Teaching slides from a University College London Partners and National Co-ordinating Centre for Mental Health Public Mental Health Course in February 2015. This session focuses on building local approaches to public mental health
This is the slide deck from the Masterclass for Prevention given on March 4th 2016 as part of the series of Public Health Masterclasses between the University of Hertfordshire and the County Council. It aims to articulate a "systematics" of prevention
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
This is a slideshow for a ten minute talk on system leadership challenges in health and social care, aimed at elected members as part of a "system challenges" workshop
This is the slide deck from the Masterclass for Prevention given on March 4th 2016 as part of the series of Public Health Masterclasses between the University of Hertfordshire and the County Council. It aims to articulate a "systematics" of prevention
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
This is a slideshow for a ten minute talk on system leadership challenges in health and social care, aimed at elected members as part of a "system challenges" workshop
The journey to a whole system approach on mental health, slide set by Piers Simey and Jim McManus to introduce a workshop on turning the Mental Health JSNA into action
Our Health and Wellbeing Board spent part of a development day looking at what a strategic shift to prevention in health and social care would mean, and where to start. Next steps will be a plan for "high impact" wins
Geraldine Strathdee and Jen Hyatt: Technology innovation for supporting patie...Nuffield Trust
Geraldine Strathdee, Oxleas NHS Foundation Trust,and Jen Hyatt, Big White Wall, present in a breakout session on using technology to support people with mental health issues at home.
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
Improving mental health through patient and professional partnershipAmarShahELFT
Slides from the session at the International Forum on Quality and Safety in Healthcare 2016 (Gothenburg) - Improving mental health through patient and professional partnerships
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Dave Atkinson
Lead on Department of Health’s Positive and Safe Guidance
Independent Consultant Nurse working who led on Department of Health's ' 'Positive and Proactive Care'
This presentation about the National Mental Health Programme by Dr Geraldine Strathdee, National Clinical Director of Mental Health, NHS England, was delivered at the launch of the Strategic Clinical Network for Mental Health, Dementia and Neurological Conditions Yorkshire and the Humber on 17 September 2013.
Geraldine covers:
- How common is mental ill health
- What are we trying to achieve
- What are the priorities
- Progress update
- How can we help and what can we learn from Yorkshire and Humber
- We need your leadership, your expertise and your drive!
Perspectives from northern ireland – development of bereavement care standard...Irish Hospice Foundation
Presentation delivered at the Hospice Friendly Hospitals Acute Hospital Network meeting on November 15 by the HSC Bereavement Network (HSCBN) Northern Ireland.
Presentation on issues in effective commissioning of drug and alcohol recovery services given. Presentation on behalf of the Association of Directors of Public Health (UK)
This presentation was developed to health the Hertfordshire Health and Wellbeing Board identify its prevention priorities across primary, secondary and tertiary prevention and work these into the next Health and Wellbeing Strategy
The journey to a whole system approach on mental health, slide set by Piers Simey and Jim McManus to introduce a workshop on turning the Mental Health JSNA into action
Our Health and Wellbeing Board spent part of a development day looking at what a strategic shift to prevention in health and social care would mean, and where to start. Next steps will be a plan for "high impact" wins
Geraldine Strathdee and Jen Hyatt: Technology innovation for supporting patie...Nuffield Trust
Geraldine Strathdee, Oxleas NHS Foundation Trust,and Jen Hyatt, Big White Wall, present in a breakout session on using technology to support people with mental health issues at home.
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
Improving mental health through patient and professional partnershipAmarShahELFT
Slides from the session at the International Forum on Quality and Safety in Healthcare 2016 (Gothenburg) - Improving mental health through patient and professional partnerships
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Dave Atkinson
Lead on Department of Health’s Positive and Safe Guidance
Independent Consultant Nurse working who led on Department of Health's ' 'Positive and Proactive Care'
This presentation about the National Mental Health Programme by Dr Geraldine Strathdee, National Clinical Director of Mental Health, NHS England, was delivered at the launch of the Strategic Clinical Network for Mental Health, Dementia and Neurological Conditions Yorkshire and the Humber on 17 September 2013.
Geraldine covers:
- How common is mental ill health
- What are we trying to achieve
- What are the priorities
- Progress update
- How can we help and what can we learn from Yorkshire and Humber
- We need your leadership, your expertise and your drive!
