This document provides a detailed proposal and framework for addressing the harms caused by the 2010 cholera outbreak in Haiti introduced by UN peacekeepers, and building sustainable infrastructure and capacity in the country. It outlines objectives of righting wrongs, supporting development, and preventing future harm. Major components include a compensation scheme for individuals and communities, national programs for volunteers and university training, and priority infrastructure improvements for housing, water, sanitation and health. Metrics, timelines, budgets and stakeholders are defined to monitor progress over the coming decade and ensure accountability and sustainability.
As part of UNICEF Innocenti's workshop on social protection in humanitarian settings, Mohamed El Bechir of UNICEF Cameroon presented his views on "Use and generation of evidence on social protection in humanitarian settings: Learning from the Cameroon experience".
For more on this workshop and to access the seven papers released at the event, visit: https://www.unicef-irc.org/article/1829-evidence-on-social-protection-in-contexts-of-fragility-and-forced-displacement.html
Handouts on Rapid Analysis of Innovation Response to Covid-19 Pandemic in Sou...KTN
Resilience is as much a tool for persisting during a crisis as it is for thriving. Now, more than ever, programme design and intervention strategies for players within the innovation ecosystem must be intended at assisting them build resilience in the immediate to long-term. Implementing the following recommendations would aid such resilience.
- Greater access to flexible and responsive financing support
- Increased digital literacy and access to affordable data
- Greater resilience through targeted policy design
- Identify and facilitate value-driven partnerships
As part of UNICEF Innocenti's workshop on social protection in humanitarian settings, Mohamed El Bechir of UNICEF Cameroon presented his views on "Use and generation of evidence on social protection in humanitarian settings: Learning from the Cameroon experience".
For more on this workshop and to access the seven papers released at the event, visit: https://www.unicef-irc.org/article/1829-evidence-on-social-protection-in-contexts-of-fragility-and-forced-displacement.html
Handouts on Rapid Analysis of Innovation Response to Covid-19 Pandemic in Sou...KTN
Resilience is as much a tool for persisting during a crisis as it is for thriving. Now, more than ever, programme design and intervention strategies for players within the innovation ecosystem must be intended at assisting them build resilience in the immediate to long-term. Implementing the following recommendations would aid such resilience.
- Greater access to flexible and responsive financing support
- Increased digital literacy and access to affordable data
- Greater resilience through targeted policy design
- Identify and facilitate value-driven partnerships
Brent Allan, Local Co-Chair of the Community Programme Committee for AIDS 2014, provides an overview of the plans for the conference with suggestions for how Australian organisations can be involved.
Community based COVID preparedness (CBCP) 25082021Sudhanshu39
The coronavirus pandemic has shown us a new world where the status quo no longer exists.
•‘The world has seen many crises over the past 30 years, including the Global Financial Crisis of 2007-09. Each has hit human development hard but, overall, development gains accrued globally year-on-year. COVID-19, with its triple hit to health, education, and income, may change this trend.’ UNDP Administrator Achim Steiner
• But the pandemic also shows us the wisdom of what is already inherent in the SDGs; the challenges we face cannot be dealt with in isolation or by a piecemeal approach.
• WHO COVID-19 Strategic Response and Preparedness Plan 2021 also highlights the need for coordinated response to plot a course out of the pandemic.
Cash Transfers in Latin America and Africa: An OverviewUNDP Policy Centre
A presentation by Mr. Fábio Veras Soares, Coordinator of Social Protection and Cash Transfers at the UNDP-Brasilia based International Policy Centre for Inclusive Growth (IPC-IG) to the Delegation of Uganda participating in the Uganda-Brazil Study Tour on Social Development in Brasília on 26-30 March 2012.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
Dr. Viviana Mangiaterra, Senior Technical Coordinator for Maternal, Newborn and Child Health and Health Systems Strengthening at the Global Fund to Fight AIDS, Tuberculosis and Malaria, discusses service delivery integration for the three diseases, Global Fund partnerships and strengthened training and representation of women in Country Coordinating Mechanisms.
Diseases do not respect boundaries Once diseases spread beyond a localized region, their expansion becomes exponential and difficult to contain. Early detection and containment by effective disease surveillance networks are critical to arresting pandemics in their early stages. Cross-country disease surveillance networks are a mechanism that encompass human resources deployment, rapid communication, and transparent collaboration for early detection and response to emerging diseases and pandemics.
