Poster prepared for WHO Health Impact Assessment (HIA) Conference:
Urban development and extractive industries - What can HIA offer?
http://www.who.int/hia/conference/en/index.html
2014 strengthening health systems by health sector reforms ghRoger Zapata
7 slides•333 views
This document reviews the interactions between health sector reforms and health systems strengthening, with a focus on systems thinking. It presents a conceptual framework that identifies five points of interaction between reforms and health system functions: governance, finance, health workforce, health information, and supply management. These points contribute to the core function of health services delivery. The review finds that while reforms have improved some areas, like access to services, inequality still exists and quality must be monitored. Reforms to areas like governance, financing, and purchasing require strong institutional capacity. Overall, a systems approach is needed to optimize health systems and ensure populations benefit from reforms.
Synopsis: Impact of Health Systems Strengthening on HealthHFG Project
4 slides•209 views
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
Dr. Paul Halverson - Evidence-Based Policy Development in Public HealthJohn Blue
27 slides•1.2K views
Evidence-Based Policy Development in Public Health - Dr. Paul Halverson, Founding Dean and Professor, Indiana University Richard M. Fairbanks School of Public Health, from the 2013 NIAA Symposium Bridging the Gap Between Animal Health and Human Health, November 12-14, 2013, Kansas City, MO, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2013-niaa-antibiotics-bridging-the-gap-animal-health-human-health
Research Reveals Which Conditions Can Be Managed for Reduced CostsDr Ronald H Kienitz DO
3 slides•182 views
Dr. Ronald H. Kienitz, DO, an authority on workplace injuries and workers’ compensation, serves as the medical director for Concentra Medical Centers in Honolulu, Hawaii. In this position, Dr. Ronald H. Kienitz, DO, helps employers implement workplace programs to reduce injuries and increase employee wellness.
Research co-authored by IBI and A. Mark Fendrick, MD, co-director of the University of Michigan Center for Value-Based Insurance Design, stresses that understanding the full value of improved health, including improvements in workforce productivity, lost time and medical costs, is essential in helping employers make better choices about how much to invest in health care and where to invest it. The report notes that a focus only on medical-cost-offset results is unlikely to generate the bottom-line impact and incentives for healthy human capital investments that would be generated by a full-cost view.
The document discusses managing health risks and sustainability of health programs. It notes that both short-term emergency response and long-term sustainable planning are important for effective health management. While some health issues like smallpox eradication have been successfully managed through coordinated global efforts, addressing other issues like HIV/AIDS has proven more difficult to sustain over the long term due to challenges in securing reliable funding. The document also examines debates around vertical versus horizontal health programming approaches.
Howdy! Check this cool example of DNP captone project . To get more examples visit https://www.nursingcapstone.net/our-dnp-capstone-projects-writing-services/
Outcomes research examines the end results of health services on individuals and is intended to provide evidence to inform healthcare decisions. The Agency for Healthcare Research and Quality (AHRQ) and the Patient Centered Outcomes Research Institute (PCORI) conduct outcomes research to help healthcare professionals provide good outcomes for patients. This research aids in establishing evidence, translating evidence into tools and training, and implementing evidence into practice.
1) A medical director discusses a report released by the Medical Society Consortium on Climate and Health, which warns that climate change is harming public health.
2) The report aims to increase awareness that climate change poses immediate health risks to Americans from issues like extreme heat, weather events, declining air quality, and changing disease vectors.
3) It highlights stories from doctors who have seen increases in heat-related illnesses, mental health impacts from disasters, and tick-borne diseases - trends associated with a changing climate.
This document discusses climate change and its impacts on public health from the perspective of the American Lung Association. It outlines the Association's mission to improve lung health and prevent lung disease. It then summarizes the health effects of air pollution and climate change, including increased risks from ozone, wildfires, allergens and extreme weather. The document urges health professionals to educate themselves on these issues, support policies to address climate change and air pollution, and speak out through op-eds, interviews or other advocacy.
Australia spends much more on health care expenditure than on health promotion and prevention. Only 1.7% of total health expenditure in 2011-12 went to public health activities focused on prevention. However, chronic diseases place a large burden on the health system and are often preventable. More funding for prevention strategies could help control rising health costs by reducing rates of chronic illness. While some progress has been made, Australia still spends less on prevention than many other developed countries. Increased investment in primary care and prevention is needed to adequately address challenges from chronic diseases and an aging population.
This document summarizes Tyler Norris' keynote presentation at the 2017 Practical Playbook National Meeting in Washington DC on uniting forces to achieve a healthy nation. The presentation calls for boundary crossing leadership across issues, sectors, jurisdictions and generations to ease access to care and wellbeing supports. It emphasizes assessing social needs and making referrals a standard of care. The presentation shows how factors like housing, transportation and food insecurity impact health outcomes and discusses focusing interventions on both reach and intensity to improve population dose. It frames organizations as community anchors accountable for total health.
