This document provides information on suicide prevention for Asian communities in New Zealand. It summarizes statistics on suicide rates nationally and among Asian populations from 2004-2009. It also discusses risk and protective factors for suicide, noting the importance of family, community, and culturally appropriate services. Current gaps are identified in research and resources for understanding suicidality in Asian communities in New Zealand.
Use this test question in your presentation to see if your students are aware of the fantastic global health improvement that happened during the last 50 years. Our public survey in Nordic countries show that this important trend is not well known. The last two slides show the results from our public surveys. The US public scored better than random on this question.
Suicide prevention - Auckland Council Social and Community Development ForumMHF Suicide Prevention
Presentation on suicide prevention and the work of Suicide Prevention Information New Zealand to Auckland Council Social and Community Development Forum, 26 February 2013.
Use this test question in your presentation to see if your students are aware of the fantastic global health improvement that happened during the last 50 years. Our public survey in Nordic countries show that this important trend is not well known. The last two slides show the results from our public surveys. The US public scored better than random on this question.
Suicide prevention - Auckland Council Social and Community Development ForumMHF Suicide Prevention
Presentation on suicide prevention and the work of Suicide Prevention Information New Zealand to Auckland Council Social and Community Development Forum, 26 February 2013.
Ian's UnityHealth 2019 grand rounds suicide preventionIan Dawe
At the end of this presentation, you will :
1. Knowledgeably describe the problem of suicide in our
clients as an issue beyond just the traditional targets of our
medical interventions,
2. Understand concepts of quality and process improvement
as they relate to implementation of suicide prevention
strategies in hospital and community settings,
3. Become a champion of the Project Nøw approach to improve
care and outcomes for individuals at risk of suicide in
healthcare systems locally, provincially and nationally.
1.1.3 AWHN Conference 6 2010 Federation:
Commission on the Social Determinants of Health: gendering health inequities.
Southgate Institute for Health, Society & Equity,
Flinders University
Adelaide
The opportunity and waste of human potential: Managing the mental health of t...Studiosity.com
At Studiosity's "Students First 2019" Symposium:
The renowned youth mental health advocate, Australian of the Year, and this year's keynote, Professor Pat McGorry, addressed the critical need for early intervention for tertiary students.
This year's Studiosity 'Students First' Symposium was hosted at La Trobe University City Campus, 25 and 26 July 2019.
HSC PDHPE Core 1: Health Priorities in AustraliaVas Ratusau
Class of 2017 - updated PowerPoint presentation that includes current data, updated syllabus & content.
Includes class activities & examination style questions
Depression and health system in Japan
Describe the mental health system in Japan
Depression and mental health epidemiology in japan
Attitude towards depression/mental health problem in the Japan
Risk factors of depression and thief prevalence in Japan
Strategies or polices of suicide prevention in Japan
At the end of this session, the student shall be able to
What is gerontology and it’s branches?
Describe the growing burden of geriatric age group.
Classify and Enumerate the Health problems of the aged.
What are the lifestyle factors which helps the aged?
Describe the health status of the aged in India.
Describe the Schemes & Policy for Older Person in India
Explain the Implication of the ageing population in India
How are these diseases prevented in the elderly?
Identity satisfaction in sexual minorities: A queer kind of strength - Associ...MHF Suicide Prevention
Presentation by Associate Professor Mark Henrickson at the symposium LGBTTI Wellness & Suicide: What do we need to change? Hosted in Auckland on 27 February 2013 by Auckland DHB, Affinity Services, OUTLine NZ, Rainbow Youth and the Mental Health Foundation.
LGBTTI Wellness and Suicide: What do we need to change? - Mani Bruce MitchellMHF Suicide Prevention
Presentation by Mani Bruce Mitchell at the symposium LGBTTI Wellness & Suicide: What do we need to change? Hosted in Auckland on 27 February 2013 by Auckland DHB, Affinity Services, OUTLine NZ, Rainbow Youth and the Mental Health Foundation.
Presentation by Mathijs Lucassen at the symposium LGBTTI Wellness & Suicide: What do we need to change? Hosted in Auckland on 27 February 2013 by Auckland DHB, Affinity Services, OUTLine NZ, Rainbow Youth and the Mental Health Foundation.
Presentation by Moira Clunie at the symposium LGBTTI Wellness & Suicide: What do we need to change? Hosted in Auckland on 27 February 2013 by Auckland DHB, Affinity Services, OUTLine NZ, Rainbow Youth and the Mental Health Foundation.
