Slides from the HIV Prevention Resource Allocation Model session at the 2009 National HIV Prevention Conference in Atlanta. Primary presenter: Arielle Lasry, Division of HIV/AIDS Prevention, CDC
Presentation about measuring service quality in water utilities. Showing preliminary data which indicates that perceptions of water quality are based on variables other than the physical quality of the water.
Birds and Bats: Pest Management Tips for the Educational Environment Facility Masters
Learn corrective actions, inspections and preventive measures to respond to and control bird and bat nuisance issues. Featuring Paul Duerre (Killeen ISD, TX) and Lynn Braband (NYS Community IPM Program at Cornell University).
I just hosted a webinar introducing the second edition of my book, 42 Rules for Growing Enterprise Revenue. This is the Webinar presentation. The second edition's webinar summarizes all 7 strategies for becoming more relevant to customers. The 7 areas are:
· Selecting markets where you matter
· Focusing on customer interactions rather than your org chart
· Using context to define and articulate value
· Collaborating with customers
· Moving from products to solutions
· Exploring vertical market alignment
· Empowering your sales channels
Framework for assessing the economic costs and burdens of zoonotic diseaseILRI
Presented by Alexandra Shaw, Ian Scoones, Melissa Leach, Francis Wanyoike and Delia Grace at the EcoHealth 2014 conference, Montreal, Canada, 11-14 August 2014.
Presentation about measuring service quality in water utilities. Showing preliminary data which indicates that perceptions of water quality are based on variables other than the physical quality of the water.
Birds and Bats: Pest Management Tips for the Educational Environment Facility Masters
Learn corrective actions, inspections and preventive measures to respond to and control bird and bat nuisance issues. Featuring Paul Duerre (Killeen ISD, TX) and Lynn Braband (NYS Community IPM Program at Cornell University).
I just hosted a webinar introducing the second edition of my book, 42 Rules for Growing Enterprise Revenue. This is the Webinar presentation. The second edition's webinar summarizes all 7 strategies for becoming more relevant to customers. The 7 areas are:
· Selecting markets where you matter
· Focusing on customer interactions rather than your org chart
· Using context to define and articulate value
· Collaborating with customers
· Moving from products to solutions
· Exploring vertical market alignment
· Empowering your sales channels
Framework for assessing the economic costs and burdens of zoonotic diseaseILRI
Presented by Alexandra Shaw, Ian Scoones, Melissa Leach, Francis Wanyoike and Delia Grace at the EcoHealth 2014 conference, Montreal, Canada, 11-14 August 2014.
In the Know II: What's New In Image & Video Sharing?CDC NPIN
Presentation from the In the Know 2: Social Media for Public Health webcast held on March 19, 2014 by CDC NPIN staff. The webcast offered public health professionals a look at the latest features, functions, and practices on popular and emerging image and video social media channels.
In the Know 2: Whats New in Social Media? CDC NPIN
Presentation from the In the Know 2: Social Media for Public Health webcast held on March 6, 2014 by CDC NPIN staff. The webcast offered public health professionals a look at the latest features, functions, and practices on popular and emerging social media channels.
Using What You Know about Social Media: How to Conduct a Twitter ChatCDC NPIN
This is the 1st in our newest online training opportunity for public health professionals: Using What You Know about Social Media - How to Conduct a Successful Twitter Chat!
In the Know II: Creating Your Social Media PlanCDC NPIN
This presentation was used in a webcast that offered public health professionals the methods to successfully create a social media plan. How do you truly connect with your target audience? Developing a plan is one of the first and most important aspects of an engagement strategy. The right plan has many facets that work together to increase the likelihood of success.
In honor of World AIDS Day 2013 and to ensure we always remember those no longer with us, CDC NPIN is proud to host 15 sections of the Names Project AIDS Memorial Quilts. Each panel underscores commitment and effort to end this pandemic.
NPIN's In the Know: Social Media for Public Health Webcast Series PosterCDC NPIN
In the Know is a live, interactive webcast series designed to provide the latest in social media to support public health success. The first series of webcasts wrapped up in June, 2013.
CDC NPIN In the Know: Social Media Measurement and Evaluation for Public Heal...CDC NPIN
This is the sixth part of interactive webcasts in this round of the series, In the Know: Social Media for Public Health. Each webcast focuses on a different social media channel and provides basic information, tips, success stories, and discussion on how best to use social media to promote public health and expand outreach initiatives.
