This document provides information about an organization called ServiceReform that is working to improve public services through more integrated care. It summarizes that ServiceReform is working in 13 places across the UK, representing 22% of the population, to redesign person-centered care through multi-agency provider networks. The goal is to empower individuals through community support systems and enable independent living, with care coordinated through general practitioners.
Putting people at the heart of everything we do is a key strategic principle for Newham Council. It is committed to better involving residents because working together with our communities achieves better services and outcomes and makes the borough a happier and healthier place to live.
We set up a Democracy and Civic Participation Commission in 2020 to enable democracy in the borough to become more representative and participatory and to look at alternative governance models for the council.
We established the UK’s first permanent citizens assembly and one of the country’s largest participatory budgeting programmes to support our residents to be “policy makers” and “budget makers”
We also mobilised pioneering alliances to “co-produce” with residents and partners, setting Help Newham to mobilise staff and residents to provide emergency support during the pandemic, and the Newham Social Welfare Alliance which brings together frontline partners to support residents at risk of crisis.
We set up Health Champions to engage residents to protect themselves from Covid, now leading a national network, and are training residents to carry out research in their communities as part of the UK’s first longitudinal programme through community-led research.
Alice Wiseman, Consultant in Public Health, Gateshead Councilbluestoneconsortium
Alice sets out the Council's priorities and calls for working together with the voluntary, community and social enterprise sector; at the launch of the Blue Stone Consortium on 1st February 2016
Putting people at the heart of everything we do is a key strategic principle for Newham Council. It is committed to better involving residents because working together with our communities achieves better services and outcomes and makes the borough a happier and healthier place to live.
We set up a Democracy and Civic Participation Commission in 2020 to enable democracy in the borough to become more representative and participatory and to look at alternative governance models for the council.
We established the UK’s first permanent citizens assembly and one of the country’s largest participatory budgeting programmes to support our residents to be “policy makers” and “budget makers”
We also mobilised pioneering alliances to “co-produce” with residents and partners, setting Help Newham to mobilise staff and residents to provide emergency support during the pandemic, and the Newham Social Welfare Alliance which brings together frontline partners to support residents at risk of crisis.
We set up Health Champions to engage residents to protect themselves from Covid, now leading a national network, and are training residents to carry out research in their communities as part of the UK’s first longitudinal programme through community-led research.
Alice Wiseman, Consultant in Public Health, Gateshead Councilbluestoneconsortium
Alice sets out the Council's priorities and calls for working together with the voluntary, community and social enterprise sector; at the launch of the Blue Stone Consortium on 1st February 2016
Citizenship is our Business - The Avivo StoryCitizen Network
Avivo is one of the founding organisations in Citizen Network. they are also pioneers in self-direction and personalised support in Australia. Over the past few years they have been reorganising themselves around the principle that everyone is a citizen - and supporting everyone, including paid staff, to be citizens is their central purpose. Avivo are also leading Citizen Network's Rethinking Organisations programme and networking with other organisations on this journey.
Setting the context on Newham
Working with residents to improve their communities
Learning lessons from involving residents in policymaking
Developing people’s participation & policy design skills
Areas for discussion
Markus Vähälä, CEO of Citizen Network, outlined the development of the cooperative as a framework to support the further development of Citizen Network as part of the 2022 Building Citizen network Together events hosted by Eberswalde University.
At BuildingCitizen Network Together in early 2022 Simon Duffy and James Lock discussed the development of Citizen Network and its current approach to membership and explored with members from all around the world next steps for its development.
Slides for case study on citizen-driven health and care presented by Tim Straughan, Director of Health & Innovation at Leeds and Partners at the Local-Central Discovery Day on the Impacts of the Care Act in Leeds on 29 July 2014.
Nada_Ratcliffe from the AIDS Action Council ACT describes successful partnerships between AACACT and other community services. This presentation was given at the AFAO Positive Services Forum in June 2009.
