Self-Directed Support - international best practiceCitizen Network
Dr Simon Duffy gave this talk on behalf of Inclusion Ireland and DSA Ireland on the international lessons on self-directed support. The seminar offered a wide range of personal and academic support for progressing self-directed support in Ireland and advocacy groups continue to press Government to open up these options for people and families.
We have not faced the fact that we will live much longer:
- Later life can be a time of happiness
- Requires shifts in attitudes and behaviours
- What we do earlier in life effects our later life
- Has a profound impact on public services.
Many will enjoy these gains but others risk a poor later life.
Self-Directed Support - international best practiceCitizen Network
Dr Simon Duffy gave this talk on behalf of Inclusion Ireland and DSA Ireland on the international lessons on self-directed support. The seminar offered a wide range of personal and academic support for progressing self-directed support in Ireland and advocacy groups continue to press Government to open up these options for people and families.
We have not faced the fact that we will live much longer:
- Later life can be a time of happiness
- Requires shifts in attitudes and behaviours
- What we do earlier in life effects our later life
- Has a profound impact on public services.
Many will enjoy these gains but others risk a poor later life.
iHT² Health IT Summit Beverly Hills – Anatomy of a Health System – St. Joseph Health and The Innovation Institute
Panel "Anatomy of a Health System- St. Joseph Health and The Innovation Institute"
St. Joseph Health (SJH) is an integrated healthcare delivery system that provides a full range of care from facilities including 14 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician organizations.
In their award-winning facilities, as well as non-traditional settings like school rooms and shopping malls, SJH maintains a "continuum of care," matched to the diverse needs of the urban centers, smaller cities and rural communities in three states who depend on us every day.
Founded by St. Joseph Health System, The Innovation Institute is a provider of business services, innovation solutions and investment management services to health systems.
Nationally and globally, healthcare providers are now at a crossroads. A true need exists to apply innovative thinking, in order to significantly reduce costs while maintaining high quality care. We must continue service existing communities, but increase the number of people we serve, and serve them all more effectively. This is the premise of an influential movement known as ‘Gandhian Innovation’ and our pursuit to ‘do more, with less, for more people’.
Moderator: Scott Mace, Senior Technology Editor, HealthLeaders Media
Larry Stofko, EVP, Innovation Lab, The Innovation Institute
William Russell, CIO, St. Joseph Health
Darrin Montalvo, President, Integrated Services, St. Joseph Health
La voz de los pacientes en los proyectos de integracion de servicios del nhs ...Societat Gestió Sanitària
Ponencia a cargo del director de politicas y colaboraciones del National Voices en el National Health Service inglés, en el marco de la VI Jornada Right Care sobre Modelos avanzados en integración de servicios sociales y sanitarios, organizada por la Societat Catalana de Gestió Sanitària el 24 de mayo de 2019.
Unit-IV introduction to CHN m.sc I year.pptxanjalatchi
Community health nursing is a synthesis of nursing practice applied in promoting and preserving the health of the population. Community health implies integration of curative, preventive and promotional health services. The aim of community diagnosis is the identification of community health problems
These slides were used as part of a talk for Sheffield Health Watch on the idea emerging from NHS England that the future direction of NHS reform will be the creation of Accountable Care Organisations (ACOs)
Transforming the relationship with patients and communities (are we getting t...Jeremy Taylor
Slides to accompany a presentation at Member Engagement Services Challenge 2020 event on 6 July 2016. Is engagement getting better? An overview of policy, practice and lived experience, and what needs to happen next
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
The Wessex Health Partners (WHP) strategic alliance has brought together partners from across Dorset, Hampshire and the Isle of Wight to explore how research and innovation (R&I) can improve population health.
The event, which was a first of its kind for Wessex, saw health and care and R&I leaders gather to discuss the key challenges and priorities for the region, and explore opportunities to address them through increased collaboration and partnership working.
More than 100 people attended the event, which took place at Southampton Science Park on Friday 15 March.
Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
iHT² Health IT Summit Beverly Hills – Anatomy of a Health System – St. Joseph Health and The Innovation Institute
Panel "Anatomy of a Health System- St. Joseph Health and The Innovation Institute"
St. Joseph Health (SJH) is an integrated healthcare delivery system that provides a full range of care from facilities including 14 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician organizations.
In their award-winning facilities, as well as non-traditional settings like school rooms and shopping malls, SJH maintains a "continuum of care," matched to the diverse needs of the urban centers, smaller cities and rural communities in three states who depend on us every day.
Founded by St. Joseph Health System, The Innovation Institute is a provider of business services, innovation solutions and investment management services to health systems.
Nationally and globally, healthcare providers are now at a crossroads. A true need exists to apply innovative thinking, in order to significantly reduce costs while maintaining high quality care. We must continue service existing communities, but increase the number of people we serve, and serve them all more effectively. This is the premise of an influential movement known as ‘Gandhian Innovation’ and our pursuit to ‘do more, with less, for more people’.
