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A Framework to Understand how Health Can Contribute to the Assessment of Extractive Industry Project Impacts Patrick Harris, Ben Harris-Roxas Email: patrick.harris@unsw.edu.au | Phone +61 2 9612 0779  |Web http://www.hiaconnect.edu.au Mail: CHETRE, LMB 7103, Liverpool BC NSW 1871, Australia For More Harris P, Harris E, Thompson S, Harris-Roxas B, Kemp L.  Human Health and Wellbeing in Environmental Impact Assessment in New South Wales, Australia: Auditing health impacts within environmental assessments of major projects , Environmental Impact Assessment Review, 29(5):310-318, 2009. doi:10.1016/j.eiar.2009.02.002 http://j.mp/aZAG8F  Background Environmental impact assessment (EIA) is a powerful tool to consider the health impacts of extractive and other industry projects. However, EIA has consistently failed to incorporate these impacts either as determinants of health or traditional public health concerns like air quality or soil.  What We Did In New South Wales, an Australian state that is home to more than 7 million people, we reviewed the content of 22 Major Project EIA reports and 24 government scoping documents, which are known as the Director-General’s Requirements: For whether they considered health or wellbeing explicitly, including health effects, health impacts, health risks and health hazards;  For whether the broader determinants of health were assessed in the EIAs. This was done by categorising the impacts identified in the EIAs using a modified triple bottom line framework: Social impacts with potential to impact on human health, Economic impacts with potential to impact on health, Physical environmental impacts that may impact on health, Biological human impacts that can impact on health, and Other impacts with no impact on health; Each impact identified was also appraised for: Scope of impacts assessed, including cumulative impacts or the distribution of impacts; Follow-up actions, i.e. monitoring, mitigation measures, environmental management plans, etc; Whether it was assessed as positive, negative or no impact; The type of evidence used to make the assessment. So what? Other studies have found that health is poorly considered in EIAs, though investigation has mostly been limited to whether health is explicitly addressed.  The broader analytic framework used in this study shows that EIAs routinely consider many of the broader determinants of health. This framework enables a more nuanced understanding of actual EIA practice.  There is scope to strengthen the links made in EIAs between the changes to the broader determinants of health and health impacts, through improved use of health data and the development of practical, jurisdiction-specific guidance for EIA practitioners. The health sector will have an important role to play in progressing this. Framework for Analysing the Consideration of the Broader Determinants of Health within EIAs Social impacts that can impact on human health, Economic impacts that can impact on health, Physical environmental impacts that can impact on health, Biological human impacts that can impact on health, and Other impacts with no impact on health. Results Health was mentioned in some way in the majority of EIAs (n =18, total n=22). However, the number of references made to per document was small (n = 46 EIAs and Government Scoping Requirement documents, mean = 2.09 references per document). These references were further limited within the section of the EIAs that made an assessment of impacts (n = 16 references, mean = 0.63 references per document). In addition, where references were made, these were single items or sentences in all but one EIA.  In contrast a range of impacts were coded under physical environmental impacts that in turn could impact on human health.  While the majority of EAs also mentioned social impacts, economic impacts and biological human impacts, these impacts were mentioned less often  and in less detail than physical environment impacts. However, more EA’s made more reference to social, economic and biological human impacts than were requested in the government scoping requirements (Director-General’s Requirements) issued to proponents .

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Key Element 4 Increase Upstream InvestmentsA population health .docx by tawnyataylor528, has 113 slides with 20 views.Key Element 4: Increase Upstream Investments A population health approach maximizes its potential by directing efforts and investments “upstream” to address root causes of health and illness. What are upstream investments? Upstream investments are interventions aimed at the root causes of a population health problem or benefit. Root causes are often identified by determining the most immediate and direct causes, and working backwards from there. In many cases, upstream action addresses social, economic and environmental conditions. The population health approach is grounded in the notion that the earlier in the causal stream action is taken (i.e. the more upstream the action is), the greater the potential for population health gains and health-related cost savings. It is often true, however, that these root causes are more difficult to change, requiring more time, more resources and more will. Because of this, upstream interventions may not be the most appropriate choice; the context, timing, resources, mandate and available evidence must be considered. The choice should be based on the best evidence, not just on an article of faith that “further upstream is always better.” Resources to Increase Understanding: What are upstream investments? · The Case for Prevention: Moving Upstream to Improve Health of All Ontarians – Health Nexus (formerly the Ontario Prevention Clearinghouse) Key questions · a) What is the best balance of investments? · b) Who will provide support and what will it be? A) What is the best balance of investments? A population health approach recognizes the tension between short and long term goals. Health problems have to be treated immediately, but at the same time, upstream investments are needed to keep people healthy. Furthermore, upstream investments need sustained support to have a real impact. The population health approach strives to strike a balance between investments of three types: · Short term, e.g. responding to citizen concerns about the quality and accessibility of health care, food and drug safety, and emergency response procedures · Medium term, e.g. programs that favour equity, such as redistribution of resources, and programs that invest in children, such as responding to windows of developmental opportunity · Long term, e.g. investment in alternative energy sources and other technologies that reduce stress on the physical environment. B) Who will provide support and what will it be? Taking upstream action on the social, economic and environmental health determinants requires influencing how multiple sectors of government assign their resources. In this Key Element, it is important to identify what investments by what partners outside health are required. To generate this list, consider all the sectors whose mandates impact upon health determinants and focus on those that are most relevant. How are upstream investments increased? 4.1 Balance short, medium and long term investments The decision-making fram ...
Key Element 4 Increase Upstream InvestmentsA population health .docxKey Element 4 Increase Upstream InvestmentsA population health .docx
Key Element 4 Increase Upstream InvestmentsA population health .docx
tawnyataylor528
113 slides20 views
The Impact of Public Health on Health Systems (www.kiu.ac.ug) by publication11, has 4 slides with 14 views.Public health is a critical determinant of health system effectiveness, shaping health outcomes and system performance through policies, initiatives, and preventive strategies. This review examines the interconnectedness of public health and health systems, with a focus on two case studies: Ontario’s health units and Uganda’s disease management. It examines the historical evolution of public health, its key components, and the challenges and opportunities in integrating public health into health systems. The findings emphasize that public health initiatives can significantly enhance health system efficiency and effectiveness by addressing broader social determinants of health and fostering community engagement. The review concludes that an integrated approach to public health and health systems can lead to improved health outcomes and long-term sustainability of health systems.
The Impact of Public Health on Health Systems (www.kiu.ac.ug)The Impact of Public Health on Health Systems (www.kiu.ac.ug)
The Impact of Public Health on Health Systems (www.kiu.ac.ug)
publication11
4 slides14 views
The Impact of Public Health on Health Planning (www.kiu.ac.ug) by publication11, has 5 slides with 7 views.This study investigates the complex relationship between public health and health planning, specifically how public health influences the design of health systems and services. It looks into the use of public health data and frameworks in health planning to address health inequities, socioeconomic factors, and community-level health issues. Case studies demonstrate effective models in which public health initiatives influence health planning, stressing stakeholder involvement, interdisciplinary methods, and policy frameworks. The study continues by discussing the obstacles and potential for better integrating public health into comprehensive health planning.
The Impact of Public Health on Health Planning (www.kiu.ac.ug)The Impact of Public Health on Health Planning (www.kiu.ac.ug)
The Impact of Public Health on Health Planning (www.kiu.ac.ug)
publication11
5 slides7 views
The Role of Public Health in Promoting Health Standards (www.kiu.ac.ug) by publication11, has 4 slides with 10 views.Public health is essential for preserving and increasing global health standards. Public health activities, which include preventative measures, education, policy changes, and healthcare services, aim to reduce sickness and promote general well-being. This study investigates the historical evolution of public health, its fundamental principles, and the role of epidemiology in creating interventions like vaccination campaigns. It also emphasizes difficulties confronting public health systems, such as gaps in healthcare access, increasing infectious illnesses, and the need for adaptive solutions to shifting global health risks. Moving forward, comprehensive approaches and strong public health surveillance systems are required to maintain gains in promoting health standards.
The Role of Public Health in Promoting Health  Standards (www.kiu.ac.ug)The Role of Public Health in Promoting Health  Standards (www.kiu.ac.ug)
The Role of Public Health in Promoting Health Standards (www.kiu.ac.ug)
publication11
4 slides10 views
ANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docx by rossskuddershamus, has 251 slides with 26 views.ANRV405-PU31-26 ARI 22 February 2010 17:2 The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions Karen Glanz1 and Donald B. Bishop2 1 Schools of Medicine and Nursing, University of Pennsylvania, Philadelphia, Pennsylvania 19104; email: [email protected] 2 Minnesota Department of Health, St. Paul, Minnesota 55164; email: [email protected] Annu. Rev. Public Health 2010. 31:399–418 First published online as a Review in Advance on January 4, 2010 The Annual Review of Public Health is online at publhealth.annualreviews.org This article’s doi: 10.1146/annurev.publhealth.012809.103604 Copyright c© 2010 by Annual Reviews. All rights reserved 0163-7525/10/0421-0399$20.00 Key Words theoretical frameworks, concepts, health behavior, strategies, ecological perspective Abstract Increasing evidence suggests that public health and health-promotion interventions that are based on social and behavioral science theories are more effective than those lacking a theoretical base. This article pro- vides an overview of the state of the science of theory use for designing and conducting health-promotion interventions. Influential contempo- rary perspectives stress the multiple determinants and multiple levels of determinants of health and health behavior. We describe key types of theory and selected often-used theories and their key concepts, includ- ing the health belief model, the transtheoretical model, social cognitive theory, and the ecological model. This summary is followed by a review of the evidence about patterns and effects of theory use in health behav- ior intervention research. Examples of applied theories in three large public health programs illustrate the feasibility, utility, and challenges of using theory-based interventions. This review concludes by identifying cross-cutting themes and important future directions for bridging the divides between theory, practice, and research. 399 A nn u. R ev . P ub li c H ea lt h 20 10 .3 1: 39 9- 41 8. D ow nl oa de d fr om w w w .a nn ua lr ev ie w s. or g A cc es s pr ov id ed b y U ni ve rs it y of M is so ur i - C ol um bi a on 0 1/ 15 /1 6. F or p er so na l us e on ly . ANRV405-PU31-26 ARI 22 February 2010 17:2 Interventions: programs and strategies intended to influence health and/or health-related behavior positively Theory: set of interrelated concepts, definitions, and propositions that explain or predict events or situations by specifying relations among variables Ecological perspective: view that public health/health- promotion interventions should target individual-, interpersonal-, organizational-, and environmental-level factors INTRODUCTION The most prominent contributors to death and disease in the United States and globally are behavioral factors, particularly tobacco use, diet and activity patterns, alcohol consumption, sex- ual behavior, and avoidable injuries (.
ANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docxANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docx
ANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docx
rossskuddershamus
251 slides26 views
Series294 www.thelancet.com Vol 380 July 21, 2012L.docx by klinda1, has 61 slides with 23 views.Series 294 www.thelancet.com Vol 380 July 21, 2012 Lancet 2012; 380: 294–305 Published Online July 18, 2012 http://dx.doi.org/10.1016/ S0140-6736(12)60898-8 This is the fi fth in a Series of fi ve papers about physical activity *Members listed at end of paper University of Texas Health Science Center, Houston School of Public Health, and University of Texas at Austin Department of Kinesiology and Health Education, Austin, TX, USA (Prof H W Kohl 3rd PhD); Canadian Fitness and Lifestyle Research Institute, Ottawa, ON, Canada, and School of Public Health, University of Sydney, Sydney, NSW, Australia (C L Craig MSc); UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa (Prof E V Lambert PhD); Tokyo Medical University, Department of Preventive Medicine and Physical Activity 5 The pandemic of physical inactivity: global action for public health Harold W Kohl 3rd, Cora Lynn Craig, Estelle Victoria Lambert, Shigeru Inoue, Jasem Ramadan Alkandari, Grit Leetongin, Sonja Kahlmeier, for the Lancet Physical Activity Series Working Group* Physical inactivity is the fourth leading cause of death worldwide. We summarise present global eff orts to counteract this problem and point the way forward to address the pandemic of physical inactivity. Although evidence for the benefi ts of physical activity for health has been available since the 1950s, promotion to improve the health of populations has lagged in relation to the available evidence and has only recently developed an identifi able infrastructure, including eff orts in planning, policy, leadership and advocacy, workforce training and development, and monitoring and surveillance. The reasons for this late start are myriad, multifactorial, and complex. This infrastructure should continue to be formed, intersectoral approaches are essential to advance, and advocacy remains a key pillar. Although there is a need to build global capacity based on the present foundations, a systems approach that focuses on populations and the complex interactions among the correlates of physical inactivity, rather than solely a behavioural science approach focusing on individuals, is the way forward to increase physical activity worldwide. The pandemic of physical inactivity should be a public health priority Theoretically, prioritisation for public health action is informed largely by three factors: the prevalence and trends of a health disorder; the magnitude of the risk associated with exposure to that disorder; and evidence for eff ective prevention and control. A practice or behaviour that is clearly related to a health disorder, is prevalent, and is static or increasing in its prevalence should be a primary target for public health policy for disease prevention and health promotion. Too often, however, the inertia of tradition, pressure .
Series294 www.thelancet.com   Vol 380   July 21, 2012L.docxSeries294 www.thelancet.com   Vol 380   July 21, 2012L.docx
Series294 www.thelancet.com Vol 380 July 21, 2012L.docx
klinda1
61 slides23 views
Bearing the Burden - Health Implications of Environmental Pollutants in Our B... by v2zq, has 16 slides with 326 views.Bearing the Burden - Health Implications of Environmental Pollutants in Our Bodies - Resources for Healthy Children www.scribd.com/doc/254613619 - For more information, Please see Organic Edible Schoolyards & Gardening with Children www.scribd.com/doc/254613963 - Gardening with Volcanic Rock Dust www.scribd.com/doc/254613846 - Double Food Production from your School Garden with Organic Tech www.scribd.com/doc/254613765 - Free School Gardening Art Posters www.scribd.com/doc/254613694 - Increase Food Production with Companion Planting in your School Garden www.scribd.com/doc/254609890 - Healthy Foods Dramatically Improves Student Academic Success www.scribd.com/doc/254613619 - City Chickens for your Organic School Garden www.scribd.com/doc/254613553 - Huerto Ecológico, Tecnologías Sostenibles, Agricultura Organica www.scribd.com/doc/254613494 - Simple Square Foot Gardening for Schools - Teacher Guide www.scribd.com/doc/254613410 - Free Organic Gardening Publications www.scribd.com/doc/254609890 ~
Bearing the Burden - Health Implications of Environmental Pollutants in Our B...Bearing the Burden - Health Implications of Environmental Pollutants in Our B...
Bearing the Burden - Health Implications of Environmental Pollutants in Our B...
v2zq
16 slides326 views
An approach to addressing governance.pdf by Carlos Vicente Gazzo Serrano, has 11 slides with 16 views.This document discusses an approach to assessing governance within health systems using existing frameworks. It proposes simplifying existing complex frameworks by viewing governance through the lens of a common health system framework. This would encourage policymakers to take a systematic perspective when evaluating governance. The approach is intended to facilitate a more comprehensive assessment of governance in order to strengthen health systems and improve population health.
An approach to addressing governance.pdfAn approach to addressing governance.pdf
An approach to addressing governance.pdf
Carlos Vicente Gazzo Serrano
11 slides16 views
The Rockefeller Foundation–Lancet Commission on Planetary Health: Safeguardin... by The Rockefeller Foundation, has 56 slides with 11411 views.The document summarizes the key findings of The Rockefeller Foundation–Lancet Commission on planetary health. It finds that: 1) While human health has greatly improved, this has come at the cost of degrading natural systems that support human civilization. Continued environmental damage threatens future health gains. 2) Challenges include conceptual failures to value nature, knowledge failures around environmental drivers of disease, and governance failures to recognize threats in a timely manner. 3) Solutions require new policies that balance social progress, sustainability, and economic growth, supported by improved governance and transdisciplinary research.
The Rockefeller Foundation–Lancet Commission on Planetary Health: Safeguardin...The Rockefeller Foundation–Lancet Commission on Planetary Health: Safeguardin...
The Rockefeller Foundation–Lancet Commission on Planetary Health: Safeguardin...
The Rockefeller Foundation
56 slides11.4K views
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docx by bagotjesusa, has 43 slides with 22 views.Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in Great Britain. THE HOUSEHOLD PRODUCTION 0277.9536/94 $6.00 + 0.00 Pergamon Press Ltd OF HEALTH: INTEGRATING SOCIAL SCIENCE PERSPECTIVES ON MICRO-LEVEL HEALTH DETERMINANTS PETER BERMAN’, CARL KENDALL’ and KARABI BHATTACHARYYA’ ‘Department of Population and International Health, Harvard School of Public Health , 665 Huntington Avenue, Boston, MA 02115 and ‘Department of International Health, School of Hygiene and Public Health. The Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, U.S.A. Abstract-Efforts to control disease and improve health in developing countries require increasing collaboration between social and medical scientists. This collaboration should extend from the early stages of technology development to the evaluation and improvement of population-wide interventions. This paper provides an integrating framework for social science research on health producing processes at the household level, drawing on recent work in economics, anthropology, and public health. Further development of theory and methods in this area would benefit from interdisciplinary research in categories as defined by social and behavioral science in addition to those related to specific diseases and intervention programs. Key words-health, development, social science methods. household economics The natural locus of disease is the natural locus of life - the family: gentle, spontaneous care, expressive of love and a common desire for a cure, assists nature in its struggle against the illness, and allows the illness itself to attain its own truth [I, p.171. lNTRODUCTION In medicine and public health in developing countries, technology has captured center stage. Oral rehydration therapy, vitamin supplements, recombi- nant vaccines-these are the vanguard of the ‘revolu- tion’ in child survival. Whereas once the eradication of a single disease was a dream, today elimination of a host of killers is deemed a likelihood. While technology can certainly hasten public health improvements, historical experience suggests that other factors are also needed. As is well known, major health improvements in the West preceded rather than accompanied the advent of antibiotics and most vaccines [2]. Some low income countries and regions have achieved levels of infant mortality below those of some American cities with low cost, decentralized systems of primary health care [3]. There is reason to believe that such successes of health development depend on a combination of appropriate technology, sound health care delivery, and social and economic changes affecting house- holds and communities. Where health care provision of adequate quality or related social advances are absent or lagging, simple mass extension of clinically efficacious medical techniques, such as promotion of oral rehydration may exhibit high initial rates of success and r.
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docxSec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docx
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docx
bagotjesusa
43 slides22 views
2013 optimising workplace interventions for health and well-being a comme... by Pamela Bobadilla Burgos, has 26 slides with 62 views.This document discusses the limitations of applying a public health perspective to workplace health interventions. While workplaces can support public health goals, the scope and options for interventions differ between the two contexts. Public health typically focuses on motivating individual behavior change, while workplaces have more control over the systems, policies, and environment that influence employee health and well-being. The document argues for differentiated, evidence-based workplace interventions that target specific at-risk groups and address both individual and organizational factors.
2013   optimising workplace interventions for health and well-being   a comme...2013   optimising workplace interventions for health and well-being   a comme...
2013 optimising workplace interventions for health and well-being a comme...
Pamela Bobadilla Burgos
26 slides62 views
Linking political exposures to child and maternal health outcomes a realist r... by Araz Taeihagh, has 16 slides with 39 views.Background: Conceptual and theoretical links between politics and public health are longstanding. Internationally comparative systematic review evidence has shown links between four key political exposures – the welfare state, political tradition, democracy and globalisation – on population health outcomes. However, the pathways through which these influences may operate have not been systematically appraised. Therefore, focusing on child and maternal health outcomes, we present a realist re-analysis of the dataset from a recent systematic review. Methods: The database from a recent systematic review on the political determinants of health was used as the data source for this realist review. Included studies from the systematic review were re-evaluated and those relating to child and/or maternal health outcomes were included in the realist synthesis. Initial programme theories were generated through realist engagement with the prior systematic review. These programme theories were adjudicated and refined through detailed engagement with the evidence base using a realist re-synthesis involving two independent reviewers. The revised theories that best corresponded to the evidence base formed the final programme theories. Results: Out of the 176 included studies from the systematic review, a total of 67 included child and/or maternal health outcomes and were included in the realist re-analysis. Sixty-three of these studies were ecological and data were collected between 1950 and 2014. Six initial programme theories were generated. Following theory adjudication, three theories in revised form were supported and formed the final programme theories. These related to a more generous welfare state leading to better child and maternal health especially in developed countries through progressive social welfare policies, left-of-centre political tradition leading to lower child mortality and low birth weight especially in developed countries through greater focus on welfare measures, and increased globalisation leading to greater child and infant mortality and youth smoking rates in LMECs through greater influence of multinational corporations and neoliberal trade organisations. Conclusion: We present a realist re-analysis of a large systematically identified body of evidence on how four key political exposures – the welfare state, democracy, political tradition and globalisation – relate to child and maternal health outcomes. Three final programme theories were supported. Keywords: Child health, Maternal health, Health policy, International health, Politics, Realist synthesis
Linking political exposures to child and maternal health outcomes a realist r...Linking political exposures to child and maternal health outcomes a realist r...
Linking political exposures to child and maternal health outcomes a realist r...
Araz Taeihagh
16 slides39 views
Implementation scienc exx application by KizitoLubano2, has 21 slides with 38 views.Implementation science studies strategies for adapting and applying evidence-based interventions in real-world settings like schools, workplaces and healthcare facilities to improve population health. This field develops theories of implementation and evaluates measures of implementation success. Methods include stakeholder engagement, effectiveness studies, research synthesis and modeling to identify strategies for integrating evidence-based interventions into programs and policies. For implementation science to reach its full potential, the research paradigm needs to shift toward greater stakeholder input and reporting on external validity to improve relevance and guide decision makers.