Perspectives from northern ireland – development of bereavement care standard...Irish Hospice Foundation
Presentation delivered at the Hospice Friendly Hospitals Acute Hospital Network meeting on November 15 by the HSC Bereavement Network (HSCBN) Northern Ireland.
Presentation on issues in effective commissioning of drug and alcohol recovery services given. Presentation on behalf of the Association of Directors of Public Health (UK)
This presentation was developed to health the Hertfordshire Health and Wellbeing Board identify its prevention priorities across primary, secondary and tertiary prevention and work these into the next Health and Wellbeing Strategy
This presentation is for the UK Association of Directors of Public Health policy workshop 2016 and looks at how Public Health can support and lead health approaches to Housing strategy and delivery. It takes a number of examples and case studies and identifies 7 key policy and strategy principles
This presentation aids a Health and Wellbeing Board session on developing prevention across the health and social care system, in answer to financial challenges and the NHS FIve Year Forward View
A presentation for the national elected member seminar on mental health (The Local Government Mental Health Challenge), 11th October 2016, outlining the work being done in Hertfordshire
This is the paper for the session given at the Health Psychology in Public Health Network Symposium in February 2015 on bridging the gap between policy, practice and research
For an event on co-production with cares run for Carers Week 2015, this slideshow gives an overview of issues in making co-production work from a Public Health perspective
A presentation to the Health Psychology in Public Health Network annual on practical, policy and research challenges in applying research to public health practice
This is a Keynote presentation for the UK Clinical Research Collaboration's Public Health Research Centres of Excellence Conference 2016 on getting Research into Policy. This is a personal perspective from working to implement and develop policy and use research in various settings.
This presentation, given as part of a plenary symposium at the 8th World Congress on Promotion of Mental Health and Prevention of Mental and Behavioural Disorders gives an overview of how one area is trying to develop an approach to public mental health, finding frameworks and tools of use
This presentation on making Hertfordshire County Council a public health organization is designed for our corporate policy and performance workshops (8th October 2013) and looks at how we build on our success, to mainstream public health mindsets and approaches across the Council
A workshop for community and voluntary agencies on public health priorities for Hertfordshire and how we can build people centred public health together
This presentation seek to approach how one might go about developing a framework for public mental health in a local area, following discussion with DsPH. It was presented at the UCL Partners and Directors of Public Health Meeting on 18th October 2013
Trying to sketch an agenda for how health psychology and public health can work together. Slides for the discussion workshop at the Division of Health Psychology Conference September 2014.
This presentation to a public health strategy workshop discussed how we could embed behaviour change at population level into our public health strategy
My paper for the session on embedding behavioural science within local government at the Public Health England Conference 2017
This session will provide practical advice and examples of how we can develop the behavioural science capability of the public health system. We will build on the work of the Academy of Medical Sciences, the Academy of Social Sciences and the Centre for Workforce Intelligence in an interdisciplinary approach to start delivering on the ‘fifth wave’ of public health where healthy behaviours become the norm in a ‘culture of health’.
System leaders will present perspectives from aspects of the system. A national leader will explain the developing system-wide approach to a Behavioural Science Strategy for Public Health. This will highlight the policy demand and how this is being met by national organisations to provide the environment for behavioural science to have maximum effect at local level. It will introduce the disciplines and organisations involved, the types of expertise and how they can help. A director of public health will describe how behavioural science can contribute to delivery of STPs, how to make the business case and different approaches to build capability at the local level. An expert from local government will describe the practical approach of behavioural science in day-to-day public health delivery, their scope of work, how they enhance delivery and how they prioritise and manage demand.
Throughout we will address ‘what are the benefits?’, ‘why embed behavioural science?’ and provide case examples to demonstrate how behavioural science has added value. Our aim is to promote world leading behavioural science and communicate this throughout the public health system.