“We can change the world and make it a better place. It is in your hands to m...Amouzou Bedi
KFDWB’s mission is to provide worldwide Development Aid Support to development agencies, organizations, local governments, NGOs public and private institutions by helping local communities know and understand which human development challenges and/or frustrations they are facing each day, and make these information and knowledge universally accessible via a central database and useful to development organizations and local and national responsible bodies in order to highlight and alleviate the problems at a community level to reach the Millennium Development Goals (MDGs) and the forthcoming Sustainable Development Goals (SDGs) in each corner of the globe.
The role of targeting in social protection programmes what have we learned so...UNDP Policy Centre
During FAO’s Preparatory Meeting for The State of Food and Agriculture 2015 (SOFA) held in Rome on June 30-July 1, IPC-IG presented the draft of the background paper “The role of targeting in Social Protection programmes: what have we learned so far?” The paper focused on the rationale for targeting Social Protection programmes and the different types of targeting, reviewing the evidence of the performance of different targeting strategies, and highlighting the strength and weaknesses of different mechanisms in rural areas.
Brent Allan, Local Co-Chair of the Community Programme Committee for AIDS 2014, provides an overview of the plans for the conference with suggestions for how Australian organisations can be involved.
Community based COVID preparedness (CBCP) 25082021Sudhanshu39
The coronavirus pandemic has shown us a new world where the status quo no longer exists.
•‘The world has seen many crises over the past 30 years, including the Global Financial Crisis of 2007-09. Each has hit human development hard but, overall, development gains accrued globally year-on-year. COVID-19, with its triple hit to health, education, and income, may change this trend.’ UNDP Administrator Achim Steiner
• But the pandemic also shows us the wisdom of what is already inherent in the SDGs; the challenges we face cannot be dealt with in isolation or by a piecemeal approach.
• WHO COVID-19 Strategic Response and Preparedness Plan 2021 also highlights the need for coordinated response to plot a course out of the pandemic.
Cash Transfers in Latin America and Africa: An OverviewUNDP Policy Centre
A presentation by Mr. Fábio Veras Soares, Coordinator of Social Protection and Cash Transfers at the UNDP-Brasilia based International Policy Centre for Inclusive Growth (IPC-IG) to the Delegation of Uganda participating in the Uganda-Brazil Study Tour on Social Development in Brasília on 26-30 March 2012.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
Dr. Viviana Mangiaterra, Senior Technical Coordinator for Maternal, Newborn and Child Health and Health Systems Strengthening at the Global Fund to Fight AIDS, Tuberculosis and Malaria, discusses service delivery integration for the three diseases, Global Fund partnerships and strengthened training and representation of women in Country Coordinating Mechanisms.
Diseases do not respect boundaries Once diseases spread beyond a localized region, their expansion becomes exponential and difficult to contain. Early detection and containment by effective disease surveillance networks are critical to arresting pandemics in their early stages. Cross-country disease surveillance networks are a mechanism that encompass human resources deployment, rapid communication, and transparent collaboration for early detection and response to emerging diseases and pandemics.
“We can change the world and make it a better place. It is in your hands to m...Amouzou Bedi
KFDWB’s mission is to provide worldwide Development Aid Support to development agencies, organizations, local governments, NGOs public and private institutions by helping local communities know and understand which human development challenges and/or frustrations they are facing each day, and make these information and knowledge universally accessible via a central database and useful to development organizations and local and national responsible bodies in order to highlight and alleviate the problems at a community level to reach the Millennium Development Goals (MDGs) and the forthcoming Sustainable Development Goals (SDGs) in each corner of the globe.
The role of targeting in social protection programmes what have we learned so...UNDP Policy Centre
During FAO’s Preparatory Meeting for The State of Food and Agriculture 2015 (SOFA) held in Rome on June 30-July 1, IPC-IG presented the draft of the background paper “The role of targeting in Social Protection programmes: what have we learned so far?” The paper focused on the rationale for targeting Social Protection programmes and the different types of targeting, reviewing the evidence of the performance of different targeting strategies, and highlighting the strength and weaknesses of different mechanisms in rural areas.
Obsessive Compulsive Disorder, symptom dimensions, association with deficits in visual memory and with poorer memory confidence. Research conducted Jan-Apr 2014.
Dall'impiantistica alla tecnologia integrata per edifici: storia di una riorg...businessup
Presentazione di Dario Spinelli, presidente del CdA di Spinelli SA e di Ticicom SA, tenutasi il 12 Ottobre 2015 durante l'evento "Organizzazione e strategia aziendali vincenti e anticrisi". L'evento è stato organizzato da Business Up, AITI, Supsi e Gruppo Spinelli
We have been designing and manufacturing quality lampshades and lighting since 1978. View our catalog to browse some of our product selections to bring your business to life.