Implementation scienc exx applicationImplementation scienc exx application
Implementation scienc exx application
KizitoLubano2
21 slides38 views
Health Impact Assessment - 2014 by Ben Harris-Roxas, has 90 slides with 1616 views.This document provides an overview of health impact assessment (HIA). It discusses: - The background and experience of the author in conducting HIAs - Why health matters and the environmental and social determinants of health - What HIA is and when it is conducted - The typical steps involved in an HIA including screening, scoping, assessment and recommendations - Examples of different types of projects and policies that HIAs have been conducted for - How HIA relates to and incorporates environmental health issues - Resources available for learning more about HIA
Health Impact Assessment - 2014Health Impact Assessment - 2014
Health Impact Assessment - 2014
Ben Harris-Roxas
90 slides1.6K views
A realist synthesis to develop an explanatory model of how policy instruments... by Araz Taeihagh, has 12 slides with 20 views.Abstract Background Child and maternal health, a key marker of overall health system performance, is a policy priority area by the World Health Organization and the United Nations, including the Sustainable Development Goals. Previous realist work has linked child and maternal health outcomes to globalization, political tradition, and the welfare state. It is important to explore the role of other key policy-related factors. This paper presents a realist synthesis, categorising policy instruments according to the established NATO model, to develop an explanatory model of how policy instruments impact child and maternal health outcomes. Methods A systematic literature search was conducted to identify studies assessing the relationships between policy instruments and child and maternal health outcomes. Data were analysed using a realist framework. The first stage of the realist analysis process was to generate micro-theoretical initial programme theories for use in the theory adjudication process. Proposed theories were then adjudicated iteratively to produce a set of final programme theories. Findings From a total of 43,415 unique records, 632 records proceeded to full-text screening and 138 papers were included in the review. Evidence from 132 studies was available to address this research question. Studies were published from 1995 to 2021; 76% assessed a single country, and 81% analysed data at the ecological level. Eighty-eight initial candidate programme theories were generated. Following theory adjudication, five final programme theories were supported. According to the NATO model, these were related to treasure, organisation, authority-treasure, and treasure-organisation instrument types. Conclusions This paper presents a realist synthesis to develop an explanatory model of how policy instruments impact child and maternal health outcomes from a large, systematically identified international body of evidence. Five final programme theories were supported, showing how policy instruments play an important yet context-dependent role in influencing child and maternal health outcomes.
A realist synthesis to develop an explanatory model of how policy instruments...A realist synthesis to develop an explanatory model of how policy instruments...
A realist synthesis to develop an explanatory model of how policy instruments...
Araz Taeihagh
12 slides20 views
1 Literature Review Assignment STUDENT by VannaJoy20, has 354 slides with 15 views.1 Literature Review Assignment STUDENT NAME Class Date 2 Part A: Annotated Bibliography Article 1: Immigration as a Social Determinant of Health Castañeda, H., Holmes, S. M., Madrigal, D. S., Young, M.-E. D., Beyeler, N., & Quesada, J. (2015). Immigration as a Social Determinant of Health. Annual Review of Public Health, 36(1), 375–392. doi: 10.1146/annurev-publhealth-032013-182419 Abstract Although immigration and immigrant populations have become increasingly important foci in public health research and practice, a social determinants of health approach has seldom been applied in this area. Global patterns of morbidity and mortality follow inequities rooted in societal, political, and economic conditions produced and reproduced by social structures, policies, and institutions. The lack of dialogue between these two profoundly related phenomena—social determinants of health and immigration—has resulted in missed opportunities for public health research, practice, and policy work. In this article, we discuss primary frameworks used in recent public health literature on the health of immigrant populations, note gaps in this literature, and argue for a broader examination of immigration as both socially determined and a social determinant of health. We discuss priorities for future research and policy to understand more fully and respond appropriately to the health of the populations affected by this global phenomenon. Annotated Bibliography The article reports on the importance of identifying social determinants and the effects of socially determined structures among immigrant populations in the United States. The study identifies ways in which immigrants health outcomes are based on biases due to using 3 information based on group behaviors instead of on an induvial case. The impact of migrant and immigrant individuals, physical and mental health in these communities’ changes as social, economic, and political policies take place. This article is helpful in that broadens the immigration experience including more central factors than just language, income, or education as the cause of all health related problems in this community. But to show factors of power structures and the ability to put in place effective health interventions that respond to direct causes of poor or declining health in these populations. Article 2: Fear by Association: Perceptions of Anti-Immigrant Policy and Health Outcomes Vargas, Edward & Sanchez, Gabriel & Juárez, Melina. (2017). Fear by Association: Perceptions of Anti-Immigrant Policy and Health Outcomes. Journal of Health Politics, Policy and Law. 42. 3802940. 10.1215/03616878-3802940. Abstract The United States is experiencing a renewed period of immigration and immigrant policy activity as well as heightened enforcement of such policies. This intensified activity can affect various aspects of im ...
1  Literature Review Assignment STUDENT 1  Literature Review Assignment STUDENT
1 Literature Review Assignment STUDENT
VannaJoy20
354 slides15 views
Law and ethics in public health by AI Publications, has 5 slides with 210 views.Programs for public health practitioners in the field, due to the profession is so dispersed in its work—from employment in private managed care organizations and clinics. The main purpose of this study is to analysis the relationship between law and ethics with public healthcare performance. The present study used a quantitative research design, specifically the descriptive survey design. This is because such design accurately and objectively describes the characteristics of a situation or phenomenon being investigated in a given study. It provides a description of the variables in a particular situation and, sometimes, the relationship among these variables rather than focusing on the cause-and effect relationships. Thus, this study used a questionnaire which was developed from previous research in order to measure the relationships among the investigated variables. This study was carried out in different healthcare centers located in Erbil, the total of 81 participants participated in this study. The researcher developed research hypothesis as follow; there is a positive and significant relationship between law and healthcare performance in Erbil. The finding of this study showed that the value of beta for law and ethics factor is .749 with the P-value .000 this means that the law and ethics will have positive and significant influence on healthcare performance; accordingly the main research hypothesis is supported.
Law and ethics in public healthLaw and ethics in public health
Law and ethics in public health
AI Publications
5 slides210 views
Key Element 4 Increase Upstream InvestmentsA population health .docx by tawnyataylor528, has 113 slides with 20 views.Key Element 4: Increase Upstream Investments A population health approach maximizes its potential by directing efforts and investments “upstream” to address root causes of health and illness. What are upstream investments? Upstream investments are interventions aimed at the root causes of a population health problem or benefit. Root causes are often identified by determining the most immediate and direct causes, and working backwards from there. In many cases, upstream action addresses social, economic and environmental conditions. The population health approach is grounded in the notion that the earlier in the causal stream action is taken (i.e. the more upstream the action is), the greater the potential for population health gains and health-related cost savings. It is often true, however, that these root causes are more difficult to change, requiring more time, more resources and more will. Because of this, upstream interventions may not be the most appropriate choice; the context, timing, resources, mandate and available evidence must be considered. The choice should be based on the best evidence, not just on an article of faith that “further upstream is always better.” Resources to Increase Understanding: What are upstream investments? · The Case for Prevention: Moving Upstream to Improve Health of All Ontarians – Health Nexus (formerly the Ontario Prevention Clearinghouse) Key questions · a) What is the best balance of investments? · b) Who will provide support and what will it be? A) What is the best balance of investments? A population health approach recognizes the tension between short and long term goals. Health problems have to be treated immediately, but at the same time, upstream investments are needed to keep people healthy. Furthermore, upstream investments need sustained support to have a real impact. The population health approach strives to strike a balance between investments of three types: · Short term, e.g. responding to citizen concerns about the quality and accessibility of health care, food and drug safety, and emergency response procedures · Medium term, e.g. programs that favour equity, such as redistribution of resources, and programs that invest in children, such as responding to windows of developmental opportunity · Long term, e.g. investment in alternative energy sources and other technologies that reduce stress on the physical environment. B) Who will provide support and what will it be? Taking upstream action on the social, economic and environmental health determinants requires influencing how multiple sectors of government assign their resources. In this Key Element, it is important to identify what investments by what partners outside health are required. To generate this list, consider all the sectors whose mandates impact upon health determinants and focus on those that are most relevant. How are upstream investments increased? 4.1 Balance short, medium and long term investments The decision-making fram ...
Key Element 4 Increase Upstream InvestmentsA population health .docxKey Element 4 Increase Upstream InvestmentsA population health .docx
Key Element 4 Increase Upstream InvestmentsA population health .docx
tawnyataylor528
113 slides20 views
ANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docx by rossskuddershamus, has 251 slides with 26 views.ANRV405-PU31-26 ARI 22 February 2010 17:2 The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions Karen Glanz1 and Donald B. Bishop2 1 Schools of Medicine and Nursing, University of Pennsylvania, Philadelphia, Pennsylvania 19104; email: [email protected] 2 Minnesota Department of Health, St. Paul, Minnesota 55164; email: [email protected] Annu. Rev. Public Health 2010. 31:399–418 First published online as a Review in Advance on January 4, 2010 The Annual Review of Public Health is online at publhealth.annualreviews.org This article’s doi: 10.1146/annurev.publhealth.012809.103604 Copyright c© 2010 by Annual Reviews. All rights reserved 0163-7525/10/0421-0399$20.00 Key Words theoretical frameworks, concepts, health behavior, strategies, ecological perspective Abstract Increasing evidence suggests that public health and health-promotion interventions that are based on social and behavioral science theories are more effective than those lacking a theoretical base. This article pro- vides an overview of the state of the science of theory use for designing and conducting health-promotion interventions. Influential contempo- rary perspectives stress the multiple determinants and multiple levels of determinants of health and health behavior. We describe key types of theory and selected often-used theories and their key concepts, includ- ing the health belief model, the transtheoretical model, social cognitive theory, and the ecological model. This summary is followed by a review of the evidence about patterns and effects of theory use in health behav- ior intervention research. Examples of applied theories in three large public health programs illustrate the feasibility, utility, and challenges of using theory-based interventions. This review concludes by identifying cross-cutting themes and important future directions for bridging the divides between theory, practice, and research. 399 A nn u. R ev . P ub li c H ea lt h 20 10 .3 1: 39 9- 41 8. D ow nl oa de d fr om w w w .a nn ua lr ev ie w s. or g A cc es s pr ov id ed b y U ni ve rs it y of M is so ur i - C ol um bi a on 0 1/ 15 /1 6. F or p er so na l us e on ly . ANRV405-PU31-26 ARI 22 February 2010 17:2 Interventions: programs and strategies intended to influence health and/or health-related behavior positively Theory: set of interrelated concepts, definitions, and propositions that explain or predict events or situations by specifying relations among variables Ecological perspective: view that public health/health- promotion interventions should target individual-, interpersonal-, organizational-, and environmental-level factors INTRODUCTION The most prominent contributors to death and disease in the United States and globally are behavioral factors, particularly tobacco use, diet and activity patterns, alcohol consumption, sex- ual behavior, and avoidable injuries (.
ANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docxANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docx
ANRV405-PU31-26 ARI 22 February 2010 172The Role of Behav.docx
rossskuddershamus
251 slides26 views
Series294 www.thelancet.com Vol 380 July 21, 2012L.docx by klinda1, has 61 slides with 23 views.Series 294 www.thelancet.com Vol 380 July 21, 2012 Lancet 2012; 380: 294–305 Published Online July 18, 2012 http://dx.doi.org/10.1016/ S0140-6736(12)60898-8 This is the fi fth in a Series of fi ve papers about physical activity *Members listed at end of paper University of Texas Health Science Center, Houston School of Public Health, and University of Texas at Austin Department of Kinesiology and Health Education, Austin, TX, USA (Prof H W Kohl 3rd PhD); Canadian Fitness and Lifestyle Research Institute, Ottawa, ON, Canada, and School of Public Health, University of Sydney, Sydney, NSW, Australia (C L Craig MSc); UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa (Prof E V Lambert PhD); Tokyo Medical University, Department of Preventive Medicine and Physical Activity 5 The pandemic of physical inactivity: global action for public health Harold W Kohl 3rd, Cora Lynn Craig, Estelle Victoria Lambert, Shigeru Inoue, Jasem Ramadan Alkandari, Grit Leetongin, Sonja Kahlmeier, for the Lancet Physical Activity Series Working Group* Physical inactivity is the fourth leading cause of death worldwide. We summarise present global eff orts to counteract this problem and point the way forward to address the pandemic of physical inactivity. Although evidence for the benefi ts of physical activity for health has been available since the 1950s, promotion to improve the health of populations has lagged in relation to the available evidence and has only recently developed an identifi able infrastructure, including eff orts in planning, policy, leadership and advocacy, workforce training and development, and monitoring and surveillance. The reasons for this late start are myriad, multifactorial, and complex. This infrastructure should continue to be formed, intersectoral approaches are essential to advance, and advocacy remains a key pillar. Although there is a need to build global capacity based on the present foundations, a systems approach that focuses on populations and the complex interactions among the correlates of physical inactivity, rather than solely a behavioural science approach focusing on individuals, is the way forward to increase physical activity worldwide. The pandemic of physical inactivity should be a public health priority Theoretically, prioritisation for public health action is informed largely by three factors: the prevalence and trends of a health disorder; the magnitude of the risk associated with exposure to that disorder; and evidence for eff ective prevention and control. A practice or behaviour that is clearly related to a health disorder, is prevalent, and is static or increasing in its prevalence should be a primary target for public health policy for disease prevention and health promotion. Too often, however, the inertia of tradition, pressure .
