VIA is an attractive alternative to cytology-based cervix uteri screening in low-resource settings. Cryotherapy is the treatment option for test-positive individuals. Hereby a “Screen and Treat” approach can be integrated into existing reproductive health services in low-resource countries.
When a couple decides their family has reached the right size and are ready to stop having children, there are two common permanent procedures they can undergo: vasectomy for the man or tubal ligation for the woman. While they achieve the same purpose (infertility), they drastically different procedures. Learn about both of these permanent birth control methods and find out which is right for your family.
VIA is an attractive alternative to cytology-based cervix uteri screening in low-resource settings. Cryotherapy is the treatment option for test-positive individuals. Hereby a “Screen and Treat” approach can be integrated into existing reproductive health services in low-resource countries.
When a couple decides their family has reached the right size and are ready to stop having children, there are two common permanent procedures they can undergo: vasectomy for the man or tubal ligation for the woman. While they achieve the same purpose (infertility), they drastically different procedures. Learn about both of these permanent birth control methods and find out which is right for your family.
Adhesions are an important yet often neglected cause of impaired fertility
The use of adhesion prevention agents should be considered in laparoscopic surgeries as well as Open Surgeries, where adhesion formation is expected
Selection of an embryo from a large number of embryos and then placing it to the uterus is known as selective embryo transfer. This fertility preservation process is usually done after the process of IVF cycle and cancels the risks of spontaneous transfer of multiple embryos. Have a look at the detailed description of elective single embryo transfer in the following ppt.
Robson classification Dr. Iqra Malik.pptJawad Awan
Cesarean section (CS) was introduced to obstetrical practice as a lifesaving procedure both for mother and her child. It gives an opportunity to evaluate the prevalence of CSs among various groups of women, to compare data between institutions, learn from each other and to create strategies for better results.
Based on the available knowledge, the Robson classification (the Ten-group classification system) meets the current needs the best.
Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates.
Adhesions are an important yet often neglected cause of impaired fertility
The use of adhesion prevention agents should be considered in laparoscopic surgeries as well as Open Surgeries, where adhesion formation is expected
Selection of an embryo from a large number of embryos and then placing it to the uterus is known as selective embryo transfer. This fertility preservation process is usually done after the process of IVF cycle and cancels the risks of spontaneous transfer of multiple embryos. Have a look at the detailed description of elective single embryo transfer in the following ppt.
Robson classification Dr. Iqra Malik.pptJawad Awan
Cesarean section (CS) was introduced to obstetrical practice as a lifesaving procedure both for mother and her child. It gives an opportunity to evaluate the prevalence of CSs among various groups of women, to compare data between institutions, learn from each other and to create strategies for better results.
Based on the available knowledge, the Robson classification (the Ten-group classification system) meets the current needs the best.
Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates.
Research Question and Aims of the research Project
In today's world, women are often under great stress to be good mothers, to have a successful career outside the home, to be perfect wives, and to take care of household chores, which is a daunting task. Women who try to balance all of these roles spend less time with them because they do not give themselves time to reduce stress, therefore women are more depressed.
Women faces a lot of stress in various roles, and there are various factors that causes or leads to stress in her life.
Delhi, the capital of India, is a very strong, confident, and hopeful place in the world. On the human side, life is happy and free from stress. 87% of Indian women say they are under a lot of stress and 82% say they do not have time to rest. Unfortunately, Indian society does not live up to the expectations of society at home. Loss of social support and basic infrastructure (creches, reliable housing assistance, etc.) can be very stressful, especially for working women. Most of the females try to fit in with the role they play, add a lot of extra work, but only a very small amount, and this overcrowded job puts a lot of stress on them. “They have added a lot of extra work, but subtracted very little. It is this work overload that is creating stress for them”
In organizations, there is this talk of equality and there is no gender discrimination; Things are not quite the same at home. Consistency at work is important, not to do so at home. Communicating with people, going on business and late nights is important to furthering your career, but getting home on time is also important to meet expectations at home. This is the first time that many first-generation women have joined the workforce, “neither they are trained in the community nor prepared” to deal with the situation, which is one of the reasons for their stress.
