Apresentação feita por Eddie Mwebesa no seminário internacional Conass Debate – Cuidados Continuados e Integrados: um desafio para o presente, realizado em Brasília nos dias 26 e 27 de dezembro.
How can we improve healthcare in emerging countries-world-medical-fundworldmedicalfund
Shocking healthcare disparities continue to exist on a global level and many people lack access to even basic healthcare. Improving the situation is far from easy, since there are numerous complex and inter-related challenges that NGOs find themselves confronted with on the ground. This presentation contrasts conditions in Switzerland with Malawi in order to show the dramatic contrast between industrialized countries and emerging countries.
How can we improve healthcare in emerging countries-world-medical-fundworldmedicalfund
Shocking healthcare disparities continue to exist on a global level and many people lack access to even basic healthcare. Improving the situation is far from easy, since there are numerous complex and inter-related challenges that NGOs find themselves confronted with on the ground. This presentation contrasts conditions in Switzerland with Malawi in order to show the dramatic contrast between industrialized countries and emerging countries.
Integration of WASH and Nutrition: Successes, Challenges, and Implications fo...Jordan Teague
The relationship between water, sanitation, and hygiene (WASH) and nutrition is well-known and well-documented in the literature. Lack of WASH causes diarrheal disease and is associated with environmental enteropathy. Both of these inhibit the absorption and use of calories and nutrients, causing undernutrition. In turn, undernutrition makes children more vulnerable to enteric infections like diarrheal disease.
It is recognized that WASH and nutrition programs are both necessary to achieve improved health outcomes. Studies have shown that the most effective interventions will be those that combine both improved nutrition and infection control and prevention efforts. However, there is
limited evidence on how WASH and nutrition programs are integrated in the field, what barriers these programs face, and what stakeholders believe to be necessary for successful integration.
This study explored this integration to identify barriers to and necessary steps for successful integration of WASH and nutrition programs.Participants identified a total of 14 barriers or challenges and a total of 11 actions, strategies, or changes needed to support effective integration. The main barriers and needs are listed below.
Barriers:
- Insufficient or siloed funding
- Staff capacity and interest
- Knowledge of each sector
- Coordination between sectors
- Lack of evidence on impact of integrated programs
Needs:
- Comprehensive strategy
- Coordination between sectors
- Funding and donor support
- Evidence of impact of integrated programs
- Leadership
Integrating programs in public health is not an emerging concept, but has yet to be operationalized in WASH and nutrition practice. Below are several suggested initial steps toward effective integration of WASH and nutrition:
- Donors should support and fund integration in appropriate contexts through integrated funding streams
- Donors should fund operational research to generate the evidence base of the additive or multiplicative effects of integrated programs and to formulate a standard methodology for integration
- The WASH and nutrition sectors should improve knowledge sharing and cross-training
- Organizations and donors should design incentives through reporting or evaluation criteria for the WASH and nutrition sectors to work in collaboration toward common
goals, objectives, and targets
Source: Teague, J, et al. (2014). Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. International Journal of Public Health. DOI: 10.1007/s00038-014-0580-8.
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Stories of Change in Nutrition in South Asia: Evidence from BangladeshTransform Nutrition
This presentation by Nick Nisbett, Institute of Development Studies was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Speaking at the CCIH 2015 Annual Conference, Maggie Ehrenfried, DPT, Development Officer, LifeNet International, discusses LifeNet's strategy to comine education, monitoring and evaluation, management training and strategic incentive structuring for health workers to improve patient care in Burundi.
Towards Strengthening Equity and Inclusiveness in NTD approaches : Who is lef...COUNTDOWN on NTDs
Ms Christine Makia presented this during an Organised Session titled - Beyond 2020 with Neglected Tropical Diseases: Leaving no one behind in the journey 2030; during the European Congress on Tropical Medicine and International Health on 18th September 2019 in Liverpool.
Rare Diseases SA has been actively improving the quality of life for those impacted by Rare Diseases over the last 5 years.