Mental wellbeing - Auckland Council Social and Community Development ForumMHF Suicide Prevention
Presentation on flourishing, mental health promotion and opportunities for Auckland Council to promote welbeing in the community, to Auckland Council Social and Community Development Forum, 26 February 2013.
Keri Lawson-Te Aho discusses suicide prevention for Māori in the first of three online seminars. She shares a story from her own whānau, looks at how the issue is different for Māori including culturally-specific risk and protective factors, and suggests a paradigm shift is needed to respond to Māori suicide more effectively. For more information about this seminar series, see: http://www.spinz.org.nz/page/323-webinars
Prof G Luke Larkin and Dr Annette Beautrais discuss strengthening protective factors & instilling hope in a webinar to mark World Suicide Prevention Day 2012. More information and video: http://www.spinz.org.nz/page/239-events-archive+webinar-for-world-suicide-prevention-day-2012
DISSERTATION on NEW DRUG DISCOVERY AND DEVELOPMENT STAGES OF DRUG DISCOVERYNEHA GUPTA
The process of drug discovery and development is a complex and multi-step endeavor aimed at bringing new pharmaceutical drugs to market. It begins with identifying and validating a biological target, such as a protein, gene, or RNA, that is associated with a disease. This step involves understanding the target's role in the disease and confirming that modulating it can have therapeutic effects. The next stage, hit identification, employs high-throughput screening (HTS) and other methods to find compounds that interact with the target. Computational techniques may also be used to identify potential hits from large compound libraries.
Following hit identification, the hits are optimized to improve their efficacy, selectivity, and pharmacokinetic properties, resulting in lead compounds. These leads undergo further refinement to enhance their potency, reduce toxicity, and improve drug-like characteristics, creating drug candidates suitable for preclinical testing. In the preclinical development phase, drug candidates are tested in vitro (in cell cultures) and in vivo (in animal models) to evaluate their safety, efficacy, pharmacokinetics, and pharmacodynamics. Toxicology studies are conducted to assess potential risks.
Before clinical trials can begin, an Investigational New Drug (IND) application must be submitted to regulatory authorities. This application includes data from preclinical studies and plans for clinical trials. Clinical development involves human trials in three phases: Phase I tests the drug's safety and dosage in a small group of healthy volunteers, Phase II assesses the drug's efficacy and side effects in a larger group of patients with the target disease, and Phase III confirms the drug's efficacy and monitors adverse reactions in a large population, often compared to existing treatments.
After successful clinical trials, a New Drug Application (NDA) is submitted to regulatory authorities for approval, including all data from preclinical and clinical studies, as well as proposed labeling and manufacturing information. Regulatory authorities then review the NDA to ensure the drug is safe, effective, and of high quality, potentially requiring additional studies. Finally, after a drug is approved and marketed, it undergoes post-marketing surveillance, which includes continuous monitoring for long-term safety and effectiveness, pharmacovigilance, and reporting of any adverse effects.
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.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Antimicrobial stewardship to prevent antimicrobial resistanceGovindRankawat1
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
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2. “Suicide and suicidal behaviours are a major
health and social issue in New Zealand.
Each year approximately 500 people take
their own lives.
This figure represents a tragic loss of
potential and a tremendous impact on
those families, friends, workplaces and
communities that are affected by the loss of
someone through suicide”. Ministry of Health (2012)
3. Suicide in NZ: 2009
• A total of 506 people
died by suicide
• This equates to 11.2
deaths per 100,000
population
(age-standardised).
• The 2009 suicide rate
was 25.5% below the
peak rate in 1998.
4. Sex
• There is a distinct gender difference in
suicide rates. 77% of suicide deaths in 2009
were males.
• 391 male deaths (17.8 deaths per 100,000 male
population, age-standardised).
• 115 female deaths (5.0 deaths per 100,000
female population, age-standardised).
• The 2009 male suicide rate was 25.4% below the
peak rate in 1995. The female suicide rate has
remained steady over time. Ministry of Health (2012)
5. Asian suicide deaths in NZ: 2004-2009
• 2009: 25 (16 male, 9 female)
• 2008: 17 (9 male, 8 female)
• 2007: 14 (8 male, 6 female)
• 2006: 14 (5 male, 9 female)
• 2005: 13 (6 male, 7 female)
• 2004: 10 (6 male, 4 female)
• Difficult to identify trends: NZ’s Asian population
has changed significantly over this time.
