The document discusses evaluation of health visiting practice and how to improve outcomes through evaluation. It provides an overview of the healthy child programme led by health visitors and the six high impact areas that are evaluated. Evaluation approaches are discussed, including the Kirkpatrick framework that measures reaction, learning, impact and results. Improvement science aims to create practical learning to improve patient care based on evidence. The document encourages contributions to evaluation research and improvement science to strengthen health visiting practice.
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Sue Catchings discusses the strategy of using school-based health centers to support youth and engage them in health.
The information in these slides was shared by Kamna Seth and Gauri Shirali-Deo of The Source for Learning, Inc's Early Childhood team, during VAECE's 2017 Annual Conference in Hampton Roads, VA on April 1, 2017.
PRESENTATION OVERVIEW
This session focused on the definition and scope of early intervention; reflected on the urgency and importance of early diagnoses of developmental delays; and provided techniques to meaningfully use information gathered through observational data and to connect child progress to educational decisions.
ABOUT EARLY CHILDHOOD AT THE SOURCE FOR LEARNING
SFL’s Early Childhood Education Division includes PreschoolFirst--a research-based, online child assessment system that has proven effective in early childhood classrooms -- as well as a wide range of professional development and management services for the early childhood community. The Division’s PD webinar series features cutting-edge and trending topics presented in a one-hour format by SFL’s early childhood education team, with guest appearances by ECE industry experts.
Supporting and developing patient safety collaboratives - Phil Duncan and Fiona Thow, Patient safety collaborative delivery leads, NHS Improving Quality
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Sue Catchings discusses the strategy of using school-based health centers to support youth and engage them in health.
The information in these slides was shared by Kamna Seth and Gauri Shirali-Deo of The Source for Learning, Inc's Early Childhood team, during VAECE's 2017 Annual Conference in Hampton Roads, VA on April 1, 2017.
PRESENTATION OVERVIEW
This session focused on the definition and scope of early intervention; reflected on the urgency and importance of early diagnoses of developmental delays; and provided techniques to meaningfully use information gathered through observational data and to connect child progress to educational decisions.
ABOUT EARLY CHILDHOOD AT THE SOURCE FOR LEARNING
SFL’s Early Childhood Education Division includes PreschoolFirst--a research-based, online child assessment system that has proven effective in early childhood classrooms -- as well as a wide range of professional development and management services for the early childhood community. The Division’s PD webinar series features cutting-edge and trending topics presented in a one-hour format by SFL’s early childhood education team, with guest appearances by ECE industry experts.
Supporting and developing patient safety collaboratives - Phil Duncan and Fiona Thow, Patient safety collaborative delivery leads, NHS Improving Quality
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
IDEAS multimedia submission to the Fourth Global Symposium on Health Systems Research #HSR2016
We are trying to answer the question of whether and how multimedia can help to improve and innovate health services and systems
"I am here today to talk about a digital photo essay - How can we get life-saving interventions to women and babies?
I will be looking to the issue of photography as a research tool
So what is a photo essay? A photo-essay is a set or series of photographs that are made to tell the story of events of create a series of emotions in the viewer. Photo essays can often demonstrate behaviours or show deep emotional stages.
The images that make up this photo essay relates to maternal and newborn health and traces the story of women in Ethiopia as they go into labour and the care that is received in the first hours and days of a newborns life.
We put them together using the Shorthand Social which allows you create visually engaging storytelling microsites for free.
For the next few minutes, I will let the photographs that we used to do the talking….
So now that we have followed these mothers and newborns on their journeys, I will explain how this research came about, and I will cover the following topics:
- What is IDEAS?
- Charting progress in maternal and newborn health in Ethiopia
- How photography can help improve and innovate health systems by enhancing research
- Wider debates
- What next?
Find out more at http://bit.ly/MLE4MNCH
#HSR2016
A Conversation on Supporting Self-Management in Children and Adolescents with...LucilePackardFoundation
While self-management support has been a component of adult chronic care for decades, it is just emerging as a critical need for children, especially those with complex conditions. Self-management is a shared undertaking between the child, their parents and care providers, and must take into account the child’s developmental status and the family’s capacities. Clinicians need routine, standardized approaches and tools to address the unique needs of children and their families including assessing self-management skills, collaboratively setting goals, and promoting competence and autonomy in youth.