Series294 www.thelancet.com   Vol 380   July 21, 2012L.docxSeries294 www.thelancet.com   Vol 380   July 21, 2012L.docx
Series294 www.thelancet.com Vol 380 July 21, 2012L.docx
klinda1
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Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docx by bagotjesusa, has 43 slides with 22 views.Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in Great Britain. THE HOUSEHOLD PRODUCTION 0277.9536/94 $6.00 + 0.00 Pergamon Press Ltd OF HEALTH: INTEGRATING SOCIAL SCIENCE PERSPECTIVES ON MICRO-LEVEL HEALTH DETERMINANTS PETER BERMAN’, CARL KENDALL’ and KARABI BHATTACHARYYA’ ‘Department of Population and International Health, Harvard School of Public Health , 665 Huntington Avenue, Boston, MA 02115 and ‘Department of International Health, School of Hygiene and Public Health. The Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, U.S.A. Abstract-Efforts to control disease and improve health in developing countries require increasing collaboration between social and medical scientists. This collaboration should extend from the early stages of technology development to the evaluation and improvement of population-wide interventions. This paper provides an integrating framework for social science research on health producing processes at the household level, drawing on recent work in economics, anthropology, and public health. Further development of theory and methods in this area would benefit from interdisciplinary research in categories as defined by social and behavioral science in addition to those related to specific diseases and intervention programs. Key words-health, development, social science methods. household economics The natural locus of disease is the natural locus of life - the family: gentle, spontaneous care, expressive of love and a common desire for a cure, assists nature in its struggle against the illness, and allows the illness itself to attain its own truth [I, p.171. lNTRODUCTION In medicine and public health in developing countries, technology has captured center stage. Oral rehydration therapy, vitamin supplements, recombi- nant vaccines-these are the vanguard of the ‘revolu- tion’ in child survival. Whereas once the eradication of a single disease was a dream, today elimination of a host of killers is deemed a likelihood. While technology can certainly hasten public health improvements, historical experience suggests that other factors are also needed. As is well known, major health improvements in the West preceded rather than accompanied the advent of antibiotics and most vaccines [2]. Some low income countries and regions have achieved levels of infant mortality below those of some American cities with low cost, decentralized systems of primary health care [3]. There is reason to believe that such successes of health development depend on a combination of appropriate technology, sound health care delivery, and social and economic changes affecting house- holds and communities. Where health care provision of adequate quality or related social advances are absent or lagging, simple mass extension of clinically efficacious medical techniques, such as promotion of oral rehydration may exhibit high initial rates of success and r.
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docxSec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docx
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docx
bagotjesusa
43 slides22 views
Linking political exposures to child and maternal health outcomes a realist r... by Araz Taeihagh, has 16 slides with 39 views.Background: Conceptual and theoretical links between politics and public health are longstanding. Internationally comparative systematic review evidence has shown links between four key political exposures – the welfare state, political tradition, democracy and globalisation – on population health outcomes. However, the pathways through which these influences may operate have not been systematically appraised. Therefore, focusing on child and maternal health outcomes, we present a realist re-analysis of the dataset from a recent systematic review. Methods: The database from a recent systematic review on the political determinants of health was used as the data source for this realist review. Included studies from the systematic review were re-evaluated and those relating to child and/or maternal health outcomes were included in the realist synthesis. Initial programme theories were generated through realist engagement with the prior systematic review. These programme theories were adjudicated and refined through detailed engagement with the evidence base using a realist re-synthesis involving two independent reviewers. The revised theories that best corresponded to the evidence base formed the final programme theories. Results: Out of the 176 included studies from the systematic review, a total of 67 included child and/or maternal health outcomes and were included in the realist re-analysis. Sixty-three of these studies were ecological and data were collected between 1950 and 2014. Six initial programme theories were generated. Following theory adjudication, three theories in revised form were supported and formed the final programme theories. These related to a more generous welfare state leading to better child and maternal health especially in developed countries through progressive social welfare policies, left-of-centre political tradition leading to lower child mortality and low birth weight especially in developed countries through greater focus on welfare measures, and increased globalisation leading to greater child and infant mortality and youth smoking rates in LMECs through greater influence of multinational corporations and neoliberal trade organisations. Conclusion: We present a realist re-analysis of a large systematically identified body of evidence on how four key political exposures – the welfare state, democracy, political tradition and globalisation – relate to child and maternal health outcomes. Three final programme theories were supported. Keywords: Child health, Maternal health, Health policy, International health, Politics, Realist synthesis
Linking political exposures to child and maternal health outcomes a realist r...Linking political exposures to child and maternal health outcomes a realist r...
Linking political exposures to child and maternal health outcomes a realist r...
Araz Taeihagh
16 slides39 views
A realist synthesis to develop an explanatory model of how policy instruments... by Araz Taeihagh, has 12 slides with 20 views.Abstract Background Child and maternal health, a key marker of overall health system performance, is a policy priority area by the World Health Organization and the United Nations, including the Sustainable Development Goals. Previous realist work has linked child and maternal health outcomes to globalization, political tradition, and the welfare state. It is important to explore the role of other key policy-related factors. This paper presents a realist synthesis, categorising policy instruments according to the established NATO model, to develop an explanatory model of how policy instruments impact child and maternal health outcomes. Methods A systematic literature search was conducted to identify studies assessing the relationships between policy instruments and child and maternal health outcomes. Data were analysed using a realist framework. The first stage of the realist analysis process was to generate micro-theoretical initial programme theories for use in the theory adjudication process. Proposed theories were then adjudicated iteratively to produce a set of final programme theories. Findings From a total of 43,415 unique records, 632 records proceeded to full-text screening and 138 papers were included in the review. Evidence from 132 studies was available to address this research question. Studies were published from 1995 to 2021; 76% assessed a single country, and 81% analysed data at the ecological level. Eighty-eight initial candidate programme theories were generated. Following theory adjudication, five final programme theories were supported. According to the NATO model, these were related to treasure, organisation, authority-treasure, and treasure-organisation instrument types. Conclusions This paper presents a realist synthesis to develop an explanatory model of how policy instruments impact child and maternal health outcomes from a large, systematically identified international body of evidence. Five final programme theories were supported, showing how policy instruments play an important yet context-dependent role in influencing child and maternal health outcomes.
A realist synthesis to develop an explanatory model of how policy instruments...A realist synthesis to develop an explanatory model of how policy instruments...
A realist synthesis to develop an explanatory model of how policy instruments...
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12 slides20 views
1 Literature Review Assignment STUDENT by VannaJoy20, has 354 slides with 15 views.1 Literature Review Assignment STUDENT NAME Class Date 2 Part A: Annotated Bibliography Article 1: Immigration as a Social Determinant of Health Castañeda, H., Holmes, S. M., Madrigal, D. S., Young, M.-E. D., Beyeler, N., & Quesada, J. (2015). Immigration as a Social Determinant of Health. Annual Review of Public Health, 36(1), 375–392. doi: 10.1146/annurev-publhealth-032013-182419 Abstract Although immigration and immigrant populations have become increasingly important foci in public health research and practice, a social determinants of health approach has seldom been applied in this area. Global patterns of morbidity and mortality follow inequities rooted in societal, political, and economic conditions produced and reproduced by social structures, policies, and institutions. The lack of dialogue between these two profoundly related phenomena—social determinants of health and immigration—has resulted in missed opportunities for public health research, practice, and policy work. In this article, we discuss primary frameworks used in recent public health literature on the health of immigrant populations, note gaps in this literature, and argue for a broader examination of immigration as both socially determined and a social determinant of health. We discuss priorities for future research and policy to understand more fully and respond appropriately to the health of the populations affected by this global phenomenon. Annotated Bibliography The article reports on the importance of identifying social determinants and the effects of socially determined structures among immigrant populations in the United States. The study identifies ways in which immigrants health outcomes are based on biases due to using 3 information based on group behaviors instead of on an induvial case. The impact of migrant and immigrant individuals, physical and mental health in these communities’ changes as social, economic, and political policies take place. This article is helpful in that broadens the immigration experience including more central factors than just language, income, or education as the cause of all health related problems in this community. But to show factors of power structures and the ability to put in place effective health interventions that respond to direct causes of poor or declining health in these populations. Article 2: Fear by Association: Perceptions of Anti-Immigrant Policy and Health Outcomes Vargas, Edward & Sanchez, Gabriel & Juárez, Melina. (2017). Fear by Association: Perceptions of Anti-Immigrant Policy and Health Outcomes. Journal of Health Politics, Policy and Law. 42. 3802940. 10.1215/03616878-3802940. Abstract The United States is experiencing a renewed period of immigration and immigrant policy activity as well as heightened enforcement of such policies. This intensified activity can affect various aspects of im ...
1  Literature Review Assignment STUDENT 1  Literature Review Assignment STUDENT
1 Literature Review Assignment STUDENT
VannaJoy20
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Law and ethics in public health by AI Publications, has 5 slides with 210 views.Programs for public health practitioners in the field, due to the profession is so dispersed in its work—from employment in private managed care organizations and clinics. The main purpose of this study is to analysis the relationship between law and ethics with public healthcare performance. The present study used a quantitative research design, specifically the descriptive survey design. This is because such design accurately and objectively describes the characteristics of a situation or phenomenon being investigated in a given study. It provides a description of the variables in a particular situation and, sometimes, the relationship among these variables rather than focusing on the cause-and effect relationships. Thus, this study used a questionnaire which was developed from previous research in order to measure the relationships among the investigated variables. This study was carried out in different healthcare centers located in Erbil, the total of 81 participants participated in this study. The researcher developed research hypothesis as follow; there is a positive and significant relationship between law and healthcare performance in Erbil. The finding of this study showed that the value of beta for law and ethics factor is .749 with the P-value .000 this means that the law and ethics will have positive and significant influence on healthcare performance; accordingly the main research hypothesis is supported.
Law and ethics in public healthLaw and ethics in public health
Law and ethics in public health
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Use of translation apps and websites in health care settings by Ben Harris-Roxas, has 21 slides with 592 views.Ben Harris-Roxas,1,2 Lisa Woodland,3,1 Joanne Corcoran,3 Jane Lloyd,1,4 Mark Harris,1 Rachael Kearns,1,2 Iqbal Hasan1 Australasian Association for Academic Primary Health Care Conference Adelaide, 12-13 July 2019
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Health impact assessments of health sector proposals by Ben Harris-Roxas, has 13 slides with 299 views.This document summarizes a review of health impact assessments (HIAs) conducted on health sector proposals. The review identified 14 HIAs from Australia, Korea, and the UK that assessed various health services, plans, and policies. The HIAs used a variety of evidence sources and methods. Most assessments were of projects or programs rather than policies. The quality of reporting varied and there is opportunity to strengthen documentation of scoping and monitoring/evaluation steps. While HIAs have been conducted in developed countries, there is limited evidence of their use to assess clinical services plans within the health sector.