CDC NPIN In the Know: Google Plus & YouTube for Public HealthCDC NPIN
This is the fifth of six interactive webcasts in the series, In the Know: Social Media for Public Health. Each webcast focuses on a different social media channel and provides basic information, tips, success stories, and discussion on how best to use social media to promote public health and expand outreach initiatives.
CDC NPIN In the Know: Facebook & Visual Social Media for Public HealthCDC NPIN
This is the fourth of six interactive webcasts in the series, In the Know: Social Media for Public Health. Each webcast focuses on a different social media channel and provides basic information, tips, success stories, and discussion on how best to use social media to promote public health and expand outreach initiatives.
CDC NPIN In the Know: Gaming & Mobile for Public Health Webcast PresentationCDC NPIN
This is the third of six interactive webcasts in the series, In the Know: Social Media for Public Health. Each webcast focuses on a different social media channel and provides basic information, tips, success stories, and discussion on how best to use social media to promote public health and expand outreach initiatives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
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
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
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. 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
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
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
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Res Allocation Model Nhpc09 Lasry
1. A model for allocating
HIV prevention resources in the
United States
Arielle Lasry1, Stephanie Sansom1, Katherine Hicks2,
Vladislav Uzunangelov2
1 Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis,
STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia (GA)
2 RTI International, Research Triangle Park, North Carolina (NC)
National HIV Prevention Conference
Atlanta, August 26, 2009
Disclaimer: The findings and conclusions in this study are those of the authors and do not
necessarily represent the views of the Centers for Disease Control and Prevention.
Presentation outline
Background
How the model works
Model output
Summary, limitations & next steps
2. Presentation outline
Background
How the model works
Model output
Summary, limitations & next steps
Background
Generally, healthcare resource allocation is a
process used to determine how to distribute
resources among programs, populations or regions
from a limited budget.
The way health funds are allocated has an important
influence on health outcomes.
3. Background
CDC’s Division of HIV/AIDS Prevention (DHAP) has total
budget of approximately $650 Million.
approximately $325 Million funds health departments
and community based organizations for core HIV testing
and prevention programs domestically.
We continue to face considerable challenges.
The overall number of new HIV infections per year has
not declined for more than a decade.
HIV resources are not unlimited.
The resource allocation model evaluates how to allocate
HIV prevention funds to further reduce new HIV infections
given a budget of $325 Million.
Modeling vs. the real world
Models are a convenient representation of the real world.
Models can help us project epidemic outcomes, better
understand causal relationships and identify areas where
prevention programs can have the most impact.
Translation of model outcomes into the real word is difficult
because models are a simplified representation of a complex
reality.
Some simplifying assumptions of the resource allocation model:
Population subgroups are reachable and can be perfectly
targeted.
All other funding, including that from state and local
government and the private sector, remains constant.
Administrative costs of disbursing funds at multiple levels
not considered.
4. Presentation outline
Background
How the model works
Model output
Summary, limitations & next steps
Resource allocation model
Uses the best data and estimates available on HIV
incidence, prevalence, prevention program costs and
benefits, current spending, etc.
Projects HIV infections for the United States as a whole
given different allocation strategies.
Based on the best currently available data, suggests
hypothetical allocation to minimize incidence.
Provides information that could be considered in future
decision-making processes for resource allocation.
One of many inputs and information sources – none
should be used alone.
Not intended to replace local decision-making.
5. Populations considered
Three transmission related risk groups
High-risk Men who have Injection Drug
heterosexuals sex w/men Users
(HRH) (MSM) (IDU)
Three race/ethnicity categories
Black Hispanics Other races*
* Mainly whites, + A/PI, AI/AN
Two gender categories (M/F)
We end up with 15 risk populations (2X3X3 - 3)
Infection transmission
Each of the 15 risk populations is modeled as 3
compartments.
ti x e ti x e ti x e
HIV+ HIV+
Susceptibles undiagnosed diagnosed
yrt n e
Infection from contact with HIV+
diagnosed or undiagnosed
Screening & diagnosis
The 15 risk populations interact (mix) with one another
thereby generating new infections.
6. Intervention types
Behavioral
Testing
interventions
Intervention to reduce Targeted testing to
Risk risk among susceptibles identify positives
populations and the infected unaware of their status
Testing in general
healthcare settings to
General e.g. Social marketing identify positives
population unaware
of their status
Compares the outcome of these interventions in terms of estimated
HIV infections prevented when targeted to the general population and
to risk populations defined by race/ethnicity, gender, and risk group.
How the model works
1. Epidemic model:
Simulates the epidemic outcome
given a defined allocation.
