DOCSLIB.ORG

Conference Program and Abstracts

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Conference Program and Abstracts Programme and Abstract Book Palliative Care and Universal Health Coverage 6th International African Palliative Care Conference 17-20 SEPTEMBER 2019 Kigali, RWANDA HOSTED BY African Palliative Care Association and the R e g l i in e r Ministry of Health of the Republic of Rwanda vi fe ng uf Pain and S Palliative Care and Universal Health Coverage Contents Welcome and message from the Conference Hosts 04 Welcome and Message from the Minister of Health of the Republic of Rwanda 04 Welcome and Message from the Executive Director of the African Palliative Care Association 05 Acknowledgements 06 Sponsors 06 Abstract reviewers 07 Conference organising committees 08 Conference programme 09 Pre-conference activities 09 Pre-conference sessions 09 Main Conference Programme 10 Wednesday 18th September 2019 10 Thursday 19th September 2019 15 Friday 20th September 2019 24 Snapshot sessions programme 28 Wednesday 18th September 2019 28 Thursday 19th September 2019 31 Social Programme 32 Map of Kigali Convention Centre 34 Plenary Speakers: Biographical Sketches 36 Oral Presentations 52 Workshops 100 3 6th International African Palliative Care Conference Hosted by African Palliative Care Association and the Ministry of Health of the Republic of Rwanda Welcome and Message from the Minister of Health of the Republic of Rwanda Dr Diane Gashumba Minister of Health Republic of Rwanda Dear Delegates, I warmly welcome you to Rwanda on behalf of the Government of Rwanda. As we gather for the 3rd African Ministers of Health Session on Palliative Care and the 6th International African Palliative Care Conference, the Ministry of Health of Rwanda and the African Palliative Care Association (APCA) warmly welcome you to Kigali Convention Centre and Rwanda, the country. The conference theme Palliative Care and Universal Health Coverage (UHC) comes at an opportune moment as countries across Africa are working on national UHC plans, policies and programmes. This conference will remind us of our shared obligation of ensuring that all people, especially the marginalised and most vulnerable members of our society have access to all essential health services, without being impoverished. It is at this conference that we will reflect on fulfilling the UHC principles of ‘leaving no one behind’, including those facing the adversity that comes with serious life-limiting and life-threatening illnesses. Our deliberations at this conference and the research evidence to be shared will enable most of the delegates to engage meaningfully with governments to include palliative care and all other essential health services – promotive, preventive, treatment and rehabilitation in national UHC plans and national health programmes. We therefore look forward to a very productive time at the conference and we hope every delegate will be empowered to play their rightful roles in the respective countries to make palliative care in UHC a reality, along with other essential health services. Murakoze cyane. Asanteni sana. Merci beaucoup. Thank you very much. 4 Palliative Care and Universal Health Coverage Welcome and Message from the Executive Director of the African Palliative Care Association Dr Emmanuel Luyirika Executive Director African Palliative Care Association Our dear Delegates, I warmly welcome you to the 3rd African Minister’s of Health Session on Palliative Care and the 6th International African Palliative Care Conference here in Kigali, Rwanda. I would like to thank the Government of the Republic of Rwanda for the collaboration and hosting these important events for Africa. The focus of this conference on “Palliative care and Universal Health Coverage” is very timely in Africa. Palliative care addresses the pain and suffering associated with serious chronic illnesses, throughout the disease trajectory from the point of diagnosis through end of life care, for those who succumb to these conditions. Each year, an estimated 40 million people are in need of palliative care and only about 14% currently receive it. Majority of those who need this service (78%) live in low- and middle-income countries. Although it is a key component and one of the essential health services