This document describes the Helpers Program, a social and community network approach to tobacco cessation. The Helpers Program trains community members to have "helping conversations" that encourage and support tobacco users who want to quit. It is based on research showing the influence of social networks on health behaviors and that quit attempts are often unplanned. The Helpers model provides web-based or in-person training to help community members feel confident having supportive conversations about quitting resources. Several research projects have tested the Helpers approach in various communities and found it increased knowledge and helping behaviors. The goal is to engage social networks and foster communities that support tobacco cessation.
EETAC - Informació per a estudiants de nou ingrés - Àmbit aeronàuticaJordi Berenguer i Sau
Presentació efectuada en el mes de juliol de 2012 als estudiants interessats en cursar les titulacions de grau d'enginyeria aeronáutica a l'Escola d'Enginyeria de Telecomunicació i Aeroespacial de Castelldefels.
Ih54 industrial patrimony networks 21sept12 , Council of Europe Cultural Comm...Francesco Calzolaio
Industrial Heritage in the context of the other cultural heritages
Contribute to the Sub-committee on Culture, Diversity and Heritage (AS/Cult/CDH) meeting in Maribor, 21 september 2012. Commission de la culture, de la science, de l'éducation et des médias, Parliamentary Assembly Council of Europe
by Francesco Calzolaio, member of the Europa Nostra’s Industrial and Engineering Heritage Committee (IEHC), president of the association Venti di Cultura, socio fondatore associazione Faro Venezia, Culturnet e Lagunalonga project manager
EETAC - Informació per a estudiants de nou ingrés - Àmbit aeronàuticaJordi Berenguer i Sau
Presentació efectuada en el mes de juliol de 2012 als estudiants interessats en cursar les titulacions de grau d'enginyeria aeronáutica a l'Escola d'Enginyeria de Telecomunicació i Aeroespacial de Castelldefels.
Ih54 industrial patrimony networks 21sept12 , Council of Europe Cultural Comm...Francesco Calzolaio
Industrial Heritage in the context of the other cultural heritages
Contribute to the Sub-committee on Culture, Diversity and Heritage (AS/Cult/CDH) meeting in Maribor, 21 september 2012. Commission de la culture, de la science, de l'éducation et des médias, Parliamentary Assembly Council of Europe
by Francesco Calzolaio, member of the Europa Nostra’s Industrial and Engineering Heritage Committee (IEHC), president of the association Venti di Cultura, socio fondatore associazione Faro Venezia, Culturnet e Lagunalonga project manager
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In this webinar:
Join Alies, a patient partner, and Ambreen, a patient-oriented researcher, as they explore ways to listen and learn from seldom heard patient populations. Both speakers share their experiences in the world of patient engagement, discuss the need to include patient-identified priorities in the delivery of healthcare and reflect on the current structure of patient partnerships which can be exclusionary. As a way forward, Alies and Ambreen introduce Equity-Mobilizing Partnerships in Community (EMPaCT) as an approach which strives to centre diverse patient voices, create a culture of listening and learning from the experiences of patient partners and develop a learning healthcare system ecosystem which is responsive to the needs of all patients in order to improve health outcomes, in particular health equity.
View the YouTube video: https://youtu.be/Yx762mVjML8
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September 7, 2016
Far too many people across the country are left dead, injured, or traumatized by community violence. Communities can be safer when neuroscience, public health strategies, and collective advocacy are aligned in practice and policy. This event convened experts to discuss the best next steps to fostering a broad science-informed advocacy movement to effectively address community violence.
Panelists
- Michelle Bosquet Enlow, PhD, Assistant Professor of Psychology, Harvard Medical School; Associate in Psychology, Boston Children's Hospital; Affiliated Faculty, Harvard University Center on the Developing Child
- Shannon Cosgrove, MPH, Director of Health Policy, Cure Violence
- Fatimah Loren Muhammad, Director, Trauma Advocacy Initiative, Equal Justice USA
- Charles Homer, MD, Deputy Assistant Secretary for Human Services Policy, Office of the Assistant Secretary for Planning and Evaluation, U. S. Department of Health and Human Services
- Moderator: Robert Kinscherff, PhD, JD, Senior Fellow in Law and Neuroscience, Center for Law, Brain & Behavior at Massachusetts General Hospital and Petrie-Flom Center; Associate Vice President for Community Engagement and Teaching Faculty in the Doctoral Clinical Psychology Program and for the Doctoral School Psychology Program, William James College; Faculty at the Center for Law, Brain and Behavior; and Senior Associate for the National Center for Mental Health and Juvenile Justice
Part of the Project on Law and Applied Neuroscience, a collaboration between the Center for Law, Brain & Behavior at Massachusetts General Hospital and the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.
