior to and during entry-level training. It identifies several physiological risk factors for injuries like low bone density, nutrient deficiencies, and low fitness levels. It then outlines various screening and treatment options at different stages of the recruitment and training process to identify and address these risks, such as conducting bone density and blood screens at Military Entrance Processing Stations (MEPS) or Delayed Entry Programs (DEP), and establishing temporary Fitness Training Units (FTU) for recruits identified as high-risk. The goal is to implement "prevention and fix forward" approaches to improve readiness and save over $250 million annually.
One example of how Clinical Cancer Registry level data can review practice va...Cancer Institute NSW
We examined the possible utility of using Cancer Institute NSW Clinical Cancer Registry data by examining one contentious issue in radiation oncology as an example. Increasing evidence has been published about the safety and efficacy of hypofractionated radiotherapy, in comparison with standard fractionation, in early, node-negative breast cancer.
Making the most of your PROM data, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
YCN Breast Educational Meeting 2015-NICE Breast Cancer Quality Standards- E A...Jay Naik
Background to the the NICE Breast Cancer Quality Standards, desinged as simple measures to ensure delivery of quality care. Regional audit data for 3 Trusts presented comparing and contrasting performance against selected audit data.
DASH - does arthritis self-management help?epicyclops
This lecture was given by Dr Marta Buszewicz, General Practitioner from North London and Senior Lecturer in Community Based Teaching & Research at UCL, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
One example of how Clinical Cancer Registry level data can review practice va...Cancer Institute NSW
We examined the possible utility of using Cancer Institute NSW Clinical Cancer Registry data by examining one contentious issue in radiation oncology as an example. Increasing evidence has been published about the safety and efficacy of hypofractionated radiotherapy, in comparison with standard fractionation, in early, node-negative breast cancer.
Making the most of your PROM data, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
YCN Breast Educational Meeting 2015-NICE Breast Cancer Quality Standards- E A...Jay Naik
Background to the the NICE Breast Cancer Quality Standards, desinged as simple measures to ensure delivery of quality care. Regional audit data for 3 Trusts presented comparing and contrasting performance against selected audit data.
DASH - does arthritis self-management help?epicyclops
This lecture was given by Dr Marta Buszewicz, General Practitioner from North London and Senior Lecturer in Community Based Teaching & Research at UCL, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
Predictors of MDT review and the impact on lung cancer survival for HNELHD re...Cancer Institute NSW
Review by a Multidisciplinary Team (MDT) has been shown to lead to increased rates of surgical resection, radiotherapy, chemotherapy and timeliness of care. Most recently, the Victorian lung cancer patterns of care study have found that MDT review is an independent predictor of lung cancer survival.
Expediting Colonoscopy for Patients with + Faecal Occult Blood Test in a Publ...Cancer Institute NSW
Colon cancer is the commonest cancer in Australia. The Federal Gov. has recently accelerated the rollout of the National Bowel Cancer Screening Program to 2nd yearly after age 50 by 2018. We anticipate up to 1000 extra colonoscopies on the public system at NSLHD.
The impact of high-capability electronic health records on length of stay. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 12 November 2014, 11.15am, Marlborough Room 3
Weight loss among patients with Head and Neck Cancer at St Vincent's Hospital...Cancer Institute NSW
Patients with Squamous cell carcinoma (SCC) of the Head and Neck (H&N) are often treated with curative intent using treatment protocols placing them at high risk of nutritional decline. Recently released COSA guidelines recommend that prophylactic enteral feeding should be considered for T4 upper aerodigestive tract tumours undergoing concurrent chemoradiotherapy. Evidence is yet to identify optimal method of nutrition intervention and timing across all tumour stages in this population.
Cancer patients’ experiences in one tertiary referral emergency department (E...Cancer Institute NSW
The demand on Australian EDs has increased by an average of 4.2% each year while the cancer incidence rate has doubled since 1991. Many patients with cancer present to EDs but may be better managed using alternative healthcare models.
The experience of survival following Blood and Marrow Transplant in NSW, Aust...Cancer Institute NSW
Over 50% of patients undergoing allogeneic BMT can now be expected to become long-term survivors. Unfortunately many experience significant late morbidity and mortality.