defined in UHC, majority of adults and children who need this care do not access it in Africa. The lack of access to palliative care has significant impact on families, the health systems and economy. It affects population health and therefore productivity, resulting from disabilities and the care giving burden at the family and community level. This conference is organised to enable us share research evidence, best practices, challenges, solutions and innovations through which access to palliative care, and other essential health services can be improved. The management of serious chronic illnesses is very costly. Therefore, UHC is best placed to ensure that all those who need palliative care in Africa are able to access it without experiencing financial hardship. I hope that we will all leave this conference with renewed inspiration and better equipped to ensure that those with serious chronic illnesses are not left behind in country UHC policies, strategies and schemes. I wish you all a fruitful week of the conference. 5 6th International African Palliative Care Conference Hosted by African Palliative Care Association and the Ministry of Health of the Republic of Rwanda Acknowledgements We sincerely thank the many institutions and individuals whose support in the various forms has made this conference a reality. 6 Palliative Care and Universal Health Coverage Abstract reviewers Mr Andre Wagner, Board Chair, African Palliative Care Association Dr Christian Ntizimira, City Manager, City Cancer Challenge Foundation, Rwanda Ms Claire Morris, Worldwide Hospice and Palliative Care Alliance Ms Colette Cunningham, University College Cork, Ireland Ms Cyndy Searfoss, Global Partners in Care, USA Dr Joseph Oneill, Independent Consultant, USA Dr Egide Mpanumusingo, Partners in Health, Rwanda Mr Emmanuel Kamonyo, Health Rights Advocate, Canada Dr Emmanuel Luyirika, African Palliative Care Association Mrs Eunice Garanganga, Hospice and Palliative Care Association of Zimbabwe Ms Eve Namisango, African Palliative Care Association Dr Faraja Kiwanga, Ocean Road Cancer Institute, Tanzania Dr Francois Alinon, Ministry of Health and Social Protection, Togo Dr Hellen N. Kariuki, University of Nairobi, Kenya Mrs Immaculate Kambiya, Ministry of Health, Malawi Mrs Joan Marston, PALCHASE, South Africa Mr John Mastrojohn, Global Partners in Care Advisory Council, USA Mrs Josephine Kampi Tatyabala, African Palliative Care Association Prof Julia Downing, International Children’s Palliative Care Network Mrs Lacey Ahern, Global Partners in Care, USA Mr Lameck Thambo, Palliative Care Association of Malawi Dr Elizabeth Namukwaya, Makarere Palliative Care Unit, Uganda Ms Mackuline Atieno, African Palliative Care Association Ms Mary Callaway, Public Health Policy Consultant, USA Dr Mawuli Gyakobo, Ghana College of Physicians & Surgeons Dr Mhoira Leng, Makerere Palliative Care Unit, Uganda Mwihaki Loise Ng’ang’a, Partners in Health, Rwanda Prof Olaitan Soyannwo, Consultant Anaesthetist, Pain and Palliative Care/Centre for PC Nigeria Dr Paul Mmbando, Evangelical Lutheran Church of Tanzania, Arusha Dr Peter May, University of Dublin, School of Medicine, Ireland Placide Habinshuti, Rwanda Partners in Health, Rwanda Mr Richard Anthony Powell, APCRN/MWAPO, Kenya Ms Rose Gahire, Palliative Care Association of Rwanda Dr Zipporah Ali, Kenya Hospices and Palliative Care Association Ms Zodwa Sithole, Hospice Palliative Care Association of South Africa *Abstract reviewers and conference organising committees are hereby listed alphabetically, according to first name 7 6th International African Palliative Care Conference Hosted by African Palliative Care Association and the Ministry of Health of the Republic of Rwanda Conference organising committees SCIENTIFIC COMMITTEE Ms Fatia Kiyange, African Palliative Care Association (Committee Chair) Prof Liz Gwyther, Hospice Palliative Care Association of South Africa and Worldwide Hospice Palliative Care Alliance (Committee Co-chair) Dr Zipporah Ali, Kenya Hospices and Palliative Care Association Claire Morris, Worldwide Hospice Palliative Care Alliance Ms Mackuline Atieno, African Palliative Care Association Prof Julia Downing, International Children’s Palliative Care Network Dr Jose Pereira, Board Member, African Palliative Care Association Prof