This is an invited session for public health specialist registrars which makes the case for increased use of sociology and social and behavioural sciences in public health
How can and should Health Psychology and Public Health interact? What has been done so far? This is a keynote to the NHS Education for Scotland Trainee Health Psychologist Programme event in Stirling on 21st March 2018
A presentation to start a workshop with community pharmacists on the contribution of pharmacy to the NHS Five Year Forward View, Health and Wellbeing Strategy and Sustainability and Transformation Plan
An invited presentation to the AFSA (Asian Fire Service Association) Summer conference on the need to find leadership models which work better for diverse communities and enable people to bring assets an understandings from their cultures to organisational leadership
A presentation to the SABRE Cymru conference (Social and Behavioural Science Rapid Response Network) on lessons for social and behavioural sciences in public health beyond Covid-19. https://sabrecymru.uk/
My presentation to the 175th anniversary conference of the Association of Directors of Public Health on lessons from the past and pointers for the future
A presentation to the National Immunisation Conference on lessons learned for the future of public health response to Monkeypox and other novel infections
This is part 2 of a two part session deliver for a Common Awards (Theology, Ministry and Mission, University of Durham) course on health and the Church. The first part focuses on a theological perspective and the second part focuses on public health perspectives
This is part 1 of a two part session deliver for a Common Awards (Theology, Ministry and Mission, University of Durham) course on health and the Church. The first part focuses on a theological perspective and the second part focuses on public health perspectives
This presentation was given to a webinar on addressing poverty and also contains some suggested waymarkers for response. It is based on local experience and the lessons in the LGA/ADPH Annual Public Health Report 2023
An invited keynote to the St Vincent de Paul Society Conference 2022 on emerging from the Pandemic and tasks for the Church and associated organisations
This was an invited keynote to the Social and Behavioural Sciences Rapid Response Network for Infectious Diseases (SABRE Cymru) symposium on Covid-19 and beyond.
Pastoral care is "that aspect of the ministry of the Church which is concerned with the well-being of
the individual and of the community in general." 2 It is clear that the impact of multiple traumas from
the COVID-19 pandemic creates a major challenge for pastoral care. The purpose of this publication
is to enable faith leaders to get some rapid and concise orientation on the issues of population and
community trauma, resilience, self-care and coping during and beyond the pandemic, so they can
consider strategies both for their congregations and the wider community.
This briefing seeks to provide some frameworks for response to the needs of:
1. Populations and local communities, because there will be multiple and differential impacts
on various sub-populations both by life course stage and by identity, as well as
socioeconomic status. Impacts are multiple, from losing loved, to losing jobs, to having
essential treatment delayed. All of these can be traumatic.
2. Faith communities, because as the pandemic goes on, and we are now beyond 18 months of
response, the risks of compassion fatigue, burnout and traumatic stress to congregations
increase. Psychological injury to those who are involved in 'frontline' ministry, both as
ministers or as medical and care workers, may be worse than in other parts of the
population because the combination of enduring stress and their own motivation to keep
serving their populations may result in their feeling unwilling or unable to seek help.
This briefing is set within the context of public mental health, which means it intentionally seeks to
consider what can be done at population level (e.g. whole church or workplace), and group level, not
just individual level. The right kind of action aimed at populations is just as important as action
aimed at individuals and should be seen as
complementary. This is especially so where there
are resources and capabilities which churches can
bring to bear for their whole membership, and
which can help them respond to trauma and
become resilient. In this sense, a populationhealth approach sits well with the idea of the Church as a community where healing can occur
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
A publication for government on pandemic flu and faith communities. Prepared as a sister document to Key Communities, Key Resources, a report for government on faith communities and pandemic preparedness
More from Professor Jim McManus AFBPsS,FFPH,CSci, FRSB, CPsychol (20)
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. 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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
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
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.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
Public mental health : implementing in local systems
1. www.hertsdirect.org
Public Mental Health
Some key challenges and potential ways forward
Feb 2015
UCL Partners
Jim McManus
Director of Public Health
Jim.mcmanus@hertfordshire.gov.u
k
3. www.hertsdirect.org
Current Projects
• Public Mental Health Framework
• Veterans
• Year of Mental Health Launching 2015
• CAMHS whole system review
• School Whole System Wellbeing Pilots in 36
schools
• Reframing IAPT
• Do Something Different
4. www.hertsdirect.org
Some “Orientations Events”
• St Albans Cathedral 2015 - day workshop on
mindfulness and positive psychology – finding
frameworks – for faith communities
• School Heads “Very Brief Intro” sessions
• Police Command
5. www.hertsdirect.org
Getting orientations: Balance in human life
Worldview eg Jewish, Christian, humanist
Anthropology: human being as creature or end in itself
Your approach to Psychology – the study of the cognitions and
behaviours of the human person eg Positive Psychology
Wellbeing – a concept common to many
concerns scientific and spiritual
Mindfulness, just
one of many
techniques and
practices
6. www.hertsdirect.org
Approaching mental health as a DPH
• Making sense of a complicated and contested
landscape (various players, various agendas)
• Is it one, several or all of:
– Promotion of mental good health
– Promotion of resilience? How does that differ from
good mental health?
