ImERSE: Improving experience through regular shadowing eventsNuffield Trust
In a breakout session at the Nuffield Trust Health Policy Summit, Carol Platt and Jo Minford present on their experience at Alder Hey Children's NHS Foundation Trust
ImERSE: Improving experience through regular shadowing eventsNuffield Trust
In a breakout session at the Nuffield Trust Health Policy Summit, Carol Platt and Jo Minford present on their experience at Alder Hey Children's NHS Foundation Trust
Difficult to choose topic for your nursing capstone? Check this list of best nursing capstone paper topics for your project. https://www.capstoneproject.net/best-capstone-project-ideas/
Improving Access to EPDS when Administered by Public Health NursesBrett Hodson
A summary of the application of the quality improvement methods to improving access to post partum depression screening by public health nurses in the Comox Valley
“Preconception Care” and the Transformation of Women’s Health Care into Repro...ParentingCultureStudies
In this paper I examine the recent, vigorously touted “preconception” care movement in the United States. With the 2009 publication of What to Expect Before You Are Expecting, and the Center for Disease Control’s 2006 guidelines urging that all primary care for women of reproductive age be treated as “preconception” care, the time when women’s bodies are interpreted as maternal bodies is extended backwards to before conception even occurs – and indeed, often to before women are even planning to become pregnant. The new CDC guidelines explicitly warn that “the average woman of reproductive age encounters the medical system 3.8 times per year and any of these occasions may be a woman’s last before she becomes pregnant.”
On April 6, 2019, the EveryLife Foundation for Rare Diseases and Genetic Alliance hosted a workshop to provide education about the process of adding rare genetic conditions to the federal Recommended Newborn Screening Panel. Presentations include insights from national newborn screening experts in biochemical sciences, genetics, and political advocacy.
Here you can see nursing capstone project sample made by professional writer, if you want to get professional help for your capstone visit site https://www.capstoneproject.net/our-capstone-projects/nursing-capstone-project/
Difficult to choose topic for your nursing capstone? Check this list of best nursing capstone paper topics for your project. https://www.capstoneproject.net/best-capstone-project-ideas/
Improving Access to EPDS when Administered by Public Health NursesBrett Hodson
A summary of the application of the quality improvement methods to improving access to post partum depression screening by public health nurses in the Comox Valley
“Preconception Care” and the Transformation of Women’s Health Care into Repro...ParentingCultureStudies
In this paper I examine the recent, vigorously touted “preconception” care movement in the United States. With the 2009 publication of What to Expect Before You Are Expecting, and the Center for Disease Control’s 2006 guidelines urging that all primary care for women of reproductive age be treated as “preconception” care, the time when women’s bodies are interpreted as maternal bodies is extended backwards to before conception even occurs – and indeed, often to before women are even planning to become pregnant. The new CDC guidelines explicitly warn that “the average woman of reproductive age encounters the medical system 3.8 times per year and any of these occasions may be a woman’s last before she becomes pregnant.”
On April 6, 2019, the EveryLife Foundation for Rare Diseases and Genetic Alliance hosted a workshop to provide education about the process of adding rare genetic conditions to the federal Recommended Newborn Screening Panel. Presentations include insights from national newborn screening experts in biochemical sciences, genetics, and political advocacy.
Here you can see nursing capstone project sample made by professional writer, if you want to get professional help for your capstone visit site https://www.capstoneproject.net/our-capstone-projects/nursing-capstone-project/
Webinar Series on COVID-19 vaccine: Jointly organized by Malaysian Society of Infection Control and Infectious Diseases (MyICID) & Institute for Clinical Research (ICR), NIH
Speaker: Dr. Muniswaran Ganeshan, Maternal Fetal Medicine Consultant at the Women and Children’s Hospital Kuala Lumpur, Ministry of Health Malaysia.
Mothers in Critical Care: learning from patients’ experiences & challenges to...Intensive Care Society
Dr Lisa Hinton is a medical sociologist, and leads applied research in the Health Experiences Research Group (HERG). Improving patient experience is a global priority for health policy makers and care providers. How research on patient and staff experiences can make a difference in these areas is at the core of her research interests.
