This presentation was presented to students and faculty at URI. This presentation addresses the key cultural values and beliefs within indigenous populations. Identifies barriers to vaccine uptake and analyzes solutions used by healthcare workers to increase vaccination rates. The presentation ends with identifying the role of pharmacists in immunizing this population.
Capstone Topic SummaryMy preceptor Ms. Wilder and I discusseTawnaDelatorrejs
Capstone Topic Summary
My preceptor Ms. Wilder and I discussed the needs of the community we both serve. Living in South Florida where there is a strong presence of African American population who is underserved by the health care community. The topic I chose will help serve this population. I recently relocated to Georgia which also have a large African American population. The evidence-based topic for the capstone change proposal will focus on the African American population and COVID 19. The category my topic and intervention falls under the community branch. I want to educate the African American population on the benefits of getting the COVID vaccine. History has shown that African American have a sincere distrust in the health care system due to health disparities and previous unconsented experiments performed by the medical community. The pandemic has disproportionately impacted African Americans. But yet this population is reluctant to receive the vaccine. Whether it is from social determents (limited finances, education, insurance or lack of) or health conditions (i.e. hypertension, diabetes), there is need for education to prevent higher mortality rates among the African American population.
Overcoming Barriers to
COVID-19 Vaccination
in African Americans:
The Need for Cultural
Humility
Keith C. Ferdinand, MD, FACC, FAHA, FNLA, FASPC
ABOUT THE AUTHOR
Keith C. Ferdinand is with the Department of Medicine, Tulane University School of Medicine,
New Orleans, LA.
See also Benjamin, p. 542, and Rodenberg, p. 588.
“Rescue work by helicopter was slow.
That stopped at dark about 7 o’clock
. . . people began to panic. I told
Kenneth and Keith and those around
me that we may as well make the
best of it, for no one knows we are
here . . . help won’t come until
morning. The rain fell so hard that I
had to take off my glasses & hide my
head. . . . The water, still slowly rising,
had two more inches to go before it
reached the rooftop. We learned:
that communication [and] coopera-
tion are necessary factors for survival
in a disaster.”
—Letter from Inola Copelin Ferdinand
to her sister, Narvalee, after our family
and others spent days amid the
drowning death of my paternal grand-
father and many of her neighbors,
abandoned on rooftops in the Lower
Ninth Ward, New Orleans, LA, during
Hurricane Betsy, September 9, 1965
Racial/ethnic minorities suffer dis-
proportionately from US COVID-19–as-
sociated deaths.1 The tragically higher
COVID-19 mortality among African
Americans from multiple conditions, in-
cluding cardiovascular diseases (CVD)
and certain cancers, highlights deep-
rooted, unacceptable failures in US
health care. The social determinants of
health (limited finances, healthy food,
education, health care coverage, job
flexibility) make disadvantaged commu-
nities more vulnerable to COVID-19 in-
fectivity and mortality and amplify higher
comorbid conditions.2 The Healthy
People 2020 Social ...
This presentation was part of Embody's Safe Healthy Strong 2015 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Institutional and social barriers place Latino families in the U.S. at greater risk for adverse health outcomes, often facing unique challenges to healthy sexuality and access to reproductive health care; the services available are often not linguistically or culturally appropriate. To help Latinos navigate the health care system and address their need for culturally relevant health information, Planned Parenthood of Wisconsin (PPWI) utilizes specially trained lay community members as frontline public health advisors. Promotores de Salud have firsthand knowledge of the issues affecting the communities in which they live and serve, and through direct education and training in homes and other familiar venues, become trusted resources. The workshop described the Promotores model and explored how community health advisors can model and teach health literacy skills in underserved communities.
ABOUT THE PRESENTERS
Maria Barker, Multicultural Programs Manager at PPWI, is a bilingual (Spanish/English) community educator of Mexican origin. She has facilitated reproductive health education programming including hundreds of home health parties for the Latino community since 2003. She is well recognized for training and using lay community workers known as Promotores de Salud to reach the Latino community. Maria is a graduate of the Latino Nonprofit Leadership Program through UW-Milwaukee and Cardinal Stritch University, and is a Certified Sexuality Educator by Planned Parenthood of Western Washington and Centralia College.
Al Castro, MS BSSW, Program Director at the United Community Center of Milwaukee, manages the UCC Health Research Department, which collaborates with universities to conduct community-engaged research to develop programs and services that address health issues and inequities in the Latino community. Castro holds a BS in Social Work from Carroll University and an MS in Business Management from Cardinal Stritch University. Castro is a licensed social worker in Wisconsin and is fluent in Spanish.
Angeles Soria Rodriguez, a Mexican immigrant, started her community service by helping co-workers and neighbors access health care, hospitals, courts, DMVs, and other resources. When Angeles moved to Milwaukee, she volunteered at community organizations and attended comprehensive trainings about cardiovascular and mental health, financial management, and nutrition. Angeles now concentrates her volunteer efforts on creating leadership among Latina women and reducing Latino obesity. As a health promoter at PPWI, she uses the Cuidandonos Creceremos mas Sanos curriculum she helped develop to facilitate home health parties that help Latino families get comfortable talking about healthy
Today's U.S. Latino population is growing, dynamic and evolving, reflecting a new American reality. Latino culture and family dynamics impact healthcare decisions and behaviors. Recognizing that Latinos are not a homogeneous group, experts from media, academic research and public health promotion will share insights, tips and tools in this timely webinar for closing the cultural communication gap with this diverse population.
After this session, participants will be able to:
- Identify diversity among Latino populations and take appropriate steps to build a communication ecology relative to that diversity
- List at least two healthcare myths about Latinos
- Describe the role that media, community and family influences play in healthcare decisions
- Describe how to reach Latinos more effectively through culturally relevant communication and outreach
Speakers:
Sonya Suarez-Hammond, Senior Director of Strategy & Insights/Healthcare at Univision Communications
Dr. Holley Wilkin, Professor and affiliated faculty of the department of Partnership for Urban Health Research at Georgia State University
Dr. Carmen Gonzalez, Postdoctoral Scholar at the Annenberg School for Communication and Journalism at the University of Southern California.