Putting insight into action – local authority response to the coronavirus pan...Si Chun Lam
Putting insight into action – local authority response to the coronavirus pandemic
Presentation to the Analytics Reading Group at Warwick Business School (WBS) on 9 November 2020
https://www.wbs.ac.uk/events/view/6771
The smiling assassin ics case study_welingkar institute of managementSwagat mishra
Strategy to help a Cancer funding organisation to select the right patient,the right hospital and the process of operation. Expansionary policy and cancer awareness
A presentation by Ben Bellows, delivered at the RBF Health Seminar, The Role of Vouchers in Serving Disadvantaged Populations and Improving Quality of Care.
This presentation was given to a webinar on addressing poverty and also contains some suggested waymarkers for response. It is based on local experience and the lessons in the LGA/ADPH Annual Public Health Report 2023
The Zanmi Lasante Model of Financing HealthHFG Project
Presentation by Dr. Gary Gottlieb, CEO, Partners in Health, at Haiti's International Conference on Access to Health Care for All in Haiti: Challenges and Perspectives for Funding, April 28-29, 2015, Haïti
Measuring to Manage Progress toward Universal Health CoverageBen Bellows
In spite of greater economic convergence globally, as low-income countries grow into middle-income country economies, intra-country inequalities – economic, social, and health status – risk being exacerbated. To expand access to high quality healthcare at low cost at point of care, guidance is needed to identify effective performance measures to gauge progress. Is is increasing access to the current healthcare package to new users, is it adding more or better healthcare for current beneficiaries, or is healthcare expansion to be understood as lower prices and greater protection from out-of-pocket spending on health services? Results are presented from a 2012 pilot of two equity measures that set out to determine whether either of the measures was more practical to implement at lower cost and easily understood by social protection program managers. Recommendations are made for integrating these measures into existing programs.
Learning Disabilities: Share and Learn Webinar – 27 April 2017NHS England
Creating a Dynamic Approach to Risk Stratification (including dynamic risk registers)
This webinar aims to share learning to help TCPs in developing a dynamic approach to risk stratification (which includes a developing dynamic risk register). The webinar provides the latest guidance from the national Transforming Care Programme and a real life example of how a TCP has approached the problem on the ground.
This webinar covers some of the same material as one run previously for North region TCPs on dynamic risk registers but also builds on that material with the latest guidance.
The Population and Public Health team at the BC Centre for Disease Control undertook a project to support the integration of data into the community health planning process in British Columbia.
Pius Tih Muffih, PhD, MPH, Director of the Cameroon Baptist Convention Health Services (CBCHS) presents how CBCHS partners with other local groups to bring services to prevent mother-to-child prevention of HIV in Cameroon at the CCIH 2018 Annual Conference.
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
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
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.
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
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
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.
1. Haiti: Building from the Bottom Up
Musleehat Hamadu
Edward Kong
Esther Rojas-Garcia
Julia Shu
Katharine Owers
TSC Consulting
Team 8 · February 15, 2014
3. Objectives
Right Wrongs
• Stem cholera epidemic
• Compensation
Support
Development
• Infrastructure
• Personnel
Prevent
Future Harm
• Recommendations for
future UN missions
7. Building National Capacity
National Volunteer Program
National University Program
Leadership skills
Technical skills
Community Liaisons
Future technical specialist
17. Housing
Short Term
• Prevent Forced
Evictions
• Continue Rental
Subsidies (IOM)
• Provide Basic
Services
Long Term
• Permanent housing for
IDPs
• Support Income
Generating Activities
20. Health Structure
Long Term
Short Term
National
Enhance Surveillance
Build Infrastructure
Department
Build CTCs
Generalize CTCs
Community
Support CHWs
Develop CHWs
28. Project Implementation Unit
Manager
Financial Management Specialist
Procurement and Contract Management Specialist
Information Technology Specialist
Social Development Specialist
Monitoring and Evaluation Specialist
29. National Volunteer Program
Infrastructure
Projects
Skills Training
Leadership
National
Volunteer
Program
Communication
Settlement
Commission
Community
Liaison
Community organizing
Proposal development
Settlement claims
Link with
health
workers
Education
Campaign
30. National University Program
Ministry
work
Technical Training
National
University
Training
Program
Sector-specific knowledge
Civil service accreditation
Financial management
Intl’
Org
Technical
Specialist
Procurement and contracts
Information technology
NGO
Private
sector
31. Housing Cost Calculations
Two Methodologies:
• 171K IDPs or ~40,000 households remain in 306 camps.