This document discusses prospectively identifying Medicaid-eligible adults who have high health care needs. It summarizes a study that tested whether self-reported health measures could serve as an alternative to claims data for predicting high-need individuals. The study found that measures of prior health care utilization, self-reported conditions, and health-related quality of life were predictive of outcomes like inpatient visits and high costs. It concludes that Medicaid agencies can use simple self-reported information to identify members for care coordination programs, without needing proprietary algorithms or claims histories.
The unintended consequences of combining equity measures with performance-bas...valéry ridde
12 slides•313 views
User fees and poor quality of care contribute to low use of healthcare services in Burkina Faso. The government implemented an innovative intervention that combines equity measures with performance-based financing (PBF). These health equity measures included a community-based selection of indigents to receive user fee exemptions and paying healthcare centres higher purchase prices for services provided to indigents. Research suggests complex interventions can trigger changes not targeted by program planners. To date, however, there is a knowledge gap regarding the unintended consequences that can emerge from combining PBF with health equity measures. Our objective is to document unintended consequences of the equity measures in this complex intervention.
This document summarizes a study that identified 223 asthma programs worldwide that met certain criteria. The study analyzed which programmatic factors were associated with positive health outcomes. 14 factors were found to be associated with outcomes like improved quality of life, fewer school absences, and fewer emergency department visits. The most commonly reported factors among programs were being clinically connected, responsive to local needs, continuously collaborative, and community centered.
Bobby Milstein, PhD, MPH, director of the ReThink Health and visiting scientist at MIT Sloan School of Management, gave the October 9 Grand Rounds on the Future of Public Health at Columbia's Mailman School of Public Health. Dr. Milstein's talk, "Beyond Reform and Rebound: Frontiers for Rethinking and Redirecting Health System Performance," was part of this year's Grand Rounds series focusing on the decline in the health status of the U.S. population compared to peer nations, as well as the opportunities for public health leadership that are needed to close this gap. While at the Mailman School, Dr. Milstein also met with a group of doctoral students and Prof. Ronald Bayer to discuss approaches to effectively improve health systems in the United States.
Visit the events page to find out more, http://www.mailman.columbia.edu/events/grand-rounds.
1) The document summarizes a study conducted by the Built Environment & Health Impact Assessment Unit to examine existing pedestrian and bicycle infrastructure in East Aldine, Texas to inform plans for a new Town Center.
2) The study involved pairs surveying 749 street segments using an adapted survey tool to collect data on pedestrian infrastructure from July 6-23, 2015.
3) The data will be analyzed and incorporated into a Health Impact Assessment to identify ways to improve active transportation and mobility in East Aldine through the development of the Town Center.
Housing improvements for health and associated socio-economic outcomes: What'...Health Evidence™
42 slides•1.4K views
Health Evidence hosted a 90 minute webinar that focused on changes in any health and associate socioeconomic outcomes following housing improvements. Key messages and implications for practice were presented on Tuesday May 20, 2013 at 11:30 am EDT.
This webinar focused on interpreting the evidence in the following review:
Thomson, H., Thomas, S., Sellstrom, E., and Petticrew, M (2013). Housing improvements for health and associate socioeconomic outcomes (Review). Cochrane Database of Systematic Reviews, 2013(2): Art. No:CD008657
Hilary Thomson, the review author, lead the webinar.
Matching ecohealth and One Health attributes for emerging infectious diseases...ILRI
1 slide•601 views
Multi-sectoral, socio-economic, collaborative systems-based (MSC) research approaches like Ecohealth and One Health have become popular for addressing complex health problems at human, animal, and environmental interfaces. This study examined how Ecohealth and One Health are described in policy documents and characterized their approaches. Keywords from the descriptions were analyzed using word clouds. Ecohealth emphasized cooperation across stakeholders, participatory and transdisciplinary work, and social and environmental influences on health. One Health focused on collaboration between health professionals for integrated disease prevention and surveillance. Country priorities for emerging infectious diseases in Asia aligned more with One Health's approach.
Understanding the Dynamics of Successful Health System Strengthening Interven...HFG Project
42 slides•276 views
This study will conduct case studies and a cross-case analysis of six successful health system strengthening interventions supported by USAID. The objectives are to understand how the interventions were implemented, identify factors that facilitated or constrained success, determine common factors across cases, and provide recommendations for future interventions. The study will involve selecting cases, conducting case studies using documents and interviews, analyzing common themes across cases, and developing policy recommendations. A technical advisory group will provide input to ensure the study addresses USAID priorities and evidence needs.
This document discusses methods for calculating epidemiological rates and ratios. It defines key terms like incidence rate, prevalence rate, adjusted rate, and relative risk ratio. It also provides instructions on how to calculate rates, sensitivity, and specificity. Specific types of rates are described, such as period prevalence and incidence density. Methods for comparing rates between exposed and unexposed groups are presented.