Mental Health Services and Schools Link Pilot - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Mental Health Services and Schools Link Pilot - where CYP specialist mental health services and schools are testing new ways of joint working to improve outcomes for children and young people with mental health and well being needs
Michelle Place (NHS England), Jaime Smith (Anna Freud Centre), Sarah Brown (Camden CCG) and Lorna Ponambalum (Haverstock School)
The Office of Adolescent Health was established in 2010 within the Office of the Assistant Secretary for Health (OASH) at HHS in order to advance best practices to improve the health and well-being of America’s adolescents.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
Gerry Marr, Chief Executive, NHS Tayside and Bernadette Malone, Chief Executive, Perth & Kinross Council describe the approach in Perth & Kinross focusing specifically on the organisational and cultural issues in delivering change in early years. The presenters describe the partnership approach to improvement with specific reference to the Early Years Collaboration and the Evidence2Success project with Dartington Social Research Centre.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Transforming CYP Community Eating Disorders Services: Children and Young Peop...NHSECYPMH
The Durham and Darlington Eating Disorders Team shares with you our progress; reflecting on both successes and challenges, and offering the chance to share experiences. There are further developments and challenges ahead and we will consider what the future may hold.
iHV regional conf: Cheryll Adams - Welcome from the Chair and the Making the ...Julie Cooper
Presentation by Dr Cheryll Adams at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Cheryll Adams is Director at the Institute of Health Visiting.
IDEAS multimedia submission to the Fourth Global Symposium on Health Systems Research #HSR2016
We are trying to answer the question of whether and how multimedia can help to improve and innovate health services and systems
"I am here today to talk about a digital photo essay - How can we get life-saving interventions to women and babies?
I will be looking to the issue of photography as a research tool
So what is a photo essay? A photo-essay is a set or series of photographs that are made to tell the story of events of create a series of emotions in the viewer. Photo essays can often demonstrate behaviours or show deep emotional stages.
The images that make up this photo essay relates to maternal and newborn health and traces the story of women in Ethiopia as they go into labour and the care that is received in the first hours and days of a newborns life.
We put them together using the Shorthand Social which allows you create visually engaging storytelling microsites for free.
For the next few minutes, I will let the photographs that we used to do the talking….
So now that we have followed these mothers and newborns on their journeys, I will explain how this research came about, and I will cover the following topics:
- What is IDEAS?
- Charting progress in maternal and newborn health in Ethiopia
- How photography can help improve and innovate health systems by enhancing research
- Wider debates
- What next?
Find out more at http://bit.ly/MLE4MNCH
#HSR2016
A Conversation on Supporting Self-Management in Children and Adolescents with...LucilePackardFoundation
While self-management support has been a component of adult chronic care for decades, it is just emerging as a critical need for children, especially those with complex conditions. Self-management is a shared undertaking between the child, their parents and care providers, and must take into account the child’s developmental status and the family’s capacities. Clinicians need routine, standardized approaches and tools to address the unique needs of children and their families including assessing self-management skills, collaboratively setting goals, and promoting competence and autonomy in youth.
Mental Health Services and Schools Link Pilot - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Mental Health Services and Schools Link Pilot - where CYP specialist mental health services and schools are testing new ways of joint working to improve outcomes for children and young people with mental health and well being needs
Michelle Place (NHS England), Jaime Smith (Anna Freud Centre), Sarah Brown (Camden CCG) and Lorna Ponambalum (Haverstock School)
The Office of Adolescent Health was established in 2010 within the Office of the Assistant Secretary for Health (OASH) at HHS in order to advance best practices to improve the health and well-being of America’s adolescents.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
Gerry Marr, Chief Executive, NHS Tayside and Bernadette Malone, Chief Executive, Perth & Kinross Council describe the approach in Perth & Kinross focusing specifically on the organisational and cultural issues in delivering change in early years. The presenters describe the partnership approach to improvement with specific reference to the Early Years Collaboration and the Evidence2Success project with Dartington Social Research Centre.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Transforming CYP Community Eating Disorders Services: Children and Young Peop...NHSECYPMH
The Durham and Darlington Eating Disorders Team shares with you our progress; reflecting on both successes and challenges, and offering the chance to share experiences. There are further developments and challenges ahead and we will consider what the future may hold.
iHV regional conf: Cheryll Adams - Welcome from the Chair and the Making the ...Julie Cooper
Presentation by Dr Cheryll Adams at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Cheryll Adams is Director at the Institute of Health Visiting.
iHV regional conf: Emeritus Professor Dame Sarah Cowley - Health Visiting as ...Julie Cooper
Presentation by Emeritus Professor Dame Sarah Cowley at the Institute of Health Visiting Regional Professional Conferences 2015.