Moderator: Nancy Murphy, Executive Vice President, Metropolitan Group.
This presentation was from the fifth session in the CALPACT sponsored Health Communication Matters Webinar Series, which will help participants in all walks of public health to apply health literacy principles to their everyday communications.
Please visit here to listen to the audio recording of the webinar:
http://cc.readytalk.com/play?id=2peynd
Visit these links for the other resources related to this webinar:
Resources:
http://www.slideshare.net/SPHCalpact/putting-culture-into-context-resources
Health Literacy Undervalued by Public Health? A tool for public health professionals:
http://www.slideshare.net/SPHCalpact/calpact-training-health-literacy-undervalued-by-public-health-training-tool
Follow Us on Twitter: @CALPACT
Facebook: http://www.facebook.com/CALPACTUCB
Website: www.calpact.org
Questions?
Email sphcalpact@berkeley.edu
In this webinar, Dr. Brian C. Castrucci President and Chief Executive Officer of the de Beaumont Foundation, presented new polling about vaccine confidence and Dr. Ayne Amjad, Commissioner and State Health Officer for West Virginia, and Dr. Costello, Assistant Professor of Pediatrics at West Virginia University School of Medicine, presented insights from their research and successful vaccine outreach campaign to rural communities in West Virginia. Dr. Lauren Smith, Chief Health Equity and Strategy Officer for CDC Foundation, moderated the conversation and an audience Q&A with Drs. Amjad and Costello.
How to approach Patient Diversity in the Medical Environmentflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Morbid and Mortal Inequities among Indigenous Peoples during the COVID-19 Pan...AmyAlberton1
The COVID-19 pandemic has illuminated gross racialized health inequities and injustices (Mackey et al., 2021). Evidence of the widespread and harmful impacts of the COVID-19 pandemic across diverse populations in Canada and the United States of America (USA) is voluminous (Clark et al., 2021; Mateen et al., 2020; Wendt et al., 2021). While the pandemic has revealed the much greater relative health risks experienced by racialized/ethnic people, the primary and synthetic evidence thus far has focused primarily on Latinx and Black people (Mackey et al., 2021). To date, there has been a relative lack of primary study and a complete absence of synthetic study of the relative morbid and mortal COVID-19-related risks experienced by Indigenous peoples (Douglas et al., 2021; Waldner et al., 2021).
This rapid review, the first synthetic study of Indigneny-COVID-19 inequities in North America, hypothesized certain Indigenous protections based upon Indigenous cultural strengths and certain risks based upon Indigenous peoples’ long histories of structural violence in North America. First, the pooled relative risk of COVID-19 among Indigenous peoples compared with otherwise similar non-Indigenous people was statistically and practically significant, indicating that Indigenous peoples were two-thirds more likely to be infected or die with COVID-19 as the primary or contributing cause of death (RR = 1.65). Second, Indigenous peoples’ risk of death (RR = 2.45) was significantly greater than their risk of infection (RR = 1.40), Indigenous peoples being about one and a half times as like to become ill with COVID-19 and two and a half times as likely to die as a result. Pre-existing, chronic health conditions secondary to lifetime structural violence exposures were likely responsible for the much worse mortal outcomes among Indigenous peoples. Third, despite long histories of oppression, providing Indigenous peoples with every reason to mistrust governments, their vaccination uptake rate was on par with that of non-Indigenous people, who were primarily non-Hispanic White people (RR = 1.02).
This rapid review provided evidence that inequalities exist among Indigenous and non-Indigenous people on COVID-19 related outcomes. Consistent with their lifetime exposures to discrimination and structural violence (Alberton, 2020), Indigenous peoples seemed clearly to be at relatively grave risk of having the most serious and deadly COVID-19 infections. However, consistent with cultural strengths theory, COVID-19 infection occurrences and vaccination uptake seemed much more equitably distributed with certain Indigenous people in some places even demonstrating significant protective advantages over non-Hispanic White people.
Capstone Topic SummaryMy preceptor Ms. Wilder and I discusseTawnaDelatorrejs
Capstone Topic Summary
My preceptor Ms. Wilder and I discussed the needs of the community we both serve. Living in South Florida where there is a strong presence of African American population who is underserved by the health care community. The topic I chose will help serve this population. I recently relocated to Georgia which also have a large African American population. The evidence-based topic for the capstone change proposal will focus on the African American population and COVID 19. The category my topic and intervention falls under the community branch. I want to educate the African American population on the benefits of getting the COVID vaccine. History has shown that African American have a sincere distrust in the health care system due to health disparities and previous unconsented experiments performed by the medical community. The pandemic has disproportionately impacted African Americans. But yet this population is reluctant to receive the vaccine. Whether it is from social determents (limited finances, education, insurance or lack of) or health conditions (i.e. hypertension, diabetes), there is need for education to prevent higher mortality rates among the African American population.
Overcoming Barriers to
COVID-19 Vaccination
in African Americans:
The Need for Cultural
Humility
Keith C. Ferdinand, MD, FACC, FAHA, FNLA, FASPC
ABOUT THE AUTHOR
Keith C. Ferdinand is with the Department of Medicine, Tulane University School of Medicine,
New Orleans, LA.
See also Benjamin, p. 542, and Rodenberg, p. 588.
“Rescue work by helicopter was slow.
That stopped at dark about 7 o’clock
. . . people began to panic. I told
Kenneth and Keith and those around
me that we may as well make the
best of it, for no one knows we are
here . . . help won’t come until
morning. The rain fell so hard that I
had to take off my glasses & hide my
head. . . . The water, still slowly rising,
had two more inches to go before it
reached the rooftop. We learned:
that communication [and] coopera-
tion are necessary factors for survival
in a disaster.”