• Target 145K most vulnerable
• Cash grant rental subsidies through IOM: optimal budget 96 million / year for 36k households
• Yearly discounting of budget as more IDPs find permanent housing solutions
Extrapolating From Construction Cost
• At $10,000 per house and five individuals per home = current amount budgeted
• Representative pricing: http://pacificgreeninnovations.com/haiti.html
Based on Prior NGO Work
• Church World Service
• 475K over 3 years at $1700 per person housed
• Reaching 145,000 IDPs: 246million
Sources: Unocha.org & haiti.ngoaidmap.org/sectors/12
35. Improving Health Capacity
Capacity Building of Immediate Solutions for Long Term Sustainability
NATIONAL
Hospitals
•
•
•Training programs to increase number of health workers
available at hospitals
•Satellite system of hospitals for specialized care and CTCs for
primary care
Enhancing national surveillance system
Upgrading national hospitals
Stakeholders: government ministries, UN, PAHO, WHO
DEPARTMENTS
CTCs
•Increasing number of CTCs in proportion to
regional burden of cholera
•Using CTCs as point of distribution for all cholera
related initiatives
•Expansion to local health centers to PRIMARY CARE CENTERS
•Equipping CTC staff with training to become HIGHER LEVEL
HEALTH WORKERS (nurses, Pas, and doctors) to staff hospitals
COMMUNES
Community Health Workers
• Equipping COMMUNTY HEALTH WORKERS with
resources to educate community on cholera
treatment and prevention
•Expanding their training beyond cholera to other health issues
•Training experienced CHWs to become CTC staff or
Stakeholders: local and international NGOs, departmental government
Stakeholders: religious groups, schools, NGOs
Building human capital from the bottom up
Long Term
Short Term
36. From CTCs to Primary Care Centers
Current State of CTCs
Decline in number of CTCs and CTUs between
2010 & 2013
Fewer resources
Immediate Improvements
Sustainability
•Increase the number of CTCs
especially in high risk areas (Norde,
Artibonite, Centre, Quest)
•Establish CTUs within preexisting
infrastructure (religious buildings,
schools, community gathering areas)
•Gradually add other basic health care
services to ramp up CTCs to primary
care centers
•Establishing infrastructure for eventual
take over by Haitian authorities
High burden of
cholera remains
Increases Access to
Healthcare
Improved Health
Outcomes
Source: www.unocha.org
Creates Jobs
Economic Prosperity
37. CHW Activity Based on Cholera Seasonality
Cholera Peak
•CHWs focus on prevention
•Community education and sensitization
•Evaluation treatment intervention used during
peak periods
•CHWs meet at CTC and discuss results and
improve interventions and delivery
Cholera Low
Cholera Incidence
•CHWs focus on diagnosis
and treatment
• Distribution of ORS
•Vaccination
Time
Cholera Peak
•CHWs focus on treatment
•Adapt interventions based on results
from evaluation
38. Surveillance System
CTCs
CHWs
•CTCs keep track of cholera cases and trends
and report to head CTC for each Commune
•Distribute cholera materials to CHWs and
can designate CHWs to affected area
•CHWs are assigned to a CTC
•Report cholera cases to CTCs
via SMS
Flow of cholera information
Flow of policy and funds and resources
MSPP
•Head Commune CTC report cholera trends to
Department
•Department reports cholera trends to MSSP
•MSSP uses this to inform policy and allocate funds and
resources
39. Individual Claims: Process Details
- Set guidelines:
- Registration deadline
- Standard of proof: death certificate, NCSS records, witness statements
- ID standards: citizenship card or NGO-issued ID
- Disbursement amount: $75 per illness and $1000 per death
- Register victims in-person:
- Enlist NGO help (MSF, for example) with deploying mobile health units that are familiar with cholera and with the
commune to register victims in an online registry (to be checked against NCSS, although that only runs until 2012).
- When victims register, they’ll note their mobile information or receive one upon registration.
- Disburse funds via mobile banking:
- Yellow Pepper agents and UN-trained support staff will deploy to individual communes when cash transfers through
TchoTcho mobile wallet are made to help residents with technical questions.
40. Community Claims: Process Details
-
Identify communities:
-
-
Each of the 140 communes is responsible for providing the claims commission with a list of all interested communities within the commune.
Vet partner NGOs and contractors:
-
-
This addresses a common criticism of other collective reparations and community project programs, which is that communities lack technical knowledge to write the proposals.
Accomplished either through third party charity/NGO rankings or by having every NGO or contractor we’re interested in evaluate the others on the list (max of 50). These “preferred
providers” will be slotted into categories based on mission, such as housing, health care, or education.
Issue call for proposals:
-
-
Hard submission deadline and funding cap per project.