– Primary and Secondary Prevention of mental ill-
health
– Tertiary prevention e.g. Prevention of disability due
to mental ill-health?
– Making sure mental health services work well?
Jim.mcmanus@hertfordshire.gov.u
k
7. www.hertsdirect.org
Seeking orientation
• Speaking to DsPH on public mental health
– “Cinderella” of Public Health
– Language – does anyone know what wellbeing
actually means?
– Laudable policy intent
– Problem with the evidence base – what exactly is it
– A lot of (variable quality) science, any actual practice?
• Some level of confusion over what to do
– ‘ I have a desire to do something but no idea what‘
– ‘I have some idea but no interventions to get there‘
– ‘ I have some idea/ framework but not joined up'.
– I have loads of indicators of how bad it is, but no tools to make it
any better’
8. www.hertsdirect.org
National Context
• Mental health parity of esteem in CCG
guidelines for commissioning strategies
• Under-represented in Better Care Fund
• National Outcomes Frameworks say little on
young peoples’ mental health
9. www.hertsdirect.org
Some Premises
• We are facing an (avoidable) epidemiological
crisis
• The Policy Context (England) does give us
scope to address this
• There are some big tasks we can be getting on
with, systems thinking can help
• Some quick wins and delivery tools can help us
win politician confidence
• Phasing and Layering across lifecourse
10. www.hertsdirect.org
Systems thinking on public mental health
The wider determinants of Health and Local Government functions
(Must adopt a Lifecourse approach!)
The Lives people lead and whether LA functions help or
hinder healthy lifestyles (policy, service quality, access,
behavioural economics, behavioural sciences)
The services people access such as primary care
(high quality, easy access, good follow up,
behavioural and lifestyle pathways wrap around)
Jim.mcmanus@hertfordshire.gov.u
k
11. www.hertsdirect.org
Premise 1: We are facing an (avoidable)
epidemiological crisis
• Prevalence of mental ill-health
• Prevalence of physical conditions associated
with poor mental health
– Chronic disease – poor self management, poor management of
sub-clinical risk, must do better on prevention and early
intervention
– Some sections of our population at very high risk of avoidable
misery and death
– Mental health – intervening too late
– Resilience and Happiness – likewise
13. www.hertsdirect.org
Premise 2: The Policy Context (England) does
give us scope to address this
• Local Authorities – duty to promote and protect
health of population
• NHS CCGs – duty to reduce inequalities in
health
• Behaviour change is a tool but we need to use it
properly and use the right methods
• A balanced strategy using a range of tools and
strategies
14. www.hertsdirect.org
Premise 3: There are some big tasks we can be
getting on with
1. Analyse the system and identify problems
2. Build a system wide approach to deal with it
3. Be clear on roles, responsibilities and
outcomes
4. A more nuanced understanding of mental
health and resilience across lifecourse
5. Commission for pathways around people
15. www.hertsdirect.org
Premise 4: Some quick wins and delivery tools
Five big wins
1. Shift up clinical complexity in
primary care
2. Shift up preventive and
resilience work
3. Step up self care and self
management in chronic
disease
4. Commission pathways
around users
5. Commission primary
prevention for key risk groups
Policy and Delivery Tools
• Pathways and structured
care approached
• Health and social care
integration
• Behavioural sciences
• Health Checks and public
health services
• Brief interventions
• Physical Activity
16. www.hertsdirect.org
Premise 5: Phasing and Layering across
Lifecourse
Early
Years
Childhood Adolescen
ce
Young
Adults
Older
Adults
Environmen
tal
Structurcal
Social
Behavioural
Biological
17. www.hertsdirect.org
Premise 5: Phasing and Layering across
Lifecourse – Adults with Complex Needs
Early
Years
Childhood Adolescen
ce
Young
Adults
Older
Adults
Environmen
tal
•Multi agency
•All commissioners.