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9 slides60 views
Revolutionizing Anatomy Education: The Power of AI-Driven Personalized Learning by Dr. Nasir Mustafa, has 3 slides with 80 views.Revolutionizing Anatomy Education: The Power of AI-Driven Personalized Learning
Revolutionizing Anatomy Education: The Power of AI-Driven Personalized LearningRevolutionizing Anatomy Education: The Power of AI-Driven Personalized Learning
Revolutionizing Anatomy Education: The Power of AI-Driven Personalized Learning
Dr. Nasir Mustafa
3 slides80 views
Understanding-Seizures-and-Epilepsy-Management.pptx by Dr Ankush goyal, has 8 slides with 323 views.Epilepsy and Its Management Introduction Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures. It affects millions of people worldwide, cutting across all age groups and ethnicities. Seizures result from excessive and abnormal cortical nerve cell activity in the brain, leading to temporary changes in movement, sensation, behavior, or consciousness. This document provides a comprehensive overview of epilepsy, including its causes, classification, symptoms, diagnosis, and management strategies. Causes of Epilepsy Epilepsy can arise due to multiple factors, including genetic predisposition, brain injuries, infections, or developmental disorders. Some common causes include: Genetic Factors: Certain types of epilepsy have a hereditary component, suggesting that genetic mutations may contribute to its development. Brain Trauma: Head injuries from accidents or sports activities can lead to epilepsy. Stroke and Vascular Diseases: Stroke, which reduces oxygen supply to the brain, is a leading cause of epilepsy in older adults. Infections: Conditions such as meningitis, encephalitis, and neurocysticercosis can trigger epilepsy. Developmental Disorders: Disorders such as autism and neurofibromatosis have been linked to epilepsy. Tumors and Structural Abnormalities: Brain tumors and congenital malformations can also lead to epileptic seizures. Classification of Epilepsy The International League Against Epilepsy (ILAE) classifies epilepsy based on the nature of seizures and their origin in the brain: Focal (Partial) Seizures: Originate in one part of the brain and can be simple (without loss of consciousness) or complex (with impaired consciousness). Generalized Seizures: Involve both hemispheres of the brain and include types such as absence, tonic-clonic, myoclonic, and atonic seizures. Unknown Onset Seizures: When the starting point of the seizure is unclear. Epilepsy Syndromes: Specific syndromes such as Lennox-Gastaut syndrome, Dravet syndrome, and Juvenile Myoclonic Epilepsy have distinct features and management strategies. Symptoms of Epilepsy The clinical manifestations of epilepsy depend on the type of seizure and the brain region involved. Symptoms may include: Temporary confusion or staring spells Uncontrollable jerking movements (convulsions) Loss of consciousness or awareness Sensory disturbances such as tingling or hallucinations Emotional changes, anxiety, or déjà vu Diagnosis of Epilepsy A thorough medical evaluation is necessary to diagnose epilepsy accurately. The diagnostic process includes: Medical History and Physical Examination: A detailed history of seizure episodes, triggers, and associated conditions is crucial. Electroencephalogram (EEG): Measures electrical activity in the brain and identifies abnormal patterns suggestive of epilepsy. Neuroimaging (MRI, CT Scan): Detects structural abnormalities, tumors, or brain injuries. Blood Tests: Helps rule out metabolic or i
Understanding-Seizures-and-Epilepsy-Management.pptxUnderstanding-Seizures-and-Epilepsy-Management.pptx
Understanding-Seizures-and-Epilepsy-Management.pptx
Dr Ankush goyal
8 slides323 views
Congenital CMV Infection: Causes, Symptoms, and Treatment by Ankur Verma , has 14 slides with 53 views.Learn about congenital cytomegalovirus, its risks, signs, and care
Congenital CMV Infection: Causes, Symptoms, and TreatmentCongenital CMV Infection: Causes, Symptoms, and Treatment
Congenital CMV Infection: Causes, Symptoms, and Treatment
Ankur Verma
14 slides53 views
Homology modelling and generation of 3D-structure of protein (G).pptx by GarimaSingh204707, has 15 slides with 18 views.Homology modeling, also known as comparative modeling, is a computational method used to predict the three-dimensional (3D) structure of a protein based on its amino acid sequence. This technique relies on the principle that proteins with similar amino acid.
Homology modelling and generation of 3D-structure of protein (G).pptxHomology modelling and generation of 3D-structure of protein (G).pptx
Homology modelling and generation of 3D-structure of protein (G).pptx
GarimaSingh204707
15 slides18 views
world-tb-day-2025-communication-and-advocacy-toolkit.pptx by AshwaniSood12, has 15 slides with 51 views.The theme for world-tb-day-2025-communication-and-advocacy-toolkit
world-tb-day-2025-communication-and-advocacy-toolkit.pptxworld-tb-day-2025-communication-and-advocacy-toolkit.pptx
world-tb-day-2025-communication-and-advocacy-toolkit.pptx
AshwaniSood12
15 slides51 views
Dr.ANKUSH GOYAL GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdf by Dr Ankush goyal, has 17 slides with 28 views.Management of Hypothyroidism and Hyperthyroidism Introduction Thyroid disorders, including hypothyroidism and hyperthyroidism, affect millions worldwide. The management of these conditions varies based on etiology, severity, patient comorbidities, and response to treatment. This document provides a comprehensive review of the diagnosis and management of both hypothyroidism and hyperthyroidism. --- Management of Hypothyroidism 1. Etiology and Diagnosis Hypothyroidism occurs due to insufficient thyroid hormone production. Common causes include: Primary Hypothyroidism: Hashimoto’s thyroiditis (autoimmune), iodine deficiency, post-thyroidectomy, post-radioiodine therapy. Secondary Hypothyroidism: Pituitary or hypothalamic dysfunction leading to inadequate TSH production. Diagnosis involves: TSH levels: Elevated in primary hypothyroidism, low/normal in secondary. Free T4 levels: Low in overt hypothyroidism. Anti-thyroid antibodies: Anti-TPO (thyroid peroxidase) and anti-Tg (thyroglobulin) in autoimmune hypothyroidism. 2. Treatment Approaches a. Levothyroxine Therapy First-line treatment for primary hypothyroidism. Dosing: Healthy adults: 1.6 mcg/kg/day. Elderly/cardiac patients: Start with 25-50 mcg/day, titrate gradually. Pregnancy: Increase dose by 30-50% due to increased demand. Monitoring: TSH and Free T4 levels checked every 6-8 weeks after dose adjustments, then annually. Patient counseling: Take on empty stomach, 30-60 min before breakfast. Avoid iron, calcium, antacids, and soy-based products within 4 hours of dosing. b. Alternative Therapies Liothyronine (T3): Rarely used, due to short half-life and risk of cardiovascular side effects. Combination T4/T3 therapy: Reserved for refractory cases where symptoms persist despite normal TSH. c. Special Considerations Myxedema Coma: Life-threatening hypothyroidism treated with IV levothyroxine (300-500 mcg), IV hydrocortisone if adrenal insufficiency is suspected, and supportive care (warming, ventilation, IV fluids). Subclinical Hypothyroidism: Treated if TSH > 10 mIU/L, symptomatic, or in pregnant women. --- Management of Hyperthyroidism 1. Etiology and Diagnosis Hyperthyroidism results from excessive thyroid hormone production. Common causes: Graves’ disease (autoimmune, most common cause) Toxic multinodular goiter Toxic adenoma Thyroiditis (subacute, silent, postpartum) Exogenous thyroid hormone intake Diagnosis involves: TSH levels: Suppressed in primary hyperthyroidism. Free T4 and T3 levels: Elevated. Thyroid autoantibodies: TSH receptor antibodies (TRAb) for Graves’ disease. Radioactive iodine uptake (RAIU) scan: High uptake: Graves’ disease, toxic adenoma. Low uptake: Thyroiditis, exogenous hormone intake. 2. Treatment Approaches a. Antithyroid Drugs (ATDs) Methimazole (MMI): Preferred due to longer half-life and fewer hepatotoxic effects. Propylthiouracil (PTU): Preferred in first trimester of pregnancy and thyroid storm. Dosing:
Dr.ANKUSH GOYAL  GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdfDr.ANKUSH GOYAL  GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdf
Dr.ANKUSH GOYAL GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdf
Dr Ankush goyal
17 slides28 views
Intelligently Achieving the Potential of Adjuvant CDK4/6 Inhibition in Reduci... by PVI, PeerView Institute for Medical Education, has 58 slides with 34 views.Chair, Erika Hamilton, MD, and presenters Kelsey Martin, APRN, AOCNP, and Heather N. Moore, PharmD, BCOP, CPP, discuss HR+, HER2- early breast cancer in this CME/MOC/CC/NCPD/CPE/AAPA/IPCE activity titled “Intelligently Achieving the Potential of Adjuvant CDK4/6 Inhibition in Reducing Risk of Recurrence While Maintaining QOL in HR+, HER2- EBC: An AI-Driven Educational Resource for Improving MDT Collaboration and Patient-Clinician Communication.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/CC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/3UHn9td. CME/MOC/CC/NCPD/CPE/AAPA/IPCE credit will be available until March 26, 2026.
Intelligently Achieving the Potential of Adjuvant CDK4/6 Inhibition in Reduci...Intelligently Achieving the Potential of Adjuvant CDK4/6 Inhibition in Reduci...
Intelligently Achieving the Potential of Adjuvant CDK4/6 Inhibition in Reduci...