Learn more on the website: http://petrieflom.law.harvard.edu/events/details/battling-blood-in-the-streets.
Community-based Peer Support: A participatory review of what works, for whom, in what circumstances
Author - Dr Janet Harris, The University of Sheffield
Technology Use in Peer Education for HIV PreventionYTH
Join us for a discussion on how peer education can incorporate technology to engage youth and how the perspective of youth can be used to create state and federal policies. We will highlight two programs. One is a peer education program that uses social media to bring voice and perspective of youth into the conversation about addressing HIV. The other is an advocacy organization focused on making sure the needs of women living with and affected by HIV are addressed in the national response to HIV.
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 23, 2013
Angela Coulter, Informed Medical Decisions Foundation
Dominick Frosch, Gordon and Betty Moore Foundation
Floyd J. Fowler, Informed Medical Decisions Foundation
Similar to Myra Muramoto at Consumer Centric Health, Models for Change '11 (20)
Steven Schwartz at Consumer Centric Health, Models for Change '11HealthInnoventions
Tackling the Double Helix: On the Road to Sustainable Behavior Change.
Sustainable health behavior change is possible.
To be successful, you must equally commit to health at the individual level and the social level.
Karen Calfas at Consumer Centric Health, Models for Change '11HealthInnoventions
Mobile & Social Technologies, Applications in Health Behavior Change.
Describe studies using a social / mobile approach to weight loss
mDIET
SMART
Facebook Connect
Describe areas of focus to refine and further health behavior change
Marc Pierson at Consumer Centric Health, Models for Change '11HealthInnoventions
PEACEHEALTH, Whatcom County, WA
Life occurs in the large spaces,
Between visits
Between organizations
Between EMRs
Which organizations and technology will support people in between?
Jan English-Lueck at Consumer Centric Health, Models for Change '11HealthInnoventions
Small Experiments: Tinkering with Well-being
Jan English Lueck, San Jose State University.
Understanding People in Their Contexts. Ethnographic studies of people managing their own health.
Dodi Kelleher (Safeway) at Consumer Centric Health, Models for Change '11HealthInnoventions
Live Life, Live Long, Live Well™
An Evolving Health and Wellness Strategy. Dodi Kelleher, DMH
Director, Health and Wellness Initiatives, Safeway Inc.
One of the largest food and drug retailers in North America
200,000 employees and 1,725 stores across the US and Canada. Safeway health benefits offered to 30,000 corporate and store employees
Susan Zbikowski at Consumer Centric Health, Model for Change '11HealthInnoventions
A weight concern intervention for smokers. One of the single greatest challenges in tobacco cessation treatment is that the majority of patients/participants relapse after successfully quitting. This presents a study of a solution to a common reason for relapse;
Weight Concerns
Paul Ciechanowksi at Consumer Centric Health, Models for Change '11HealthInnoventions
A Primary Care Program for Patients with Complex Chronic Disease and Depression. Paul Ciechanowski, MD, MPH
Associate Professor, Dept. of Psychiatry
Team Psychiatrist, UW Diabetes Care Center
Director UW Center for Training
University of Washington, Seattle, Washington
Is Mobile the Prescription for Sustained Behavior Change?HealthInnoventions
This white paper provides an overview of behavior change filtered through the lens of health and financial imperatives, systems thinking and evolving portable technologies. Health Innoventions’ authors and conference organizers (Max Wells and Michael Gallelli) suggest that a confluence of demands and growing dynamic and interactive capabilities will drive us to better science and application of behavior change and maintenance. It was prepared as a companion document to the conference Consumer-Centric Health: MODELS FOR CHANGE '11, which took place on October 12-13 in Seattle.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- 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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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
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.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
2. Communities as Change Agents
Helpers Program: A Social & Community
Network Approach to Tobacco Cessation
Myra Muramoto, MD, MPH
The University of Arizona College of Medicine,
Department of Family & Community Medicine
4. Acknowledgements
Partners
Pima Community College Partnership for Tobacco-Free
Maine
Maricopa Community College
Mississippi State University
Mesa Community College
Northern Arizona University
Free & Clear (now Alere)
University of Alabama
ICA Mississippi Head Start
University of Minnesota
Arizona WIC Clinics
Mohave County health Dept
Outer Limits
Tanner Corporation
Child Time
Cortiva institute
Arizona Smoker’s Helpline
New Jersey Tobacco Control
American Specialty Health
Program
Maricopa county Health Dept.
Coconino County Health Dept.
The University of Arizona Health
Network
5. Why?
How do we reach people….