On top of all of this, today's women have higher hopes than ever before. Performance and personal performance at all levels have increased the number of items they have measured themselves. A Nielsen study found that women in India are more likely to use the extra money they have for themselves over the next five years. About 96 percent said they expect to buy clothing, 77 percent say they use health and cosmetics and 44 percent use home electronics. At the age of 25, educated and well-employed Indian women have the desires and aspirations, which their ancestors perhaps rarely had. Finally, working with many Indian women is not a hobby or a luxury. Consumer housing needs a contribution to household income to maintain living standards. They must deal with all the compromises demanded by the community and in the midst of the stressors they face at work and at home.
With my background of Paramedical sciences, I assist and helped many people living with stress. The impact of stress on life is devastating, especially for women.). From their point of view women need to understand how to manage daily stress
An ageing workforce & impact of menopause 1Kathryn Colas
Menopause is having a profound effect on sickness absenteeism in the workplace. It doesn't have to be like that. Harness the energy, share information and the result will be a healthier more productive workforce.
Be part of the growing band of caring employers by implementing the Menopause Survival Kit into your workplace. It's quite painless and the benefits know no bounds!
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
3. Today’s Agenda
3
• Who is SimplyHormones?
• What is Menopause?
• The Workplace
• Menopause Traffic Lights
• Action Plan
• Q&A’s
4. Kathryn’s True Story - it’s not unusual –
How menopause nearly destroyed my life
and how I survived !
• Ignorant of strange symptoms
• Didn’t know who to speak to
• Husband suffering!
• Resigned from executive job
• Diagnosed with Depression
• Divorce/madness!
• Is this as good as it gets??
4
5. Helen’s Story - Happy 50th
Birthday Helen
• But not so happy
• Depression
• Loss of confidence - putting on
a face
• Horrendous night sweats -
EVERY night
• Lack of sleep
• Joint problems
• No possibility of children
5
6. Helen’s Story - Happy 50th
Birthday Helen
Menopause Positives:
• Different kind of confidence
• Different approach to goals
• Sourcing a menopause
specialist
• HRT worked for me - now I
sleep
6
9. What is Menopause?
Kicks off around age 35
Peri-menopause
More acute changes at age of 45
The Tsunami at 50!
Menopause is PMS on Speed!!
No more monthly certainty
It’s the end of Reproduction
Women have significant and different needs
Symptoms can last up to 15 years!
9
What is it? Will I
survive?
10. 7:10 women (9 million) experience debilitating symptoms
NOT a minority issue!
10
13 million women currentlygoing
through Menopause
Affected
Sailingthrough
11. How would YOU feel?
Symptoms can be a major source of distress
11
12. Kirsty Wark and Carol Vorderman - TV
Presenters:
“Every woman goes through Menopause.. All living
and working longer, why the persistent taboo?
“Why are we so reluctant to alleviate the symptoms?”
“We are shockingly uninformed about Menopause
and how to deal with it”
“We really, really need to talk about it more”
Dr Heather Currie, chair BMS
Carol urges women to try and focus on the fact “it’s
just a different chapter in your life, that’s all it is
15. What do these things
have to do with Menopause?
•
• Depression
• Type 2 Diabetes
• Osteoporosis
• CVD – Cardiovascular disease
15
16. What do you know about
Surgical Menopause?
• Hysterectomy
•
• Cancers
16
17. Profound Moments at Menopause
“If asked what I felt, I would say I had stopped
living; nothing brings me pleasure, everything
brings me endless sorrow” – Sofia Tolstoy,1910
“I want my life to end” – too many women are saying this
“I’m so tired all the time” – It’s hormones
“There are some symptoms just too
embarrassing to talk about”
“I’m so frightened!” - So many women say this
17
18. 18
I’m scared!
Symptoms are so distressing
I cry at the drop of a hat
I’m shouting all the time!
My marriage is going down
the pan!
QUICK SOLUTION:
Talk to someone trained to
listen!
Relationships Suffer!
19. Why do Doctors know so little?
Medical Training consists of 1 x
45 minute lecture with slides!
19
20. “Every woman who is worried about the
effects that menopause is having on her
life must be given the chance to find
out if there’s an option that works for
her”
Professor Mary Ann Lumsden, chair of expert group
to develop NICE guidelines:
“Diagnosing and Managing Menopause” 2015
20
21. What happens at Work?
21
• Poor coping skills, depression, stress
• Disciplinary procedures
• Managers not coping
• Menopause not part of workplace agenda
• 49 and tearful? Menopause!