Our key focus areas have remained advocacy, patient navigation and community engagement, and through these strategic objectives we have successfully managed to see positive impact in our community.
From the development of over 80 patient connect points, to the implementation of a mobile app, RDSA has ensured patients remain supported and connected whilst the organization remains focused on our advocacy efforts.
The successful roll-out of our Rare Assist service has also seen a reduction in out of pocket costs for patients in the private sector.
We have attached our 5 year impact report which demonstrates some of the impact our work has had within our community. We have also included our programme overview of the Rare Assist Programme.
We would love to have your feedback on these reports, as well as feedback on the following questions:
1. What interest do you have with our organisation?
2. What is your current opinion on our work?
3. How would you like to stay informed about what we do?
4. What motivates you to stay connected with us?
Should you have any questions for us, we would love to hear from you.
Kind Regards
Kelly du Plessis
CEO -Rare Diseases South Africa
info@rarediseases.co.za
Integration of WASH and Nutrition: Successes, Challenges, and Implications fo...Jordan Teague
The relationship between water, sanitation, and hygiene (WASH) and nutrition is well-known and well-documented in the literature. Lack of WASH causes diarrheal disease and is associated with environmental enteropathy. Both of these inhibit the absorption and use of calories and nutrients, causing undernutrition. In turn, undernutrition makes children more vulnerable to enteric infections like diarrheal disease.
It is recognized that WASH and nutrition programs are both necessary to achieve improved health outcomes. Studies have shown that the most effective interventions will be those that combine both improved nutrition and infection control and prevention efforts. However, there is
limited evidence on how WASH and nutrition programs are integrated in the field, what barriers these programs face, and what stakeholders believe to be necessary for successful integration.
This study explored this integration to identify barriers to and necessary steps for successful integration of WASH and nutrition programs.Participants identified a total of 14 barriers or challenges and a total of 11 actions, strategies, or changes needed to support effective integration. The main barriers and needs are listed below.
Barriers:
- Insufficient or siloed funding
- Staff capacity and interest
- Knowledge of each sector
- Coordination between sectors
- Lack of evidence on impact of integrated programs
Needs:
- Comprehensive strategy
- Coordination between sectors
- Funding and donor support
- Evidence of impact of integrated programs
- Leadership
Integrating programs in public health is not an emerging concept, but has yet to be operationalized in WASH and nutrition practice. Below are several suggested initial steps toward effective integration of WASH and nutrition:
- Donors should support and fund integration in appropriate contexts through integrated funding streams
- Donors should fund operational research to generate the evidence base of the additive or multiplicative effects of integrated programs and to formulate a standard methodology for integration
- The WASH and nutrition sectors should improve knowledge sharing and cross-training
- Organizations and donors should design incentives through reporting or evaluation criteria for the WASH and nutrition sectors to work in collaboration toward common
goals, objectives, and targets
Source: Teague, J, et al. (2014). Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. International Journal of Public Health. DOI: 10.1007/s00038-014-0580-8.
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Stories of Change in Nutrition in South Asia: Evidence from BangladeshTransform Nutrition
This presentation by Nick Nisbett, Institute of Development Studies was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Speaking at the CCIH 2015 Annual Conference, Maggie Ehrenfried, DPT, Development Officer, LifeNet International, discusses LifeNet's strategy to comine education, monitoring and evaluation, management training and strategic incentive structuring for health workers to improve patient care in Burundi.
Towards Strengthening Equity and Inclusiveness in NTD approaches : Who is lef...COUNTDOWN on NTDs
Ms Christine Makia presented this during an Organised Session titled - Beyond 2020 with Neglected Tropical Diseases: Leaving no one behind in the journey 2030; during the European Congress on Tropical Medicine and International Health on 18th September 2019 in Liverpool.
Rare Diseases SA has been actively improving the quality of life for those impacted by Rare Diseases over the last 5 years.
Our key focus areas have remained advocacy, patient navigation and community engagement, and through these strategic objectives we have successfully managed to see positive impact in our community.
From the development of over 80 patient connect points, to the implementation of a mobile app, RDSA has ensured patients remain supported and connected whilst the organization remains focused on our advocacy efforts.