Emeritus Professor Dame Sarah Cowley is a Trustee of the Institute of Health Visiting.
iHV regional conf London: Professor Viv Bennett - The Future is HV 456!Julie Cooper
Presentation by Professor Viv Bennett at the Institute of Health Visiting Regional Professional Conferences 2015 - London.
Professor Viv Bennett is Director of Nursing for Department of Health and Public Health England.
iHV regional conference: Josephine Johnson - Health Visitors as leaders in th...Julie Cooper
Presentation by Josephine Johnson at the Institute of Health Visiting Regional Professional Conferences 2015.
Josephine Johnson is Project Lead at NHS England.
iHV regional conf: Dr Karen Whittaker - The evaluation of health visiting pra...Julie Cooper
Presentation by Dr Karen Whittaker at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Karen Whittaker is Senior Lecturer in the School of Health at the University of Central Lancashire.
iHV regional conf: Robin Balbernie - Holding the future: The importance of he...Julie Cooper
Presentation by Robin Balbernie at the Institute of Health Visiting Regional Professional Conferences 2015.
Robin Balbernie is Clinical Director at PIP UK.
iHV regional conf: Theresa bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting for Warwickshire.
iHV regional conf: Emeritus Professor John Cox - Towards a Medicine of the Pe...Julie Cooper
Presentation by Emeritus Professor John Cox at the Institute of Health Visiting Regional Professional Conferences 2015.
John Cox is Professor Emeritus, Keele University; Past President Marcé Society and former President Royal College of Psychiatrists and Secretary General World Psychiatric Association (2002 - 2008).
iHV regional conf: Sabrina Fuller - Health Visitors as leaders in the transit...Julie Cooper
Presentation by Sabrina Fuller at the Institute of Health Visiting Regional Professional Conferences 2015.
Sabrina Fuller is Head of Health Improvement, NHS England.
iHV regional conf: Cheryll Adams - Welcome from the Chair and the Making the ...Julie Cooper
Presentation by Dr Cheryll Adams at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Cheryll Adams is Director at the Institute of Health Visiting.
iHV regional conf: Theresa Bishop - Strengthening Health Visiting into the fu...Julie Cooper
Presentation by Theresa Bishop at the Institute of Health Visiting Regional Professional Conferences 2015.
Theresa Bishop is Professional Lead for Health Visiting in Warwickshire.
iHV regional conference: Josephine Johnson - Health Visitors as leaders in th...Julie Cooper
Presentation by Josephine Johnson at the Institute of Health Visiting Regional Professional Conferences 2015 - on behalf of Sabrina Fuller, Head of Health Improvement NHS England.
Josephine Johnson is Project Lead, NHS England.
iHV regional conf: Emeritus Professor Dame Sarah Cowley - Health Visiting as ...Julie Cooper
Presentation by Emeritus Professor Dame Sarah Cowley at the Institute of Health Visiting Regional Professional Conferences 2015 - London
Emeritus Professor Dame Sarah Cowley is a Trustee of the Institute of Health Visiting.
In every large organization, there's a hierarchy of management that keeps the whole operation running smoothly. A good manager is able to blend into the background, changing small things here and there to great effect. Being a good manager is about leading by example. It's one of the toughest jobs out there — in part because you have to manage other people's expectations — and also because it's one of the least acknowledged tasks. Despite this, there are several tricks of the trade that will help you successfully manage all your responsibility, in style and with verve.
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
Join us for an interactive, reflective, and hands-on learning session for school and mental health leaders. Together, we will build out your leadership toolkit to develop the mental health systems and practices on your school campus. In this workshop, we will cover the best practices for school mental health, funding streams (such as Medi-Cal and the Mental Health Services Act) that sustain those practices, and policy approaches that support them. Participants will leave with strategies and knowledge that will support enhanced leadership to drive school mental health equitably in their school community.