PVI, PeerView Institute for Medical Education
58 slides34 views
VENTILATORS.pptx FOR NURSING STUDENTS CREATED BY KIRAN KARETHA by KIRAN KARETHA, has 21 slides with 69 views.VENTILATOR Mechanical ventilation is a form of artificial respiration that uses a breathing machine to assist patients with breathing. Mechanical ventilation is the use of a mechanical device to inflate and deflate the lungs. A mechanical ventilation is a machine that generates a controlled flow of gas into a patient’s airways. INDICATIONS Acute lung injury Apnea with respiratory arrest COPD Acute respiratory acidosis Hypoxemia hypercapnia Classification of ventilators: 1. negative pressure ventilators: mechanical ventilators exert a negative pressure on the external chest. Decreasing the intrathoracic pressure during inspiration allows air to flow into the lung, filling its volume. NEGATIVE PRESSURE VENTILATORS 1. Iron lung (drinker respirator tank) 2. body wrap and chest cuirass (tortoise shell) POSITIVE PRESSURE VENTILATORS 1. pressure cycled ventilators 2. time cycled ventilators 3. volume cycled ventilators 4. non-invasive positive pressure ventilators a) continuous positive airway pressure b) bilevel positive airway pressure
VENTILATORS.pptx FOR NURSING STUDENTS CREATED BY KIRAN KARETHAVENTILATORS.pptx FOR NURSING STUDENTS CREATED BY KIRAN KARETHA
VENTILATORS.pptx FOR NURSING STUDENTS CREATED BY KIRAN KARETHA
KIRAN KARETHA
21 slides69 views
Type 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALA by Dr Ankush goyal, has 8 slides with 277 views.🔬 Introduction: Understanding Type IV Hypersensitivity Type IV hypersensitivity is a delayed-type hypersensitivity (DTH), unlike immediate hypersensitivity reactions (Types I-III). 🕒 It is T-cell mediated rather than antibody-driven. This means it involves CD4+ T helper cells (Th1, Th17) and CD8+ cytotoxic T cells rather than IgE, IgG, or IgM. 🦠 The response takes 24-72 hours after exposure to an antigen, which is why it is called delayed. ⏳ Examples include contact dermatitis, tuberculosis (TB) skin reactions, granulomatous inflammation, and transplant rejection. 🏥 --- 🧬 Pathophysiology: How It Works? 1. Sensitization Phase (First Exposure) 🏗️ The antigen (e.g., nickel, TB antigen, or poison ivy urushiol) is processed by antigen-presenting cells (APCs) like macrophages and dendritic cells. These APCs present the antigen on MHC-II molecules to naïve CD4+ T cells, activating them. ⚡ CD4+ T cells differentiate into Th1 (mainly) and Th17 cells, producing cytokines like IFN-γ and TNF-α. 2. Effector Phase (Second Exposure) 🎯 Upon re-exposure, memory Th1 cells release cytokines (IFN-γ, TNF-α, IL-2), activating macrophages. 🔥 Macrophages become hyperactivated, releasing enzymes, reactive oxygen species (ROS), and inflammatory mediators, leading to tissue destruction. 💣 In some cases, CD8+ T cells also get activated and kill infected or abnormal cells directly. 🗡️ --- 📌 Types of Type IV Hypersensitivity Reactions There are four major subtypes based on mechanisms and clinical presentations: 1️⃣ Contact Hypersensitivity (Eczema & Contact Dermatitis) 🤲🔴 Triggers: Poison ivy, nickel, latex, fragrances, hair dye. 🌿💍🧤 Mechanism: Small molecules (haptens) bind to skin proteins → APCs present them → Th1 cells activate macrophages → local inflammation and rash. Example: Poison ivy reaction (blisters, redness, itching). 2️⃣ Tuberculin-Type Hypersensitivity (Mantoux Test) 💉🦠 Triggers: Mycobacterium tuberculosis, Histoplasma, Brucella. Mechanism: Injected PPD (Purified Protein Derivative) activates memory Th1 cells → Macrophages release cytokines → Local induration and erythema within 48-72 hours. Example: Mantoux (PPD) Test for tuberculosis. 3️⃣ Granulomatous Hypersensitivity (Chronic Inflammation) 🦠⏳ Triggers: TB, Leprosy, Sarcoidosis, Crohn’s disease, Schistosomiasis. Mechanism: Persistent antigenic stimulation → Th1 cells release IFN-γ → Macrophages transform into epithelioid cells and multinucleated giant cells → Granuloma formation (walling off infection). Example: TB granuloma with caseous necrosis. 4️⃣ T-cell Mediated Cytotoxicity (Graft Rejection & Autoimmunity) 🏥⚔️ Triggers: Organ transplants, viral infections, Type 1 Diabetes, Hashimoto’s thyroiditis. Mechanism: CD8+ T cells recognize infected or foreign cells and kill them via perforins and granzymes.
Type 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALAType 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALA
Type 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALA
Dr Ankush goyal
8 slides277 views
DIFFERENTIAL DIAGNOSIS OF BASAL & PARAMEDICAL PROFESSES, PULMONARY DISSEMINAT... by Ankur Verma , has 12 slides with 54 views.Explore the differential diagnosis of basal and paramedical processes, pulmonary disseminations, and pulmonary infiltrates, focusing on clinical features, imaging findings, and key distinguishing factors for accurate diagnosis.
DIFFERENTIAL DIAGNOSIS OF BASAL & PARAMEDICAL PROFESSES, PULMONARY DISSEMINAT...DIFFERENTIAL DIAGNOSIS OF BASAL & PARAMEDICAL PROFESSES, PULMONARY DISSEMINAT...
DIFFERENTIAL DIAGNOSIS OF BASAL & PARAMEDICAL PROFESSES, PULMONARY DISSEMINAT...
Ankur Verma
12 slides54 views
Prescribing for Heart Failure: A Guide for MBBS Students by Shivankan Kakkar, has 15 slides with 26 views.This SlideShare presentation provides a concise reference for MBBS students on prescription writing for heart failure. It covers key medications, treatment approaches, and clinical guidelines for effective management.
Prescribing for Heart Failure: A Guide for MBBS StudentsPrescribing for Heart Failure: A Guide for MBBS Students
Prescribing for Heart Failure: A Guide for MBBS Students
Shivankan Kakkar
15 slides26 views
The Nerve Physiology - Membrane Potentials by MedicoseAcademics, has 23 slides with 329 views.Learning Objectives: 1. Explain the basis of Nernst potential and its importance in generation of resting membrane potential 2. Comprehend different mechanisms responsible for the genesis of membrane potential 3. Use the Goldman equation to explain how the relative permeability of the ions create a resting membrane potential
The Nerve Physiology - Membrane PotentialsThe Nerve Physiology - Membrane Potentials
The Nerve Physiology - Membrane Potentials
MedicoseAcademics
23 slides329 views
Psychopharmacology questions .pdf by Dr ankush goyal by Dr Ankush goyal, has 17 slides with 79 views.Psychopharmacology: A Comprehensive Overview Introduction Psychopharmacology is the scientific study of the effects of drugs on mood, perception, cognition, and behavior. It involves the interaction of drugs with the nervous system, particularly the brain, to alter mental functions and treat psychiatric disorders. Psychopharmacology integrates principles from neuroscience, pharmacology, psychiatry, and psychology to develop effective treatments for mental illnesses such as depression, schizophrenia, anxiety, and bipolar disorder. History and Development The field of psychopharmacology has its roots in ancient medicine, where herbal remedies were used to treat mental disorders. Modern psychopharmacology began in the 20th century with the discovery of drugs such as chlorpromazine (antipsychotic) and imipramine (antidepressant), revolutionizing psychiatric care. Over time, research has led to the development of more targeted and effective drugs with fewer side effects. Neurotransmitter Systems and Drug Actions Psychotropic drugs exert their effects by modulating neurotransmitter systems in the brain. The major neurotransmitters involved include: Dopamine (DA): Associated with reward, motivation, and movement; implicated in schizophrenia and Parkinson’s disease. Serotonin (5-HT): Regulates mood, appetite, and sleep; targeted by antidepressants. Norepinephrine (NE): Involved in arousal and stress response; plays a role in depression and anxiety. Gamma-Aminobutyric Acid (GABA): The primary inhibitory neurotransmitter; targeted by anxiolytics and sedatives. Glutamate: The primary excitatory neurotransmitter; implicated in schizophrenia and cognitive function. Acetylcholine (ACh): Important for memory and learning; affected in Alzheimer’s disease. Classification of Psychotropic Drugs Psychotropic drugs can be classified based on their therapeutic use: 1. Antidepressants Used to treat depressive disorders, anxiety disorders, and other conditions. Selective Serotonin Reuptake Inhibitors (SSRIs): Fluoxetine, Sertraline, Citalopram Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): Venlafaxine, Duloxetine Tricyclic Antidepressants (TCAs): Amitriptyline, Imipramine Monoamine Oxidase Inhibitors (MAOIs): Phenelzine, Selegiline Atypical Antidepressants: Bupropion, Mirtazapine 2. Antipsychotics Used to manage schizophrenia, bipolar disorder, and psychotic disorders. Typical (First-Generation) Antipsychotics: Haloperidol, Chlorpromazine Atypical (Second-Generation) Antipsychotics: Risperidone, Olanzapine, Clozapine 3. Mood Stabilizers Used to treat bipolar disorder and mood dysregulation. Lithium: Effective for bipolar disorder Anticonvulsants: Valproate, Lamotrigine, Carbamazepine 4. Anxiolytics and Sedative-Hypnotics Used for anxiety and sleep disorders. Benzodiazepines: Diazepam, Lorazepam, Alprazolam Non-Benzodiazepine Hypnotics: Zolpidem, Eszopiclone Barbiturates: Phenobarbital (rarely used) Beta-Blockers: Propranolol
Psychopharmacology questions .pdf by Dr ankush goyalPsychopharmacology questions .pdf by Dr ankush goyal
Psychopharmacology questions .pdf by Dr ankush goyal
Dr Ankush goyal
17 slides79 views
CROUP.pdf FOR NURSING STUDENTS CREATED BY KIRAN KARETHA by KIRAN KARETHA, has 4 slides with 61 views. Croup is a common childhood illness characterized by swelling in the airway (larynx, Trachea and bronchi), leading to a distinctive barking cough and difficulty in breathing, often with a high-pitched, noisy sound called stridor when inhaling.  It is also known as laryngotracheobronchitis. THE WESTLEY SCORE: classification of croup severity SCORING SYSTEM:  A total score of < 2 indicates mild croup.  A total score of 3-5 is classifies as moderate croup.  A total score of 6-11 indicates severe croup.  A total score of >12 indicates impending respiratory failure.  The score ranges from 0-17. MANAGEMENT:  Supportive care including intravenous fluids to maintain hydration and oxygen inhalation to relieve hypoxia has to be given.  A single dose of dexamethasone 0.6mg/kg may decrease severity and duration of illness.  Inhalation of epinephrine may decrease the symptoms of stridor and respiratory distress immediately. PREVENTION:  Many cases of croup have been prevented by immunization for influenza and diphtheria.
CROUP.pdf FOR NURSING STUDENTS CREATED BY KIRAN KARETHACROUP.pdf FOR NURSING STUDENTS CREATED BY KIRAN KARETHA
CROUP.pdf FOR NURSING STUDENTS CREATED BY KIRAN KARETHA
KIRAN KARETHA
4 slides61 views
Approach to anemia , classification, investigations cases by FatimahRaad, has 17 slides with 19 views.Pdf simply about how to reach to anemia diagnosis with presenting signs and symptoms mainly based on investigations we send in this file as well as discuss two case scenarios on this common health problem from reference book core clinical cases medicine and medical specialties
Approach to anemia , classification, investigations casesApproach to anemia , classification, investigations cases
Approach to anemia , classification, investigations cases
FatimahRaad
17 slides19 views
Nervous System (Neurons and Neuroglia).pptx by PranaliChandurkar2, has 37 slides with 21 views.Nervous tissue comprises two types of cells—neurons and neuroglia. Neuroglia are smaller cells but they greatly outnumber neurons, perhaps by as much as 25 times. Neuroglia support, nourish, and protect neurons, and maintain the interstitial fluid that bathes them. Unlike neurons, neuroglia continue to divide throughout an individual’s lifetime. [Neurons does not undergo mitosis process because they lack centrioles.] Both neurons and neuroglia differ structurally depending on whether they are located in the central nervous system or the peripheral nervous system. These differences in structure correlate with the differences in function of the central nervous system and the peripheral nervous system. Neurons Neurons (nerve cells) possess electrical excitability, the ability to respond to a stimulus and convert it into an action potential. A stimulus is any change in the environment that is strong enough to initiate an action potential. Example: Outside of the body (touch, pain sensation) and Inside of the body (hormonal imbalance) An action potential (nerve impulse) is an electrical signal that propagates (travels) along the surface of the membrane of a neuron. It begins and travels due to the movement of ions (such as sodium and potassium) between interstitial fluid and the inside of a neuron through specific ion channels in its plasma membrane. Once begun, a nerve impulse travels rapidly and at a constant strength. Nerve impulses travel these great distances at speeds ranging from 0.5 to 130 meters per second. Parts of a Neuron Most neurons have three parts: (1) a cell body, (2) dendrites, and (3) an axon Classification of Neurons structural and functional features are used to classify the various neurons in the body. Structural Classification 1. Multipolar neurons usually have several dendrites and one axon Most neurons in the brain and spinal cord are of this type, as well as all motor neurons 2. Bipolar neurons have one main dendrite and one axon. They are found in the retina of the eye, the inner ear, and the olfactory area of the brain. 3. Unipolar neurons have dendrites and one axon that are fused together to form a continuous process that emerges from the cell body Neuroglia Neuroglia or glia make up about half the volume of the CNS. Their name derives from the idea of early histologists that they were the “glue” that held nervous tissue together. We now know that neuroglia are not merely passive bystanders but rather actively participate in the activities of nervous tissue. Generally, neuroglia are smaller than neurons, and they are 5 to 25 times more numerous. In contrast to neurons, glia do not generate or propagate action potentials, and they can multiply and divide in the mature nervous system. Of the six types of neuroglia, four—astrocytes, oligodendrocytes, microglia, and ependymal cells—are found only in the CNS. The remaining two types—Schwann cells and satellite cells—are present in the PNS.