Heritage Health Prize De-identification - Poster for ASA Statistical Practice...lukarbuckle
1 slide•151 views
Original Paper:
El Emam K, Arbuckle L, Koru G, Eze B, Gaudette L, Neri E, Rose S, Howard J, Gluck J, De-identification Methods for Open Health Data: The Case of the Heritage Health Prize Claims Dataset, J Med Internet Res 2012;14(1):e33
URL: http://www.jmir.org/2012/1/e33/
CAFA poster presented at CSHL Genome Informatics 2013Iddo
1 slide•865 views
Critical Assessment of Function Annotations (CAFA) is a multi-year experiment to evaluate protein function prediction methods. CAFA 1 involved 23 research groups predicting functions for proteins as they gained experimental validation over 10 months. CAFA 2 will involve more communities and assess methods on additional ontologies like cellular component and human phenotype. CAFA provides a framework to understand and improve computational function prediction by challenging methods and assessing their performance on benchmark proteins as experimental data becomes available.
This document summarizes the Public Health Talk initiative established by Cobb and Douglas Public Health to educate healthcare providers about reportable diseases. It acknowledges the support received from various individuals and departments. The purpose was to informally meet with healthcare staff to discuss the notifiable disease list, emerging infectious diseases, outbreaks, STI guidelines and provide relevant materials. Talks covered topics like Ebola, measles, hepatitis, rabies and provided resources. Lessons learned included some facilities previously unaware of reporting requirements and positive feedback was received. The goal is to expand these talks to more specialty providers and develop disease-specific tools and resources.
1) A medical director discusses a report released by the Medical Society Consortium on Climate and Health, which warns that climate change is harming public health.
2) The report aims to increase awareness that climate change poses immediate health risks to Americans from issues like extreme heat, weather events, declining air quality, and changing disease vectors.
3) It highlights stories from doctors who have seen increases in heat-related illnesses, mental health impacts from disasters, and tick-borne diseases - trends associated with a changing climate.
This document discusses climate change and its impacts on public health from the perspective of the American Lung Association. It outlines the Association's mission to improve lung health and prevent lung disease. It then summarizes the health effects of air pollution and climate change, including increased risks from ozone, wildfires, allergens and extreme weather. The document urges health professionals to educate themselves on these issues, support policies to address climate change and air pollution, and speak out through op-eds, interviews or other advocacy.
Australia spends much more on health care expenditure than on health promotion and prevention. Only 1.7% of total health expenditure in 2011-12 went to public health activities focused on prevention. However, chronic diseases place a large burden on the health system and are often preventable. More funding for prevention strategies could help control rising health costs by reducing rates of chronic illness. While some progress has been made, Australia still spends less on prevention than many other developed countries. Increased investment in primary care and prevention is needed to adequately address challenges from chronic diseases and an aging population.
This document summarizes Tyler Norris' keynote presentation at the 2017 Practical Playbook National Meeting in Washington DC on uniting forces to achieve a healthy nation. The presentation calls for boundary crossing leadership across issues, sectors, jurisdictions and generations to ease access to care and wellbeing supports. It emphasizes assessing social needs and making referrals a standard of care. The presentation shows how factors like housing, transportation and food insecurity impact health outcomes and discusses focusing interventions on both reach and intensity to improve population dose. It frames organizations as community anchors accountable for total health.
This document discusses prospectively identifying Medicaid-eligible adults who have high health care needs. It summarizes a study that tested whether self-reported health measures could serve as an alternative to claims data for predicting high-need individuals. The study found that measures of prior health care utilization, self-reported conditions, and health-related quality of life were predictive of outcomes like inpatient visits and high costs. It concludes that Medicaid agencies can use simple self-reported information to identify members for care coordination programs, without needing proprietary algorithms or claims histories.
The unintended consequences of combining equity measures with performance-bas...valéry ridde
12 slides•313 views
User fees and poor quality of care contribute to low use of healthcare services in Burkina Faso. The government implemented an innovative intervention that combines equity measures with performance-based financing (PBF). These health equity measures included a community-based selection of indigents to receive user fee exemptions and paying healthcare centres higher purchase prices for services provided to indigents. Research suggests complex interventions can trigger changes not targeted by program planners. To date, however, there is a knowledge gap regarding the unintended consequences that can emerge from combining PBF with health equity measures. Our objective is to document unintended consequences of the equity measures in this complex intervention.
This document summarizes a study that identified 223 asthma programs worldwide that met certain criteria. The study analyzed which programmatic factors were associated with positive health outcomes. 14 factors were found to be associated with outcomes like improved quality of life, fewer school absences, and fewer emergency department visits. The most commonly reported factors among programs were being clinically connected, responsive to local needs, continuously collaborative, and community centered.
Bobby Milstein, PhD, MPH, director of the ReThink Health and visiting scientist at MIT Sloan School of Management, gave the October 9 Grand Rounds on the Future of Public Health at Columbia's Mailman School of Public Health. Dr. Milstein's talk, "Beyond Reform and Rebound: Frontiers for Rethinking and Redirecting Health System Performance," was part of this year's Grand Rounds series focusing on the decline in the health status of the U.S. population compared to peer nations, as well as the opportunities for public health leadership that are needed to close this gap. While at the Mailman School, Dr. Milstein also met with a group of doctoral students and Prof. Ronald Bayer to discuss approaches to effectively improve health systems in the United States.