—Letter from Inola Copelin Ferdinand
to her sister, Narvalee, after our family
and others spent days amid the
drowning death of my paternal grand-
father and many of her neighbors,
abandoned on rooftops in the Lower
Ninth Ward, New Orleans, LA, during
Hurricane Betsy, September 9, 1965
Racial/ethnic minorities suffer dis-
proportionately from US COVID-19–as-
sociated deaths.1 The tragically higher
COVID-19 mortality among African
Americans from multiple conditions, in-
cluding cardiovascular diseases (CVD)
and certain cancers, highlights deep-
rooted, unacceptable failures in US
health care. The social determinants of
health (limited finances, healthy food,
education, health care coverage, job
flexibility) make disadvantaged commu-
nities more vulnerable to COVID-19 in-
fectivity and mortality and amplify higher
comorbid conditions.2 The Healthy
People 2020 Social ...
This presentation was part of Embody's Safe Healthy Strong 2015 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Institutional and social barriers place Latino families in the U.S. at greater risk for adverse health outcomes, often facing unique challenges to healthy sexuality and access to reproductive health care; the services available are often not linguistically or culturally appropriate. To help Latinos navigate the health care system and address their need for culturally relevant health information, Planned Parenthood of Wisconsin (PPWI) utilizes specially trained lay community members as frontline public health advisors. Promotores de Salud have firsthand knowledge of the issues affecting the communities in which they live and serve, and through direct education and training in homes and other familiar venues, become trusted resources. The workshop described the Promotores model and explored how community health advisors can model and teach health literacy skills in underserved communities.
ABOUT THE PRESENTERS
Maria Barker, Multicultural Programs Manager at PPWI, is a bilingual (Spanish/English) community educator of Mexican origin. She has facilitated reproductive health education programming including hundreds of home health parties for the Latino community since 2003. She is well recognized for training and using lay community workers known as Promotores de Salud to reach the Latino community. Maria is a graduate of the Latino Nonprofit Leadership Program through UW-Milwaukee and Cardinal Stritch University, and is a Certified Sexuality Educator by Planned Parenthood of Western Washington and Centralia College.
Al Castro, MS BSSW, Program Director at the United Community Center of Milwaukee, manages the UCC Health Research Department, which collaborates with universities to conduct community-engaged research to develop programs and services that address health issues and inequities in the Latino community. Castro holds a BS in Social Work from Carroll University and an MS in Business Management from Cardinal Stritch University. Castro is a licensed social worker in Wisconsin and is fluent in Spanish.
Angeles Soria Rodriguez, a Mexican immigrant, started her community service by helping co-workers and neighbors access health care, hospitals, courts, DMVs, and other resources. When Angeles moved to Milwaukee, she volunteered at community organizations and attended comprehensive trainings about cardiovascular and mental health, financial management, and nutrition. Angeles now concentrates her volunteer efforts on creating leadership among Latina women and reducing Latino obesity. As a health promoter at PPWI, she uses the Cuidandonos Creceremos mas Sanos curriculum she helped develop to facilitate home health parties that help Latino families get comfortable talking about healthy
Today's U.S. Latino population is growing, dynamic and evolving, reflecting a new American reality. Latino culture and family dynamics impact healthcare decisions and behaviors. Recognizing that Latinos are not a homogeneous group, experts from media, academic research and public health promotion will share insights, tips and tools in this timely webinar for closing the cultural communication gap with this diverse population.
After this session, participants will be able to:
- Identify diversity among Latino populations and take appropriate steps to build a communication ecology relative to that diversity
- List at least two healthcare myths about Latinos
- Describe the role that media, community and family influences play in healthcare decisions
- Describe how to reach Latinos more effectively through culturally relevant communication and outreach
Speakers:
Sonya Suarez-Hammond, Senior Director of Strategy & Insights/Healthcare at Univision Communications
Dr. Holley Wilkin, Professor and affiliated faculty of the department of Partnership for Urban Health Research at Georgia State University
Dr. Carmen Gonzalez, Postdoctoral Scholar at the Annenberg School for Communication and Journalism at the University of Southern California.
Moderator: Nancy Murphy, Executive Vice President, Metropolitan Group.
This presentation was from the fifth session in the CALPACT sponsored Health Communication Matters Webinar Series, which will help participants in all walks of public health to apply health literacy principles to their everyday communications.
Please visit here to listen to the audio recording of the webinar:
http://cc.readytalk.com/play?id=2peynd
Visit these links for the other resources related to this webinar:
Resources:
http://www.slideshare.net/SPHCalpact/putting-culture-into-context-resources
Health Literacy Undervalued by Public Health? A tool for public health professionals:
http://www.slideshare.net/SPHCalpact/calpact-training-health-literacy-undervalued-by-public-health-training-tool
Follow Us on Twitter: @CALPACT
Facebook: http://www.facebook.com/CALPACTUCB
Website: www.calpact.org
Questions?
Email sphcalpact@berkeley.edu
In this webinar, Dr. Brian C. Castrucci President and Chief Executive Officer of the de Beaumont Foundation, presented new polling about vaccine confidence and Dr. Ayne Amjad, Commissioner and State Health Officer for West Virginia, and Dr. Costello, Assistant Professor of Pediatrics at West Virginia University School of Medicine, presented insights from their research and successful vaccine outreach campaign to rural communities in West Virginia. Dr. Lauren Smith, Chief Health Equity and Strategy Officer for CDC Foundation, moderated the conversation and an audience Q&A with Drs. Amjad and Costello.
How to approach Patient Diversity in the Medical Environmentflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Morbid and Mortal Inequities among Indigenous Peoples during the COVID-19 Pan...AmyAlberton1
The COVID-19 pandemic has illuminated gross racialized health inequities and injustices (Mackey et al., 2021). Evidence of the widespread and harmful impacts of the COVID-19 pandemic across diverse populations in Canada and the United States of America (USA) is voluminous (Clark et al., 2021; Mateen et al., 2020; Wendt et al., 2021). While the pandemic has revealed the much greater relative health risks experienced by racialized/ethnic people, the primary and synthetic evidence thus far has focused primarily on Latinx and Black people (Mackey et al., 2021). To date, there has been a relative lack of primary study and a complete absence of synthetic study of the relative morbid and mortal COVID-19-related risks experienced by Indigenous peoples (Douglas et al., 2021; Waldner et al., 2021).