Lisa has a portfolio of applied, mixed methods, social science research specialising primarily in women's health, in particular experiences of infertility, pregnancy, childbirth and neonatal care. She is also involved in several studies seeking to improve patient experiences in critical care.The role of digital technology in patient self-management and healthcare is another area of interest.
Lisa leads qualitative work developing and evaluating complex interventions and is currently working on two clinical trials of self-monitoring of blood pressure. One is studying the impact of SMBP during pregnancy and a second the impact of SMBP after a stroke or TIA (see Hypertension). She also leads a programme of work as part of the Oxford BRC's Partnerships for Health Wealth and Innovation theme exploring research participation and patient and public involvement.
As part of the Strong Start for Mothers and Newborns effort, the CMS Innovation Center hosted a webinar to discuss why it is important to reduce early elective deliveries and share best practices on how reducing early elective deliveries improves the health of mothers and newborns across the country. Individuals representing the American College of Obstetricians and Gynecologists, the March of Dimes, providers and payers conveyed examples of successes and how reducing early elective deliveries can be accomplished. All interested parties were invited to attend this event.
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This presentation is the analysis of current newborn care in India. It focuses on the Hospital birth scenario and Factors contributing to newborn death. It further highlights , how the Midwives can make a difference.
A Descriptive Study to Assess the Knowledge and Attitude on Birth Preparednes...ijtsrd
Statement of problem “A Descriptive study to assess the knowledge and attitude on birth preparedness among primigravida mothers attending Gynae OPD at Civil Hospital Sangrur, Punjab.†A Descriptive research design was used for the present study. A study sample of primigravida mothers. Data was collected by knowledge questionnaire and likert scale. The data was analysed in the terms of frequency, percentage, distribution. Material and method A study to assess the knowledge and attitude on birth preparedness among primigravida mothers attending Gynae OPD at civil hospital Sangrur, Punjab. Descriptive research design was used. The sample size was 100 of Primigravida mothers under Purposive sampling technique. Knowledge was assessed by structured knowledge questionnaire and attitude was assessed by Likert scale. Result It was found that most of Primigravida mothers shows that 77 77 had Average knowledge and mostly Primigravida mothers shows that 97 97 had neutral attitude. The correlation between knowledge and attitude was significant. . Conclusion The study concluded that, the level of knowledge of primigravida mothers was average knowledge and attitude was neutral. Tejdeep Kaur | Mr. Prabhjot Singh | Dr. Rajwant Randhawa "A Descriptive Study to Assess the Knowledge and Attitude on Birth Preparedness among Primigravida Mothers Attending Gynae OPD at Civil Hospital Sangrur, Punjab" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47835.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/47835/a-descriptive-study-to-assess-the-knowledge-and-attitude-on-birth-preparedness-among-primigravida-mothers-attending-gynae-opd-at-civil-hospital-sangrur-punjab/tejdeep-kaur
Kate McKay'From Anatomy To Policy: How advancing neuroscience helped shape po...BASPCAN
'From Anatomy To Policy: how advancing neuroscience helped shape policy shift in the Early Years in Scotland '
There are significant differences in child mortality between high income countries and modifiable factors continue to be identified.These include biological and psychological factors, physical environment, social environment and service delivery. There is an inverse relationship between socioeconomic status and child mortality. So to reduce child mortality ,requires tackling perinatal causes and co-ordinated strategies to reduce antenatal and perinatal risk factors are essential .We need to identify evidence based prevention strategies which start in pregnancy and continue into the first years of a baby's life to reduce harm and build resilience .We need to understand what are the barriers and facilitators of behavioural change in pregnant women and health professionals .This presentation will outline some of the neurodevelopmental and anatomical changes in the child's brain which are most affected by forms of child abuse and neglect and outline current Scottish Government policies which are delivering on prevention , to make Scotland ‘The best place to grow up ‘.
Dr Katherine McKay has been a consultant paediatrician since 1995, working in areas of high deprivation in Glasgow. Her special interests are Community Paediatrics, particularly disability, including children with complex needs and life limiting conditions, child protection and the vulnerable child, and interagency work with social work and education.