•Pathway approach
•“Thrive” focus
•1800 people
Structurcal
Social
Behavioural
Biological
18. www.hertsdirect.org
Healthier Herts: A Public Health Strategy for Hertfordshire
OUR PURPOSE
to work together to improve the health and wellbeing of the people of
Hertfordshire, based on best practice and best evidence
OUR VISION:
A Healthy, Happy Hertfordshire: everyone in Hertfordshire is born healthy, and lives full, healthy and
happy lives. We compare well with England and every area in Hertfordshire compares well against
Hertfordshire
Priority 5:
We
understand
what’s
needed and
we do what
works
Priority 6: We
make public
health
everybody’s
business and
work together
HOW WE WILL WORK TOGETHER
(our strategic priorities: how we do it for
our County)
The
Public
Health
Outcomes
Framework
(the national
PHOF will
Help us measure
Our success)
WHAT WE WILL ACHIEVE WORKING FOR AND WITH OUR
RESIDENTS
(our strategic priorities: what we achieve for our County)
Priority 1:
Our
Populatio
n lives
Longer,
Healthier
Lives
Priority 2:
Our
Population
Starts Life
Healthy
and Stays
Healthy
Priority 3: We
narrow the
gap in life
expectancy
and health
between
most and
least healthy
Priority 4: We
protect our
communities
from harm
(chemical,
biological,
radiological and
environmental)
Building
Blocks
For the
Public Health Family
Strong
Leadership
Capable, Skilled
People
Co-production
with citizens
Effective
Partnerships
Evidence and
Knowledge
Driven
Plan and
Deliver for
Localism
Whole
System
Approaches
Making better use of behavioural sciences at individual, interpersonal, community and service levels
19. www.hertsdirect.org
Premise 5: Phasing and Layering across
lifecourse
•Think through what we can do short term
•Start work on the medium term
•Set the policy framework for the long term
•Build this understanding among partners
•Get started and realise
•County, District, Parish, NHS, Business and
Community Sector working together
20. www.hertsdirect.org
Premise 5: Phasing and Layering
• Phasing across the lifecourse and time
Working age
Accumulation
Of risk in
Late working
age
Good early
Years
outcomes
For lifetime
Mental
health
21. www.hertsdirect.org
Premise 5: Phasing and Layering across
Lifecourse
• Layering levels of action
• Population – resilience – how to thrive
• Sub-Population – self harm work, diversity,
bullying
• Individual – school pastoral care frameworks
(30 secondaries)
22. www.hertsdirect.org
What it means for NHS Services
• Preventive services in every patient pathway
• Levels and competencies from brief intervention
onwards
• Preventive services in clinical services link up to
community services (referral for leisure and
behavioural interventions)
• Commissioning for self-management in chronic
disease
23. www.hertsdirect.org
Making PMH Opportunities a reality -1
• A Framework for DsPH
– JSNA to Commissioning remains a
challenge
– Domains Model or Prevention Model within
the framework (next slide)
– Menu of interventions likely to work across
domains
– “Plug and play” tools and strategies
http://www.fph.org.uk/better_mental_health_for_all
24. www.hertsdirect.org
Making PMH Opportunities a reality -2
• Frameworks we might use
– Domains of Public Health Model or Prevention Model?
• Health Improvement – layer, scale and phase
• Health Protection – mentally disordered offenders, etc
• Service Quality – CAMHS, MH Pathways etc
– Prevention Model? – 1ry, 2ry, 3ry, Resilience?