This rapid review, the first synthetic study of Indigneny-COVID-19 inequities in North America, hypothesized certain Indigenous protections based upon Indigenous cultural strengths and certain risks based upon Indigenous peoples’ long histories of structural violence in North America. First, the pooled relative risk of COVID-19 among Indigenous peoples compared with otherwise similar non-Indigenous people was statistically and practically significant, indicating that Indigenous peoples were two-thirds more likely to be infected or die with COVID-19 as the primary or contributing cause of death (RR = 1.65). Second, Indigenous peoples’ risk of death (RR = 2.45) was significantly greater than their risk of infection (RR = 1.40), Indigenous peoples being about one and a half times as like to become ill with COVID-19 and two and a half times as likely to die as a result. Pre-existing, chronic health conditions secondary to lifetime structural violence exposures were likely responsible for the much worse mortal outcomes among Indigenous peoples. Third, despite long histories of oppression, providing Indigenous peoples with every reason to mistrust governments, their vaccination uptake rate was on par with that of non-Indigenous people, who were primarily non-Hispanic White people (RR = 1.02).
This rapid review provided evidence that inequalities exist among Indigenous and non-Indigenous people on COVID-19 related outcomes. Consistent with their lifetime exposures to discrimination and structural violence (Alberton, 2020), Indigenous peoples seemed clearly to be at relatively grave risk of having the most serious and deadly COVID-19 infections. However, consistent with cultural strengths theory, COVID-19 infection occurrences and vaccination uptake seemed much more equitably distributed with certain Indigenous people in some places even demonstrating significant protective advantages over non-Hispanic White people.
Vaccine delivery with speed, scale and equityKelley Hodge
For current and future COVID-19 vaccine rollouts, robust delivery strategies are essential to manage the initial scarce supply and adapt to the dynamic demand for COVID-19 vaccines.
To maximize the public health benefit from vaccines, we must integrate the evidence base on how to design delivery channels that vaccinate with speed, scale and equity.
This interactive webinar is part of the world tour series designed by the World Health Organization's Patients for Patient Safety (PFPS) Global Network and hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute, a WHO Collaborating Centre on Patient Safety and Patient Engagement.
EXPLORING U.S. MINORITY ATTITUDES TOWARDS CLINICAL TRIALSCOUCH Health
Patient diversity is still a huge issue in clinical trials. And like us, you might be wondering why this is still an ongoing challenge, and how can it be improved?
This report summarises research from ethnic minority groups in the US to find the answers to those very questions.
1 postsRe Topic 3 DQ 1Immigrants are one of the largest vul.docxoswald1horne84988
1 posts
Re: Topic 3 DQ 1
Immigrants are one of the largest vulnerable populations in the United States. There are approximately 44.5 million immigrants in the US according to research done in 2017. The US has the largest number of immigrants as compared to other countries, Germany has the second highest number of immigrants calculating only 12 million followed by Russia with 11.6 million. When looking at the US compared to other countries, the US has almost 4 times the number of immigrants as the other leading countries. With this high number of immigrants, they are vulnerable for impaired health and wellbeing for many reasons. “Refugees and immigrants can be defined as vulnerable populations because they are often in an unknown environment with little understanding of the new culture, resources, or language and will likely require a host of support in order to acclimate to their new environments” (Grand Canyon University, 2018).
Public health nurses need to be aware of the people who fall into this category within their community and treat them with the same respect and dignity that they would for people who do not and ensure that they care for their needs. “This includes accounting for language barriers, lack of insurance, and provision of resources such as clothing, food and water, and possibly housing needs” (Grand Canyon University, 2018). To do this we must be knowledgeable of their culture and health beliefs and assist them in finding resources that can improve their health. It can be difficult for this population to advocate for themselves because of the lack of knowledge and understanding of how our health system is constructed and ran. Language can be on of the biggest barriers when assisting immigrants, and we as public health nurses need to be aware of these barriers and try to offer assistance when communicating with them. These can include things such as having an interpreter available to allow for easier communication of their needs. In the hospital we have our interpreter phones that we can use to effectively communicate with our patients, so by having these for the use of public health nurses could better the health of this vulnerable population.
.
1Transcultural Diversityand Health CareChapter 1.docxherminaprocter
1
Transcultural Diversity
and Health Care
Chapter 1
LARRY D. PURNELL
The Need for Culturally Competent
Health Care
Cultural competence in multicultural societies continues as
a major initiative for business, health-care, and educational
organizations in the United States and throughout most of
the world. The mass media, health-care policy makers, the
Office of Minority Health, and other Governmental organi-
zations, professional organizations, the workplace, and
health insurance payers are addressing the need for individ-
uals to understand and become culturally competent as one
strategy to improve quality and eliminate racial, ethnic, and
gender disparities in health care. Educational institutions
from elementary schools to colleges and universities also
address cultural diversity and cultural competency as they
relate to disparities and health promotion and wellness.
Many countries are now recognizing the need for
addressing the diversity of their society, including the
client base, the provider base, and the organization.
Societies that used to be rather homogeneous, such as
Portugal, Norway, Sweden, Korea, and selected areas in the
United States and the United Kingdom, are now facing sig-
nificant internal and external migration, resulting in eth-
nocultural diversity that did not previously exist, at least
not to the degree it does now. As commissioned by the
U.K. Presidency of the European Union, several European
countries—such as Denmark, Italy, Poland, the Czech
Republic, Latvia, the United Kingdom, Sweden, Norway,
Finland, Italy, Spain, Portugal, Hungary, Belgium, Greece,
Germany, the Netherlands, and France—either have in
place or are developing national programs to address the
value of cultural competence in reducing health dispari-
ties (Health Inequities: A Challenge for Europe, 2005).