• Age-standardised rates are not calculated:
because the numbers of deaths are small, “rates
tend to be highly variable and may be misleading”
6. There are at least 2500 admissions to
hospital for serious intentional self-
harm injuries every year.
For data comparability purposes, this figure excludes
patients who were discharged from an emergency
department with a length of stay of less than two
days.
Ministry of Health. (2012).
7. Intentional Self-Harm Hospitalisation
(Asian Population)
• 2009: 87 (3.4 % of total).
Females accounted for 58.6 % of all Asian
intentional self-harm hospitalisations.
• 2008: 83 (3.4 % of total), 60.2 % female.
• 2007: 109 (4.1 % of total), 69.7% female.
• 2006: 85 (3 % of total), 71% female.
8. Why Do People Take Their Own Life?
Why Do People Take Their Own Life?
There are no simple or definitive explanations
as to why people die by suicide
The reasons that people choose to take their
own life are very complex, and often the
reasons are not clear to others.
Commonwealth of Australia (2005)
10. Chinese often regard mental health problems,
including depression and suicidal behaviours, to
be caused by social factors, such as a failure to
fulfil family and societal expectations.
In Chinese culture, there is a strong stigma
attached to suicide, which is often seen as
shameful to both the individual and the collective
esteem of the family.
Completing suicide is not really seen as an
individual act, but greatly impacts on families and
significant others.
Suicide Prevention Information New Zealand (2010)
11. Anecdotal evidence has suggested that the
prevalence of self-harm and suicide attempts
are increasing.
Research in these areas has not yet been
focused solely about Asians in New Zealand.
12. Health and Wellbeing of Asian Students:
Youth’07 survey
• 15% Asian secondary school students reported
having suicidal thoughts in the past year, and
• 8% had made a plan to attempt suicide
• 4% had made a suicide attempt in the past year.
• Overall, 20% of Asian male students and 31% of
Asian female students had ‘poor’ mental and
emotional health (WHO-5 Wellbeing Index)
Parackal et al (2011)
13. For Chinese, Indian and other Asian students,
depressive symptoms and suicidal thoughts &
behaviours were more prevalent for females.
14. • For Chinese students, the proportion who had
thoughts of suicide decreased from 23% in 2001 to
15% in 2007, and the proportion who attempted
suicide decreased from 10% in 2001 to 4% in 2007.
• For Indian students, there were no significant changes
from 2001 to 2007 in suicide-related behaviours.
• Among Chinese and Indian students, 18% of females
and 7-8% of males showed significant depressive
symptoms. (no change 2001-2007)
15. • Chinese, Indian and other Asian students are
more likely than NZ European students to report
obstacles to accessing healthcare.
• In 2007, 14% of Chinese students, 17% of Indian
students and 16% of Asian students had been
unable to access healthcare when they needed it.
• Major obstacles included
- lack of knowledge about the healthcare system;
- cost and transport;
- concerns about confidentiality; and
- “not wanting to make a fuss”.
16. Youth’07 recommended:
• Recognise the diversity and specific needs of the
many Asian communities in Aotearoa New Zealand.
• Develop culturally appropriate programmes to de-
stigmatise mental health issues.
• Provide resources, programmes and strategies that
enable the healthy development of Asian young
people.
17. International and New Zealand
literature suggest that resiliency
and protective factors can be more
effective and insightful than solely
focusing on risk and vulnerability.
Ihimaera, L., & MacDonald, P. (2009) pg32
18. Defining Risk & Protective Factors
• Risk factors: increase the likelihood of suicidal
behaviour or make a person more vulnerable; and
• Protective factors: reduce the likelihood of
suicidal behaviour and work to improve a
person’s ability to cope with difficult
circumstances.
Commonwealth of Australia. (2005)
19. Risk and proactive factors can occur at:
• individual or personal level (mental and physical health,
self-esteem, and ability to deal with difficult
circumstances, manage emotions, or cope with stress);
• social level (relationships and involvement with others
such as family, friends, workmates, the wider
community and the persons sense of belonging); and
• contextual level or the broader life environment (social,
political, environmental, cultural and economic factors
that contribute to available options and quality of life)
Commonwealth of Australia. (2005)
20. Protective factors may include:
• connectedness to family
• personal resilience, coping and problem-solving skills
• responsibility for children
• family communication patterns
• presence of a significant other
• good physical and mental health
• positive beliefs and values
• community and social integration
• economic security in older age.
