Lesley Harley & Barry Roberts Presentation
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mhccThis document outlines a workshop on healing for Indigenous Australians. It discusses the impacts of colonization and trans-generational trauma, and how the Gumargai Indigenous Support Program uses culturally safe and holistic approaches, including spiritual healing, to help the community. The program was set up to address specific community needs, works with other agencies, and clients have reported tangible benefits from sharing their stories. The conclusion emphasizes that the Gumargai approach is effective for their community.
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This evaluation summarizes the results of a community-based, peer-support trauma recovery program that showed significant improvements in mental health. A total of 98 participants completed validated psychological assessments before and 6 months after the program. Key results included significant reductions in psychological distress, mental health disorders, addiction issues, and dysfunctional parenting behaviors. Participants also reported improvements in health, relationships, and satisfaction with the program. While the study design did not include a control group, the results provide compelling evidence that the peer-support trauma recovery model helped participants in recovering from the effects of childhood trauma.
Leticia Funston presentation
The document summarizes an evaluation of an early intervention outreach mental health clinic for young people experiencing homelessness. It finds that the clinic facilitated improved access to mental health services by providing assessments and brief interventions on-site at a youth homelessness service. The clinic adopted a youth-friendly approach and built connections with clients by meeting them in their living environment and addressing their fears about traditional mental health services. However, engaging with clients was challenging due to the high mobility and turnover of young people experiencing homelessness. The consistent presence of the clinic and its flexibility helped to create safety and trust with clients.
Irena Quinn presenation
This document discusses primary and secondary trauma. Primary trauma refers to direct exposure to an overwhelming event that threatens one's life or safety. Secondary trauma refers to indirect exposure through close contact with trauma victims, such as for healthcare workers and family members. Secondary trauma can lead to stress reactions, fatigue, depression, social withdrawal, and impaired relationships and decision-making due to repeated exposure to others' traumatic experiences. Treatment for both primary and secondary trauma aims to restore safety and control, reduce fear and anxiety, and help integrate the traumatic memories.
Tina Smith presentation
The document discusses the need for trauma-informed care and practice in mental health services. It argues that workforce development and training on trauma is crucial, as the majority of clients have experienced trauma. It outlines criteria for building trauma-informed systems, including trauma-informed recruitment, training, and standards for staff. It also discusses the lack of trauma-specific content in most Australian health qualification and suggests developing trauma competencies for the workforce. These competencies would include knowledge of trauma impacts, responding to client trauma, and facilitating organizational change to be more trauma-informed.
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The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
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1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
ABDOMINAL TRAUMA in pediatrics part one.
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
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
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Lesley Harley & Barry Roberts Presentation
- 1. Healing our Spirit Gumargai Indigenous Support Program Lismore
- 2. Section 1 Acknowledgment and Introductions
- 3. Acknowledgements and Introductions Acknowledgment of Country Barry Roberts Lesley Harley
- 4. Workshop Format Acknowledgement of Country and Introductions Healing our Spirit About Gumargai Indigenous Support Program Outcomes of the Program Conclusion
- 5. Section 2 Healing our Spirit
- 6. Healing Our Spirit Colonisation and Trans-generational Trauma Culturally Safe Programs and Holistic Approaches Spiritual Healing
- 7. Section 3 About Gumargai Indigenous Support Program
- 8. Gumargai Indigenous Support Program Why it was set up - Aims What makes us different – why does it work? Interagency Collaboration Sustainability
- 9. Section 4 Outcomes of the Program
- 10. Program Outcomes Tangible Outcomes Story Telling – Clients
- 12. Conclusion Why Gumargai works for our community
- 13. Thank you!