Best Practices for a Data-driven Approach to Test UtilizationViewics
Would you like to learn how data-driven interventions can improve laboratory test utilization in your organization? Would you like to hear about the impact that leading hospitals/health systems and managed care organizations have made through these interventions?
If so, you might be interested in this presentation by utilization management expert Dr. Michael Astion, Medical Director at the Department of Laboratories at Seattle Children’s Hospital and Clinical Professor of Laboratory Medicine at the University of Washington.
In this presentation, Dr. Astion discusses the current state of the misuse of laboratory testing in the United States and some of the interventions that are being implemented to improve it. He covers a number of common areas of unnecessary testing — from pure abuse to tests that could be useful but are ordered inappropriately.
You'll learn about:
• Two areas of laboratory testing where misordering of tests occur frequently
• Three interventions to improve the value of testing for patients
• The role of genetic counselors and other laboratory professionals in improving lab test ordering
• The national endeavor known as PLUGS, the Pediatric Laboratory Utilization Guidance Service
North Thames Children's Cancer Network Coordinating GroupUCLPartners
Presentation by Darren Hargrave, Co-Chair of the North Thames Children's Cancer Network Coordinating Group at the London Cancer Children, Teenager and Young Adults Study Day, held on 25 July 2013.
The impact of National Bowel Cancer Screening Program in AustraliaCancer Institute NSW
The full rollout of the National Bowel Cancer Screening Program (NBCSP), offering free biennial screening using immunochemical Fecal Occult Blood Test (iFOBT) for 50-74 years is targeted for 2020. In 2013-14, the overall participation rate among Australians who were invited to participate was 36%.
Optimising the Model of Care for Patient Management at The Tweed Cancer Care ...Cancer Institute NSW
The commonly understood model of shift to shift nursing handover does not apply to most ambulatory day treatment units. Nonetheless, ‘handover’ of patient clinical information remains quintessential to safe clinical practice. Of considerable interest is how EMR may aid the transfer of patient clinical information in these circumstances and address the question: does this facilitate improved patient care?
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Predictors of MDT review and the impact on lung cancer survival for HNELHD re...Cancer Institute NSW
Review by a Multidisciplinary Team (MDT) has been shown to lead to increased rates of surgical resection, radiotherapy, chemotherapy and timeliness of care. Most recently, the Victorian lung cancer patterns of care study have found that MDT review is an independent predictor of lung cancer survival.
Expediting Colonoscopy for Patients with + Faecal Occult Blood Test in a Publ...Cancer Institute NSW
Colon cancer is the commonest cancer in Australia. The Federal Gov. has recently accelerated the rollout of the National Bowel Cancer Screening Program to 2nd yearly after age 50 by 2018. We anticipate up to 1000 extra colonoscopies on the public system at NSLHD.
The impact of high-capability electronic health records on length of stay. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 12 November 2014, 11.15am, Marlborough Room 3
Weight loss among patients with Head and Neck Cancer at St Vincent's Hospital...Cancer Institute NSW
Patients with Squamous cell carcinoma (SCC) of the Head and Neck (H&N) are often treated with curative intent using treatment protocols placing them at high risk of nutritional decline. Recently released COSA guidelines recommend that prophylactic enteral feeding should be considered for T4 upper aerodigestive tract tumours undergoing concurrent chemoradiotherapy. Evidence is yet to identify optimal method of nutrition intervention and timing across all tumour stages in this population.
Cancer patients’ experiences in one tertiary referral emergency department (E...Cancer Institute NSW
The demand on Australian EDs has increased by an average of 4.2% each year while the cancer incidence rate has doubled since 1991. Many patients with cancer present to EDs but may be better managed using alternative healthcare models.
The experience of survival following Blood and Marrow Transplant in NSW, Aust...Cancer Institute NSW
Over 50% of patients undergoing allogeneic BMT can now be expected to become long-term survivors. Unfortunately many experience significant late morbidity and mortality.
Best Practices for a Data-driven Approach to Test UtilizationViewics
Would you like to learn how data-driven interventions can improve laboratory test utilization in your organization? Would you like to hear about the impact that leading hospitals/health systems and managed care organizations have made through these interventions?