… beyond the healthcare system?
… beyond the worksite?
… across barriers to access?
Reach people where they are.
6. Social networks & smoking cessation
Chance of smoking
decreased:
67% if their spouse quit
25% if adult sibling quit
36% if their friend quit
34% if coworker quit
“cascades of quitting”
3 degrees of separation
(Christakis, 2007)
9. Quitting is not always planned
Patients’ report of quit attempts (Larabie, 2005)
51.6% unplanned, 64% unaided
Many reasons for unplanned successful quits
National household survey (West, et al., 2006)
48.6% of most recent quit attempts were unplanned and
acted on immediately
Unplanned attempts more likely to be successful
Decisions to change often impulsive (West, 2006)
Accumulation of nudges
3 T’s
10. Brief Tobacco Interventions
Continuum of cessation services
Interventions by multiple health professionals increase
quit attempts and quits (An, et al., 2008)
Population effect – “increase in quit attempts matters
more than the same level of increase in the use of help.”
(Zhu, 2007)
Any attempt is better than no attempt
11. To Increase Quit Attempts
Change social norms…
Quitting is normal
Repeated attempts are normal, so keep trying
Help tobacco users feel more hopeful
Reduce perceived barriers to cessation aids
13. “Health Influencers”
Family & friends
Co-workers
Educators
Service providers
Strangers
Have motive…
Have opportunity…
Are engaged
Campbell, et al., 2007
15. “Trusted members of the
community…”
....trusted by
relatives, friends, and
co-workers, the very
people for whom the
interventions were
designed.”
(Thomas, 2001)
16. Seeking help on behalf of others….
….7% of all callers to
California quit line, more
on non-English lines
(Zhu, 2006)
17. Quitting tobacco is a process…
“A journey of a thousand
miles begins with a single
step.”
Lao Tzu
18. … a journey…
Helpers encourage…
… The first step
… The last step
… A step along the way
… Not giving up on the
journey.
19. What is the Helpers Program?
What is underlying research?
20. The Helpers Program…
Training, support,
resources for
“helping
conversations”
Foster communities
of practice
5 main
components
25. What did we learn?
Who came forward
Increased
knowledge, confidence, an
d helping behavior
Minimal intervention
increased helping behavior
Referred to
services, discussed
medications
Contextual influences on
helping
Muramoto, et al, 2007; Castaneda, et al, 2008, Yuan, et al, 2010
26. Helpers Free & Clear study
Worksite
dissemination pilot
Helpers Web
components only
Feasibility
Utilization
Muramoto, et al, 2010
27. Helpers New Jersey
In-person & web training
Community Resource
Center
Helpers Quit Kits
Community creativity &
experimentation
30. Communities as change agents…
Need community-based approaches
Engage, activate social networks
Foster communities of practice
Helpers arose out of a decade of community-
based research
Still evolving based on community needs
The 3 T’sCreate “motivational tension” in smoker’s environment.Trigger action in those who are contemplating quitting.Ensure that treatment, including brief counseling, is immediately available.
Key compo
Have the opportunity to help promote healthy behaviorsHave access to high-risk and hard to reach populationsMotivated, engaged
“Proxies” - non-smokers calling on a smokers behalf (Zhu, 2006)7% of all callers to California quitline (~22,000 in 7 years)Non-English lines had a more proxy callers
Randomized trial of brief intervention training for health influencersIn-person classroom trainingWeb-based trainingMailed materials with brief motivational sessionQuantitative OutcomesProportion of participants reporting providing BIsCompletion of “5 A’s”Qualitative study of health influencers experience with providing BIs
Worksite dissemination with Free & ClearUsed only Helpers Web componentsThree large national corporations3 month pilot, target audience of n=102,100Site utilizationCreated user account on site– 4727Registered for training – 1427Completed training – 766Clicks on referral links – 201Deployed nationwide across multiple corporation and ISP infrastructures with very few problems
Feasibility study of multiple Helpers components – still ongoingIn-person training (training of trainers)Helpers Community Resource Center web-site Quit KitsHelpers is a good fit with state tobacco program’s community-based approach to cessation Both in-person and web-being training in useTrainers starting to get creative about using Helpers training for outreach and engagement of community partners
RWJF Consumer Demand Roundtable project – to explore innovative ways of tobacco users to seek evidence-based treatmentDeveloped with IDEO – world-renowned design firmConsider: How are print and other distributed materials used to promote cessation?How could they be used more effectively?Possibilities:Outreach Kits to promoting organizations’ cessation activities/services to partnersGive-away’s at community eventsResources to mail or give to community members asking how to help someone quit