Visit the events page to find out more, http://www.mailman.columbia.edu/events/grand-rounds.
1) The document summarizes a study conducted by the Built Environment & Health Impact Assessment Unit to examine existing pedestrian and bicycle infrastructure in East Aldine, Texas to inform plans for a new Town Center.
2) The study involved pairs surveying 749 street segments using an adapted survey tool to collect data on pedestrian infrastructure from July 6-23, 2015.
3) The data will be analyzed and incorporated into a Health Impact Assessment to identify ways to improve active transportation and mobility in East Aldine through the development of the Town Center.
Housing improvements for health and associated socio-economic outcomes: What'...Health Evidence™
42 slides•1.4K views
Health Evidence hosted a 90 minute webinar that focused on changes in any health and associate socioeconomic outcomes following housing improvements. Key messages and implications for practice were presented on Tuesday May 20, 2013 at 11:30 am EDT.
This webinar focused on interpreting the evidence in the following review:
Thomson, H., Thomas, S., Sellstrom, E., and Petticrew, M (2013). Housing improvements for health and associate socioeconomic outcomes (Review). Cochrane Database of Systematic Reviews, 2013(2): Art. No:CD008657
Hilary Thomson, the review author, lead the webinar.
Matching ecohealth and One Health attributes for emerging infectious diseases...ILRI
1 slide•601 views
Multi-sectoral, socio-economic, collaborative systems-based (MSC) research approaches like Ecohealth and One Health have become popular for addressing complex health problems at human, animal, and environmental interfaces. This study examined how Ecohealth and One Health are described in policy documents and characterized their approaches. Keywords from the descriptions were analyzed using word clouds. Ecohealth emphasized cooperation across stakeholders, participatory and transdisciplinary work, and social and environmental influences on health. One Health focused on collaboration between health professionals for integrated disease prevention and surveillance. Country priorities for emerging infectious diseases in Asia aligned more with One Health's approach.
Understanding the Dynamics of Successful Health System Strengthening Interven...HFG Project
42 slides•276 views
This study will conduct case studies and a cross-case analysis of six successful health system strengthening interventions supported by USAID. The objectives are to understand how the interventions were implemented, identify factors that facilitated or constrained success, determine common factors across cases, and provide recommendations for future interventions. The study will involve selecting cases, conducting case studies using documents and interviews, analyzing common themes across cases, and developing policy recommendations. A technical advisory group will provide input to ensure the study addresses USAID priorities and evidence needs.
This document discusses methods for calculating epidemiological rates and ratios. It defines key terms like incidence rate, prevalence rate, adjusted rate, and relative risk ratio. It also provides instructions on how to calculate rates, sensitivity, and specificity. Specific types of rates are described, such as period prevalence and incidence density. Methods for comparing rates between exposed and unexposed groups are presented.
Heritage Health Prize De-identification - Poster for ASA Statistical Practice...lukarbuckle
1 slide•151 views
Original Paper:
El Emam K, Arbuckle L, Koru G, Eze B, Gaudette L, Neri E, Rose S, Howard J, Gluck J, De-identification Methods for Open Health Data: The Case of the Heritage Health Prize Claims Dataset, J Med Internet Res 2012;14(1):e33
URL: http://www.jmir.org/2012/1/e33/
CAFA poster presented at CSHL Genome Informatics 2013Iddo
1 slide•865 views
Critical Assessment of Function Annotations (CAFA) is a multi-year experiment to evaluate protein function prediction methods. CAFA 1 involved 23 research groups predicting functions for proteins as they gained experimental validation over 10 months. CAFA 2 will involve more communities and assess methods on additional ontologies like cellular component and human phenotype. CAFA provides a framework to understand and improve computational function prediction by challenging methods and assessing their performance on benchmark proteins as experimental data becomes available.
This document summarizes the Public Health Talk initiative established by Cobb and Douglas Public Health to educate healthcare providers about reportable diseases. It acknowledges the support received from various individuals and departments. The purpose was to informally meet with healthcare staff to discuss the notifiable disease list, emerging infectious diseases, outbreaks, STI guidelines and provide relevant materials. Talks covered topics like Ebola, measles, hepatitis, rabies and provided resources. Lessons learned included some facilities previously unaware of reporting requirements and positive feedback was received. The goal is to expand these talks to more specialty providers and develop disease-specific tools and resources.
Improving Disease Surveillance in the United States Using Companion Animal DataPamela Okerholm
1 slide•192 views
This poster was created for the Engineered Solutions course in partial fulfillment of the MS in Conservation Medicine program at the Cummings School of Veterinary Medicine at Tufts. It describes the "Veterinary Health Event Reporter" as a proposed technological solution to improving data sharing between agencies involved with zoonotic disease outbreaks.