Defined as dynamic
compartmental model and written
S− U+ D+
out as a system of difference
equations
noitacollA weN
oiranecs snoitcefni
2. Optimization engine:
Generates different allocation
scenarios, which feed into the
epidemic model and stops when
best outcome is reached.
Yes No
Aims to minimize the total number Improve? Stop
of new infections over 5 years, by
deciding how much to allocate to
the interventions considered.
7. Summary of data used
1. Population data 4. Intervention costs and
Total size of risk population outcomes
Number of positives Cost of testing by target group
% unaware Level of background testing
Cost of behavioral interventions
2. Rates of movement in and
by target group
out of each risk population Effect and duration of behavioral
Entry into susceptible intervention by target group
Exit rate from susceptible and 5. Constraints
undiagnosed+
Maximum reachability (%) by
Exit rate from diagnosed + intervention category by risk
(death and disease)
population
3. Transmission (optional) Minimum or Maximum
Mixing % investment by intervention,
Incidence by subpopulation target group and/or risk
Effective contact rate for population
diagnosed and undiagnosed Budget
Validation and quality assurance
Validation of input data
Internal vetting and sign-off by subject matter experts
within DHAP.
External review committees provided written reviews
and participated in a series of conference calls. Their
feedback was incorporated into our data estimates.
Validation of model structure
Modeling experts (outside CDC) provided written
review of model and participated in conference call.
Comments were used to update the model.
Quality assurance
Several measures taken including sensitivity analysis.
Model demonstrated stability and robustness.
8. Presentation outline
Background
How the model works
Model output
Summary, limitations & next steps
Allocations by intervention type
$350
$300
Testing Testing
(Risk pop) (Risk pop)
$250
Testing
$200
(Gen pop)
$150
Behavioral
Behavioral Intervention
$100
intervention (Risk pop)
(Risk pop)
$50
Behavioral intvn. (Gen pop)
$-
Baseline Model
9. Allocations to behavioral
interventions by serostatus
$250
$200
Untargeted
$150
HIV+ Diagnosed
HIV+
$100 Diagnosed
Susceptibles
& HIV+
$50
Undiagnosed
Susceptibles & HIV+ Undiagnosed
$-
Baseline Model
Allocations to behavioral
interventions by race/ethnicity
$250
$200
Others
Untargeted
$150
Others
$100 Hispanic
Hispanic
$50
Black Black
$-
Baseline Model
*Others: Whites, APIs, American Indians and Alaska Natives
10. Allocations to behavioral
interventions by risk group
$250
$200 HRH
Untargeted IDU
$150
HRH
$100
IDU MSM
$50
MSM
$-
Baseline Model
Allocations to testing
by race/ethnicity
$180
$160
$140
$120 Untargeted
$100
$80 Others
Others
$60
Hispanic
$40 Hispanic
$20 Black Black
$-
Baseline Model
*Others: Whites, APIs, American Indians and Alaska Natives
11. Allocations to testing
by risk group
$180
$160
$140
$120 Untargeted
$100
HRH
$80 IDU
$60 HRH
$40
MSM
$20
IDU
MSM
$-
Baseline Model
Presentation outline
Background
How the model works
Model output
Summary, limitations & next steps
12. Select model output
Directs resources for testing and behavioral
interventions to those at greatest risk (not general
population).
Increases allocation to behavioral interventions for
diagnosed positives.
Increases allocation to testing for MSMs and IDUs.
More than doubles total allocation to MSMs.
More than doubles total allocation to IDUs.
Increases allocation to behavioral interventions for
Blacks.
Limitations
Budget only includes DHAP extramural funds for testing
and behavioral programs, not all HIV prevention funds.
Accounts for current levels of non-CDC funded
screening and behavioral intervention efforts.
Assumes non-CDC funding levels are constant.
Data
Data are often uncertain.
Data updates required as new evidence emerges.
Assumes that resources can be “perfectly” targeted.
Considers prevention strategies that are currently
federally funded (i.e. no needle exchange or biomedical
strategies).
Does not account for regional/geographical differences.
13. Next steps
Continuous model refinements
Data updates
Broaden scope of interventions
Explore how model could be adapted for regional/local
planning uses.
Consider how the model might be integrated into
DHAP’s priority setting process.
Resource allocation model - Technical briefing
September 14th, 2009 from 1:00-2:00PM ET
Resource allocation model - Program briefing
September 15th, 2009 from 1:30-2:30PM ET
Thank you
Questions?