- HEARTT (Health Education And Relief Through Teaching) is an organization founded by a Liberian-American physician to support improvement of Liberia's medical system through education, training, and sustainable practices with an emphasis on pediatrics and emergency medicine.
- The document describes the context in Liberia including its history of civil war and current rebuilding efforts as well as limited pediatric resources. It then details a case seen at JFK Hospital in Monrovia and available diagnostic tests and management options.
- Current HEARTT projects are described including neonatal resuscitation training, pediatric HIV care, and working to establish Liberia's first pediatrics residency program. Opportunities for involvement with HE
Bolivia its Prisons and Mental Health Services in the Time of Covid-19Guillermo Rivera
1. Ecosystems model
2. Pre-Covid: Mental health and prisons
3. Pre-Covid: Political situation
4. Covid: Prisons, politics and mental health
5. Conclusions
Counseling African-Americans Graduate Research PowerpointShanika Robinson
Fall 2018 Research Project from my Multicultural Class. The presentation talks on historical and current events which has caused mistrust among the Black Community in regards to the medical, mental health and overall health fields. At the end of the presentations are important key tips counselors should take in to consideration when working with Black clients. My partner for the project is Shaletha Robinson. Inside the presentation are reference links to the Henrietta Lacks case.
Speaking at the 2015 CCIH Annual Conference, Zuorkuan Patience Flomo, MSW of the Afro-Medical Community Health and Welfare Services addressed the impact of the Ebola outbreak in 2014 on women's health.
Tuwe Kudakwashe reports on his research, which identified eight key health promotion challenges faced by New Zealand (NZ) African communities.
This presentation was given at the Under the Baobab African Diaspora Networking Zone at the International AIDS Conference, AIDS 2014.
NURS-6501N-21-Advanced Pathophysiology
Question 1
Scenario 1: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question:
Explain what ALL is?
ANSWER
Question 2
Scenario 1: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question:
Why does ARF occur in some patients with ALL?
ANSWER
Question 3
Scenario 2: Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (SCD) present to the ER in sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made.
Question:
Explain the pathophysiology of acute SCD crisis. Why is pain the predominate feature of acute crises??
ANSWER
Question 4
Scenario 2: Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (.
8/22/2019: Vecinos Farmworker Health Programprofcyclist
Vecinos is a medical home for farmworkers in Western North Carolina. We improve the wellness of farmworkers and their families with health care, education, community partnerships, and advocacy.
Bolivia its Prisons and Mental Health Services in the Time of Covid-19Guillermo Rivera
1. Ecosystems model
2. Pre-Covid: Mental health and prisons
3. Pre-Covid: Political situation
4. Covid: Prisons, politics and mental health
5. Conclusions
Counseling African-Americans Graduate Research PowerpointShanika Robinson
Fall 2018 Research Project from my Multicultural Class. The presentation talks on historical and current events which has caused mistrust among the Black Community in regards to the medical, mental health and overall health fields. At the end of the presentations are important key tips counselors should take in to consideration when working with Black clients. My partner for the project is Shaletha Robinson. Inside the presentation are reference links to the Henrietta Lacks case.
Speaking at the 2015 CCIH Annual Conference, Zuorkuan Patience Flomo, MSW of the Afro-Medical Community Health and Welfare Services addressed the impact of the Ebola outbreak in 2014 on women's health.
Tuwe Kudakwashe reports on his research, which identified eight key health promotion challenges faced by New Zealand (NZ) African communities.
This presentation was given at the Under the Baobab African Diaspora Networking Zone at the International AIDS Conference, AIDS 2014.
NURS-6501N-21-Advanced Pathophysiology
Question 1
Scenario 1: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question:
Explain what ALL is?
ANSWER
Question 2
Scenario 1: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question:
Why does ARF occur in some patients with ALL?
ANSWER
Question 3
Scenario 2: Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (SCD) present to the ER in sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made.
Question:
Explain the pathophysiology of acute SCD crisis. Why is pain the predominate feature of acute crises??
ANSWER
Question 4
Scenario 2: Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (.
8/22/2019: Vecinos Farmworker Health Programprofcyclist
Vecinos is a medical home for farmworkers in Western North Carolina. We improve the wellness of farmworkers and their families with health care, education, community partnerships, and advocacy.
Speaking at the 2015 CCIH Annual Conference, Patricia Kamara, Executive Director of the Christian Health Association of Liberia shares the organization's response to the 2014 Ebola outbreak, explaining how CHAL reached communities with health messages and engaged faith communities and volunteers.
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
As faculty members of the Johns Hopkins Bloomberg School of Public Health, we urge you not
to issue a proposed Executive Order halting refugee admissions for 120 days, severely restricting
admission of people fleeing political persecution in the future, cutting the number of refugees
admitted by one-half, and indefinitely stopping the admission of Syrian refugees. We also urge
you also not to deny visas to individuals from six Middle Eastern countries.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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.