Citizenship is our Business - The Avivo StoryCitizen Network
Avivo is one of the founding organisations in Citizen Network. they are also pioneers in self-direction and personalised support in Australia. Over the past few years they have been reorganising themselves around the principle that everyone is a citizen - and supporting everyone, including paid staff, to be citizens is their central purpose. Avivo are also leading Citizen Network's Rethinking Organisations programme and networking with other organisations on this journey.
Setting the context on Newham
Working with residents to improve their communities
Learning lessons from involving residents in policymaking
Developing people’s participation & policy design skills
Areas for discussion
Markus Vähälä, CEO of Citizen Network, outlined the development of the cooperative as a framework to support the further development of Citizen Network as part of the 2022 Building Citizen network Together events hosted by Eberswalde University.
At BuildingCitizen Network Together in early 2022 Simon Duffy and James Lock discussed the development of Citizen Network and its current approach to membership and explored with members from all around the world next steps for its development.
Slides for case study on citizen-driven health and care presented by Tim Straughan, Director of Health & Innovation at Leeds and Partners at the Local-Central Discovery Day on the Impacts of the Care Act in Leeds on 29 July 2014.
Nada_Ratcliffe from the AIDS Action Council ACT describes successful partnerships between AACACT and other community services. This presentation was given at the AFAO Positive Services Forum in June 2009.
A new model of care for general practice, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Are we Support Providers or Community Organisations? Kate Fulton nov 16Kate Fulton
A workshop I held in New Zealand in November 16 - hosted by Manawanui with Avivo.
A topic that I'm keen to explore further - are Support Providers simple suppliers or organisations supporting Community?
La voz de los pacientes en los proyectos de integracion de servicios del nhs ...Societat Gestió Sanitària
Ponencia a cargo del director de politicas y colaboraciones del National Voices en el National Health Service inglés, en el marco de la VI Jornada Right Care sobre Modelos avanzados en integración de servicios sociales y sanitarios, organizada por la Societat Catalana de Gestió Sanitària el 24 de mayo de 2019.
Transforming the relationship with patients and communities (are we getting t...Jeremy Taylor
Slides to accompany a presentation at Member Engagement Services Challenge 2020 event on 6 July 2016. Is engagement getting better? An overview of policy, practice and lived experience, and what needs to happen next
View the slides from the Community First presentation at the conference and relaunch event on Friday 6th November at Bletchingdon village hall.
Speakers included:
1. Cllr Barry Wood, Leader of Cherwell District Council 'New housing developments: role of the voluntary and community sector'
2. Maggie Scott, Chief Policy Officer at Oxfordshire County Council: 'Challenges (or opportunities?)'
3. Rachel Coney, CEO Healthwatch Oxfordshire 'An ageing population: importance of community support'
iHV regional conf: Sabrina Fuller - Health Visitors as leaders in the transit...Julie Cooper
Presentation by Sabrina Fuller at the Institute of Health Visiting Regional Professional Conferences 2015.
Sabrina Fuller is Head of Health Improvement, NHS England.
**Best viewed in full screen mode**
We believe that people-centred approaches and experimentation transform policymaking and outcomes for citizens.
Policy Lab is a multidisciplinary team working openly and collaboratively across the UK government and beyond. Sitting on the edge of government, we draw experience from diverse professions, communities and experiences into all our work, combining expertise from policy, design, ethnography, systems thinking, futures and art.
Innovation in Government Conference Feb 28th Policy Lab
The Policy Lab presentation at Innovation in Government 2019 conference. How innovation and intrapreneurship works in large organisations and how a citizen's perspective can bring new insights.
The Policy Lab, based at the UK Cabinet Office explores new innovations in policy-making. We are a small team of designers, ethnographers, policy-makers and researchers.
Styles of intervention for government policy-makingPolicy Lab
We have been investigating ways to help policy makers, whether in government or other organisations, to explore the range of styles of intervention available to them. Our styles of intervention do not attempt to be exhaustive, but can act as prompts for policy teams and partners. The styles of intervention can be used in a similar way that an artist might explore the range of colours or textures available to them. Here are a draft set of cards, constantly under development. Please give us feedback at policylab@cabinetoffice.gov.uk
Introduction to Policy Lab UK - Winter edition 2017Policy Lab
We’re bringing new policy tools and techniques to the UK Government applying the latest thinking in design, digital and data science. This introduction provides an overview of our current projects and practice.