She became Lead Clinician for Community Child Health in Glasgow in 2000, and Clinical Director from 2005 till 2010 covering all of the Glasgow City CHCPs and CHPs in a period of significant organisational change towards Integrating Children's Services across health, education and social work. She has been a fellow of the Royal College of Paediatrics and Child Health since 1994, Clinical Adviser to NHS QIS on the first Standards for Children's Services published in 2004 for Children and Young People with Asthma and then was an Associate Inspector for HMIE in the Child Protection Inspections.
She was National Clinical Lead for Children and Young People's Health in Scotland from August 2010 to 2012 and then became Senior Medical Officer for Child Health in October 2012. Since October 2012 her main policy input has been in Early Years, especially the Implementation of GIRFEC, in universal health services; the identification and response to vulnerable children by health services; Child Death Review Systems; and the health service input to Looked After Children. She continues a clinical practice one day every fortnight.
Challenges - In management of infertilityDrRokeyaBegum
Over fertility is a problem of Bangladesh.Still infertility is an issue 1 in 7 couples have difficulties to conceive.
Inability to create a desired pregnancy that culminates in the Birth of child is likely to create a life crisis for women and their partners.
Associate Professor Ian Scott - Princess Alexandra Hospital; University of Qu...Informa Australia
Associate Professor Ian Scott
Director
Internal Medicine & Clinical Epidemiology; Associate Professor of Medicine
Princess Alexandra Hospital; University of Queensland
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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
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.
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
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
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
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.
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!
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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3. Does planning pregnancy improve
outcomes?
• Not a lot of data
Aust N Z J Obstet Gynaecol. 2014 Dec;54(6):510-4.
Does preconception care work?
Beckmann MM1, Widmer T, Bolton E.
Evaluated whether women who receive preconception care through a
structured approach will be more likely to be healthy around the time of
conception compared with women who plan their pregnancy but have not
been exposed to preconception care.
Suggested some optimism that a comprehensive preconception care service
may positively influence maternal and neonatal outcomes.
3
4. Meta-analysis of preconception care in Type
1 Diabetes
Pooled rates of major congenital anomalies
•Preconception care 2.1%
•No Preconception care 6.5%
•RR 0.36 95% CI 0.22-0.59
Ray JG et al. QJ Med 2001; 94:435-44
5. Reality
• Perinatal mortality rate
• Maternal mortality rate
• Induction rate
• Caesarean section rate
• Episiotomy/tear rate
• Pre-eclampsia, twins, PPH………….
• Models of care and place of birth
5
7. Basics
• Effects of pregnancy on the disease
• Effects of the disease on the pregnancy
• Effects of treatment
• Know what’s coming!
• Don’t forget normal pregnancy care
7
8. General issues in counselling for high
risk pregnancies
and what can you do about them?
8
9. Risk
• Means different things to different people
• Comparing risk
• How we counsel will change a person’s
perspective of risk
• Qualitative studies
9
10. Multidisciplinary Approach
• Does not just mean seeing a lot of people
from different disciplines
• Multidisciplinary plan with everyone
coming to a consensus on the plan
• Understanding maternal physiology
10
11. Don’t forget the baby
• Many conditions often lead to preterm
delivery
• Need to explain the implications of preterm
delivery
• Counselling by neonatologist
11
12. What is the child’s prognosis
• Understanding the realities of the condition
is difficult
• Referral to paediatric surgeons,
specialised clinics, families with the same
problem
12
13. Termination of pregnancy
• Legal aspects
• Difficulties and dangers of raising the
option
• No right answer
• Wanted children
• Medical v Surgical TOP
• Fetocide
• Staff
13
14. Planning a loss
• ? Monitoring in labour
• ? Caesarean section
• ? Resuscitation
• ? Palliation
• Keeping the baby with the family
• An agreed, documented plan is needed
14
15. Practicalities of care and delivery
• Difficulties of those living rurally
• Increased number of visits
• Effects on family
• Costs
15
16. Making sure the plan is followed
• Written documentation to the woman,
general practitioner, hospital……
• Tell the woman who to contact if there is
an issue
• Hospital Meetings with documentation
• Hospital guidelines and protocols
16
17. Dealing with an adverse or unexpected
outcome
• Immediate accurate information
• Debriefing
• Staff
• Post mortem and other tests
• Hospital processes
• Follow up
• Risk of recurrence
17
18. Coordination
• For all aspects of care
– Information
– Visits
– Management
– Follow up
• Need someone to lead this
18