Nervous System (Neurons and Neuroglia).pptxNervous System (Neurons and Neuroglia).pptx
Nervous System (Neurons and Neuroglia).pptx
PranaliChandurkar2
37 slides21 views
diabetes mcq by NAME ANKUSH GOYAL (1).pdf by Dr Ankush goyal, has 14 slides with 68 views.Diabetes Mellitus: A Comprehensive Overview Introduction Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to defects in insulin secretion, insulin action, or both. It affects millions of people worldwide and is a major cause of morbidity and mortality due to its associated complications. This document provides an in-depth discussion of the types, pathophysiology, clinical features, diagnosis, management, and complications of diabetes mellitus. Types of Diabetes Mellitus 1. Type 1 Diabetes Mellitus (T1DM) Autoimmune destruction of pancreatic beta cells Absolute insulin deficiency Typically presents in childhood or adolescence Requires lifelong insulin therapy 2. Type 2 Diabetes Mellitus (T2DM) Characterized by insulin resistance and relative insulin deficiency Strong genetic predisposition Associated with obesity and sedentary lifestyle Managed with lifestyle modifications, oral hypoglycemics, and sometimes insulin 3. Gestational Diabetes Mellitus (GDM) Hyperglycemia first recognized during pregnancy Increases risk of complications for both mother and baby Usually resolves postpartum but increases the risk of T2DM later in life 4. Other Specific Types Monogenic diabetes (MODY, neonatal diabetes) Secondary diabetes (due to pancreatic diseases, endocrinopathies, drug-induced, etc.) Pathophysiology Diabetes results from impaired insulin secretion, action, or both, leading to chronic hyperglycemia. The key mechanisms include: Type 1 Diabetes: Autoimmune destruction of beta cells, leading to absolute insulin deficiency. Type 2 Diabetes: Insulin resistance in peripheral tissues and inadequate compensatory insulin secretion by beta cells. GDM: Hormonal changes in pregnancy lead to insulin resistance and beta-cell dysfunction. Clinical Features Symptoms of Hyperglycemia: Polyuria (excessive urination) Polydipsia (excessive thirst) Polyphagia (excessive hunger) Unexplained weight loss Fatigue Blurred vision Complications: Acute: Diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic state (HHS) Chronic: Microvascular (retinopathy, nephropathy, neuropathy) and macrovascular (coronary artery disease, stroke, peripheral artery disease) Diagnosis The diagnosis of diabetes is based on: Fasting Plasma Glucose (FPG) ≥ 126 mg/dL Random Plasma Glucose ≥ 200 mg/dL with symptoms of hyperglycemia 2-hour Plasma Glucose ≥ 200 mg/dL during an OGTT Hemoglobin A1c ≥ 6.5% Management 1. Lifestyle Modifications Healthy diet (low glycemic index, high fiber, reduced saturated fats) Regular physical activity (at least 150 minutes per week) Weight management 2. Pharmacological Therapy Oral Hypoglycemics: Metformin (first-line), sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, thiazolidinediones Injectable Therapy: Insulin, GLP-1 receptor agonists Insulin Therapy: Required for T1DM and some cases of T2DM 3. Monitoring and Complication Prevention Regular blood glucose
diabetes mcq by NAME ANKUSH GOYAL (1).pdfdiabetes mcq by NAME ANKUSH GOYAL (1).pdf
diabetes mcq by NAME ANKUSH GOYAL (1).pdf
Dr Ankush goyal
14 slides68 views
Understanding-Seizures-and-Epilepsy-Management.pptx by Dr Ankush goyal, has 8 slides with 323 views.Epilepsy and Its Management Introduction Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures. It affects millions of people worldwide, cutting across all age groups and ethnicities. Seizures result from excessive and abnormal cortical nerve cell activity in the brain, leading to temporary changes in movement, sensation, behavior, or consciousness. This document provides a comprehensive overview of epilepsy, including its causes, classification, symptoms, diagnosis, and management strategies. Causes of Epilepsy Epilepsy can arise due to multiple factors, including genetic predisposition, brain injuries, infections, or developmental disorders. Some common causes include: Genetic Factors: Certain types of epilepsy have a hereditary component, suggesting that genetic mutations may contribute to its development. Brain Trauma: Head injuries from accidents or sports activities can lead to epilepsy. Stroke and Vascular Diseases: Stroke, which reduces oxygen supply to the brain, is a leading cause of epilepsy in older adults. Infections: Conditions such as meningitis, encephalitis, and neurocysticercosis can trigger epilepsy. Developmental Disorders: Disorders such as autism and neurofibromatosis have been linked to epilepsy. Tumors and Structural Abnormalities: Brain tumors and congenital malformations can also lead to epileptic seizures. Classification of Epilepsy The International League Against Epilepsy (ILAE) classifies epilepsy based on the nature of seizures and their origin in the brain: Focal (Partial) Seizures: Originate in one part of the brain and can be simple (without loss of consciousness) or complex (with impaired consciousness). Generalized Seizures: Involve both hemispheres of the brain and include types such as absence, tonic-clonic, myoclonic, and atonic seizures. Unknown Onset Seizures: When the starting point of the seizure is unclear. Epilepsy Syndromes: Specific syndromes such as Lennox-Gastaut syndrome, Dravet syndrome, and Juvenile Myoclonic Epilepsy have distinct features and management strategies. Symptoms of Epilepsy The clinical manifestations of epilepsy depend on the type of seizure and the brain region involved. Symptoms may include: Temporary confusion or staring spells Uncontrollable jerking movements (convulsions) Loss of consciousness or awareness Sensory disturbances such as tingling or hallucinations Emotional changes, anxiety, or déjà vu Diagnosis of Epilepsy A thorough medical evaluation is necessary to diagnose epilepsy accurately. The diagnostic process includes: Medical History and Physical Examination: A detailed history of seizure episodes, triggers, and associated conditions is crucial. Electroencephalogram (EEG): Measures electrical activity in the brain and identifies abnormal patterns suggestive of epilepsy. Neuroimaging (MRI, CT Scan): Detects structural abnormalities, tumors, or brain injuries. Blood Tests: Helps rule out metabolic or i
Understanding-Seizures-and-Epilepsy-Management.pptxUnderstanding-Seizures-and-Epilepsy-Management.pptx
Understanding-Seizures-and-Epilepsy-Management.pptx
Dr Ankush goyal
8 slides323 views
Dr.ANKUSH GOYAL GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdf by Dr Ankush goyal, has 17 slides with 28 views.Management of Hypothyroidism and Hyperthyroidism Introduction Thyroid disorders, including hypothyroidism and hyperthyroidism, affect millions worldwide. The management of these conditions varies based on etiology, severity, patient comorbidities, and response to treatment. This document provides a comprehensive review of the diagnosis and management of both hypothyroidism and hyperthyroidism. --- Management of Hypothyroidism 1. Etiology and Diagnosis Hypothyroidism occurs due to insufficient thyroid hormone production. Common causes include: Primary Hypothyroidism: Hashimoto’s thyroiditis (autoimmune), iodine deficiency, post-thyroidectomy, post-radioiodine therapy. Secondary Hypothyroidism: Pituitary or hypothalamic dysfunction leading to inadequate TSH production. Diagnosis involves: TSH levels: Elevated in primary hypothyroidism, low/normal in secondary. Free T4 levels: Low in overt hypothyroidism. Anti-thyroid antibodies: Anti-TPO (thyroid peroxidase) and anti-Tg (thyroglobulin) in autoimmune hypothyroidism. 2. Treatment Approaches a. Levothyroxine Therapy First-line treatment for primary hypothyroidism. Dosing: Healthy adults: 1.6 mcg/kg/day. Elderly/cardiac patients: Start with 25-50 mcg/day, titrate gradually. Pregnancy: Increase dose by 30-50% due to increased demand. Monitoring: TSH and Free T4 levels checked every 6-8 weeks after dose adjustments, then annually. Patient counseling: Take on empty stomach, 30-60 min before breakfast. Avoid iron, calcium, antacids, and soy-based products within 4 hours of dosing. b. Alternative Therapies Liothyronine (T3): Rarely used, due to short half-life and risk of cardiovascular side effects. Combination T4/T3 therapy: Reserved for refractory cases where symptoms persist despite normal TSH. c. Special Considerations Myxedema Coma: Life-threatening hypothyroidism treated with IV levothyroxine (300-500 mcg), IV hydrocortisone if adrenal insufficiency is suspected, and supportive care (warming, ventilation, IV fluids). Subclinical Hypothyroidism: Treated if TSH > 10 mIU/L, symptomatic, or in pregnant women. --- Management of Hyperthyroidism 1. Etiology and Diagnosis Hyperthyroidism results from excessive thyroid hormone production. Common causes: Graves’ disease (autoimmune, most common cause) Toxic multinodular goiter Toxic adenoma Thyroiditis (subacute, silent, postpartum) Exogenous thyroid hormone intake Diagnosis involves: TSH levels: Suppressed in primary hyperthyroidism. Free T4 and T3 levels: Elevated. Thyroid autoantibodies: TSH receptor antibodies (TRAb) for Graves’ disease. Radioactive iodine uptake (RAIU) scan: High uptake: Graves’ disease, toxic adenoma. Low uptake: Thyroiditis, exogenous hormone intake. 2. Treatment Approaches a. Antithyroid Drugs (ATDs) Methimazole (MMI): Preferred due to longer half-life and fewer hepatotoxic effects. Propylthiouracil (PTU): Preferred in first trimester of pregnancy and thyroid storm. Dosing:
Dr.ANKUSH GOYAL  GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdfDr.ANKUSH GOYAL  GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdf
Dr.ANKUSH GOYAL GMC PATIALA HYPO AND HYPER THYROIDISM MCQ.pdf
Dr Ankush goyal
17 slides28 views
Type 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALA by Dr Ankush goyal, has 8 slides with 277 views.🔬 Introduction: Understanding Type IV Hypersensitivity Type IV hypersensitivity is a delayed-type hypersensitivity (DTH), unlike immediate hypersensitivity reactions (Types I-III). 🕒 It is T-cell mediated rather than antibody-driven. This means it involves CD4+ T helper cells (Th1, Th17) and CD8+ cytotoxic T cells rather than IgE, IgG, or IgM. 🦠 The response takes 24-72 hours after exposure to an antigen, which is why it is called delayed. ⏳ Examples include contact dermatitis, tuberculosis (TB) skin reactions, granulomatous inflammation, and transplant rejection. 🏥 --- 🧬 Pathophysiology: How It Works? 1. Sensitization Phase (First Exposure) 🏗️ The antigen (e.g., nickel, TB antigen, or poison ivy urushiol) is processed by antigen-presenting cells (APCs) like macrophages and dendritic cells. These APCs present the antigen on MHC-II molecules to naïve CD4+ T cells, activating them. ⚡ CD4+ T cells differentiate into Th1 (mainly) and Th17 cells, producing cytokines like IFN-γ and TNF-α. 2. Effector Phase (Second Exposure) 🎯 Upon re-exposure, memory Th1 cells release cytokines (IFN-γ, TNF-α, IL-2), activating macrophages. 🔥 Macrophages become hyperactivated, releasing enzymes, reactive oxygen species (ROS), and inflammatory mediators, leading to tissue destruction. 💣 In some cases, CD8+ T cells also get activated and kill infected or abnormal cells directly. 🗡️ --- 📌 Types of Type IV Hypersensitivity Reactions There are four major subtypes based on mechanisms and clinical presentations: 1️⃣ Contact Hypersensitivity (Eczema & Contact Dermatitis) 🤲🔴 Triggers: Poison ivy, nickel, latex, fragrances, hair dye. 🌿💍🧤 Mechanism: Small molecules (haptens) bind to skin proteins → APCs present them → Th1 cells activate macrophages → local inflammation and rash. Example: Poison ivy reaction (blisters, redness, itching). 2️⃣ Tuberculin-Type Hypersensitivity (Mantoux Test) 💉🦠 Triggers: Mycobacterium tuberculosis, Histoplasma, Brucella. Mechanism: Injected PPD (Purified Protein Derivative) activates memory Th1 cells → Macrophages release cytokines → Local induration and erythema within 48-72 hours. Example: Mantoux (PPD) Test for tuberculosis. 3️⃣ Granulomatous Hypersensitivity (Chronic Inflammation) 🦠⏳ Triggers: TB, Leprosy, Sarcoidosis, Crohn’s disease, Schistosomiasis. Mechanism: Persistent antigenic stimulation → Th1 cells release IFN-γ → Macrophages transform into epithelioid cells and multinucleated giant cells → Granuloma formation (walling off infection). Example: TB granuloma with caseous necrosis. 4️⃣ T-cell Mediated Cytotoxicity (Graft Rejection & Autoimmunity) 🏥⚔️ Triggers: Organ transplants, viral infections, Type 1 Diabetes, Hashimoto’s thyroiditis. Mechanism: CD8+ T cells recognize infected or foreign cells and kill them via perforins and granzymes.