Whether people are internal migrants, immigrants, or
vacationers, they have the right to expect the health-care
system to respect their personal beliefs, values, and
health-care practices. Culturally competent health care
from providers and the system, regardless of the setting in
which care is delivered, is becoming a concern and expec-
tation among consumers. Diversity also includes having a
diverse workforce that more closely represents the popu-
lation the organization serves.
Health-care personnel provide care to people of diverse
cultures in long-term-care facilities, acute-care facilities,
clinics, communities, and clients’ homes. All health-care
providers—physicians, nurses, nutritionists, therapists,
technicians, home health aides, and other caregivers—
need similar culturally specific information. For example,
all health-care providers engage in verbal and nonverbal
communication; therefore, all health-care professionals
and ancillary staff need to have similar information and
skill development to communicate appropriately with
diverse populations. The manner in which the informa-
tion is used may differ significantly based on the.
1Transcultural Diversityand Health CareChapter 1.docxeugeniadean34240
1
Transcultural Diversity
and Health Care
Chapter 1
LARRY D. PURNELL
The Need for Culturally Competent
Health Care
Cultural competence in multicultural societies continues as
a major initiative for business, health-care, and educational
organizations in the United States and throughout most of
the world. The mass media, health-care policy makers, the
Office of Minority Health, and other Governmental organi-
zations, professional organizations, the workplace, and
health insurance payers are addressing the need for individ-
uals to understand and become culturally competent as one
strategy to improve quality and eliminate racial, ethnic, and
gender disparities in health care. Educational institutions
from elementary schools to colleges and universities also
address cultural diversity and cultural competency as they
relate to disparities and health promotion and wellness.
Many countries are now recognizing the need for
addressing the diversity of their society, including the
client base, the provider base, and the organization.
Societies that used to be rather homogeneous, such as
Portugal, Norway, Sweden, Korea, and selected areas in the
United States and the United Kingdom, are now facing sig-
nificant internal and external migration, resulting in eth-
nocultural diversity that did not previously exist, at least
not to the degree it does now. As commissioned by the
U.K. Presidency of the European Union, several European
countries—such as Denmark, Italy, Poland, the Czech
Republic, Latvia, the United Kingdom, Sweden, Norway,
Finland, Italy, Spain, Portugal, Hungary, Belgium, Greece,
Germany, the Netherlands, and France—either have in
place or are developing national programs to address the
value of cultural competence in reducing health dispari-
ties (Health Inequities: A Challenge for Europe, 2005).
Whether people are internal migrants, immigrants, or
vacationers, they have the right to expect the health-care
system to respect their personal beliefs, values, and
health-care practices. Culturally competent health care
from providers and the system, regardless of the setting in
which care is delivered, is becoming a concern and expec-
tation among consumers. Diversity also includes having a
diverse workforce that more closely represents the popu-
lation the organization serves.
Health-care personnel provide care to people of diverse
cultures in long-term-care facilities, acute-care facilities,
clinics, communities, and clients’ homes. All health-care
providers—physicians, nurses, nutritionists, therapists,
technicians, home health aides, and other caregivers—
need similar culturally specific information. For example,
all health-care providers engage in verbal and nonverbal
communication; therefore, all health-care professionals
and ancillary staff need to have similar information and
skill development to communicate appropriately with
diverse populations. The manner in which the informa-
tion is used may differ significantly based on the.
A tremendous need exists to engage hard-to-reach populations in HIV/AIDS care. That’s because numerous factors prevent people living with HIV/AIDS (PLWHA)—especially disadvantaged and disproportionately affected populations—from engaging in care or remaining in care.
This Webcast introduces providers to several successful strategies for reaching the most vulnerable populations:
Howell Strauss, DMD, AIDS Care Group, discusses traditional street outreach, as well as his involvement with both the SPNS Oral Health Initiative and the SPNS Jail Initiative.
Lisa Hightow-Weidman, MD, MPH, Department of Infectious Diseases University of North Carolina at Chapel Hill, shares best practices in social marketing outreach in the context of her work as a SPNS Young Men who Have Sex with Men of Color Initiative grantee.
COVID 19 Team-Based Approaches to Patient PopulationsCHC Connecticut
As presented as part of The Path Forward on Jan 28, 2021:
Stable housing and health outcomes are inextricably linked. When a patient loses housing – or is in jeopardy of losing housing– health outcomes suffer. COVID has led us to a moment of crisis. Thirty million to 40 million people in the United States face eviction. People of color are disproportionately impacted. Addressing housing as a social determinant of health is critical to achieving health equity. This webinar brings together experts from housing, healthcare and the intersection of both to share innovative short- and long-term solutions you can implement in your community.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Vaccine delivery with speed, scale and equityKelley Hodge
For current and future COVID-19 vaccine rollouts, robust delivery strategies are essential to manage the initial scarce supply and adapt to the dynamic demand for COVID-19 vaccines.
To maximize the public health benefit from vaccines, we must integrate the evidence base on how to design delivery channels that vaccinate with speed, scale and equity.
This interactive webinar is part of the world tour series designed by the World Health Organization's Patients for Patient Safety (PFPS) Global Network and hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute, a WHO Collaborating Centre on Patient Safety and Patient Engagement.
EXPLORING U.S. MINORITY ATTITUDES TOWARDS CLINICAL TRIALSCOUCH Health
Patient diversity is still a huge issue in clinical trials. And like us, you might be wondering why this is still an ongoing challenge, and how can it be improved?
This report summarises research from ethnic minority groups in the US to find the answers to those very questions.
1 postsRe Topic 3 DQ 1Immigrants are one of the largest vul.docxoswald1horne84988
1 posts
Re: Topic 3 DQ 1
Immigrants are one of the largest vulnerable populations in the United States. There are approximately 44.5 million immigrants in the US according to research done in 2017. The US has the largest number of immigrants as compared to other countries, Germany has the second highest number of immigrants calculating only 12 million followed by Russia with 11.6 million. When looking at the US compared to other countries, the US has almost 4 times the number of immigrants as the other leading countries. With this high number of immigrants, they are vulnerable for impaired health and wellbeing for many reasons. “Refugees and immigrants can be defined as vulnerable populations because they are often in an unknown environment with little understanding of the new culture, resources, or language and will likely require a host of support in order to acclimate to their new environments” (Grand Canyon University, 2018).
