The document outlines the planning of a health education program on musculoskeletal disorders for shopkeepers in Sandhikharka Municipality, Nepal. Baseline data found musculoskeletal disorders highly prevalent among shopkeepers. The program's goal is to reduce prevalence by raising awareness of risk factors, signs, and preventive measures. Specific objectives target increasing shopkeeper knowledge in these areas. The program will use lectures, posters, and pamphlets to educate shopkeepers on musculoskeletal disorder definition, risks, symptoms, and prevention over several sessions in May. Evaluation will assess knowledge gained through pre- and post-testing. Follow up after one month will assess the program's continuity.
Health care organization system is vital link for maintain good coverage at all over the India for delivering quality assurance work to people of community.
Demography as the statistical study of human population with regard to their size & structure, their composition by sex, age, marital status and ethnic origin, and the changes to these population, like changes in their birth rates, death rates and immigration.
Demography is the branch of social size, structure, which deals with the study of size, structure and distribution of populations, along with the spatial and temporal changes in them in response to birth, migration, ageing and death.
In demography the following three elements of population are given special attention:
Change in the size of population (increase or decrease)
Structure of population (on the basis of sex or age groups)
Geographical distribution of population (on the basis of state or territory).
Health Education Program Planning and Implementation Strategies.pptxSunita Poudel
The World Health Organization defines Health Education as “Any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes.”
Knowledge alone may not be powerful enough to motivate change, health education works to enhance knowledge, attitudes, and skills to positively influence health behaviors of individuals and communities.
A program is created when an organization identifies a need and creates a plan for addressing that need.
Planning is designing a course of action to achieve desired goals.
Program planning is the process by which a program is conceived and brought to fruition.
There are different steps in health education program planning.
Health care organization system is vital link for maintain good coverage at all over the India for delivering quality assurance work to people of community.
Demography as the statistical study of human population with regard to their size & structure, their composition by sex, age, marital status and ethnic origin, and the changes to these population, like changes in their birth rates, death rates and immigration.
Demography is the branch of social size, structure, which deals with the study of size, structure and distribution of populations, along with the spatial and temporal changes in them in response to birth, migration, ageing and death.
In demography the following three elements of population are given special attention:
Change in the size of population (increase or decrease)
Structure of population (on the basis of sex or age groups)
Geographical distribution of population (on the basis of state or territory).
Health Education Program Planning and Implementation Strategies.pptxSunita Poudel
The World Health Organization defines Health Education as “Any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes.”
Knowledge alone may not be powerful enough to motivate change, health education works to enhance knowledge, attitudes, and skills to positively influence health behaviors of individuals and communities.
A program is created when an organization identifies a need and creates a plan for addressing that need.
Planning is designing a course of action to achieve desired goals.
Program planning is the process by which a program is conceived and brought to fruition.
There are different steps in health education program planning.
Information Education and Communication, Behavioural Change CommunicationSruthysBabu1
IEC BCC. In order to plug the existing gaps in HE, Information Education and Communication (IEC) came into practice in the early 1990s
IEC gradually evolved to BCC and it is a part of BCC.
IEC is substantially concerned with awareness generation while BCC goes one-step forward and its action-oriented
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How to find good health information online and assess quality - Rachel GledhillCILIP
By the end of this session, you will hopefully have a greater awareness of:
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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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
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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
- 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
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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.
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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
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
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AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
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drinking, negative social consequences, risky use, and altered physiological
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2. Contents
1.Introduction
2.Planning of health education program
o Collecting baseline data and information
o Identify health and health education needs on priority
basis
o Establishing goals and objectives
o Deciding contents to be taught
o Deciding Target group
o Deciding for appropriate Methods and media
o Identifying the necessary and available resources
o Developing a detail plan of action
o Determining time and technique of evaluation
3.Follow up
3. Business setting
• A business, also known as an enterprise, agency or
a firm, is an entity involved in the provision
of goods and/or services to consumers.
• The activity of buying and selling of commodities,
product and services: new system now being used in
business.
• Business includes following people:
- Shopkeepers
- Vendors
4. Characteristics
Place
• Near to residential area
• Noisy environment
• Crowded
• Storage and selling of
goods
• Child labor
• Sharps, dust
• Robbery
• Congested
• Waste production etc
People
• Busy
• Money oriented
• Socially active
• Heavy workload
• Stingy with money
• Energetic
• Monotonous
• Fear of loss in business
• Educated or uneducated
• Sedentary lifestyle etc
5. Common health problems among Shopkeepers:
• Musculoskeletal disorders
• Obesity
• Mental disease/stress
• Cardiovascular disease
• Gastrointestinal problems etc
6. Musculoskeletal Disorders
• Musculoskeletal Disorders or MSDs are injuries and disorders
that affect the human body’s movement or musculoskeletal
system (i.e. muscles, tendons, ligaments, nerves, discs, blood
vessels, etc.).