Olaitan Soyannwo, Nigeria Mrs Lacey Ahern, Global Partners in Care, USA Ms Mwihaki Loise Ng’ang’a, Partners in Health, Rwanda Ms Plaside Habinshuti, Rwanda Partners in Health, Rwanda Mrs Diane Mukasahaha, Rwanda Biomedical Center, Rwanda FUNDRAISING COMMITTEE Dr Emmanuel Luyirika, African Palliative Care Association (Committee Chair) Dr Stephen Connor, Worldwide Hospice Palliative Care Alliance Fr Richard Bauer, Maryknoll Fathers and Brothers Mr James Wells, EMMS International, Scotland Dr Joseph F O’Neil, Independent Consultant, USA Dr Jose Pereira, Board Member, African Palliative Care Association COMMUNICATIONS & PUBLICITY COMMITTEE Ms Wedzerai Chiyoka, African Palliative Care Association (Committee Chair) Mr Francis Kayondo, African Palliative Care Association Mr Gaspard Habarurema, Ministry of Health Rwanda Ms Irene Namwase, African Palliative Care Association Ms Shelley Enarson, African Palliative Care Association Ms Cyndy Searfoss, Global Partners in Care, USA FINANCE AND LOGISTICS COMMITTEE Ms Josephine Kampi, African Palliative Care Association (Committee
Load more

Recommended publications
  • Walking the Talk.Cdr
    Walking the TALK A Snapshot of Country and Regional Experiences, Good Practices and Lessons Learnt in African Agriculture and CAADP since 2003 NEPAD Planning and Coordinating Agency Content Abbreviations and Acronyms 4 Foreword 5 Acknowledgements 6 About CAADP 7 1 Introduction 9 2 Snapshot of Some Regional Perspectives 10 2.1 Arab Maghreb Union (UMA) 10 2.2 Common Market for Eastern and Southern Africa (COMESA) 10 2.3 East African Community (EAC) 10 2.4 Economic Community of Central African States (ECCAS) 11 2.5 Economic Community of West African States (ECOWAS) 11 2.6 Eastern Africa Farmers Federation (EAFF) 11 2.7 Maghreb and North African Farmers Union (UMNAGRI) 12 2.8 Sub-Regional Platform of Farmers' Organisations in Central 12 Africa (PROPAC) 2.9 Network of Farmers' and Agricultural Producers' 12 Organisations of West Africa (ROPPA) 2.10 Southern African Confederation of Agricultural Unions (SACAU) 13 3 Snapshot of Country Reports 14 3.1 Benin 14 3.2 Burkina Faso 16 3.3 Cameroon 18 3.4 Chad 20 3.5 Cote D'ivoire 21 3.6 Kenya 22 3.7 Lesotho 24 3.8 Madagascar 26 3.9 Malawi 27 3.10 Mauritania 28 3.11 Mozambique 29 3.12 Republic of Congo 31 3.13 Rwanda 32 3.14 Senegal 34 3.15 Togo 36 3.16 Zambia 37 4 Looking Ahead to 2025 39 3 Abbreviations and Acronyms AGRA Alliance for a Green Revolution in Africa ASIP Agriculture Sector Investment Plan 2 AU African Union AUC African Union Commission EAC East African Community COMESA Common Market for Eastern and Southern Africa EAFF Eastern African Farmers Federation ECCAS Economic Community of Central
    [Show full text]
  • Made in the Image of God 8-9, 12-13 July 2021 | Online
    Developing Health Course Restoring Humanity: Made in the Image of God 8-9, 12-13 July 2021 | Online 1 DHC 2021 The Developing Health Course is ideally suited to update, equip and inspire people who are committed to global health, whether you are preparing to go outside of the UK to work, returning for a short break and want to update your learning, or considering whether getting involved in global health work is for you. The course materials cover strengthening healthcare systems, specific healthcare interventions as part of an integrated and multi-disciplinary setting, and learning to lead, learn and teach in such settings. The course is taught by a broad range of highly experienced and skilled healthcare professionals who have all worked in global health and mission. Our 2021 course will be in a different, non-residential format with online teaching across 4 half-days 8-9 July, 12-13 July (9am – 1pm BST), followed by a wider range of subjects in 8 sessions across the coming year (topics and dates to be determined). We encourage participation as part of this learning community throughout the year. However, the course is also open to people to join on a sessional basis. Each day also includes optional lunchtime sessions. DHC Lunchtime Options 1-2pm Thursday 8 July Virtual Mission Fair – contact [email protected] for a list of mission agencies and details of how to book a slot. Friday 9 July 1. Conversation room on Trauma led by Jes Bates 2. Conversation room on Leadership led by Addy Sitther and Dave Moore 3.