Public health nurses need to be aware of the people who fall into this category within their community and treat them with the same respect and dignity that they would for people who do not and ensure that they care for their needs. “This includes accounting for language barriers, lack of insurance, and provision of resources such as clothing, food and water, and possibly housing needs” (Grand Canyon University, 2018). To do this we must be knowledgeable of their culture and health beliefs and assist them in finding resources that can improve their health. It can be difficult for this population to advocate for themselves because of the lack of knowledge and understanding of how our health system is constructed and ran. Language can be on of the biggest barriers when assisting immigrants, and we as public health nurses need to be aware of these barriers and try to offer assistance when communicating with them. These can include things such as having an interpreter available to allow for easier communication of their needs. In the hospital we have our interpreter phones that we can use to effectively communicate with our patients, so by having these for the use of public health nurses could better the health of this vulnerable population.
.
1Transcultural Diversityand Health CareChapter 1.docxherminaprocter
1
Transcultural Diversity
and Health Care
Chapter 1
LARRY D. PURNELL
The Need for Culturally Competent
Health Care
Cultural competence in multicultural societies continues as
a major initiative for business, health-care, and educational
organizations in the United States and throughout most of
the world. The mass media, health-care policy makers, the
Office of Minority Health, and other Governmental organi-
zations, professional organizations, the workplace, and
health insurance payers are addressing the need for individ-
uals to understand and become culturally competent as one
strategy to improve quality and eliminate racial, ethnic, and
gender disparities in health care. Educational institutions
from elementary schools to colleges and universities also
address cultural diversity and cultural competency as they
relate to disparities and health promotion and wellness.
Many countries are now recognizing the need for
addressing the diversity of their society, including the
client base, the provider base, and the organization.
Societies that used to be rather homogeneous, such as
Portugal, Norway, Sweden, Korea, and selected areas in the
United States and the United Kingdom, are now facing sig-
nificant internal and external migration, resulting in eth-
nocultural diversity that did not previously exist, at least
not to the degree it does now. As commissioned by the
U.K. Presidency of the European Union, several European
countries—such as Denmark, Italy, Poland, the Czech
Republic, Latvia, the United Kingdom, Sweden, Norway,
Finland, Italy, Spain, Portugal, Hungary, Belgium, Greece,
Germany, the Netherlands, and France—either have in
place or are developing national programs to address the
value of cultural competence in reducing health dispari-
ties (Health Inequities: A Challenge for Europe, 2005).
Whether people are internal migrants, immigrants, or
vacationers, they have the right to expect the health-care
system to respect their personal beliefs, values, and
health-care practices. Culturally competent health care
from providers and the system, regardless of the setting in
which care is delivered, is becoming a concern and expec-
tation among consumers. Diversity also includes having a
diverse workforce that more closely represents the popu-
lation the organization serves.
Health-care personnel provide care to people of diverse
cultures in long-term-care facilities, acute-care facilities,
clinics, communities, and clients’ homes. All health-care
providers—physicians, nurses, nutritionists, therapists,
technicians, home health aides, and other caregivers—
need similar culturally specific information. For example,
all health-care providers engage in verbal and nonverbal
communication; therefore, all health-care professionals
and ancillary staff need to have similar information and
skill development to communicate appropriately with
diverse populations. The manner in which the informa-
tion is used may differ significantly based on the.
1Transcultural Diversityand Health CareChapter 1.docxeugeniadean34240
1
Transcultural Diversity
and Health Care
Chapter 1
LARRY D. PURNELL
The Need for Culturally Competent
Health Care
Cultural competence in multicultural societies continues as
a major initiative for business, health-care, and educational
organizations in the United States and throughout most of
the world. The mass media, health-care policy makers, the
Office of Minority Health, and other Governmental organi-
zations, professional organizations, the workplace, and
health insurance payers are addressing the need for individ-
uals to understand and become culturally competent as one
strategy to improve quality and eliminate racial, ethnic, and
gender disparities in health care. Educational institutions
from elementary schools to colleges and universities also
address cultural diversity and cultural competency as they
relate to disparities and health promotion and wellness.
Many countries are now recognizing the need for
addressing the diversity of their society, including the
client base, the provider base, and the organization.
Societies that used to be rather homogeneous, such as
Portugal, Norway, Sweden, Korea, and selected areas in the
United States and the United Kingdom, are now facing sig-
nificant internal and external migration, resulting in eth-
nocultural diversity that did not previously exist, at least
not to the degree it does now. As commissioned by the
U.K. Presidency of the European Union, several European
countries—such as Denmark, Italy, Poland, the Czech
Republic, Latvia, the United Kingdom, Sweden, Norway,
Finland, Italy, Spain, Portugal, Hungary, Belgium, Greece,
Germany, the Netherlands, and France—either have in
place or are developing national programs to address the
value of cultural competence in reducing health dispari-
ties (Health Inequities: A Challenge for Europe, 2005).
Whether people are internal migrants, immigrants, or
vacationers, they have the right to expect the health-care
system to respect their personal beliefs, values, and
health-care practices. Culturally competent health care
from providers and the system, regardless of the setting in
which care is delivered, is becoming a concern and expec-
tation among consumers. Diversity also includes having a
diverse workforce that more closely represents the popu-
lation the organization serves.
Health-care personnel provide care to people of diverse
cultures in long-term-care facilities, acute-care facilities,
clinics, communities, and clients’ homes. All health-care
providers—physicians, nurses, nutritionists, therapists,
technicians, home health aides, and other caregivers—
need similar culturally specific information. For example,
all health-care providers engage in verbal and nonverbal
communication; therefore, all health-care professionals
and ancillary staff need to have similar information and
skill development to communicate appropriately with
diverse populations. The manner in which the informa-
tion is used may differ significantly based on the.