Submitted by a community-elected management committee that later meets with NGO/contractor counterparts. Committee is accountable for progress reports during and after
project implementation.
Review project proposals:
-
-
-
Criteria: relevant infrastructure area, adherence to our guiding principles, the need/immediate impact/projected impact of the requested project, and how local capacity/resources will
be used.
Disbursement: half initially, the rest according to a pay-for-performance model to reimburse expenditures (in an effort to minimize corruption without disrupting efficiency).
Review periodic progress reports and impact assessments one or two years after completion.
41. Claims Monitoring & Evaluation
Commit to clear, realistic outcome indicators.
• Baseline survey of community expectations compared against monthly progress reports and impact assessment.
• Sustainability: target % of local procurement and local residents employed
• Transparency: distribution of x monthly commission reports in English and French
Evaluate efficiency at multiple points during Commission’s life span.
• Third party (panel of independent experts) audit of fund management
• NGO shadow reports
Create culture of transparency and open communication with communities.
• Use public notice boards, newspaper ads, and radio PSAs.
• Place comment boxes in each commune capital
• Establish formal complaint mechanism for communities and individuals about claims processes
42. References
Barzilay, Ezra J., et al. "Cholera surveillance during the Haiti epidemic—the first 2 years." New England Journal of Medicine 368.7 (2013): 599-609.
Cairncross, S., Ensink, J., & Kahawita, T. (2009). Evaluation of the WASH activities undertaken to prevent and control cholera outbreaks in Guinea-Conakry & Guinea-Bissau Systematic Literature
Review. UNICEF. Londres-Dakar, LSTMH-UNICEF WCARO, 79.
"Cholera Cost Model Methods." Infectious Disease Cost Calculator. UPMC Center for Health Security. Web. 15 Feb. 2014. <http://www.idcostcalc.org/contents/cholera/cost-model.html>.
"Ease of Doing Business in Haiti." Doing Business . World Bank Group, n.d. Web. 15 Feb. 2014. <http://www.doingbusiness.org/data/exploreeconomies/haiti/>.
"Haiti." — MEASURE Evaluation. Web. 15 Feb. 2014.
"Haiti Aid Map." Shelter and Housing -. Web. 15 Feb. 2014.
“Handbook on United Nations Multidimensional Peacekeeping Operations.” Peacekeeping Best Practices Unit. UN DPKO. New York: 2003.
Heinrich, Erik. "Haiti's mobile redemption." Fortune Tech. Web. 15 Feb. 2014. <http://tech.fortune.cnn.com/2013/08/15/digicel-tchotcho-haiti/>.
“Humanitarian crises, emergency preparedness and response: a strategy and options analysis of Haiti.” Overseas Development Institute. London, UK: 2014.
43. References
"PAHO's Interactive Atlas of Cholera in la Hispaniola." PAHO's Interactive Atlas of Cholera in la Hispaniola. 15 Feb. 2014. <http://new.paho.org/hq/images/Atlas_IHR/CholeraHispaniola/atlas.html>.
WHO Report, Public Health and the Environment Group "Water Quality Interventions to Prevent Diarrhoea:Cost and Cost Effectiveness" by Thomas Clasen and Laurence Haller, 2008
McGuigan et al. Solar water disinfection (SODIS): A review from bench-top to roof-top" Journal of Hazardous Materials (2012) 29-46
Case Study: A conceptual design of a new paradigm for the Elimination of Cholera.
http://en.choleraalliance.org/files/Pdf/Guide%20for%20the%20elimination%20of%20Cholera%20GAAC%202011.pdf
Cholera in Haiti: End in Sight
http://www.un.org/News/dh/infocus/haiti/Cholera_Haiti_end_in_sight.pdf
Cholera Toolkit
http://www.unicef.org/cholera/Cholera-Toolkit-2013.pdf
Comprehensive intervention for the cholera epidemic in Haiti
http://thedo.osteopathic.org/?p=72091&page=2
44. References
Digicel Coverage Mao
http://www.digicelhaiti.com/en/coverage_roaming/coverage_map
Haiti Humanitarian Action Plan 2013
https://docs.unocha.org/sites/dms/CAP/HAP_2014_Haiti.pdf
InterAction’s Haiti Aid Map
http://haiti.ngoaidmap.org/sectors/12
National Plan for the Elimination of Cholera in Haiti 2013-2022
http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=20326&Itemid=270&lang=en
The Zimbabwe Health Cluster Cholera Outbreaks: Coordinated Preparedness and Response
http://www.who.int/hac/crises/zwe/zimbabwe_cholera_resp_plan_nov08.pdf