Our health counts powerpoint
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A summary presentation of the Our Health Counts Urban Aboriginal Health Data Research Project. Hamilton, ON Launched Dec. 2011
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1Health Care DisparityBlack AmericansHispanicsLatinos.docx
1
Health Care Disparity
Black Americans
Hispanics/Latinos
Demographics
45.7 million, which is 14.3% of USA population.
15% of the USA population
Cultural Norms
Strong kinship bonds, strong work orientation, strong religious orientation, take care of their own, seniors are highly respected, don’t like to admit they need help, poverty impacts education, self-esteem, quality of life and life style across.
Strong family ties, strong church and community orientation, male dominance, age dominance, negative view on asking for help, take care of their own majority are roman catholic, distrust of government, modesty is important and very proud of heritage
Religious and Spiritual Beliefs
Have strong religious affiliation with Christian denominations and also Islam.
Have strong belief in the spirit world. Majority are roman CatholicsS
Primary Insurance Coverage
Most of them are not insured, but the affordable care act provision target at improving provisions that will highly improve their lives.
Six in ten Hispanic adults in USA lack health insurance.
Education
17% have attained bachelor’s degree
11% have attained bachelor’s degree
Medical Conditions
They reside at disadvantaged neighborhoods with increased risks for health disparities. Obesity in children is enormous
More than a quarter of its population lack usual health care provider. Hispanic adults have a low prevalence for many chronic diseases and a high prevalence for diabetes.
Outreach
Foundation of African American outreach program to provide assistance to Africa-Americans
Action plan to reduce racial and ethnic health disparities
Introduction
The health of a population is influenced by both its social and its economic circumstances and health care services it receives. The health care services provided to Hispanics and black in United States of America is low. Throughout the years we have seen advancements in the health care quality received by ethnic minorities groups. But there is still a large gap when comparing minorities with their white counterparts (Vicini, 2015). This has affected the two groups which have low income families and experience poor quality care. Hispanic and blacks are less likely to have a high school education. Disparities in quality of care are common among the blacks and Hispanics in USA. For instance adults of 65 years and above receive worse care than adults with 18-44 years. Poor people have worse access to care than the high income people (Lee et al., 2003).
Healthcare Disparities between the Blacks and the Latinos in USA
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Running head: UNION COUNTY, GEORGIA 1
UNION COUNTY, GEORGIA 2
Union County, Georgia
Kimberly Crawford
January 30, 2017
Kaplan University
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Name of County and State
Union County, Georgia.
County population with racial and gender breakdowns
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Health and Illness A Global PerspectiveHealth is the stat
Health and Illness:
A Global Perspective
Health is the state of complete physical, mental, and social well-being
Infant mortality rate: Number of babies, of every 1,000 born, who die in their first year of life
Life expectancy at birth: Number of years people in a society can expect to live
Chronic disease: An illness that has a long-term development
Race and Ethnicity: Infant mortality rate
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Native: 8.3
Hispanic 5
Non-Hispanic White: 4.9
Asian/Pacific Islander: 4.2
6 per 1,000
Somalia 83
Afghanistan 54
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Birth Defects
Preterm Birth
S.I.D.S. (death occur among infants less than 1 year old)
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Injuries
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76 Male
81 Female
1
Health, United States,
National Center for Health Statistics
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The U.S. spends more on health care per capita than any other country, and health spending continues to increase.
Problems with health in the U.S.
Unequal distribution of health care by race, ethnicity social class and gender
Region and availability of health care.
Health education in the inner city and rural areas.
The Social Organization of Health Care
Copyright © 2017 Cengage Learning. All Rights Reserved.
The U.S. is one of the few industrialized nations that does not provide universal health care.
Some want to keep government from getting in between doctors and patients.
However, giant companies, and the government, already stand between patients and their health care providers.
Tracking the Trends: Obesity
People who are obese are at risk for a host of medical problems.
In 1960, about 13% of adults were obese; the obesity rate soared above 30% by 2000 and has continued to increase.
Q. What do you think are some of the reasons for this trend?
Percentage of population that is obese:
Fiji: 37%
Saudi Arabia: 36%
U.S.: 35%
Mexico: 29%
Russia: 25%
Obesity rates by race:
Non-hispanic white 35%
Black: 48%
Hispanic: 43%
Asian: 12%
4
Obesity in the US
More than one-third (35% or 78.6 million)
The estimated annual medical cost of obesity: 147 billion; cost is usually higher for women
Fast Food World!
Among non-Hispanic black and Mexican-American men, those with higher incomes are more likely to be obese than those with low income.
Women with higher education/income are less likely to suffer from obesity than lower education/low-income women.
5
Obesity in the US
More dependent on processed foods
High in carbohydrates and refined sugars
Fast food nation
Lack of physical activity
Family dynamics
Busy schedules
Institutionalized means
High fructose corn syrup
Regulations
Do you eat chicken?
What do you think?
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Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
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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
Antimicrobial stewardship to prevent antimicrobial resistance
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
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
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