If so, you might be interested in this presentation by utilization management expert Dr. Michael Astion, Medical Director at the Department of Laboratories at Seattle Children’s Hospital and Clinical Professor of Laboratory Medicine at the University of Washington.
In this presentation, Dr. Astion discusses the current state of the misuse of laboratory testing in the United States and some of the interventions that are being implemented to improve it. He covers a number of common areas of unnecessary testing — from pure abuse to tests that could be useful but are ordered inappropriately.
You'll learn about:
• Two areas of laboratory testing where misordering of tests occur frequently
• Three interventions to improve the value of testing for patients
• The role of genetic counselors and other laboratory professionals in improving lab test ordering
• The national endeavor known as PLUGS, the Pediatric Laboratory Utilization Guidance Service
North Thames Children's Cancer Network Coordinating GroupUCLPartners
Presentation by Darren Hargrave, Co-Chair of the North Thames Children's Cancer Network Coordinating Group at the London Cancer Children, Teenager and Young Adults Study Day, held on 25 July 2013.
The impact of National Bowel Cancer Screening Program in AustraliaCancer Institute NSW
The full rollout of the National Bowel Cancer Screening Program (NBCSP), offering free biennial screening using immunochemical Fecal Occult Blood Test (iFOBT) for 50-74 years is targeted for 2020. In 2013-14, the overall participation rate among Australians who were invited to participate was 36%.
Optimising the Model of Care for Patient Management at The Tweed Cancer Care ...Cancer Institute NSW
The commonly understood model of shift to shift nursing handover does not apply to most ambulatory day treatment units. Nonetheless, ‘handover’ of patient clinical information remains quintessential to safe clinical practice. Of considerable interest is how EMR may aid the transfer of patient clinical information in these circumstances and address the question: does this facilitate improved patient care?
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
Knowledge management in context: Implications for clinical pathologists by Dr...Cirdan
Presentation by Dr Glenn Edwards at Pathology Horizons 2016 conference in Galway, entitled: "Knowledge management in context: Implications for clinical pathologists."
Overweight/obesity prevention, treatment, and maintenance from childhood to a...Health Evidence™
Health Evidence hosted a 90 minute webinar on a series of five recent reviews examining overweight and obesity prevention, treatment, and weight maintenance strategies among children, youth, and adult populations.
Dr. Leslea Peirson, Review Coordinator, McMaster Evidence Review and Synthesis Centre, presented key messages from the following five reviews:
Peirson, L., Fitzpatrick-Lewis, D., Morrison, K., Ciliska, D., Kenny, M., Ali, M. U., et al. (2015).Prevention of overweight and obesity in children and youth: A systematic review and meta-analysis.. CMAJ Open, 3(1), E23-E33.(2)
Key findings: Behavioural prevention interventions are associated with improvements in weight outcomes in mixed weight child/youth populations
Peirson L., Fitzpatrick-Lewis D., Morrison K., Warren R., Ali M.U., & Raina P. (2015). Treatment of overweight and obesity in children and youth: a systematic review and meta-analysis.. CMAJ Open, 3(1), E35-E46.(2)
Key findings: Behavioural treatment interventions for overweight and obese children and youth are associated with a significant reduction in BMI compared control groups
Peirson, L., Douketis, J., Ciliska, D., Fitzpatrick-Lewis, D., Ali, M. U., & Raina, P. (2014). Prevention of overweight and obesity in adult populations: A systematic review.. CMAJ Open, 2(4), E268-E272.(2)
Key findings: No clear conclusions were found to determine whether behavioural interventions lead to weight-gain prevention and improved health outcomes in normal-weight adults
Peirson, L., Douketis, J., Ciliska, D., Fitzpatrick-Lewis, D., Ali, M. U., & Raina, P. (2014). Treatment for overweight and obesity in adult populations: a systematic review and meta-analysis.. CMAJ Open, 2(4), E306-E317.(2)
Key findings: Behavioural and pharmacologic + behavioural treatments for overweight and obesity in adults lead to clinically important reductions in weight and incidence of type II diabetes in pre-diabetic populations
Peirson, L., Fitzpatrick-Lewis,D., Ciliska, D., Ali, M. U., Raina, P., & Sherifali, D. (2015). Strategies for weight maintenance in adult populations treated for overweight and obesity: a systematic review and meta-analysis.. CMAJ Open, 3(1), E47-E54.(2)
Key findings: Overweight and obese adults can benefit from interventions for weight maintenance following weight loss
Clinical trials are medical research studies conducted on human subjects. The human subjects are assigned to one or more interventions, and the investigators evaluate the effects of those interventions. The progress and results of clinical trials are analyzed statistically. The aim of statistical analysis in a randomized clinical trial is the comparison of the benefit of treatment compared to control or other groups. This enables medical researchers to analyze the entirety of primary and secondary-use patient data records for unparalleled epidemiological and clinical data. One of the main components of the analysis is the statistical analysis plan (SAP). This plan ensures that the analyses to evaluate all planned study hypotheses. So this explanation in presentation talk about : How to do clinical trials.