Commonwealth of Australia. (2005)
21. For Asian communities
• family cultures
• community connection
• access to services and resources
• destigmatising mental illness
22. Current gaps
• research to understand suicidality and
protective factors in New Zealand’s Asian
communities.
• culturally competent and accessible
services.
• accessible resources for a range of Asian
groups.
23. Mental Health Foundation
• focuses on creating a society where all people
can flourish and experience positive mental
wellbeing.
• suicide prevention is a core focus of our work,
which includes working with communities and
professionals to support safe and effective
suicide prevention activities, reduce stigma and
develop positive mental health and wellbeing.
24.
25. Suicide Prevention Information
New Zealand
• a national information service provided by the
Mental Health Foundation of New Zealand.
• provides high quality information to promote safe
and effective suicide prevention activities.
• contracted by the Ministry of Health to support the
New Zealand Suicide Prevention Strategy 2006-2016.
26.
27. Goals of NZSPS
• Promote mental health
and well-being, and
prevent mental health
problems
• Improve the care of
people who are
experiencing mental
disorders associated
with suicidal behaviours
• Improve the care of
people who make non-
fatal suicide attempts
• Reduce access to the
means of suicide Associate Minister of Health. (2006).
28. Goals of NZSPS
• Promote the safe
reporting and portrayal
of suicidal behaviour by
the media
• Support families/
whānau, friends and
others affected by a
suicide or suicide
attempt
• Expand the evidence
about rates, causes and
effective interventions.
Associate Minister of Health. (2006).
29. “Asian groups are
culturally diverse and
have varying degrees of
acculturation to New
Zealand society…
Consequently, suicide
prevention policies,
programmes and services
need to account for this
diversity”
Associate Minister of Health. (2006).
30. References
• Associate Minister of Health. (2006). The New Zealand Suicide Prevention Strategy
2006 – 2016. Wellington: Ministry of Health.
• Commonwealth of Australia. (2005). A Framework for Effective Community-Based
Suicide Prevention (Draft for Consultation). Australian Government’s Community Life
Project: Adelaide.
• Ihimaera, L., & MacDonald, P. (2009). Te Whakauruora. Restoration of Health: Maori
Suicide Prevention Resource. Wellington: Ministry of Health
• Ministry of Health (2012) Suicide Facts 2009: Deaths and intentional self-harm
hospitalisations. Wellington: Ministry of Health
• Parackal, S., Ameratunga, S., Tin Tin, S., Wong, S., & Denny, S. (2011). Youth’07: The
health and wellbeing of secondary school students in New Zealand: Results for
Chinese, Indian and other Asian students. Auckland: The University of Auckland.
• Suicide Prevention Information New Zealand (2010) adaptation of Department of
Communities, The State of Queensland (2010) Responding to people at risk of suicide:
How can you and your organisation help? Auckland: Mental Health Foundation of
New Zealand.
Editor's Notes
It is difficult to draw conclusions about changes over time, because Numbers are small The population of Asian people in NZ increased markedly between 1996 and 2009.
Face sheet 5 What we know about why people take their own life There are no simple or definitive explanations as to why people die by suicide. However, researchers have gathered information over time from people who have considered or attempted suicide, and from families and health professionals connected to people who have taken their own life. This information indicates that there are many different reasons people suicide and often the reasons are not clear to others. The person’s decision to suicide may be driven by a number of motives including: • it may seem like the only way to escape intolerable emotional or physical pain or a sense of hopelessness; • it may be an expression of ambivalence about living; and/or • it may be a way of conveying a message. This could include symbolic gestures linked to the particular method or the location of suicide. What may lead to suicide? For some people, suicide may be an impulsive and irrational act. For some it may be a carefully considered decision –particularly where the person believes that his or her death will benefit others. Some people take their own life or harm themselves apparently without warning. Some give an indication of suicidal intent, especially to friends and loved ones, but also to professionals. The most recent theories about the types of suicide and different motivations to suicide suggest that it may be due to one or a combination of the following:
Fact Sheet 4
Fact Sheet 4
“ SPINZ is a service of the Mental Health Foundation, which is a non-government not for profit organisation based in Auckland, Wellington and Christchurch. SPINZ staff are based in the MHF offices in Auckland and Wellington”