    [Show full text]
  • Integrated Agricultural Research
    INTEGRATED AGRICULTURAL RESEARCH PROCEEDINGS OF THE SACCAR/WINROCK WORKSHOP, HELD IN LILONGWE, MALAWI, 26 NOVEMBER - 1 DECEMBER 1989 The International Development Research Centre is a public corporation created by the Parliament of Canada in 1970 to support research designed to adapt science and technology to the needs of developing countries. The Centre's activity is concentrated in six sectors: agriculture, food and nutrition sciences; health sciences; information sciences; social sciences; earth and engineering sciences; and com­ munications. IDRC is financed solely by the Parliament of Canada; its policies, however, are set by an international Board of Governors. The Centre's headquarters are in Ottawa, Canada. Regional offices are located in Africa, Asia, Latin America, and the Middle East. Le Centre de recherches pour le développement international, société publique créée en 1970 par une loi du Parlement canadien, a pour mission d'appuyer des recherches visant à adapter la science et la technologie aux besoins des pays en développement; il concentre son activité dans six secteurs : agriculture, alimenta­ tion et nutrition; information; santé; sciences sociales; sciences de la terre et du génie et communications. Le CROI est financé entièrement par le Parlement cana­ dien, mais c'est un Conseil des gouverneurs international qui en détermine l'orien­ tation et les politiques. Établi à Ottawa (Canada), il a des bureaux régionaux en Afrique, en Asie, en Amérique latine et au Moyen-Orient. El Centro Internacional de Investigaciones para el Desarrollo es una corporaci6n publica creada en 1970 por el Parlamento de Canada con el objeto de apoyar la investigaci6n destinada a adaptar la ciencia y la tecnologia a las necesidades de los paises en desarrollo.
    [Show full text]
  • Red Data List Special Edition
    Newsletter of the Southern African Botanical Diversity Network Volume 6 No. 3 ISSN 1027-4286 November 2001 Invasive Alien Plants Part 2 Southern Mozambique Expedition Living Plant Collections: Lowveld, Mozambique, Namibia REDSABONET NewsDATA Vol. 6 No. 3 November LIST 2001 SPECIAL EDITION153 c o n t e n t s Red Data List Features Special 157 Profile: Ezekeil Kwembeya ON OUR COVER: 158 Profile: Anthony Mapaura Ferraria schaeferi, a vulnerable 162 Red Data Lists in Southern Namibian near-endemic. 159 Tribute to Paseka Mafa (Photo: G. Owen-Smith) Africa: Past, Present, and Future 190 Proceedings of the GTI Cover Stories 169 Plant Red Data Books and Africa Regional Workshop the National Botanical 195 Herbarium Managers’ 162 Red Data List Special Institute Course 192 Invasive Alien Plants in 170 Mozambique RDL 199 11th SSC Workshop Southern Africa 209 Further Notes on South 196 Announcing the Southern 173 Gauteng Red Data Plant Africa’s Brachystegia Mozambique Expedition Policy spiciformis 202 Living Plant Collections: 175 Swaziland Flora Protection 212 African Botanic Gardens Mozambique Bill Congress for 2002 204 Living Plant Collections: 176 Lesotho’s State of 214 Index Herbariorum Update Namibia Environment Report 206 Living Plant Collections: 178 Marine Fishes: Are IUCN Lowveld, South Africa Red List Criteria Adequate? Book Reviews 179 Evaluating Data Deficient Taxa Against IUCN 223 Flowering Plants of the Criterion B Kalahari Dunes 180 Charcoal Production in 224 Water Plants of Namibia Malawi 225 Trees and Shrubs of the 183 Threatened
    [Show full text]
  • Advancing the Integration of Palliative Care in the National Health System
    27 September 2013 An Evidence Brief for Policy Advancing the Integration of Palliative Care in the National Health System Full report Who is this evidence Included: brief for? - Description of a health system problem Policymakers, their support staff, and other stakeholders with an interest in - Viable options for addressing this problem the problem addressed by this - Strategies for implementing these options evidence brief Not included: Recommendations Why was this evidence This policy brief does not make recommendations brief prepared? regarding which policy option to choose To inform deliberations about health policies and programmes by summarizing the best available evidence about the problem and viable solutions What is an evidence brief for