A tremendous need exists to engage hard-to-reach populations in HIV/AIDS care. That’s because numerous factors prevent people living with HIV/AIDS (PLWHA)—especially disadvantaged and disproportionately affected populations—from engaging in care or remaining in care.
This Webcast introduces providers to several successful strategies for reaching the most vulnerable populations:
Howell Strauss, DMD, AIDS Care Group, discusses traditional street outreach, as well as his involvement with both the SPNS Oral Health Initiative and the SPNS Jail Initiative.
Lisa Hightow-Weidman, MD, MPH, Department of Infectious Diseases University of North Carolina at Chapel Hill, shares best practices in social marketing outreach in the context of her work as a SPNS Young Men who Have Sex with Men of Color Initiative grantee.
COVID 19 Team-Based Approaches to Patient PopulationsCHC Connecticut
As presented as part of The Path Forward on Jan 28, 2021:
Stable housing and health outcomes are inextricably linked. When a patient loses housing – or is in jeopardy of losing housing– health outcomes suffer. COVID has led us to a moment of crisis. Thirty million to 40 million people in the United States face eviction. People of color are disproportionately impacted. Addressing housing as a social determinant of health is critical to achieving health equity. This webinar brings together experts from housing, healthcare and the intersection of both to share innovative short- and long-term solutions you can implement in your community.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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
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.
The Cost of Culture: Addressing Vaccine Disparities Within Indigenous Populations.pdf
1. The Cost of Culture:
Addressing Vaccine Disparities
Within Indigenous Populations
Stephanie Dowling, Drew Hurley, Brindley Rospars, & Jonathan Strandberg
PHP 430: Public Health Consequences of Infectious Disease
December 6, 2021
2. Land Acknowledgement
“We acknowledge that we gather as the University of
Rhode Island on the traditional land of the Niantic
and Narragansett people in the past and present, and
honor with gratitude the land itself and the people who
have stewarded it throughout the generations. This
calls us to commit to continuing to learn how to be
better stewards of the land we inhabit as well”
- Marc Parlange, URI President
3. Learning Outcomes for Today:
○ Define ‘indigenous’ and identify key cultural values and beliefs within this
population
○ Identify barriers to vaccine uptake in the indigenous population
○ Analyze solutions utilized by healthcare workers and indigenous people to
increase vaccination rates
○ Develop further strategies to continue with successful immunization
campaigns
○ Identify the pharmacist role in immunization for the indigenous
population
4. Land Acknowledgement
Purpose is to show respect and honor the Indigenous Peoples
of the land on which we work and live.
Various Forms:
○ Messages at the start of presentations & special events
○ At university campus & sporting events
○ Written in syllabi and email signatures
Regardless of the presence or absence of
Indigenous people in your audience, land
acknowledgements are impactful!
5. What does it mean to be Indigenous?
“Historical continuity with pre-colonial, and/or
pre-settler societies, or self-identification as
Indigenous at the individual level and accepted by
the Indigenous community as their member”
- United Nations Permanent Forum on Indigenous Issues
Source: United Nations Permanent Forum on Indigenous Issues. “Indigenous Peoples, Indigenous Voices: Factsheet”
6. What does it mean to be Indigenous?
Retaining characteristics of their culture:
○ Social & Cultural
○ Economic
○ Political
Ancestral land is fundamentally important for their community’s
sense of physical and cultural survival
Source: United Nations Permanent Forum on Indigenous Issues. “Indigenous Peoples, Indigenous Voices: Factsheet”
Characteristics are
typically different
than the culture of
the dominating
society in their area
9. Federal Reservations in the United States
Source: Warne, Donald & Wescott, Siobhan. (2019). Social Determinants of American Indian Nutritional Health http://www.ich2019.com/. Current developments in nutrition. 3. 10.1093/cdn/nzz054.
10. History of Mistreatment
1918 Pandemic
Family Planning Services
& Population Research
Act of 1970
Indian Health Service
Medical
Mistrust
11. Indian Health Service Facilities
Source: Warne, Donald & Wescott, Siobhan. (2019). Social Determinants of American Indian Nutritional Health http://www.ich2019.com/. Current developments in nutrition. 3. 10.1093/cdn/nzz054.
12. Federal Reservations & IHS Locations
Sources: https://native-land.ca/Warne,
Donald & Wescott, Siobhan. (2019). Social Determinants of American Indian Nutritional Health http://www.ich2019.com/. Current developments in nutrition. 3. 10.1093/cdn/nzz054.
13. COVID-19 Impact on Indigenous Communities
Rate ratio
compared to
White,
Non-Hispanic
persons
American
Indian or
Alaska Native,
Non-Hispanic
persons
Asian,
Non-Hispanic
persons
Black or
African
American,
Non-Hispanic
persons
Hispanic
or Latinx
persons
Cases 1.6x 0.6x 1.0x 1.6x
Hospitalization 3.3x 0.8x 2.6x 2.5x
Death 2.2x 0.9x 1.9x 2.1x
Source: “Risk for COVID-19 Infection, Hospitalization, and Death by Race/Ethnicity”. Centers for DIsease Control and Prevention. URL:
https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html. Accessed 1 December 2021.
14. Barriers to Vaccine Uptake
ACCESS
Physical lack of access to
healthcare dependent on
living status on or off
reservation, East or West
Coast, and in an urban or
rural setting
SOCIAL
Lack of trust for
government based
healthcare due to
past historical
trauma
COMMUNICATION
Lack of internet
access on reservations
and within homes
15. Role of Mandates: Risk-Benefit Analysis
BENEFITS
➔ Implementing vaccine
mandates will directly lead to
an increase in vaccination
rates
➔ But, is it worth the risks that
are associated with this...