Measuring the impact of design: the pitfalls and potential - a view from Poli...Policy Lab
From Service Design Network Conference, June 2016
How does design contribute to growth and prosperity? Drawing on experience of over fifteen years of measuring the impact of design for government, this talk looks at the pitfalls and potential for successfully demonstrating design’s value to the wider world. From design in healthcare to designing employment support services, project by project it explores practical ways that design has needed to deploy increasingly rigorous ways to measure its impact. Using a range of recent examples where the Lab has successfully blended design tools with data science to build robust evidence for decision-makers. It contains the latest insights on productivity and efficiency.
It also shows how the Policy Lab has been using speculative design and critical design techniques to develop prototypes for new policies. Reflecting on how design thinking can be used as a process to aid decision-making combining lean analytics, user insights and real time prototypes.
Finally it asks how design can be used as a powerful tool for moving from predictive analytics towards prescriptive analytics.
Methodbank and toolkit for design in GovernmentPolicy Lab
A Policy Lab UK method bank and toolkit in pictures. The Lab has been testing new tools and techniques for policymaking in the UK government - from user centred design to datascience and here is a selection from some of our work to date.
The Policy Lab change cards help teams to challenge their assumptions and think differently about problems. We use them to help generate new ideas for policy.
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- 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
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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
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
6. Redesigning a person-centred approach in North West London
Multi-agency provider network
Community
care
Social care
Mental
health
Personal care
network
Other
neighbourin
g practices
Family
Hospital
Underpinned by:
Community
pharmacy
Patient
Community
support
•Information systems
Patient’s
own GP
practice
Held
together by
resilience
•Governance
•Reimbursement
Carer
Housing
Supported to
self-manage
Assistive
technology
Voluntary
sector
Education
Employment
Other
neighbourin
g practices
7. A shared NWL vision for independence and wellbeing
29 partner organisations
share a vision …
“
… supported by 3 key principles
We want to improve the
1
People will be empowered to
direct their care and support
and to receive the care they
need in their homes or local
community.
2
GPs will be at the centre of
organising and coordinating
people’s care.
3
Our systems will enable and
not hinder the provision of
integrated care.
quality of care for
individuals, carers and
families,
empowering and
supporting people to
maintain independence
and to lead full lives
as active participants in
their community
”
8. Achieving Whole Systems Integrated Care by 2015/16
Today
1
2
3
4
Co-design
framework
centrally once
Locally agree
priorities and
plans
All NWL prepares
for implementation
and learns from
early adopters
Roll out Whole
Systems
approach
Apr 2015 –
Jan 2014 –
Apr 2014
Oct 2013 –
Jan 2014
Apr 2014 –
Mar 2015
Whole
Systems
integrated
care
business
as usual
9. Co-design with delivery partners and people using services
“Co-production means delivering public services in an equal and reciprocal relationship
between professionals, people using services, their families and neighbours… both
services and neighbourhoods become far more effective agents of change.”
Nesta & new economics foundation
Our commitment to working co-productively in North West London means:
1.Commitment to agreed ways of working – everyone is valued as equal partners, we
will capitalise on lived experience as well as professional learning
2.Supporting development and learning
3.Fostering a supportive environment – developing collective resilience and
acknowledging that mistakes will be made along the journey
4.Working towards shared goals – promoting local voice and enabling
to be involved in the delivery of their care and support
people
10. Collaborative working – lessons
learned
• Collaboration requires time to establish and
ongoing resource to sustain
• Invest in training and support for both
service users and professionals to make
engagement as effective as possible
• Co-design not only creates better solutions
but also advocates for change
11. Where do we go from here
• Tie in with City deals and local growth – as
well as better care and troubled families
• Centre of Excellence on information
sharing
• Widen network of people and places
• Website presence and campaigning