The successful roll-out of our Rare Assist service has also seen a reduction in out of pocket costs for patients in the private sector.
We have attached our 5 year impact report which demonstrates some of the impact our work has had within our community. We have also included our programme overview of the Rare Assist Programme.
We would love to have your feedback on these reports, as well as feedback on the following questions:
1. What interest do you have with our organisation?
2. What is your current opinion on our work?
3. How would you like to stay informed about what we do?
4. What motivates you to stay connected with us?
Should you have any questions for us, we would love to hear from you.
Kind Regards
Kelly du Plessis
CEO -Rare Diseases South Africa
info@rarediseases.co.za
A Wellness Centre specialising in nutritional solutions for the treatment and prevention of chronic diseases in West Africa. Also providing education and training services to restore individuals back to optimal health. Featuring an on-site dispensary with our own brand of affordable, locally-sources health foods and products.
A experiência do Reino Unido sobre as Práticas Avançadas em Enfermagem foi tema da última reunião virtual, que aconteceu nesta quarta (24/11), do ciclo de intercâmbio promovido pela Organização Pan-Americana da Saúde no Brasil, pelo Conselho Federal de Enfermagem (Cofen) e pelo Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem da Universidade de São Paulo/Ribeirão. As palestrantes foram a diretora e a presidente do International Council of Nurses (ICN) do Reino Unido, Melaine Roger e Daniela Lehwaldt, respectivamente. Elas abordaram os avanços globais nas práticas em enfermagem, trouxeram casos do que acontece no Reino Unido e o porquê da importância dos enfermeiros e enfermeiras em práticas avançadas para os sistemas universais de saúde.
Wholesome Care Wellness Centre Proposal Ana Hoffman
Restoring the wellness of individuals suffering from chronic disease by means of correcting nutritional imbalances in the human body. Bridging the gap between allopathic and functional medicine to create an effective solution to the chronic disaes health crisis in Ghana, West Africa.
Interested in global public health? Bridge to Health Medical and Dental has worked in partnership with local grassroots organizations and government agencies in rural communities across southwestern Uganda and Kenya to provide education and training, clinical services, and build innovative solutions to complex problems. Come learn about these initiatives, connect with Rotarians who build sustainable collaborations to improve health and education, and be inspired to take action.
Preserving Hope: Fertility Discussions for Female Cancer Patients
CANSA highlights the impact of a cancer diagnosis on women, regarding fertility. At the peak of their youth, when life is usually a beautiful journey of dreams and possibilities, women diagnosed with cancer might meet difficult and unforeseen intersection of challenges. Find out more:
https://cansa.org.za/preserving-hope-fertility-discussions-for-female-cancer-patients/
Health partners elluminate ppt_final_9.13.10CChangeProgram
C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts in malaria, HIV and AIDS, and family planning/reproductive health.
C-Change works with USAID and the President's Malaria Initiative (PMI) to prevent and control malaria in several PMI target countries, including Ethiopia, Kenya, Mozambique, Sao Tome and Principe, as well as others.
On September 13, 2010, C-Change and MCHIP facilitated a narrated presentation of the work of two PMI grantees, Concern Universal and HealthPartners, via a webinar. Participants included Save the Children, USAID, CDC, IFPH, and others.
For more information, please visit: http://www.c-changeprogram.org/
Global nursing: the Dance between Health and DevelopmentMary Ellen Ciptak
Global Nursing and Healthcare Considerations
Chronic Noncommunicable disease
Global Health Bodies
Humanitarian, grassroots global organizations
International organizations
Apresentação feita por Mariana Machado dos Santos Pereira no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Marisa Araujo Costa no II Seminário da Planificação da Atenção à Saúde realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por PlanificaSUS-PE no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Jackeline da Rocha Vasques
no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Gracielen Cristina Milomes Alves no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Gisleine Lima da Silva
no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Eliziane Brandão Leite, no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Érika Souza e Edna Ferreira Santos, no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Érica Correia Garcia no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de novembro de 2019.