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
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Liberia noon conference 8.3.10
1. LIBERIA::HEARTT Health Education And Relief Through Teaching Emily A Hartford, MD Pediatric Resident R3 Global Pathway Emily A Hartford, MD R3 Pediatrics, Global Pathway
2. Outline Background: Liberia Admission data: June Typical pediatric case HEARTT Current projects Opportunities for involvement
3. Context::Liberia 1847-1980: Americo-Liberians (Congo people) and Country people 1980-1990: Military dictator 1990-2003: Civil War 2003-2005: Interim government 2005: Democratically elected President Ellen Johnson-Sirleaf, Africa’s “Iron Lady” )
4. Context Population: 3,685,076 (July 2010 est.) Religions: Christian 40%, Muslim 20%, indigenous beliefs 40% Development Indicators: -85% unemployed -80% poverty -76.4/1000 infant mortality -56.5 yr life expectancy Extreme “brain drain” and instability 1980-2003 Now: Intense rebuilding
6. Pediatric Resourcesover time… Pre-war: premier hospitals for W. Africa, Accredited medical school 1990-2003: MSF opens hospitals in many of Liberia’s 15 counties 2003-2005: MSF begins handing over hospitals to MOH June 2010: final MSF hospital closes 60 practicing doctors in Liberia (population = 3.6 million) ONE Pediatrician MOH hospitals trying to keep up with demand
7. Pediatric Access to Care2010 40-50 Pediatric+NICU+ED beds Dr. Emmanuel Okoh 2-3 Interns rotating 2-3 Physician Assistants 10 medical students Visiting HEARTT physicians 3 other hospitals (90-130 beds)
8. Setting: JFK Hospital Monrovia, Liberia Built in 1968 600 beds Opened in 1971 US funds until 1978 Now main referral center and only academic institution Full service hospital: Inpatient wards, ED, Maternal-infant care, Surgical services, Outpatient Center
9.
10. February 11, 1990 TROUBLES PLAGUE LIBERIAN HOSPITAL By KENNETH B. NOBLE, Special to The New York Times MONROVIA, Liberia— The John F. Kennedy Memorial Hospital, once the finest in West Africa, recently announced on the radio that its morgue could no longer accept ''dead-on-arrival bodies'' until relatives claimed the ones that were already decomposing. The hospital said the morgue's refrigerator was broken. Hardly anyone here was surprised. Twenty years ago the 600-bed hospital, built and equipped with American money, was a technological marvel. Today, even by the relatively modest standards of medical care in sub-Saharan Africa, the Kennedy hospital is regarded by most Liberians as a destination of last resort. ''Things have become so bad there we wonder if we can still call it a hospital,'' said the Rev. Walter Richards, a Baptist minister and former Government Cabinet member. He said one of his church members who had been hospitalized told him she would rather die than continue suffering there.
18. History: PMH: vaccines UTD, no issues at birth, exclusive breastfeeding until 6 mo, healthy weight for height FH: only sibling died with similar symptoms 2 yrs ago SH: Single mom age 22, grandparents/uncle died in the war, dad’s whereabouts unknown, no bed nets
19. Vitals: 8 kg T 40 HR 155 RR 52 Sat 94% RA Gen: minimally responsive, agitated with a weak cry, withdraws from painful stimulus, low tone, no sz activity HEENT: conjunctiva pale Lungs: crackles bilateral bases, tachypnea/severe retractions Abd: spleen palpable 2 cm Ext: cap refill 2 sec, warm ext Physical Exam
20. Differential and Studies: SCH What studies? CBC, Bldcx, CRP, lytes, glu, BUN, Creat, LFTs, gas CXR UA, urine cx Head CT LP Malaria Pneumonia Gastroenteritis Meningitis Sepsis
21. Resources at JFK:labs and studies Malaria smear (takes 1-2 hours) Hb (2 hrs to 1 day) CBC (1-2 days) Lytes, BUN, creatinine (machine broken) Glucose (out of strips for glucometer) Cultures (not available) Urine (no bags, only 8 french catheter available) CXR (1 day) LP (no supplies, no ability to culture)
22. Resources at JFK: management Antibiotics available: Ampicillin, Gentamicin, Chloramphenicol, Amoxicillin, Cloxacillin, Penicillin, ?Ceftriaxone, Ciprofloxacin, Erythromycin, Cotrimoxazole Malaria protocol: Quinine, Artemether available IV access: expert RNs Fluids: NS or D10
28. Visiting Physician Role Clinical support on a rotating basis: ED, NICU, wards, chronic care clinic Teaching: interns, medical students, RNs, PA students Protocols CPI Tropical disease
29. Current HEARTT projects Neonatal Resuscitation Pediatric HIV clinic Chronic Illness Project Chemotherapy Regimens Medical school curriculum Pediatrics GME – Liberia’s first residency!
32. Liberian Wisdom “Monkey works, baboon draws” the person who does the work should get the credit “Your child cannot poo-poo on your lap and you cut your legs off, you just have to clean them” don’t walk away from your responsibilities “You can’t be sitting on someone’s head and say their hair stink” be thankful for what you have
40. What next? Email me and Dr. Ellie Graham for more info eahart@uw.edu, ellieg@uw.edu HEARTT website www.heartt.net Read more about Liberia! House at Sugar Beach by Helene Cooper This Child Will be Great by Ellen Sirleaf-Johnson
41.
42.
43. Many thanks! Ellie Graham Georgietta Oliveira Emmanuel Okoh Suzinne Pak-Gornstein ManeeshBatra The Chiefs Wilfred Jordan Patrician McQuilkin Ryan Hartford and my family Gracious and inspirational people of Liberia