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
Getting Knowledge into Action for Best Quality HealthcareNHSScotlandEvent
NHS Education for Scotland and Healthcare Improvement Scotland are working with NHS Boards to define new approaches to implementing and sharing knowledge which support practitioners to get knowledge into action at the frontline. This shift in focus from accessing to applying knowledge will integrate knowledge management more closely with quality improvement. This interactive workshop will use creative knowledge management techniques to challenge the way we apply knowledge in practice.
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
Most mental illnesses begin in adolescence or early adulthood – the vital time in life when we establish our independence. Mental illness can derail this process with long-lasting effects. We know that the earlier we can engage a young person in treatment the better their outcomes – but young people are the least likely to seek help from mental health services. This is not helped by the separation of services at age 18.
The good news is that we know that early intervention makes a difference in getting young people well and keeping them well. Early intervention teams have been established for psychosis in England for the last 12 years. Psychosis is a serious mental illness affecting 1-2% of the population, with about 500 new cases every year in the Oxford AHSN area.
Early intervention in psychosis is a specialist, community-based service providing medical, psychological and family-based treatments. It helps get young people back to work or education and keeps an eye out for any early signs of relapse so that they can be prevented. Early intervention teams are highly valued by young people and their families. They also save the health service money by keeping people well and getting them back to work.
The Early intervention in mental health network will make sure that this best practice is in place across the Oxford AHSN region with the highest standard of care provided everywhere. We also aim to spread this early intervention model across other conditions (such as eating disorders, personality disorder, autistic spectrum conditions) to help more young people.
World class research is being undertaken in Oxford AHSN and across England into early psychosis – both into the causes and to trial new treatments. We aim to make this research available to every patient being seen by our early intervention teams. We will also look to develop new innovations and technologies that could improve the experience of young people receiving mental healthcare.
Menu Management Options· · APRN504 - 5886 - HEALTH POLICY .docxandreecapon
Menu Management Options
·
·
APRN504 - 5886 - HEALTH POLICY AND LEADERSHIP - Spring2016
· Home Page
· Announcements
· Syllabus
· Discussions
· Weekly news update
· Assignments
· Sign up Wiki
· Writing Information
· Groups
· Week One
· PowerPoint Week #1
· PowerPoints Week #1
· Week Two: Information
· Week Three
· PowerPoint:Week #3 Policy
· PowerPoint-Communication
· PowerPoint: SS
· Week Four
· PowerPoint: Finances
· PowerPoint-Ethics
· Week Five
· Week Six
· Week Seven
· Week Eight
· PowerPoint: Lobbying
· Week Nine
· PowerPoint:Workplace
· Week Ten
· Week Eleven
· PowerPoint:Centers
· PP: Putting it Together
· Week Twelve
· Week Thirteen
· Week Fourteen
· Week Fifteen
· APA Links
· Help
· Tools
PowerPoint Week #1
Top of Form
Bottom of Form
Content
·
Social Determinants of Health
·
One view of the ACA
·
Another view of ACA
Remember South Carolina did NOT take the Medicaid expansion.
·
South Carolina and Medicaid
·
The IOM and Nursing
· Nursing and Politics
·
Mentoring
·
The Difference in Political Philosophy
·
Policy Process
GRADING RUBRICS:
Journals: The Journals should be a synopsis of ALL your required readings and PowerPoints. These papers are three to six pages long and include a reference page. Tell me what you learned. Failure to cover any aspect of the information will result is loss of points. APA format is required so remember your title page. The required APA textbook has examples from pages 41-59. Spelling and grammar issues will result in loss of points. Late Submissions: Minus 10 points/day.
Forum: Discussion Board
Organize Forum Threads on this page and apply settings to several or all threads. Threads are listed in a tabular format. The Threads can be sorted by clicking the column title or the caret at the top of each column. More Help
Content
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This is a 'post-first' discussion forum.
There are currently 18 threads in this forum. Join the conversation by creating a thread!
Create Thread
Forum Description
Introduce yourself. Tell us your background and what track you are currently in. Have you had any experience with politics, leadership or political events? What do you hope to gain from this course? What are your concerns about taking a hybid course? What do you wish other people knew about you? Where do you hope to be five years from now? What has been your experience in a Political Group (ANA, SCNA, ANCC, ACNP, SCMA, Republican Party, Democratic Party, etc) and the role they play in politics? Inform us of what district you live in, who is your current represenative and senator for your district. A meaningful response to two classmates and facilitation of a dialog is an expectation for the discussion board. You can not post "I agree" or "I disagree". A discussion is like a ball being tossed back and forth. If you ask questions of your classmates you facilitate dialog. The discussion Boards are open for two weeks and close on Sundays at 11:59 pm. Do not wait until the last minute to post becaus ...
