The document discusses how health inequalities are socially determined by differences in life chances rather than just lifestyles. It provides evidence from studies showing how stressful work environments and unemployment negatively impact health, with up to 40-64% of health inequalities reduced after adjusting for these social determinants of health. The document advocates for policies focused on improving life chances, such as increasing income, employment opportunities, and participation at work and in communities, as evidenced by some of Labour's past successes in reducing inequalities.
Presentation from the 2016 International Conference on Aging in the Americas hosted at the University of Texas at San Antonio Downtown Campus, Sept. 14-16.
This is the abstract presentation of Dr Tey Nai Peng, which took place as part of Seventh session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10) Virtual, on 14th September 2020, on the theme of "Population ageing and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
CHAIR: Sono Aibe
PLENARY SPEAKERS
* Caitlin Littleton, Regional Programme Adviser, HelpAge International, Asia Pacific | "Sexual health of older people: an overview"
* Sai Jyothirmai Racherla, Deputy Executive Director, ARROW | "Reclaiming and Redefining Rights -Older Women's Health and Well-Being in Asia and the Pacific Region at ICPD+25"
* Krishna Gautam, founder and Chair of Ageing Nepal | "Not Leaving Older Adults Behind in the process of achieving SDG-2030"
A B S T R A C T P R E S E N T A T I O N S
* Dr Tey Nai Peng | Understanding the Sexual Behaviour of Older Men and Women in Malaysia
* Prof Xiaoming Sun | Unmet Needs on Sexual and Reproductive Health among Women Aged 50-64 in Rural China
For more information on this session go to www.bit.ly/apcrshr10virtual7
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #LGBT #genderequality #SDGs #ageing #elderly #olderpeople #IDOP2020 #InternationalDayOfOlderPersons
It’s no secret that the state of health and wellness in much of the developed world is dismal – and getting worse. And while Australia is a relatively good place to be born in terms of health, it is not immune from the alarming obesity epidemic and related health concerns. A number of food and beverage manufacturers have recognised this, and are taking tangible, visible steps to address the issue. However, there is still a long way to go. Whilst consumers generally recognise health risks and issues, there are barriers that prevent them making smarter consumption choices. One key barrier is the lack of availability of product options that address their health concerns whilst still delivering against other core needs. Through a greater understanding of relevant consumer lifestyle tensions and unmet consumption needs, marketers can more successfully navigate health and wellness territory.
This is the abstract presentation of Prof Xiaoming Sun, which took place as part of Seventh session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10) Virtual, on 14th September 2020, on the theme of "Population ageing and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
CHAIR: Sono Aibe
PLENARY SPEAKERS
* Caitlin Littleton, Regional Programme Adviser, HelpAge International, Asia Pacific | "Sexual health of older people: an overview"
* Sai Jyothirmai Racherla, Deputy Executive Director, ARROW | "Reclaiming and Redefining Rights -Older Women's Health and Well-Being in Asia and the Pacific Region at ICPD+25"
* Krishna Gautam, founder and Chair of Ageing Nepal | "Not Leaving Older Adults Behind in the process of achieving SDG-2030"
A B S T R A C T P R E S E N T A T I O N S
* Dr Tey Nai Peng | Understanding the Sexual Behaviour of Older Men and Women in Malaysia
* Prof Xiaoming Sun | Unmet Needs on Sexual and Reproductive Health among Women Aged 50-64 in Rural China
For more information on this session go to www.bit.ly/apcrshr10virtual7
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #LGBT #genderequality #SDGs #ageing #elderly #olderpeople #IDOP2020 #InternationalDayOfOlderPersons
Presentation developed by our Chief Executive, Martin Tod, to support the launch of our Men's Health Manifesto.
An abbreviated version of this presentation was used at the All Party Parliamentary Group on Men's Health at the House of Commons on November 5, 2014.
Presentation from the 2016 International Conference on Aging in the Americas hosted at the University of Texas at San Antonio Downtown Campus, Sept. 14-16.