Type 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALAType 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALA
Type 4 hypersensitivity reactions byvDR ANKUSH GOYAL GMC PATIALA
Dr Ankush goyal
8 slides277 views
Psychopharmacology questions .pdf by Dr ankush goyal by Dr Ankush goyal, has 17 slides with 79 views.Psychopharmacology: A Comprehensive Overview Introduction Psychopharmacology is the scientific study of the effects of drugs on mood, perception, cognition, and behavior. It involves the interaction of drugs with the nervous system, particularly the brain, to alter mental functions and treat psychiatric disorders. Psychopharmacology integrates principles from neuroscience, pharmacology, psychiatry, and psychology to develop effective treatments for mental illnesses such as depression, schizophrenia, anxiety, and bipolar disorder. History and Development The field of psychopharmacology has its roots in ancient medicine, where herbal remedies were used to treat mental disorders. Modern psychopharmacology began in the 20th century with the discovery of drugs such as chlorpromazine (antipsychotic) and imipramine (antidepressant), revolutionizing psychiatric care. Over time, research has led to the development of more targeted and effective drugs with fewer side effects. Neurotransmitter Systems and Drug Actions Psychotropic drugs exert their effects by modulating neurotransmitter systems in the brain. The major neurotransmitters involved include: Dopamine (DA): Associated with reward, motivation, and movement; implicated in schizophrenia and Parkinson’s disease. Serotonin (5-HT): Regulates mood, appetite, and sleep; targeted by antidepressants. Norepinephrine (NE): Involved in arousal and stress response; plays a role in depression and anxiety. Gamma-Aminobutyric Acid (GABA): The primary inhibitory neurotransmitter; targeted by anxiolytics and sedatives. Glutamate: The primary excitatory neurotransmitter; implicated in schizophrenia and cognitive function. Acetylcholine (ACh): Important for memory and learning; affected in Alzheimer’s disease. Classification of Psychotropic Drugs Psychotropic drugs can be classified based on their therapeutic use: 1. Antidepressants Used to treat depressive disorders, anxiety disorders, and other conditions. Selective Serotonin Reuptake Inhibitors (SSRIs): Fluoxetine, Sertraline, Citalopram Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): Venlafaxine, Duloxetine Tricyclic Antidepressants (TCAs): Amitriptyline, Imipramine Monoamine Oxidase Inhibitors (MAOIs): Phenelzine, Selegiline Atypical Antidepressants: Bupropion, Mirtazapine 2. Antipsychotics Used to manage schizophrenia, bipolar disorder, and psychotic disorders. Typical (First-Generation) Antipsychotics: Haloperidol, Chlorpromazine Atypical (Second-Generation) Antipsychotics: Risperidone, Olanzapine, Clozapine 3. Mood Stabilizers Used to treat bipolar disorder and mood dysregulation. Lithium: Effective for bipolar disorder Anticonvulsants: Valproate, Lamotrigine, Carbamazepine 4. Anxiolytics and Sedative-Hypnotics Used for anxiety and sleep disorders. Benzodiazepines: Diazepam, Lorazepam, Alprazolam Non-Benzodiazepine Hypnotics: Zolpidem, Eszopiclone Barbiturates: Phenobarbital (rarely used) Beta-Blockers: Propranolol
Psychopharmacology questions .pdf by Dr ankush goyalPsychopharmacology questions .pdf by Dr ankush goyal
Psychopharmacology questions .pdf by Dr ankush goyal
Dr Ankush goyal
17 slides79 views
Nervous System (Neurons and Neuroglia).pptx by PranaliChandurkar2, has 37 slides with 21 views.Nervous tissue comprises two types of cells—neurons and neuroglia. Neuroglia are smaller cells but they greatly outnumber neurons, perhaps by as much as 25 times. Neuroglia support, nourish, and protect neurons, and maintain the interstitial fluid that bathes them. Unlike neurons, neuroglia continue to divide throughout an individual’s lifetime. [Neurons does not undergo mitosis process because they lack centrioles.] Both neurons and neuroglia differ structurally depending on whether they are located in the central nervous system or the peripheral nervous system. These differences in structure correlate with the differences in function of the central nervous system and the peripheral nervous system. Neurons Neurons (nerve cells) possess electrical excitability, the ability to respond to a stimulus and convert it into an action potential. A stimulus is any change in the environment that is strong enough to initiate an action potential. Example: Outside of the body (touch, pain sensation) and Inside of the body (hormonal imbalance) An action potential (nerve impulse) is an electrical signal that propagates (travels) along the surface of the membrane of a neuron. It begins and travels due to the movement of ions (such as sodium and potassium) between interstitial fluid and the inside of a neuron through specific ion channels in its plasma membrane. Once begun, a nerve impulse travels rapidly and at a constant strength. Nerve impulses travel these great distances at speeds ranging from 0.5 to 130 meters per second. Parts of a Neuron Most neurons have three parts: (1) a cell body, (2) dendrites, and (3) an axon Classification of Neurons structural and functional features are used to classify the various neurons in the body. Structural Classification 1. Multipolar neurons usually have several dendrites and one axon Most neurons in the brain and spinal cord are of this type, as well as all motor neurons 2. Bipolar neurons have one main dendrite and one axon. They are found in the retina of the eye, the inner ear, and the olfactory area of the brain. 3. Unipolar neurons have dendrites and one axon that are fused together to form a continuous process that emerges from the cell body Neuroglia Neuroglia or glia make up about half the volume of the CNS. Their name derives from the idea of early histologists that they were the “glue” that held nervous tissue together. We now know that neuroglia are not merely passive bystanders but rather actively participate in the activities of nervous tissue. Generally, neuroglia are smaller than neurons, and they are 5 to 25 times more numerous. In contrast to neurons, glia do not generate or propagate action potentials, and they can multiply and divide in the mature nervous system. Of the six types of neuroglia, four—astrocytes, oligodendrocytes, microglia, and ependymal cells—are found only in the CNS. The remaining two types—Schwann cells and satellite cells—are present in the PNS.
Nervous System (Neurons and Neuroglia).pptxNervous System (Neurons and Neuroglia).pptx
Nervous System (Neurons and Neuroglia).pptx
PranaliChandurkar2
37 slides21 views

Poster: A Framework to Understand How Health Can Contribute to the Assessment of Extractive Industry Project Impacts

  • 1. A Framework to Understand how Health Can Contribute to the Assessment of Extractive Industry Project Impacts Patrick Harris, Ben Harris-Roxas Email: patrick.harris@unsw.edu.au | Phone +61 2 9612 0779 |Web http://www.hiaconnect.edu.au Mail: CHETRE, LMB 7103, Liverpool BC NSW 1871, Australia For More Harris P, Harris E, Thompson S, Harris-Roxas B, Kemp L. Human Health and Wellbeing in Environmental Impact Assessment in New South Wales, Australia: Auditing health impacts within environmental assessments of major projects , Environmental Impact Assessment Review, 29(5):310-318, 2009. doi:10.1016/j.eiar.2009.02.002 http://j.mp/aZAG8F Background Environmental impact assessment (EIA) is a powerful tool to consider the health impacts of extractive and other industry projects. However, EIA has consistently failed to incorporate these impacts either as determinants of health or traditional public health concerns like air quality or soil. What We Did In New South Wales, an Australian state that is home to more than 7 million people, we reviewed the content of 22 Major Project EIA reports and 24 government scoping documents, which are known as the Director-General’s Requirements: For whether they considered health or wellbeing explicitly, including health effects, health impacts, health risks and health hazards; For whether the broader determinants of health were assessed in the EIAs. This was done by categorising the impacts identified in the EIAs using a modified triple bottom line framework: Social impacts with potential to impact on human health, Economic impacts with potential to impact on health, Physical environmental impacts that may impact on health, Biological human impacts that can impact on health, and Other impacts with no impact on health; Each impact identified was also appraised for: Scope of impacts assessed, including cumulative impacts or the distribution of impacts; Follow-up actions, i.e. monitoring, mitigation measures, environmental management plans, etc; Whether it was assessed as positive, negative or no impact; The type of evidence used to make the assessment. So what? Other studies have found that health is poorly considered in EIAs, though investigation has mostly been limited to whether health is explicitly addressed. The broader analytic framework used in this study shows that EIAs routinely consider many of the broader determinants of health. This framework enables a more nuanced understanding of actual EIA practice. There is scope to strengthen the links made in EIAs between the changes to the broader determinants of health and health impacts, through improved use of health data and the development of practical, jurisdiction-specific guidance for EIA practitioners. The health sector will have an important role to play in progressing this. Framework for Analysing the Consideration of the Broader Determinants of Health within EIAs Social impacts that can impact on human health, Economic impacts that can impact on health, Physical environmental impacts that can impact on health, Biological human impacts that can impact on health, and Other impacts with no impact on health. Results Health was mentioned in some way in the majority of EIAs (n =18, total n=22). However, the number of references made to per document was small (n = 46 EIAs and Government Scoping Requirement documents, mean = 2.09 references per document). These references were further limited within the section of the EIAs that made an assessment of impacts (n = 16 references, mean = 0.63 references per document). In addition, where references were made, these were single items or sentences in all but one EIA. In contrast a range of impacts were coded under physical environmental impacts that in turn could impact on human health. While the majority of EAs also mentioned social impacts, economic impacts and biological human impacts, these impacts were mentioned less often and in less detail than physical environment impacts. However, more EA’s made more reference to social, economic and biological human impacts than were requested in the government scoping requirements (Director-General’s Requirements) issued to proponents .