policy? Evidence briefs for policy bring together global research evidence (from systematic reviews*) and local evidence to inform deliberations about health policies and programmes *Systematic Review: A summary of studies addressing a clearly formulated question that uses systematic and explicit methods to identify, select, and critically appraise the relevant research, and to collect and analyse data from this research Executive Summary The evidence presented in this Full Report is summarized in an Executive Summary. This evidence brief was prepared by the Uganda country node of the Regional East African Community Health (REACH) Policy Initiative . Authors Address for correspondence Harriet Nabudere, MD, MPH☼ Dr Harriet Nabudere Ekwaro Obuku, MD, MSc , FICRS-F ☼ SURE Project Coordinator Mohammed
    [Show full text]
  • Plants of the Nyika Plateau
    Plants of the Nyika Plateau Plants of the Nyika Plateau i Recommended citation format BURROWS, J.E. & WILLIS, C.K. (eds) 2005. Plants of the Nyika Plateau: an account of the vegetation of the Nyika National Parks of Malawi and Zambia. Southern African Botanical Diversity Network Report No. 31. SABONET, Pretoria. Produced and published by Southern African Botanical Diversity Network (SABONET) c/o South African National Biodiversity Institute, Private Bag X101, 0001, Pretoria Printed in 2005 in the Republic of South Africa by Capture Press, Pretoria, (27) 12 349-1802 ISBN 1-919976-08-6 © 2005 SABONET. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means without the permission of the copyright holder. Editor-in-chief: Marthina Mössmer Subeditors: Lidia Gibson & Hanlie van Heerden Indexing: Marthina Mössmer & Martin Mössmer Text design and layout: Antoinette Burkhardt Cover design: Antoinette Burkhardt, Pretoria, South Africa (27) 83 6351446. Front cover: Top: Lake Kaulime (C. Willis). Bottom, left to right: Vittaria guineensis var. orientalis (J. Burrows); Disa ukingensis (H. Kurzweil); Delphinium leroyi (J. Burrows); Streptocarpus wittei (W. Pawek); Scadoxus multiflorus subsp. multiflorus (J. Burrows). Back cover: Impressions of Nyika (W. Pawek). Spine: Impatiens tinctoria subsp. latifolia (J. Burrows). SABONET website: www.sabonet.org This report is a product of the Southern African Botanical Diversity Network (SABONET) and was made possible through support provided by the Global Environment Facility (GEF)/United Nations Development Programme (UNDP) and the United States Agency for International Development (USAID)/World Conservation Union-Regional Office for southern Africa (IUCN ROSA) (Plot no.
    [Show full text]
  • Made in the Image of God 8-9, 12-13 July 2021 | Online
    Developing Health Course Restoring Humanity: Made in the Image of God 8-9, 12-13 July 2021 | Online DHC 2021 The Developing Health Course is ideally suited to update, equip and inspire people who are committed to global health, whether you are preparing to go outside of the UK to work, returning for a short break and want to update your learning, or considering whether getting involved in global health work is for you. The course materials cover strengthening healthcare systems, specific healthcare interventions as part of an integrated and multi-disciplinary setting, and learning to lead, learn and teach in such settings. The course is taught by a broad range of highly experienced and skilled healthcare professionals who have all worked in global health and mission. Our 2021 course will be in a different, non-residential format with online teaching across 4 half-days 8-9 July, 12-13 July (9am – 1pm BST), followed by a wider range of subjects in 8 sessions across the coming year (topics and dates to be determined). We encourage participation as part of this learning community throughout the year. However, the course is also open to people to join on a sessional basis. Each day will also include time for informal lunchtime discussion in breakout rooms from 1- 2pm, with a choice of 3-4 topics. One of these days will additionally include the chance to chat with mission agencies. AIMS OF THE JULY DAYS 1. To provide an interactive but virtual environment to promote learning regarding global health challenges 2. To provide a context, where along with other Christians, you can learn from experienced tutors in their specialist subjects 3.