This is the abstract presentation of Dr Tey Nai Peng, which took place as part of Seventh session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10) Virtual, on 14th September 2020, on the theme of "Population ageing and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
CHAIR: Sono Aibe
PLENARY SPEAKERS
* Caitlin Littleton, Regional Programme Adviser, HelpAge International, Asia Pacific | "Sexual health of older people: an overview"
* Sai Jyothirmai Racherla, Deputy Executive Director, ARROW | "Reclaiming and Redefining Rights -Older Women's Health and Well-Being in Asia and the Pacific Region at ICPD+25"
* Krishna Gautam, founder and Chair of Ageing Nepal | "Not Leaving Older Adults Behind in the process of achieving SDG-2030"
A B S T R A C T P R E S E N T A T I O N S
* Dr Tey Nai Peng | Understanding the Sexual Behaviour of Older Men and Women in Malaysia
* Prof Xiaoming Sun | Unmet Needs on Sexual and Reproductive Health among Women Aged 50-64 in Rural China
For more information on this session go to www.bit.ly/apcrshr10virtual7
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #LGBT #genderequality #SDGs #ageing #elderly #olderpeople #IDOP2020 #InternationalDayOfOlderPersons
It’s no secret that the state of health and wellness in much of the developed world is dismal – and getting worse. And while Australia is a relatively good place to be born in terms of health, it is not immune from the alarming obesity epidemic and related health concerns. A number of food and beverage manufacturers have recognised this, and are taking tangible, visible steps to address the issue. However, there is still a long way to go. Whilst consumers generally recognise health risks and issues, there are barriers that prevent them making smarter consumption choices. One key barrier is the lack of availability of product options that address their health concerns whilst still delivering against other core needs. Through a greater understanding of relevant consumer lifestyle tensions and unmet consumption needs, marketers can more successfully navigate health and wellness territory.
This is the abstract presentation of Prof Xiaoming Sun, which took place as part of Seventh session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10) Virtual, on 14th September 2020, on the theme of "Population ageing and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
CHAIR: Sono Aibe
PLENARY SPEAKERS
* Caitlin Littleton, Regional Programme Adviser, HelpAge International, Asia Pacific | "Sexual health of older people: an overview"
* Sai Jyothirmai Racherla, Deputy Executive Director, ARROW | "Reclaiming and Redefining Rights -Older Women's Health and Well-Being in Asia and the Pacific Region at ICPD+25"
* Krishna Gautam, founder and Chair of Ageing Nepal | "Not Leaving Older Adults Behind in the process of achieving SDG-2030"
A B S T R A C T P R E S E N T A T I O N S
* Dr Tey Nai Peng | Understanding the Sexual Behaviour of Older Men and Women in Malaysia
* Prof Xiaoming Sun | Unmet Needs on Sexual and Reproductive Health among Women Aged 50-64 in Rural China
For more information on this session go to www.bit.ly/apcrshr10virtual7
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #LGBT #genderequality #SDGs #ageing #elderly #olderpeople #IDOP2020 #InternationalDayOfOlderPersons
Presentation developed by our Chief Executive, Martin Tod, to support the launch of our Men's Health Manifesto.
An abbreviated version of this presentation was used at the All Party Parliamentary Group on Men's Health at the House of Commons on November 5, 2014.
Abstract—Obesity is the major global nutrition concern. Modernisation and urbanisation have led to changes in dietary and lifestyle factors which are contributing to the increased prevalence of overweight and obesity.
Objective: To find out various life style risk factors for obesity among school children of affluent families aged 10-18 years in Jaipur city.
Methods: A cross-sectional study in ten randomly selected schools of Jaipur city with tuition fee > 18000 ₹/year was conducted from July 2012 to April 2013. 1610 students of class V to XII were included and their detailed life style history with anthropometric measurements was recorded after their informed written consent. Indian Academy of Pediatrics' growth Monitoring Guidelines for children from birth to 18 years was followed for defining and classifying obesity.
Result: 364 (22.61%) participants were found obese/overweight. Watching television during meals, frequency of main meals outside home per month, frequency of snacks outside home per week and duration of television/ computer watching per day were found significant predictors of overweight/ obesity on binary multivariate logistic regression method.
Conclusion: The present study highlights childhood overweight/obesity is an emerging health problem (22.61%) and lifestyle factors are important risk for it.
This will provide mortality pattern of Uttar Pradesh an evidence from NFHS data. And also you will get to learn the basic technical methods on calculating various mortality rate.