161207 iHV leadership conf - Ros BryarJulie Cooper
Presentation by Professor Ros Bryar, Professor Emeritus in Community and Primary Care Nursing, at the iHV Leadership conference on 7 December 2016.
Creating a postive practice environment
161207 iHV leadership conf - Alison Morton and Sylvia WoolleyJulie Cooper
Joint presentation by Alison Morton, FiHV, Head of Nursing and Allied Professionals (Children's Division), South Health Foundation Trust, and Sylvia Woolley, FiHV, Research Nurse, Health Visitor, Oxford Health, at the iHV Leadership Conference on 7 December 2016.
Setting new directions in infant mental health.
161207 iHV leadership conf - Susan OtitiJulie Cooper
Presentation by Susan Otiti, Assistant Director of Public Health, Haringey Council, at the iHV Leadership Conference on 7 December 2016.
Leading in a new landscape
161207 iHV leadership conf - Karen StansfieldJulie Cooper
Presentation by Karen Stansfield, FiHV, Head of Department, Education and Quality, iHV, at the iHV Leadership conference on 7 December 2016.
A Leadership Model for Practice
161207 iHV leadership conf - Sharin BaldwinJulie Cooper
Presentation by Sharin Baldwin, FiHV, NIHR Clinical Doctoral Fellow King's College London/ Health Visiting Clinical Academic Lead, London North West Healthcare Trust, t iHV leadership conference on 7 December 2016.
Leadership in Health Visiting
161207 iHV leadership conf - Jane PowellJulie Cooper
Presentation by Jane Powell, FIHV, Interim Head of Service Universal 0-5 Birmingham Community Health Trust., at the iHV Leadership conference on 7 December 2016.
Engaging Stakeholders to design and develop helth visiting services.
161207 iHV leadership conf - Andrea Johns FiHVJulie Cooper
Presentation given by Andrea Johns at the iHV leadership conference on 7 Dec 2016.
Influencing your environment within an integrated 0-19 service - Andrea Johns FiHV, Professional Lead Health Visiting, Wirral Community NHSFoundation Trust
161207 iHV leadership conf - Sarah DaviesJulie Cooper
Presentation by Sarah Davies, CEO and co-founder, The Behavioural Architects, at the iHV leadership conference on 7 December 2016.
BE inspired: Leading in Business Entrepreneurship.
iHV regional con: Kelley Webb Martin - Timebanking to promote Health Visiting...Julie Cooper
Presentation by Kelley Webb-Martin at the Institute of Health Visiting Regional Professional Conferences 2015.
Kelley Webb-Martin is Chair of Trustees, Nusho,
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
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
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Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
iHV regional conf: Sally Kendall - Building evaluation into your practice
1. +
Evaluation of Health Visiting Practice
How should we go forward?
Prof. Sally Kendall, Associate Dean Research and Director, CRIPACC,
University of Hertfordshire
Trustee iHV
2. +Current Policy: Why health visiting matters
In 2011 the Department of Health for England launched the
‘Health Visiting Implementation Plan’
The Government believes that strong and stable families are the
bedrock of a strong and stable society.
3. +The Healthy Child Programme
The Healthy Child Programme
(HCP) is led by Health Visitors and
consists of a programme of
evidence based activities across
the pregnancy and 0-5 year period
4. +
Effective HCP should lead to…..
strong parent–child attachment and positive parenting, resulting in
better social and emotional wellbeing among children;
care that helps to keep children healthy and safe;
healthy eating and increased activity, leading to a reduction in obesity;
prevention of some serious and communicable diseases;
increased rates of initiation and continuation of breastfeeding;
readiness for school and improved learning; early recognition of
growth disorders and risk factors for obesity;
early detection of – and action to address – developmental delay,
abnormalities and ill health, and concerns about safety; • identification
of factors that could influence health and wellbeing in families; and
better short- and long-term outcomes for children who are at risk of
social exclusion.
5. + How do we evaluate effectiveness?