Apresentação feita por Erika Cavalcanti de Oliveira, no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Anna Otilia Paiva Ferreira no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Hermelinda C. Pedrosa, no no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita pela Sociedade Brasileira de Pediatria, no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita pelo consultor do Conass, Marco Antônio, no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita por Lúcio Flávio de Faria e Silva, promotor de Justiça (Uberlândia/MG), no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
Apresentação feita pelo Antonio Borges Nunes Júnior – Promotor de Justiça (Timon/MA), no II Seminário da Planificação da Atenção à Saúde, realizado em Brasília, nos dias 10 e 11 de dezembro de 2019.
More from Conselho Nacional de Secretários de Saúde - CONASS (20)
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.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
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.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of 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
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.
- 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
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.
Uganda – Cuidados Continuados Integrados: lições da África
1. Integrated & continuous Care:
Lessons from Africa for
Palliative Care
Dr Eddie Mwebesa
Consultant
For CONASS, Brasilia, BRAZIL
26 Nov 2019
Photos with permission; showing pathology
2. No one is immune to possibility of dying.
“And you can not delegate this”- Ana Claudia Arantes
3. Huge need for
Palliative Care
• World:
– 40M need PC care
– 78% of them in LMICs
– Only 14% who need
palliative care receive it.
• Africa: >80% of cancers are
advanced at diagnosis
• Uganda:
– Over 250,000 in need
– 1 Doctor: 20,000
– Only radiotherapy machine
broke down at some point!
6. Palliative care goal:
To improve quality of life
Disease
management
Loss, grief
End of life /
death
management Practical
Spiritual
Social
Psychological
Physical
8. Is Palliative Care actually beneficial?
YES
• For patients
– Less aggressive
treatment
– Better survival
– “Adds life to days, not
just days to life”
• For health services
– Saves costs
9. The Public Health Model
POLICY
DRUG
AVAILABILITY
EDUCATION
Implementation
s
i
t
u
a
t
i
o
n
o
u
t
c
o
m
e
s
Patient & Family
10. Changing this world’s culture
• Do not allow lack of a policy delay action, especially for
patients
• “If you were dying, what would be important to YOU?”
• Communicating with the sick& Please involve the patient
• Compassion
• The ethos of Palliative Care must permeate all disciplines
• 3 Ethos
10
Care for
the patient
Care for
each other
Support
partner
organisations
11. A model for Africa:
Hospice Africa and Uganda
11
Started 1993
by Dr Anne
Merriman
4th Hospice in
all of Africa
Vision&
Mission of an
affordable
Palliative Care
model for
Africa
13. Educating and pushing boundaries
• PC does not have an easily
recognisable tool
• Institute of Hospice and
Palliative Care in Africa
– Teaching undergrad &
postgrads, and in nursing
schools
– Distance-learning BSc
– PG Dip in PC and MSc
• Legislative change for nurse
opioid prescription
14. Africa consumes very little opioids while
there is a global drug crisis elsewhere
15. Why is oral morphine indispensable?
• Efficacious
• No ceiling dose
• Easy to titrate for pain
level
• Convenient oral route
• Simple to make
23. Making
pain relief
universally
accessible
• Most inexpensive oral morphine in the world!
• Other countries have learnt from HAU& are making their own
• Balancing access for patients with restriction to avert misuse
23
25. Palliative Care in Africa
• Commenced to
support other
African countries
with advocacy
and training
Countries where PC
message has been received
and commenced through
HAU IP and APCA (2018)
25
26. “Levels of palliative care development – all countries”
Global Atlas of Palliative Care at the End of Life
WHO & WPCA, January 2014
27. Why integrate & make care continuous?
• World Health
Assembly resolution
• Palliative Care is a
human rights issue
• Better care for patient
and the country
29. SUPPORT HOSPICE
AFRICA UGANDA TO
EXTEND CARE FOR
PATIENTS
• Website
www.hospiceafrica.or.ug
• We are looking for partners
for Portuguese-speaking
Africa
• Donate