16. Role of Mandates: Risk-Benefit Analysis
RISKS
➔ There is likely to be a large rise in
concern in the Native American
population due to historical trauma
and mistreatment that has led to
mistrust
➔ Those who were willing to get vaccinated
may steer towards not getting vaccinated
once they realize that the government is
mandating it
17. Role of Mandates: Bottom Line
Alternative
➔ The benefits of implementing vaccine mandates do not
outweigh the risks for the Native American population
➔ There are other ways that we can increase vaccine uptake by
appealing specifically to this population
19. COVID Vaccine Rates in Indigenous Populations
Disproportionate impacted by COVID → increase in vaccinations to
prevent the virus
April 2021 vaccination with at least one dose of the vaccine:
32% of American Indian and Alaskan Native
19% of White people
16% of Asian people
12% of Black people
9% of Hispanic people
THERE IS STILL AN OPPORTUNITY TO INCREASE
VACCINATIONS IN TRIBAL COMMUNITIES,
HOWEVER
Hill L, Artiga S. COVID-19 Vaccination Among Indian and Alaskan Native People. KFF. 9 Apr 2021.
20. American COVID-19 Vaccine Poll
National survey created to understand the obstacles involving
vaccination
Large sample of Native Americans (n = 1,920)
Included questions about effective messages, access, and hesitancy
As of June 2021, 45% of the Native American population has yet
to be vaccinated
Helped uncover data needed to inform the next stage of the
vaccination process in indigenous communities
Sanchez GR, Foxworth R. Native Americans and COVID-19 Vaccine Hesitancy: Pathways Toward Increasing Vaccination Rates for Native
Communities. Health Affairs. 29 Jul 2021.
22. Increasing Access
Effective model seen in the Diné Nation (Navajo) → surpassed
national vaccine average
Drive-thru clinics
Opening vaccine clinics to non-tribal members who still live on
the reservation
WHAT ABOUT ADDRESSING OTHER
SOCIOECONOMIC FACTORS?
23. Increasing Access
⅓ of Native Americans who are unvaccinated have cited
socioeconomic reasons for not getting the COVID vaccine. This
includes not having transportation or time to get the vaccine.
Mobile vaccine clinics
Clinics opening during late hours
Door-to-door education
Info booths at community meeting points
Sanchez GR, Foxworth R. Native Americans and COVID-19 Vaccine Hesitancy: Pathways Toward Increasing
Vaccination Rates for Native Communities. Health Affairs. 29 Jul 2021.
25. What Works?
American COVID-19 Vaccine Poll found that Native Americans were
less likely to be moved by employer requirements
Engage the indigenous community based on culture, language, and
values
COMMUNITY
RESPECT OF
ELDERS
PRIDE IN TRIBE
Sanchez GR, Foxworth R. Native Americans and COVID-19 Vaccine Hesitancy: Pathways Toward Increasing
Vaccination Rates for Native Communities. Health Affairs. 29 Jul 2021.
26. Culturally-Sensitive Communication
Tested Message
% Much more
likely/likely to get the
vaccine
“Getting a COVID-19 vaccine can protect the lives of my family,
friends, and those I love.”
34%
“The Native American community has been hit hard by COVID-19, with higher
rates of Native American COVID-19 illnesses and deaths. The best way to prevent
more suffering through this terrible pandemic is to get vaccinated and encourage
all Native American people to do the same.”
32%
“Getting vaccinated protects my community’s elders and our culture.” 32%
Sanchez GR, Foxworth R. Native Americans and COVID-19 Vaccine Hesitancy: Pathways Toward Increasing Vaccination Rates for Native
Communities. Health Affairs. 29 Jul 2021.
27. Culturally-Sensitive Communication
Based on the poll, vaccine education and information should
contain language choices that include the protection of others
and culture
Family
and
friends
Tribal
elders
Culture
and
Native
language
The
COVID-19
vaccine
protects...
But, who
shares the
message?
29. Trusted Communicators
Most trusted individuals in the indigenous community can be
influential to those who are vaccine hesitant:
Native American doctors and nurses
Primary care physicians
60% of Native Americans surveyed said their PCP was the most trusted individual to run
a campaign for vaccinations
Tribal elders and leaders
Family and friends who have taken the vaccine
In a perfect
world...
Sanchez GR, Foxworth R. Native Americans and COVID-19 Vaccine Hesitancy: Pathways Toward Increasing Vaccination
Rates for Native Communities. Health Affairs. 29 Jul 2021.
30. Motivate tribal
leaders and elders
to help disseminate
information about
vaccines and
answer questions
Engaging with Trusted Communicators
Work alongside
these trusted
community
members when
developing policies
Encourage sharing
of vaccine status
amongst tribal
members
32. Considerations
Lack of internet access is a major concern in the population
More personalized solutions needed:
RADIO
Door-to-door
canvassing
Info booths
at community
centers
Sanchez GR, Foxworth R. Native Americans and COVID-19 Vaccine Hesitancy: Pathways Toward Increasing
Vaccination Rates for Native Communities. Health Affairs. 29 Jul 2021.
33. Allocation and Transportation
Indian Health Service - employ pharmacists
that have immunized tens of thousands
Native Americans & Alaska Natives.
Pharmacists play a role in building vaccine
rollout approaches
● Prioritizing elders and those fluent in
native languages
Partnered with agencies to drop vaccines via
helicopter, ships, dog sleds.
Gregory N. COVID-19 Vaccines in Tribal Communities Save Lives, Preserve Culture. ASHP. 21 Feb. 2021.
34. Education and Awareness
Pharmacy teams across the country combat vaccine
hesitancy via:
Prescription Bag Notices
Social Media Channels
Phone Calls
35. Cultural Sensitivity
Pharmacist can become more educated on the culture and values
of different indigenous tribes.
Closing the disparity gap becomes easier as their is an
established relationship present. As the gap closes, patients will
view pharmacist as trusted health officials.
This can increase overall sense of understanding and mutual
respect that can further cultivate a better patient-provider
relationship.
36. Takeaway Messages
Providing culturally competent care requires an
understanding of historical events and current values
of the Indigenous population.
Successful strategies focused on increasing access through
clinics and effective messaging using themes centered
around protecting others and protecting Indigenous culture.
Pharmacists play a role by becoming more educated
on the culture and values of Indigenous tribes and by
leading local vaccination efforts through clinics and
messaging.