• Benefit of hindsight ~ too late!
25. Where do Men fit into all this?
• Too often left out in the
cold
• Men show great
perception and insight
• Training is a valuable
Resource
• Menopause is Emotional
25
28. 500 Safety Reps were asked to provide feedback on how women were
supported through menopause in their workplace. Here are some key
points from the research:
80% said NO information was made available to women about
menopause
49% didn’t have risk assessments dealing with Menopause
45% said managers didn’t recognise problems associated with
Menopause and lacked information and training
70% didn’t have a policy for handling absence linked to Menopause?
22% said no Occupational Health/Welfare support available
TUC Research
29. Supporting Working Women
through the Menopause - TUC
“Women should be able to expect support and assistance during what is, for many, a difficult
time”, specifically:
Employers should ensure all line managers have been trained to be aware of symptoms
with necessary support
Guidance about Menopause freely available and part of wider occupational health
awareness campaign; with positive attitudes
Additional options for help as well as line manager: HR/OH
Women should experience no detriment for time off due to Menopause symptoms and
reflected in absence procedures
Flexible approach to toilet break requests
Risk assessments should consider specific needs of menopausal women, to ensure work
environment does not worsen symptoms
30. Get the FULL effect from our Training
Programmes:
1. Women Only – ½ or whole Day session:
“How to Survive Menopause without losing
your mind”
1. Line Managers – 1-day Training
1. HR/Occupational Health – 1-day Training
1. Optional Online training 30
31. CPD BENEFITS
CPD accreditation is not a box ticking exercise. Research shows that it will
have valuable repercussions as learning is embedded to the benefit of
colleagues within the organisation.
How CPD benefits:
Keeps knowledge and skills up-to-date
Recognised as beneficial for career progression and advancement
Accreditation ensures consistent and high standards
Promotes greater work engagement from the workforce
Allows for sharing, best practice and support, maximising staff potential
Improves staff morale
ROI (Return on Investment) is measured by the transferred value to the organisation
contributing to a reduction in absenteeism and improving productivity and staff
retention.
32.
33. Share ideas
• Information on notice board/toilets - leaflets/guides/sources of help
• Women’s Health Days
• Library of info/articles/books/info packs
• Healthy eating options available
• Lunchtime support sessions
• Mentors / Champions
35. RESOURCES – FURTHER READING
▪ www.simplyhormones.com
▪ It’s not you it’s your hormones – Nicki Williams
▪ The New Natural Alternatives to Menopause – Marilyn
Glenville
▪ New Menopausal Years….the Wise Woman Way–
Susun S. Weed
▪ Women’s Bodies, Women’s Wisdom – Dr Christiane
Northrup
▪ The Wisdom of Menopause – Dr Christiane Northrup
▪ Men are from Mars and Women are from Venus –
John Gray
▪ The Female Brain – Louann Brizendine, M.D.
▪ The Male Brain – Louann Brizendine, MD
▪ WELEDA: www.weleda.co.uk/menopause-tips
20% Discount: MENOPAUSE17
36. RESOURCES CONTINUED – READING AND RESEARCH Positivity – Barbara L. Fredrickson
Learned Optimism- Martin Seligman
Your Pocket Life Coach- Carole Gaskell
Being Happy – Andrew Matthews
http://www.womens-health-concern.org
http://www.thebms.org.uk
NICE Guidelines on Menopause
NEW: https://www.gov.uk/government/publications/menopause-
transition-effects-on-womens-economic-participation
http://www.tuc.org.uk/workplace-issues/health-and-safety/women-
and-health-and-safety
www.thebms.org.uk
37. RESULTS FROM OUR TRAINING
Results out of 10:
9.2 - The activities aided my learning
9.4 – I was engaged with what was going on in the course
9.5 – I would recommend this program to others
Excellent Study Day – Trainer well informed & friendly
Excellent Course – Lots of resources
Increased knowledge will enable me to signpost and support employees
100% of attendees agreed staff performance affected
If you’re not talking about Menopause,
You should be!
Our Training – We are Good at what we Do!
38. 38
P O Box 218, Uckfield, E.Sussex TN22 3YT
enquiries@simplyhormones.com
Call us now to arrange
further training
01825 582010