This is the plenary presentation of Caitlin Littleton of HelpAge International Asia Pacific, which took place as part of Seventh session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10) Virtual, on 14th September 2020, on the theme of "Population ageing and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
CHAIR: Sono Aibe
PLENARY SPEAKERS
* Caitlin Littleton, Regional Programme Adviser, HelpAge International, Asia Pacific | "Sexual health of older people: an overview"
* Sai Jyothirmai Racherla, Deputy Executive Director, ARROW | "Reclaiming and Redefining Rights -Older Women's Health and Well-Being in Asia and the Pacific Region at ICPD+25"
* Krishna Gautam, founder and Chair of Ageing Nepal | "Not Leaving Older Adults Behind in the process of achieving SDG-2030"
A B S T R A C T P R E S E N T A T I O N S
* Dr Tey Nai Peng | Understanding the Sexual Behaviour of Older Men and Women in Malaysia
* Prof Xiaoming Sun | Unmet Needs on Sexual and Reproductive Health among Women Aged 50-64 in Rural China
For more information on this session go to www.bit.ly/apcrshr10virtual7
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #LGBT #genderequality #SDGs #ageing #elderly #olderpeople #IDOP2020 #InternationalDayOfOlderPersons
1.3.1 AWHN Conference 2010 Chancellor 2:
Health inequities: where does gender fit in?
Anne Kavanagh
Director, The Centre for Women’s Health, Gender and Society
Melbourne School of Population Health
The University of Melbourne
Abstract—Obesity is the major global nutrition concern. Modernisation and urbanisation have led to changes in dietary and lifestyle factors which are contributing to the increased prevalence of overweight and obesity.
Objective: To find out various life style risk factors for obesity among school children of affluent families aged 10-18 years in Jaipur city.
Methods: A cross-sectional study in ten randomly selected schools of Jaipur city with tuition fee > 18000 ₹/year was conducted from July 2012 to April 2013. 1610 students of class V to XII were included and their detailed life style history with anthropometric measurements was recorded after their informed written consent. Indian Academy of Pediatrics' growth Monitoring Guidelines for children from birth to 18 years was followed for defining and classifying obesity.
Result: 364 (22.61%) participants were found obese/overweight. Watching television during meals, frequency of main meals outside home per month, frequency of snacks outside home per week and duration of television/ computer watching per day were found significant predictors of overweight/ obesity on binary multivariate logistic regression method.
Conclusion: The present study highlights childhood overweight/obesity is an emerging health problem (22.61%) and lifestyle factors are important risk for it.
This will provide mortality pattern of Uttar Pradesh an evidence from NFHS data. And also you will get to learn the basic technical methods on calculating various mortality rate.
This is the plenary presentation of Caitlin Littleton of HelpAge International Asia Pacific, which took place as part of Seventh session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10) Virtual, on 14th September 2020, on the theme of "Population ageing and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
CHAIR: Sono Aibe
PLENARY SPEAKERS
* Caitlin Littleton, Regional Programme Adviser, HelpAge International, Asia Pacific | "Sexual health of older people: an overview"
* Sai Jyothirmai Racherla, Deputy Executive Director, ARROW | "Reclaiming and Redefining Rights -Older Women's Health and Well-Being in Asia and the Pacific Region at ICPD+25"
* Krishna Gautam, founder and Chair of Ageing Nepal | "Not Leaving Older Adults Behind in the process of achieving SDG-2030"
A B S T R A C T P R E S E N T A T I O N S
* Dr Tey Nai Peng | Understanding the Sexual Behaviour of Older Men and Women in Malaysia
* Prof Xiaoming Sun | Unmet Needs on Sexual and Reproductive Health among Women Aged 50-64 in Rural China
For more information on this session go to www.bit.ly/apcrshr10virtual7
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #LGBT #genderequality #SDGs #ageing #elderly #olderpeople #IDOP2020 #InternationalDayOfOlderPersons
1.3.1 AWHN Conference 2010 Chancellor 2:
Health inequities: where does gender fit in?