This document discusses the implementation of a telepharmacy system called FlexCheck at two remote military clinic pharmacies with few on-site pharmacists. The objective was to determine if FlexCheck could provide pharmacist coverage to the remote sites. Methods included configuring FlexCheck within the Parata Pharmacy 2000 system to allow pharmacists to remotely verify prescriptions using a webcam and headset. Over three months, the number of prescriptions checked remotely increased significantly. The conclusion is that FlexCheck is an effective way to provide pharmacist services and optimize resources for small pharmacies with few on-site pharmacists.
The document summarizes a research project analyzing health disparities in Pioneer Homes, a residential complex near SUNY Upstate Medical University. The study found higher than average rates of asthma, dental problems, and certain cancers in Pioneer Homes residents based on analysis of electronic medical records. It recommends interventions focused on tobacco cessation, improved access to healthcare, and cancer screening. The SUNY Upstate Office of Diversity and Inclusion works with programs like the Healthy Neighbors Partnership and Resident Health Advocates to promote public health and address disparities in underserved communities like Pioneer Homes.
The implementation of a Home Delivery Mail Pharmacy (HDMP) program at William Beaumont Army Medical Center (WBAMC) led to several changes:
1) There was a significant decrease in the number of prescriptions and patients at the retail pharmacy, but no significant change in the number of retail prescriptions.
2) There was a significant increase in the number of prescriptions filled through the HDMP program and patient satisfaction scores.
3) Wait times and the number of total prescriptions and patients decreased at the main outpatient pharmacies after implementing the HDMP program.
This study examines whether time trade-off (TTO) valuations of health states from the EQ-5D-5L descriptive system depend on whether "full health" or the best possible health state in the system (11111) is used as the comparator state. Half of respondents valued health states using full health as the comparator, while the other half used 11111. The results found that the valuation data were not greatly affected by the choice of comparator state. Values for mild health states were also not statistically different between the groups. This suggests that TTO valuations may not be strongly influenced by whether full health or the best state in the system is used as the reference.
Nearly half of American adults have chronic illnesses, which account for 80% of healthcare spending. Congestive heart failure (CHF) is a costly chronic disease to treat. The document discusses how telehealth programs that monitor CHF patients daily using devices have improved health outcomes and lowered costs. It provides evidence that telehealth can effectively manage CHF through remote monitoring, reducing emergency visits and hospitalizations while improving health.
Patient-Generated Data for Cancer Treatment and ManagementTommy Snitz
1 slide•171 views
Research poster created by myself and Matthew Villarreal while we were students of The University of Texas at Austin's Health Informatics and Health IT Program.
Looks into the benefits and challenges of using patient-generated data in cancer treatment and management
This study analyzed EMS data from 2011 to determine the annual number of diabetes-related 911 calls in the US and how many received only basic life support. The analysis found an estimated 368,250 hypoglycemic-related runs nationally each year, with 122,700 receiving only basic life support. Examining North Carolina EMS data, about 41,174 runs were diabetes-related, with 16,551 being hypoglycemic. The results suggest expanding interventional capabilities for laypeople and EMTs could improve response to hypoglycemic emergencies.
NEAFCS 2015 Poster-Personal Health and Finance Quiz-11-15Barbara O'Neill
1 slide•493 views
The document describes a new online self-assessment tool called the Personal Health and Finance Quiz developed by Rutgers Cooperative Extension to help Americans improve their personal health and finances. The quiz contains questions about daily health and financial habits and provides individual scores in each area as well as an overall score. The objectives of the quiz are to provide feedback to users, collect research data to inform educational programs, and evaluate the impact of financial literacy programs that use the quiz. The full text of the 20-question quiz is also included.
GIEP - Be Well - Poster for Indo-Global Health Conferencejessicalroch
1 slide•496 views
This document discusses a project to understand how global data management standards can be applied in the Indian healthcare context and propose modifications. The project team is working with Be Well Hospitals in India and partners to define quality care delivery and develop a data infrastructure strategy. Through user research, they found that data collection is paper-based and inconsistent across units. Their proposed strategy emphasizes standardization, intuitive templates, backup plans for low connectivity, balancing technology and user needs, and developing technology that reflects natural processes.
The document summarizes the work of the Department of Learning Health Sciences at the University of Michigan, which focuses on continuous learning and improvement at both the organizational and individual level in healthcare systems. It describes the concept of a Learning Health System, which uses data and analytics from every patient encounter to rapidly study and adapt the system. The department is working to create a scalable and replicable diabetes-focused Learning Health System within the University of Michigan Health System through engaging stakeholders across the university and convening symposia. The goal is to establish learning cycles and a supporting platform that enables efficient continuous learning and improvement.
1) Kalypsys has developed various analytical informatics solutions to improve efficiency and data communication for analytical chemists. These include managers for bioanalytical work, sample storage, report generation, and assay data handling.
2) Further development of these solutions aims to increase automation, throughput and integration across different tools and data sources. This includes improving sample management, report generation from multiple data sources, and transitioning assays like solubility and PAMPA to higher throughput.
3) Effective communication between analytical chemistry and informatics teams, including documentation and testing of informatics solutions, was key to the successful development and implementation of these analytical tools.