Introduction of the NZ Health IT Plan enables better gout management - Reflections of an early adopter. Presented by Peter Gow, Counties Manukau DHB, at HINZ 2014, 12 November 2014, 11.37am, Plenary Room
Decision aids for people facing health treatment or screening decisions: What...Health Evidence™
Dr. Dawn Stacey, University Research Chair in Knowledge Translation to Patients, and Director, Patient Decision Aids Research Group, Ottawa Hospital Research Institute, University of Ottawa, provides an overview of findings from her recent Cochrane review examining use of decision aids for identifying and making decisions about health treatment or screening options:
Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. (2014). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2014(1), CD001431.
Similar to Injury prevention system v2b3 draft (20)
Small Arms Lethality variables 1.6e DRAFTJA Larson
small arms lethality is a complex equation.
military operations are generally a team event.....more like football or soccer than tennis......
therefore teamwork and safety adds complexity
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
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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.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Injury prevention system v2b3 draft
1. Manning The Force:
Injury-Attrition Prevention
Options
V 2b3
Unofficial
OBJECTIVES:
• Increase eligible population
• Increase graduation rates
• Maintain high readiness rates
• Minimize injuries and attrition while maintaining standards
2. •ASVAB
• HS
• Test Sites
Training
• Vaccinations
• Red Cross
blood donation
• Specialty physicals
• Vision
• Hearing (MOS)
• Blood typing
• DNA
• Dental readiness
• Pregnancy
• Some Svcs:
• Chlamydia (10% +)
• SCT (risk for heat inj)
MEPS
• ASVAB
• Physical
• Qualify
• Oath
• Contract
• Travel
• HIV
• DAT
• Vision
• Hearing
• Conditions/diseases
• Functional (ortho-neuro)
• Ht-Wt (BF%)(Svc Specific)
• Pregnancy
AS-IS PROCESS
Unit
SDDC
USAREC
• Med Pre-screen
• Post DEP
Specialty Physicals
• PT Assess (1-1-1)
DASD-
Access Policy
Access Med Stds
Working Group
(AMSWG)
AMSARA
(Access Med Stds
Analysis & Research
Activity)
3. Injury-Related Variable Issue
Counter Measures/Options
Considerations/Costs
Entry osteopenia
• Most stress fractures had osteopenia (80%M-
60%F)(Rivero, Navy)
• 20% of women had osteopenia (Lappe, Army)
• DEXA not predictive. pQCT best.
• Time is a factor. Bone remodeling takes 4 weeks.
• Where to screen? MEPS, USAREC, RECBN, FTU, PTRP?
• Where to treat? DEP, RECBN, FTU, 2 BCT, PTRP?
Entry nutrient deficiencies
• Iron (IOM, USARIEM, AF)(AF: 25%F-9%M)
• Multiple deficiencies (USARIEM)
• Plant-based diet (Moran)
• Ideal is a comp blood chemistry. Retail: $135 per.
• Where to screen? MEPS, USAREC, RECBN, FTU, PTRP?
• Where to treat? MEPS, USAREC, RECBN, FTU, PTRP?
Under-fitness
• Underfit entry associated with injuries (Sharp,
Knapik, East)
• OPAT screens out underfit. Reduces attrition 2%.