– Levels of Public Health (Dettels et al,2009)
• Biological, behavioural, social, structural, policy, environmental
– An Evidence Base
http://www.fph.org.uk/better_mental_health_for_all
25. www.hertsdirect.org
The domains model applied to public mental health
(a first, partial start at an illustration)
Health Improvement Health Protection Service Quality (often
called service public health)
Good JSNA and Equity Audit as a foundational step
Lifecourse approach to
building resilience
Protecting people from
vulnerability factors
(workplace stress)
Best possible evidence
Early intervention Drugs and alcohol work Best possible
implementation
Physical activity, social
connectedness as well as
drugs and therapy
Mentally disorderered
offenders work
Best possible evaluation
and audit
Tiered approach (severity)
Layering across the 6 layers of public health: biological, behavioural, social,
political, environmental, structural (Dettels et al 2009)
26. www.hertsdirect.org
Evidence example – the “S” and “R” words
• Growing evidence base for dual impact of
Spirituality and Religion on health
– King et al 2013
– Koenig et al 2012
• Salience of context and outlook
• Important coping and resilience benefits
• Least comfortable of protected characteristics in
NHS (McManus, 2008; Cooke 2010)
Jim.mcmanus@hertfordshire.gov.u
k
27. www.hertsdirect.org
Making PMH Opportunities a reality - 3
• Some discrete pieces of work
– PMH and wider determinants (resilience, financial
stress and burden)
– Using research and academic monies to do
knowledge transfer
– Supporting DsPH with knowledge transfer into
implementation
• menus of interventions which work
• the evidence gap – what’s promising and what does good
innovation look like
• evaluations
– Training
Jim.mcmanus@hertfordshire.gov.u
k
28. www.hertsdirect.org
An attempt at a Hertfordshire framework
• Phasing – Lifecourse
• Layering of PMH intereventions (the 6 layers)
– Resilience – how to thrive, carers, lgbt, bullying,
community interventions,– physical activity, 5 ways
to wellbeing, bibliotherapy, financial stress etc,
building social movements and norms
– Prevention – menu of interventions, pathway
– Tiering of services – scale, pace, quality,
commissioning, pathways
Jim.mcmanus@hertfordshire.gov.u
k
29. www.hertsdirect.org
Premise 5: Phasing and Layering across
Lifecourse
• Layering levels of action
• Population – resilience – how to thrive
• Sub-Population – self harm work, diversity,
bullying
• Individual – school pastoral care frameworks
(30 secondaries)
30. www.hertsdirect.org
Contributions on Mental Health 1
Third sector
contributions
Working together PH, NHS, LA
contributions
•Activities which improve
self esteem and self worth,
key skills – recovery,
prevention and resilience
agenda
•Do more to encourage and
enable volunteering –
commissioning of services
but no funding for volunteer
centres. Cost of volunteer
centres needs to be
considered if volunteering
is a proper strategy. Echo
this for any frontline org
with minimum staffing. Cost
of keeping volunteer
centres going versus return
it brings – if volunteering is
an outcome, the
infrastructure to support it
(vol mgt) needs supporting
•Training front line workers
to understand and signpost
better
•Evidence for funding
(support vcs on getting
funding)
31. www.hertsdirect.org
Contributions on Mental Health 2
Third sector
contributions
Working together PH, NHS, LA
contributions
•CAB transition services are a
really good example of third
sector working together
•CAB transitions service
looking at how we do a referral
process and have an activity
plan. Sharing data on a small
scale.
•Easy to connect with and
access especially where there
is a fear of accessing services
•Reducing isolation (flexible),
trust in the sector, local
knowledge, - third sector could
promote itself more
•People expect too much from
services – people need to be
more resilience generally.
Services need to promote
resilience and taking
responsibility for oneself
•Making every contact count is
good
•Dealing with alcohol use for
self medication – investment
has happened but could do
more
•Lifestyle prescriptions
•Clearer pathways and being
able to move from formal
statutory into third sector and
less red tape
•Education – get into young
people
•A piece of work to support the
vol sector demontrate return on
investment for their work.
•Commissioners to explain
clearly and consistently what
they are looking for in return on
investment and how vcs reports
ROI
•Training offered
•Services are reactive, not
flexible enough – need to look
at preventive agenda more
widely
32. www.hertsdirect.org
Some examples of strategic opportunism in Herts
Population Wide Sub-Populations Individuals
•How to thrive
•Workplace MH
Champions
•School Pastoral
Care
•£2m investment
in Districts
•Anti-Bullying
•Self harm
•Older bereaved
•Adults with
complex needs
programme
•Health
Psychologist
working with
primary care
33. www.hertsdirect.org
Current Projects revisited
• Public Mental Health Framework for all
agencies
• Year of Mental Health Launching 2015
• CAMHS whole system review
• School Whole System Wellbeing Pilots in 36
schools
• Reframing IAPT
• Do Something Different
34. www.hertsdirect.org
Further examples of strategic opportunism in
Herts
Population Wide Sub-Populations Individuals
•Lifestyle
partnership
–Football
clubs
–Leisure offer
–Connection
•Welwyn Hatfield
5 Ways
•LGBT Bullying
•Faith
communities and
low level
interventions
•Extremism and
mental health