A survey of 381 pharmacy students at MCPHS University found that while most students believed topics like diet, exercise, and stress management were important for health, many did not follow recommended behaviors in these areas themselves. Second-year students felt more confident counseling patients on diet and exercise compared to first-years. The survey aimed to understand student perceptions of lifestyle habits and confidence providing recommendations to patients.
Health Impact Assessment - INPES Journées de la prévention 2015Ben Harris-Roxas
44 slides•1.4K views
This document provides an overview of health impact assessment (HIA). It discusses the evolution of HIA from environmental assessments in the 1950s-1970s to the current focus on health equity. HIAs can be mandated, used for decision support, or led by advocacy groups/communities. The document outlines the key components of HIAs and common health impacts assessed. It also discusses challenges like the perception that HIAs are expensive and time-consuming, and notes they can be done rapidly. The document concludes with resources for further information on HIA practice.
This document provides an overview of health impact assessment (HIA). It discusses what HIA is, how it has evolved over time, how HIAs are typically conducted, challenges in evaluating HIAs, and lessons learned. Some key points include:
- HIA is a process that evaluates the potential health effects of policies, plans, and projects. It aims to identify both positive and negative impacts on health and reduce health inequalities.
- The practice of HIA has expanded from environmental assessments in the 1970s to a broader approach incorporating social and economic determinants of health. It exists in various forms for different purposes.
- Conducting an HIA involves scoping, assessment, recommendations, and monitoring. It
RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...Rail~Volution
16 slides•3.7K views
Two centuries ago, the synergies between the development of cities and public health were evident -- even lifesaving: Better infrastructure prevented infectious diseases. Land use ordinances protected citizens from hazardous industrial exposures. During the 20th century, the disciplines drifted apart. Today health has, once again, become an extremely important element in building livable communities. How can you measure how your project impacts the health of a community? Health impact assessments (HIAs) are innovative tools. Learn how to incorporate an HIA into your existing decision-making processes, increase interdepartmental collaboration and strengthen community engagement initiatives. In addition, gain usable experience from two HIA case studies in Florida and Minnesota: a transit alternatives analysis and a station area plan.
Moderator: Thomas Waldron, Transit Market Sector Director, HDR, New York, New York
Lyssa Leitner, Transportation Planner, Washington County, Stillwater, Minnesota
Gabriella Arismendi, Transportation Planner, MetroPlan, Orlando, Florida
Michael Musso, Senior Project Manager and Risk Assessor, HDR, Mahwah, New Jersey
Key Element 4 Increase Upstream InvestmentsA population health .docxtawnyataylor528
113 slides•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 ...
The Impact of Public Health on Health Systems (www.kiu.ac.ug)publication11
4 slides•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 Planning (www.kiu.ac.ug)publication11
5 slides•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 Role of Public Health in Promoting Health Standards (www.kiu.ac.ug)publication11
4 slides•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.
Series294 www.thelancet.com Vol 380 July 21, 2012L.docxklinda1
61 slides•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 .
Bearing the Burden - Health Implications of Environmental Pollutants in Our B...v2zq
16 slides•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 ~
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.
The Rockefeller Foundation–Lancet Commission on Planetary Health: Safeguardin...The Rockefeller Foundation
56 slides•11.4K 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.
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docxbagotjesusa
43 slides•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.
2013 optimising workplace interventions for health and well-being a comme...Pamela Bobadilla Burgos
26 slides•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.
Linking political exposures to child and maternal health outcomes a realist r...Araz Taeihagh
16 slides•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
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.
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
A realist synthesis to develop an explanatory model of how policy instruments...Araz Taeihagh
12 slides•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.
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 ...
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.
Online discussions with classmates are fruitful: Fostering postgraduate colla...Ben Harris-Roxas
13 slides•308 views
Heywood, A., & Harris-Roxas, B. (2020, November 19). “Online discussions with classmates are fruitful”: Fostering postgraduate collaborative learning using an assessable asynchronous peer-led discussion forum. UNSW 2020 Learning and Teaching Forum – “Learning without limits: Leading the change”, Sydney.
Use of translation apps and websites in health care settingsBen Harris-Roxas
36 slides•585 views
The convenience and immediacy of translation apps is appealing, however this needs to be balanced against the need for quality translation. This study provides the amongst the first empirical evidence internationally on the extent and nature of the use of translation apps in health care settings. The findings may inform guideline development and policy responses.
Use of translation apps and websites in health care settingsBen Harris-Roxas
21 slides•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 ConferenceAdelaide, 12-13 July 2019
Health impact assessments of health sector proposalsBen Harris-Roxas
13 slides•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.
Health impact assessment as a tool to promote urban health the experience in...Ben Harris-Roxas
45 slides•285 views
This document summarizes Ben Harris-Roxas' presentation on the development and use of health impact assessment (HIA) tools in Australia over the past 15 years. Some key points:
1. HIA was introduced in Australia in the 1990s/2000s and has been used in over 45 assessments, primarily by local governments and health agencies, to evaluate potential health impacts of projects and policies.