Post-entry training design
• Well-designed workload progression reduces
injuries (USAPFS, Jones, Knapik)
• ACFT improves
• Mid-BCT leg ‘rest’ week option
• Reduce training mileage option
• FTU option
• 2 BCT option (regular-long)
Post-entry malnutrition
• Malnutrition increases in training base
(USARIEM Westphal, McAdam, USARIEM
McClung)
• Performance bar provides some D and calcium
• Possible tailored bars (gender, deficiency, nutrients)
• ARIEM Reduction in Musculoskeletal Injury (ARMI) results in 4-5 years
• Improve diet study option or more bars across day
• Rapid nutrient normalization treatment(s) study
Pre-entry smoking
• Smokers have higher injury rates (Knapik,
Cowan)
• Smoking effects research/treatments/counter-measures
BMI
• BMI AMSARA
• Low BMI is a risk factor (Jones)
• Higher BMI entry stds study to expand recruiting population
• Possible multi-factor screen (BMI, step test, Cat x, etc.)
PTRP
• Rehabilitation program is effective but
significant losses (attrition, med
retirement)(Devlin, Scott, Hauret, Knapik)
• Earlier screening/treatment would likely help
• Better multiple-variable treatment would likely help
• PT/OT CDR, PT Tech/CAT as staff.
• In-house med/PT/gym resources.
• Physiatrist on staff (Physical Medicine & Rehabilitation Specialist)
• Education & relevant local AIT support (resilience, ASVAB, etc.)(see
2005 issues)
Fitness Training Unit
(FTU)(cancelled)
• Reduces attrition 1% (Knapik)
• Needs effective design & content (East)
• Test an improved FTU or integrated FTU-BCT (2 BCT)
Prevention/treatment
• Calcium-D supplement reduced stress fractures
20% (Lappe)
• Spotting rocking gait early reduced FNF (Short)
• Marching controls reduce injuries (Rice, Pope)
• Re-injury rate 350%
• Improve DS training
• Certified Athletic Trainers Plus Forward (more sports medicine &
nutrition training). New MOS?
• Improve Troop Medical Clinics (TMC)(fix forward)
• Enrich/broaden med specialty training (AMEDDC&S)(PT, OT, medic,
psych, etc.)
4. 4
RECBN
• Vaccinations
• Specialty physicals
• Vision
• Hearing (MOS)
• Blood typing
• DNA
• Dental readiness
• Pregnancy
OPTIONS
PT screen
pQCT bone screen
Comp blood chemistry
Iron screen
Initial treatment start
Route to FTU/BCT13 training
option
Validate improved PTRP
MEPS
• ASVAB
• Physical
• Qualify
• Oath
• Contract
• Travel
• HIV
• DAT
• Vision
• Hearing
• Conditions/diseases
• Functional (ortho-neuro)
• Ht-Wt (BMI)(Svc Specific)
• Pregnancy
OPTIONS
Post-DEP contract screens
pQCT bone scan
Comp blood chemistry
Iron screen
PROCESS OPTIONS (DRAFT)
USAREC
• Med Pre-screen
• Post DEP Specialty Physicals
• PT Assess (1-1-1)
DEP only options:
DEP Guide: Diet guidance
DEP Guide: PT guidance
Issue multi-vitamin
Issue Performance Bars
Gender and deficiency specific bars?
Screen to FTU/BCT 13 option
Mail-in blood drop
Local med contract (LabCorp)
Organic medics
hand pQCT (TBD)
Telemedicine support
School PT contract(s)/training
Gym PT contract(s)/training
o Expand the market
Enhanced incentive: improved full-cost
college bonus by critical MOS
Higher BMI test
BCT 10 or OSUT
Week 4 or 5 no running
Alternating weekly event PT design (see Body For
Life schedule)
Validated multi-variable injury Stds of Care/CPG
Minimize marching mileage with local classrooms
Validated menu on serum levels (expand hours?)
4 or 6 Perf bar option (a 6 ‘meal’ day)
Gender specific bar option
Deficiency bar option
Research accelerated deficiency treatments to
raise target serum levels
FTU/BCT 13
Registered course
pQCT screen
Comp blood chemistry
In-house Med treatment
Validated POI
Validated prehab PT
PTRP
Rehab FM
pQCT bone scan
Comp blood chemistry
Improved Stds of Care/CPG
PT/OT CDR with nutrient, Active Release,
Graston Tech trng, etc.