• The musculoskeletal disorders in working population represent
one of the most worrying work-related health issues at the
present time.
7. In Nepal
• According to Kathmandu university medical
journal backache prevalence among groups
with long and normal working(including
shopkeepers), the backache was found to be
62.5%.
9. • District: Arghakanchi
• Municipality: Sandhikharka
• Total population: 7,000
• Target wards: 1,3,5,6
• Total population (target wards) : 2,000
• No. of shopkeepers: 300
Male: 160
Female: 140
• Major ethnic groups: Chhetri, Brahmin,Janjati,Dalit
1.Collection of baseline data and
information
10. • Source of Information: Community people
• Major Source of income: Business
• Existing health facility: Health post, private clinics
• Literacy rate: 55%
Male: 62%
female: 48%
Musculoskeletal disorder prevalence among shopkeepers: 30%
Obesity prevalence among shopkeepers :25%%
Hypertension prevalence among shopkeepers : 23%
Gastrointestinal problems prevalence among shopkeepers: 18%
11. KAP on musculoskeletal disorders
• 40% of shopkeepers have heard about musculoskeletal
disorders.
• 35% of the shopkeepers in the Municipality have
knowledge about risks factors of musculoskeletal
disorders.
• 30% of the shopkeepers were able to explain the signs
and symptoms of musculoskeletal disorders.
• 29% people have knowledge about preventive measures
of musculoskeletal disorders.
12. 2. Identify health and health education
needs on priority basis
• On the basis of magnitude and urgency,
Feasibility and interest, such needs to be given
importance for solving the problem. For e.g.
a. Severity of the problem
b. needs (felt, observed, real needs)
c. Available resources
d. Political/community interest & pressure.
e. National priorities etc.
13. Prioritization table
Disease Magnitude Feasibility Needs Resources Total
Musculoske
letal
disorder
7 5 7 5 24
Obesity 6 4 7 4 21
Hypertensi
on
4 5 6 5 20
Gastrointest
inal
problem
3 4 6 3 16
14. 3. Establishing goals and
objectives
• Goal : To reduce the prevalence of
musculoskeletal disorders among
shopkeepers of sandhikharka
municipality.
15. General Objective:
To reduce possible outcomes of musculoskeletal
disorders by raising general awareness about
musculoskeletal disorders ,it’s risk factors, signs
and symptoms and preventive measures.
Health education in business setting 15
16. Specific Objectives:
By the end of the HE program:
• More than 95% of shopkeepers will be able to
explain risk factors of musculoskeletal disorders.
• 85% of shopkeepers will be able to explain signs and
symptoms of musculoskeletal disorder.
• 80% of the shopkeepers will be able to explain
preventive measures of musculoskeletal disorders.
17. 4.Deciding contents to be taught
o Definition of MSDs and its different types.
o Risk factors of MSDs.
o Signs and symptoms of MSDs
o Preventive measures of MSDs.
19. 6.Selection of Methods and media
Methods Media
Lecture Posters
Group discussion
Pamphlets
Role play Flipcharts
20. 7.Identification of necessary and available
resources
Human resources:
• DPHO and municipality members
• BPH students
• Program planner(self)
Financial resources: From DPHO, and local
NGOs
Local resources: Municipality hall, whiteboard,
marker, Duster etc.
• IEC materials:-Posters, Pamphlets, etc from
DHO and Health post.
22. S.
N. Activities
May
1-2 3-4 5-8 9-10 11-14 15
1 Orientation to the field
team
2
Rapport building
3
Data collection and entry
4 Data analysis,
interpretation
5 Training
6 Health education
program
7 Evaluation of the
program
8
Feedback
9 Report Submission
23. Implementation of the programme
It is the process of putting the plan of action into operation. Health education
program on MSDs will be implemented by using the following strategies:
1. Building commitment
2. Training of human resources
3. Mobilizing and utilizing resources
4. Organization
5. Monitoring of the program
6. Supervision
7. Recording and Reporting
24. 9. Determining time and technique of
evaluation
Its done in 3 steps.
Process evaluation:
- Brain storming
- Ask question to participant.
- Pre and post questionnaire test.
Outcome evaluation:
- shopkeepers doing physical exercise
-Shopkeepers maintaining proper sitting posture
26. Criteria of Evaluation will be-
• Adequacy
• Relevancy
• Efficiency
• Appropriateness of the program
27. Tools and techniques of evaluation
• Feedback
• Pre-test and post-test
• For score
<60%- poor knowledge
61-80% -good knowledge
>80- excellent knowledge
28. Follow up
Follow up is very much essential for the continuity
of the programme and to see how the programme is
running.
It will be done after one month of the program
through DPHO.