2. A case study of the Green Square urban development project in Sydney is described, where an HIA examined impacts on housing, transportation, air quality, and especially child health. Recommendations focused on schools, recreation facilities, and child-friendly design.
3. Lessons from 15 years of
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
20 slides•722 views
The document summarizes research using the Patient Activation Measure (PAM) to improve quality of care for patients with chronic conditions. The PAM gauges a patient's knowledge, skills, and confidence in managing their own health. The research included a literature review finding the PAM has been used to tailor care and assess risk profiles. A retrospective audit in one local health district found the PAM score improved after a pulmonary rehabilitation program. A pilot study is currently testing using the PAM in clinical practice to improve quality of care. Barriers and facilitators to implementing the PAM as a tailoring tool are being examined.
This document summarizes a health impact assessment of the Green Square urban renewal project in Sydney, Australia. Green Square is a high-density brownfield development that will eventually be home to 61,000 residents and 21,000 jobs. The assessment focuses on potential impacts to children, including exposure to traffic, air pollution, and lack of green space. It recommends urgent investment in schools, recreational facilities, and infrastructure to promote safe walking and cycling. Maintaining building codes to allow space for children's play, bikes, and outdoor areas is also suggested.
Equity focused health impact assessment - The role of the health system in re...Ben Harris-Roxas
12 slides•627 views
This document provides an overview of equity focused health impact assessments (EFHIAs), including examples of EFHIAs that have been conducted, what factors contribute to their effectiveness, and opportunities and challenges for their use within health systems. EFHIAs aim to consider how policies and programs may differentially impact health equity and identify determinants of health inequities. Structured EFHIA processes, identifying assumptions, transparency around trade-offs, and aligning with implementation can help ensure their effectiveness, while challenges include additional complexity, lack of shared understanding and organizational commitment. The role of EFHIA in health systems was discussed.
Effectiveness of HIAs in Australia and New ZealandBen Harris-Roxas
13 slides•956 views
This study examined the effectiveness of health impact assessments (HIAs) conducted in Australia and New Zealand between 2005 and 2009. The researchers identified 55 HIAs and surveyed those involved to assess the level of effectiveness. They also conducted 11 in-depth case studies. The study found that 89% of HIAs were directly or generally effective in changing decisions, with factors like support from decision-makers, community engagement, and timely involvement increasing effectiveness. While no single factor guarantees success, the study demonstrates that HIAs can be an effective tool to incorporate health considerations into public policy decisions.
Using social media for messaging about healthy eating and active livingBen Harris-Roxas
95 slides•2.3K views
This document provides an overview of using social media for messaging about healthy eating and active living. It discusses what social media is, trends in social media use in Australia and internationally, and examples of effective social media strategies. Key points include:
- Social media allows for user-generated content and sharing on platforms like Facebook, YouTube, and Twitter. Usage in Australia is high, especially among younger age groups.
- Effective social media strategies for health promotion include collaborative projects, organizational websites, Twitter, blogs, YouTube videos, and Facebook pages. Case studies show benefits of integration with other campaigns.
- Challenges include evaluating impact, as well as reaching priority groups like rural communities, older adults, people with disabilities, and
The document provides an overview of health impact assessment (HIA) and discusses Ben Harris-Roxas' experience conducting HIAs since 2003, how HIA fits within environmental health and the social determinants of health, the typical steps involved in an HIA, and examples of different types of proposals and policies that HIAs have been applied to.
The document discusses social media and its role as either a friend or foe. It covers the major social media platforms like Facebook and Twitter and their use among different age groups. While social media enables two-way communication, broadcast media still has relevance. Both opportunities and risks exist with social media, including amplification and shifting relationships. Government agencies can effectively use social media depending on their approach, such as internal communication, broadcast, or broader engagement.
Health Impact Assessment: A triumph over common sense?Ben Harris-Roxas
24 slides•1.5K views
This document summarizes a presentation on evaluating the effectiveness of health impact assessments (HIAs). It discusses how perceptions of HIA effectiveness are complex and can be affected by narrative fallacy and creeping determinism. It advocates for prospective evaluations of HIAs that collect data before, during, and after to address these issues, and comparative studies of similar proposals with and without HIAs. HIAs of health proposals are particularly important to demonstrate their ability to change understanding within the health sector and promote health in all policies. While HIA recommendations may seem like common sense, common sense is not always common and HIA can help address issues in a timely manner.
Popular or political? Trade-offs in health impact assessentBen Harris-Roxas
15 slides•338 views
This document summarizes findings from the first phase of an Australia-New Zealand study on the effectiveness of health impact assessments (HIAs). It presents data on levels of community involvement and controversy in HIAs. The data show that most HIAs involved community participation but also faced some level of controversy. HIAs that involved communities and faced higher controversy were less likely to directly influence decisions but more likely to raise general awareness. The relationship between participation, controversy and effectiveness is complex with many trade-offs to consider. An example from Lithgow, Australia is provided to illustrate these trade-offs.