PT, PT/OT tech, CAT staff with extra
trng
Local AIT option
Ed Ctr support (resilience, life skills,
applied diet, ASVAB, etc.)
Options:
o Generally “prevention & fix forward” is optimum.
o Should be tailored/modified based on size, manpower, & cost effects.
o Should be tested/validated prior to full implementation
o Some ‘structural’ changes may be needed (organization
missions/AOR, med Specialty/MOS descriptions/training, FM, etc.).
5. MEPS Screen:
OPAT score
Or
BMI
Or
Combo
N= 80,000 AC
• Screen-in
higher BMI
• Assume
20%
identified at-
risk: 16,000
MEPS Iron screen #1
HemoCue 301 Machines
$100,000 (one time buy)
Supplies= $1/person
$16,000/year
CAUTION:
Improve data
Test concept first
Normal
88%
6,400
Mild-Mod
12%
9,600
*Severe
0.06%
48
GO
USAREC DEP
LABCORP
Comp Blood Chem
$100
$960,000/year
DQ
USAREC DEP
Treat
Telemedicine
contract
$500 ea
$4,800,000/year
#1 NOTIONAL AC PRE-IET SYSTEM
OBJECTIVE:
4% IET Attrit
50% injury reduction
Save > $250,000,000
Numbers are WAG
MEPS Ship day
Iron screen #2
Supplies= $1/person
$16,000/year
BCT
OSUT
6. MEPS Screen #1:
OPAT score
Or
BMI
Or
Combo
N= 80,000 AC
• Screen-in
higher BMI
• Assume 20%
identified at-
risk: 16,000
MEPS Iron screen #2
HemoCue 301 Machines
$100,000 (one time buy)
Supplies= $1/person
$16,000/year
Normal
88%
6,400
Mild-Mod
12%
9,600
*Severe
0.06%
48
DQ
Route to 3
week FTU+
#2 NOTIONAL AC PRE-IET SYSTEM
OBJECTIVE:
6% IET Attrit
50% injury reduction
Save > $120,000,000 (minus FTU costs)
Numbers are WAG
BCT
OSUT
CAUTION:
Improve data
Test concept first
7.
8. 8
System View Platoon View
• The NCO is an important
decision-maker.
• ‘System View’ and
‘Platoon View’ are quite
different.
10. 10
• 90% spend 90% time indoors
• 14% obese; 25% OW
• 75% not have regular fitness in HS
• 90% bused to school
• 75% less contact with adults
• Fast food diets
• Entry fitness down
• 25% from single parent families
• 63% from dual-income families
• 49% from mild-to-severe dysfunctional
families (ACE)(Adverse Childhood
Experiences)
• Linear relationship with ACE risk factors
and later health/adjustment problems
• Entry Fitness
• Entry Health
• Coping Skills
• Diet
• Bone strength
• Overfat
• ACE families
• T2 diabetes
• Asthma
1980 Today
Changing Teen Population
11. 11
Underlying Physiological Conditions
USARIEM BCT Study
• 1993 study of 174 women in an all-female 8-week BCT company at Fort Jackson, SC
(158 graduated).
• Serum ferritin (body iron stores) were low pre-BCT (56% females at less than
20 ng/ml iron) and decreased further by graduation (84%)(pg.109).
• Anemia was correlated with poor PT performance (pg. 111)
• Serum folate levels were low normal pre-BCT and “decreased significantly over
BCT.” (pg. 2)
• Maternal low folate intake and blood levels have been "associated with (fetal) neural
tube defects“ (pg. 39) (note: neural tube defects can be fatal for the fetus).
• Menu was adequate in energy, but inadequate in B6, folic acid, calcium, magnesium,
iron, and zinc.
• Source: “Health, Performance, and Nutritional Status of U.S. Army Women during
Basic Combat Training,” (1995)(ADA302042)
• NOTE: Study BCT menu governed by the 1985 AR 40-25
Poor iron levels affect thinking, mood, learning, bone strength, healing, and PT.