Six High Impact Areas for Health Visiting
8. +
Putting the family first
The families and children must be the first priority in all of what
the health visitors do. Within available resources, they must
receive effective services from caring, compassionate and
committed staff, working within a common culture, and they
must be protected from avoidable harm and any deprivation of
their basic rights.
Enhanced quality standards to promote improvement
Public engagement and partnership
Strong leadership in health visiting and other professions
9. +
Ask Questions, Be Curious
“Be vigilant, curious and ask the ‘why’
questions, because it’s when you stop
asking questions that things start to go
wrong.”
Mary Mumvuri, Head of Nursing and Patient
Safety at Hertfordshire Partnership University NHS
Foundation Trust (HPFT), told nursing students at
the University of Hertfordshire.
10. + Enhancing quality standards through
evaluation
Evaluation
What? Intervention or change in practice
Who? Family, child, parents, community
How? What is involved? Break it down to component
parts
When? At what stage, time, level
Where? What is the context, home, community, clinic
Measures? Do they already exist? Where can they be
found?
Changes? Can the change be associated with the
intervention or practice development?
Dissemination and communication?
11. +
Improvement Science
What is improvement science?
The overriding goal of improvement
science is to ensure that quality
improvement efforts are based as much
on evidence as the best practices they
seek to implement
Shojania KG, Grimshaw JM. Evidence-based
quality improvement: the state of the science.
Health Aff (Millwood) 2005; 24(1):138-50.Improvement science aims to
create practical learning that can
make a timely difference to
patient care. It is characterised by
its large domain of interest, its applied nature,
and its commitment to generation of practical
learning that can be applied in real-life situations.
Improvement science recognises and integrates many
contributions, similar to the way that engineering science
uses scientific knowledge and theories to address real-life problems
Marshall et 2013 www.thelancet.com
12. + Terms used for improvement science
implementation science
science of improvement
translational research
translational science
measurement for improvement
quality improvement methods
quality improvement science
science of quality improvement
evidence-based practice
knowledge translation
research utilisation
13. +
Evaluation approaches
Kirkpatrick (1988) Framework for Evaluation 4 stages
Reaction – how do people react, feel, behave in relation to the
process?
Learning – what have people learned from it and what would
they do differently?
Impact – what has been the impact on their lives, behaviour,
relationships,
Results – what change has occurred, is it measurable?
14. +
How would you do this?
Posing the question
E.g How effective has my breastfeeding support group been in
enabling breastfeeding to continue?
Reaction
How did you feel about the breastfeeding support group? What
made you want to continue with it?
What was challenging?
Learning
What have you learned from the group?
What supported your learning?
What would you want to do differently?
15. +
How would you do this?
Posing the question
E.g How effective has my breastfeeding support group been in
enabling breastfeeding to continue?
Impact - What difference has attending the group made to your
experience of breastfeeding?
How has it affected your family’s approach to breastfeeding?
How confident are you about continuing to breastfeed?
Results – what has changed as a a result of the programme?
Before and after measures – breastfeeding rates, confidence,
self-efficacy, attachment,
16. +
How can you contribute?
By being curious about health visiting practice, what makes a difference and why?
Be systematic and methodical!
Through engagement with NHS and public health organisations and identifying areas of
local and national concern
By considering how to implement what is already known and identifying gaps in knowledge
Taking part in research events such as master-classes, seminars and conferences –
getting ‘out there’
Engaging with families and the public – how can improvement science address their
concerns?
Building experience and knowledge through professional development (Masters, PhDs)
and working with teams
Disseminating your work in good quality journals, conferences and the e-Community of
Practice
Applying for grants that will stimulate and grow new areas
17. +
Disseminate your findings
Write for a journal
or local newsletter
Conference or seminars
Blogs, twitter, facebook – use social media!
Use the e-Community of Practice for Health Visitors
18. +
On-line Community of Practice
The CoP is built around the 6 high impact areas, enabling HVs to build and
share evidence and knowledge in each of the 6 areas within an
on-line community
20. +
Future possibilities
To achieve real quality improvements in health and health care
should promote, build on and invest in evaluation research that
draws on Improvement Science
Working with networks such as the the iHV , CLAHRCs, eCoP
enhances opportunities to work more closely with NHS, public
health and social care partners on a larger scale
We have an opportunity to grow a national and international
reputation if we start to build on current work now