Health Impact Assessment: Fit for more than one purposeBen Harris-Roxas
18 slides•441 views
This document discusses typologies and theories of health impact assessment (HIA). It presents a typology that categorizes HIAs into four forms based on their purpose: mandated, decision support, advocacy, and community-led. It also discusses three different types of learning that can result from HIAs - technical, conceptual, and social. The document emphasizes that the purpose and potential learning outcomes should be considered when evaluating the effectiveness of HIAs.
HIA emerged from the fields of environmental health, the social view of health, and a focus on health equity. It combines procedures, methods and tools to assess potential health impacts of policies, programs and projects. Key milestones in the development of HIA included environmental disasters in the 1950s-60s that highlighted links between the environment and health, and reports from the 1970s-80s that emphasized social and environmental determinants of health and health inequities. Formal HIA practice arose in the 1990s and 2000s with the goal of considering health impacts and equity earlier in the decision making process.
Health impact assessment (HIA) is a combination of procedures, methods and tools to judge the potential health effects of policies, programs or projects on a population. An HIA identifies how proposals affect health and wellbeing, who they affect, and what can be done to maximize benefits and minimize harms. The steps of an HIA include screening, scoping, identification, assessment, recommendations, and evaluation/monitoring. An HIA considers both intended and unintended effects and how impacts are distributed across populations based on factors like age, gender, socioeconomic status and location.
Health Impact Assessment: An overview of practice worldwideBen Harris-Roxas
11 slides•1.1K views
Health impact assessment (HIA) originated from environmental health, social views of health, and health equity. HIA has evolved differently than environmental impact assessment, expanding to include strategic assessment processes. There are several approaches countries take to institutionalizing HIA, including requiring health be considered in environmental impact assessments, requiring stand-alone HIAs for certain project types, and giving health authorities rights to conduct HIAs when deemed necessary. HIA practice has spread worldwide over the past several decades.
Chongyi to Sydney: Collaboration in research and translationBen Harris-Roxas
21 slides•441 views
1) The collaboration between an Australian researcher and a Chinese researcher was initially formed to meet funding requirements, but both saw opportunities to learn from each other's health systems and engage in joint research.
2) Over time, they recognized common problems in rural primary healthcare in both countries and potential for new ideas through collaboration. They worked to overcome barriers like lack of understanding of each other's contexts through visits and discussions.
3) The researchers co-authored several papers analyzing the impacts and lessons learned from a model for community health services in rural China. Their collaboration helped improve understanding between the countries and inform ongoing research on primary healthcare reform internationally.
This document provides background on a presentation about the current state of health impact assessment (HIA). It discusses the history and evolution of HIA from three origins - environmental health, social view of health, and health equity. Key events and documents that shaped the development of HIA are presented, such as the Gothenburg Consensus Paper which identified important values like democracy, equity, and sustainable development. The document also discusses current approaches to HIA internationally and notes challenges like scoping impacts, strength of evidence used, and appropriate resourcing of HIAs.
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
Lifestyle Medicine Overview 2025 PresentationLeslie Casey
87 slides•60 views
Lifestyle medicine can address up to 80% of chronic diseases. A lifestyle medicine approach to population care has the potential to arrest the decades-long rise in the prevalence of chronic conditions and their burdensome costs. Patient and provider satisfaction often results from a lifestyle medicine approach, which strongly aligns the field with the Quintuple Aim of better health outcomes, lower cost, improved patient satisfaction, improved provider well-being, and advancement of health equity, in addition to its alignment with planetary health. Lifestyle medicine is the foundation for a redesigned, value-based and equitable healthcare delivery system, leading to whole person health.
TRACHEOESOPHAGEAL FISTULA.pdf FOR NURSING STUDENTSKIRAN KARETHA
9 slides•60 views
Tracheoesophageal fistula is an abnormal connection between the
trachea and esophagus.
It occurs in 1 in 3,500 births
Type A (esophageal atresia)
Type B (esophageal atresia with proximal fistula)
Type C (esophageal atresia with Distal fistula)
Type D (esophageal atresia with proximal and distal fistula)
Type E (H- typed fistula)
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
Homology modelling and generation of 3D-structure of protein (G).pptxGarimaSingh204707
15 slides•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.
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.
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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.
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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:
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.
VENTILATORS.pptx FOR NURSING STUDENTS CREATED BY KIRAN KARETHAKIRAN KARETHA
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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
🔬 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. 🏥
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🧬 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. 🗡️
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📌 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.
DIFFERENTIAL DIAGNOSIS OF BASAL & PARAMEDICAL PROFESSES, PULMONARY DISSEMINAT...Ankur Verma
12 slides•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.
Prescribing for Heart Failure: A Guide for MBBS StudentsShivankan Kakkar
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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.
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
Psychopharmacology questions .pdf by Dr ankush goyalDr Ankush goyal
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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
CROUP.pdf FOR NURSING STUDENTS CREATED BY KIRAN KARETHAKIRAN KARETHA
4 slides•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.
Approach to anemia , classification, investigations casesFatimahRaad
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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
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.
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 .