Anne Kavanagh
Director, The Centre for Women’s Health, Gender and Society
Melbourne School of Population Health
The University of Melbourne
Jean White - Community Nursing Researchangewatkins
A Showcase Conference for Community Nursing Research in Wales
“Small Improvements Make the Biggest Difference”
Wednesday 5th November 2014, Swalec, Cardiff
http://www.wspcr.ac.uk/cnrs-conference-2014.php
Day 3- Thursday 19 March 2015: Preparing for our Individual Challenge
Transformation & Technology Track: Wellness in the Workplace. Presented by Dr Vanessa Govender, Medical Doctor, Health and Wellness Executive, Aveng Limited.
#astdza2015
Brief overview of group 2 final PowerPoint presentation pertaining to the affects of macro-trends on the U.S.Healthcare Systems and potential job growth/opportunities that will come from them.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Professor Sir Michael Marmot's Charles Cully Lecture on health inequalities a...Irish Cancer Society
The Irish Cancer Society hosts the annual Charles Cully Lecture in memory of one of the Society's founding members. Professor Sir Michael Marmot, one of the world's leading international experts on health inequalities, was the recipient of the Charles Cully Medal and gave the 2013 lecture on health inequalities and cancer.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
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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
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
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
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
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Social determinants labour plp
1. Life chances v Lifestyles: the
Social Determinants of Health
Clare Bambra
Professor of Public Health Policy
Wolfson Research Institute for Health & Wellbeing
2. Overview
1. Inequalities in health and health behaviours (lifestyles) are socially
determined (life chances)
∂
2. Effective public health policy therefore needs to focus on altering
peoples life chances and getting beyond just looking at lifestyles
3. Evidence-based principles for policy and building on past Labour
successes
3. 1. Health Inequalities in the UK
• Infant mortality rates are 16% higher in children of routine and
manual workers as compared to professional and managerial workers
• Deaths from cardiovascular diseases are 2.7 times higher in the 20%
most deprived areas compared to the 20% least deprived
• ∂
Smoking rates are almost twice as high amongst routine and manual
workers as compared to professional and managerial workers (16% v
28% men, 14% v 24% women)
• Alcohol related hospital admissions are twice as high (2.6 times
men and 2.4 women) in the 20% most deprived areas compared to the
20% least deprived areas
• Obesity rates are higher in routine and manual groups particularly
amongst women (27% v 21% men) (34% to 14% women).
5. Lifestyle v Life chances
1. Is it all to do with differences in lifestyles?
OR
∂
2. Is it to do with differences in life chances?
Answer: Best available data from the Whitehall cohort studies shows that
25-40% due to lifestyle factors. Additionally, lifestyles are themselves
effected by life chances – the social determinants of health
7. Example 1: Stressful Work
Environment
Whitehall civil service health studies
found:
•Heart disease 50% higher in the lower
grade employees.
•Adjustment for lifestyle factors reduced
the inequality by 40% in men and 26% ∂
in women
•BUT adjustment for stressful work
environment reduced the inequality by
64% in men and 51% in women
Exposure to stressful work
environments higher amongst lower
skilled workers
10. Work, Stress and Lifestyle
•Whitehall II cohort found that a
dose response relationship
between obesity and chronic
work stress (controlled for
physical activity etc) ∂
•Greater exposure to stress
being associated with increased
odds of general obesity (BMI ≥
30 kg/m2) and central obesity
(waist circumference >102 cm
in men and >88 cm in women)
11. Example 2: Unemployment
•Mortality rates double
•Suicide up to 10 times
•Mental health problems
and long term illnesses ∂
•Worse health behaviours
•Dual mechanisms –
psychological and poverty
13. Unemployment & Health
Inequalities
• Unemployment concentrated in lower socio-economic classes
• Census 2001 in London, 81.5% of women with a degree were
employed compared to 51.8% with no qualifications.
∂
• Modelling suggests that adjusting for employment status
reduces health inequalities by up to 81%
• 5.6.% ill health in men home owners, 19.1% in social renting
(13% age-adjusted difference), adjust for employment status =
2.5% difference (81% reduction)
14. Educational gradient (prevalence difference in % points) in self rated general health with and without
adjustment for employment status (Women), Census 2001
10
9
8
Prevelance difference
7
6
5
4
∂
3
2
1
0
Level 4 / 5 Level 3 Level 2 Level 1 Other No qualifications
qualifications
Education
Age only Age plus employment status
15. Unemployment and Lifestyles
•Unemployment also increases the
likelihood of hazardous health
behaviours such as smoking or excess
alcohol consumption.