Moderator: Scott Mace, Senior Technology Editor, HealthLeaders Media
Larry Stofko, EVP, Innovation Lab, The Innovation Institute
William Russell, CIO, St. Joseph Health
Darrin Montalvo, President, Integrated Services, St. Joseph Health
La voz de los pacientes en los proyectos de integracion de servicios del nhs ...Societat Gestió Sanitària
Ponencia a cargo del director de politicas y colaboraciones del National Voices en el National Health Service inglés, en el marco de la VI Jornada Right Care sobre Modelos avanzados en integración de servicios sociales y sanitarios, organizada por la Societat Catalana de Gestió Sanitària el 24 de mayo de 2019.
Unit-IV introduction to CHN m.sc I year.pptxanjalatchi
Community health nursing is a synthesis of nursing practice applied in promoting and preserving the health of the population. Community health implies integration of curative, preventive and promotional health services. The aim of community diagnosis is the identification of community health problems
These slides were used as part of a talk for Sheffield Health Watch on the idea emerging from NHS England that the future direction of NHS reform will be the creation of Accountable Care Organisations (ACOs)
Transforming the relationship with patients and communities (are we getting t...Jeremy Taylor
Slides to accompany a presentation at Member Engagement Services Challenge 2020 event on 6 July 2016. Is engagement getting better? An overview of policy, practice and lived experience, and what needs to happen next
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
The Wessex Health Partners (WHP) strategic alliance has brought together partners from across Dorset, Hampshire and the Isle of Wight to explore how research and innovation (R&I) can improve population health.
The event, which was a first of its kind for Wessex, saw health and care and R&I leaders gather to discuss the key challenges and priorities for the region, and explore opportunities to address them through increased collaboration and partnership working.
More than 100 people attended the event, which took place at Southampton Science Park on Friday 15 March.
Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
John Williams, Professor of Law, Aberystwyth University Age UK
John Williams' presentation from the "Working towards a human rights convention" conference held by Age UK and Age International on the 31st July 2013.
Yvonne Doyle - High Impact Health Interventions Age UK
Yvonne Doyle, Director of Public Health, Public Health England - presentation from Age UK's For Later Life conference, 25th April 2013.
For more information, view: www.ageuk.org.uk/forlaterlife
David Regan - High impact health interventionsAge UK
David Regan, Director of Public Health, Manchester City Council - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Tom Kirkwood - High impact health interventionsAge UK
Professor Tom Kirkwood, Associate Dean for Ageing, University of Newcastle - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Nick Goodwin - Bringing integrated care to lifeAge UK
Dr Nick Goodwin, Senior Fellow, The King's Fund - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Pam Creaven - Bringing integrated care to lifeAge UK
Pam Creaven, Services Director, Age UK - presentation from Age UK For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
David Behan, Chief Executive, Care Quality Commission - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
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!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
3. Southern Health has a longstanding
vision to transform care for older
people in Hampshire
Hampshire
Population of 1.3 million
people, of which 230,000 are
over 65 and 35,000 over 85.
Healthy and wealthy but some
pockets of deprivation
Estimated 100,000 older
people admitted to hospital as
emergency every year
150,000 people with both long
term conditions and mental
health needs
Southern Health
Providing community, mental
health and social care services to
this population
Real opportunity for us to
redesign how care is delivered
to meet the physical health,
mental health and social care
needs of older people
4. Southern Health has a longstanding
vision to transform care for older
people in Hampshire
5. We began by creating a focus on
supporting frail elderly people in
the community
District Nursing
Team
Twilight Team
Rapid
ResponseTeam
Community
rehabteam
Patient
Support Team
Therapy Team
Single CommunityCare
Team (CCT) based around
general practice, serving a
populationof approx
30,000 people
3 sub-teams serving
populations of 10,000
6. Joining up physical and mental
healthcare, and social care for older
people – tailored to local needs
Community Care
Teams
Older People’s
Mental Health
Teams
Social Care
Services (ours and
LA services)
Single Integrated
Teams based around
groups of General
Practices
7. Now working with local GPs to create
single integrated primary and
community care teams structured
around groups of GP practices
Southern Health
Integrated Teams
General Practice
Teams
Acute Care Teams
Single teams of
primary and
community care staff
operating as one – and
based around groups
of General Practices
8. Engaging third sector and wider
community groups in designing care
that meets the holistic needs of
individuals
Southern Health
Integrated Teams
General Practice
Teams
Acute Care Teams
Empowered
communities fully
engaged in supporting
people in later life
Third sector and
community groups
9. We have placed significant emphasis on
developing our people
10. Observations and reflections
We believe there is an opportunity to fundamentally change
the way health and social care services are delivered for our
population…
…and that this will lead to better experience of care, better
outcomes – including greater independence – and that overall
this will deliver better value for taxpayers
Delivering our vision, rather than ensuring a successful future
for our organisation has been our driving principle
Investing in and developing our people and our culture is the
most important enabler to realise this vision