•Particularly the case amongst young
men. ∂
•1958 British Birth Cohort found that the
risk of smoking and problem drinking
increased after unemployment
•Those who had been unemployed in
the last year were 3 times more likely to
smoke and 2 times more likely to drink
heavily or have a drink problem
16. 3. Life chances: Labour Policy
Successes
• Housing: more social housing built
• Health care: increased NHS spending, shorter waiting lists and
improved outcomes, more GPs in deprived areas
∂
• Education: new schools built, more teachers, Surestart Centres
• Work and unemployment: minimum wage, increased
employment levels and Future Jobs Fund, flexible working,
increased employment rights
• Food policy: health in pregnancy grant
• Environment: smoking ban
17. Infant mortality rates in England: routine and manual
socio-economic group compared with average
∂
Labour target: cut relative inequalities in infant mortality
rates between manual socio-economic groups and the
English average by 10% from 13% to 12%.
18. 4. Marmot Review
• Importance of life chances captured in the Labour government commissioned
Marmot Review.
• Six Policy Objectives:
1. Give every child the best start in life
∂
2. Enable all children, young people and adults to maximise their
capabilities and have control over their lives
3. Create fair employment and good work for all
4. Ensure healthy standard of living for all
5. Create and develop healthy and sustainable places and communities
6. Strengthen the role and impact of ill-health prevention
• Coalition policy focuses on 4 and 6 - lifestyle elements (e.g. responsibility deal,
White Paper talks about individual lifestyles, nudge etc)
19. 5. Three Principles for Policy
Dignity – in and out of work
Labour success: Minimum wage
Evidenced-based future option: Minimum Income for Healthy Living (or
Living Wage)
∂
The public provision of a minimum income to meet basic and social needs
relating to nutrition, physical activity, housing, psychosocial
interactions, transport, medical care and hygiene.
The MIHL for an older single person would be around £144.20 per week
(UK, 2008 prices). This was higher than the 60% of median income
poverty line (£115 per week), and more than the minimum pension
credit (£124.05 per week).
20. Equity – provision for all with more for the most in need
Labour success: minimum pension credit
Evidenced-based future option: proportionate universalism
∂
Intention of improving the health of all, but the health of the poorest the
most.
Interventions are universal ‘but with a scale and intensity that is
proportionate to the level of disadvantage’ - proportionate universalism.
21. Authority – control at work and in the community
Labour success: right to flexible working
Evidence-based future option: increased control and participation at
work
∂
Increasing control at work via employee participation and representation in
workplace committees – “participatory” or “problem-solving” committees
Control over hours of work
Control in the community – increased social participation has health
benefits
22. 6. Concluding Comment
Health Behaviours
Socio-economic
Status ∂ Health
(income/ Inequalities
Education/
occupation)
23. 7. References
Bambra (2011) Work, Worklessness and the Political Economy of Health
Bambra (2012)
Brunner et al (2007) Prospective Effect of Job Strain on General and Central Obesity in the
Whitehall II Study. American Journal of Epidemiology, 165, 828–37
Egan et al (2007) The psychosocial and health effects of workplace reorganisation 1: a
systematic review of organisational-level interventions that aim to increase employee
∂
control. Journal of Epidemiology and Community Health, 61, 945–54
Marmot Review (2010) Strategic Review of Health Inequalities in England post-2010.
Marmot et al (1997) Contribution of job control and other risk factors to social variations in
coronary heart disease. Lancet, 350, 235-40
Montgomery et al (1999) Unemployment, cigarette smoking, alcohol consumption and body
weight in young British men. European Journal of Public Health, 8, 21-27
Morris et al (2009) Defining a minimum income for healthy living (MIHL): older age, England.
International Journal of Epidemiology, 36, 1300-07
Popham and Bambra (2010) Evidence from the 2001 English Census on the contribution of
employment status to the social gradient in self-rated health. Journal of Epidemiology and
Community Health, 64, 277-80