    [Show full text]
  • Chronic Heart Failure Patients' Understanding and Beliefs of Their Illness and Its Treatment
    RESEARCH ARTICLE `I think my body has become addicted to those tablets'. Chronic heart failure patients' understanding of and beliefs about their illness and its treatment: A qualitative longitudinal study from Uganda Elizabeth Namukwaya1*, Scott A. Murray2, Julia Downing1, Mhoira Leng1, Liz Grant3 1 Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda, 2 Primary a1111111111 Palliative Care Research Group, The Usher Institute of Population Health Sciences & Informatics, The a1111111111 University of Edinburgh, Medical School, Edinburgh, United Kingdom, 3 Global Health Academy, The Usher a1111111111 Institute of Population Health Sciences & Informatics, The University of Edinburgh, Medical School, a1111111111 Edinburgh, United Kingdom a1111111111 * [email protected] Abstract OPEN ACCESS Citation: Namukwaya E, Murray SA, Downing J, Background Leng M, Grant L (2017) `I think my body has become addicted to those tablets'. Chronic heart Patients with heart failure in Uganda present for health care with advanced structural heart failure patients' understanding of and beliefs about disease, have repeated hospitalizations and poorly controlled disease symptoms. The rea- their illness and its treatment: A qualitative longitudinal study from Uganda. PLoS ONE 12(9): sons for these are unclear. Literature from other settings shows that patients' understanding e0182876. https://doi.org/10.1371/journal. of their illness and their beliefs influence their health related behaviour. The study aimed to pone.0182876 explore the beliefs of patients with heart failure, their understanding of their illness and its Editor: Christophe Leroyer, Universite de Bretagne treatment, and how this influenced their health related behaviour to inform future health edu- Occidentale, FRANCE cation programs, information and palliative care services.
    [Show full text]
  • AMUCHMA 24 Is Reproduced and Distributed with Financial Support from SIDA-SAREC (Sweden)
    AFRICAN MATHEMATICAL UNION COMMISSION ON THE HISTORY OF MATHEMATICS IN AFRICA AMUCHMA-NEWSLETTER-24 ______________________________________________________________ Chairman: Paulus Gerdes (Mozambique) Secretary: Ahmed Djebbar (Algeria) Members: Cyprien Gnanvo (Benin), Salimata Doumbia (Côte d'Ivoire), Nefertiti Megahed (Egypt), Mohamed Aballagh (Morocco), Abdoulaye Kane (Senegal), David Mosimege (South Africa), Mohamed Souissi (Tunisia), David Mtwetwa (Zimbabwe) Associate Members: José Barrios (Canary Islands, Spain), Scott Williams (USA) ______________________________________________________________ TABLE OF CONTENTS page 1. Objectives of AMUCHMA 2 2. Fifth Pan-African Congress of Mathematicians 2 3. Meetings, exhibitions, events 3 4. Current research interests 7 5. Notes and queries 7 6. Theses 7 7. Reprints 7 8. Have you read? (#297-#322) 9 9. Announcements 14 10. Addresses of scholars and institutions mentioned in this newsletter 16 11. Suggestions 19 12. Do you want to receive the next AMUCHMA-Newsletter? 19 13. AMUCHMA-Newsletter web site 20 14. Thanks to SIDA-SAREC 20 _______________________________________________________________ Ethnomathematics Research Centre, Maputo (Mozambique), 11.11.2000 1. OBJECTIVES The A.M.U. Commission on the History of Mathematics in Africa (AMUCHMA), formed in 1986, has the following objectives: a. to improve communication among those interested in the history of mathematics in Africa; b. to promote active cooperation between historians, mathematicians, archaeologists, ethnographers, sociologists, etc., doing research in, or related to, the history of mathematics in Africa; c. to promote research in the history of mathematics in Africa, and the publication of its results, in order to contribute to the demystification of the still-dominant Eurocentric bias in the historiography of mathematics; d. to cooperate with any and all organizations pursuing similar objectives.
    [Show full text]
  • A Publication of the British Pain Society PAIN NEWS
    DECEMBER 2013 VOLUME 11 ISSUE 4 DECEMBER 2013 VOLUME 11 ISSUE 4 ISSUE 11 VOLUME 2013 DECEMBER pain news a publication of the british pain society PAIN NEWS PAIN CYMBALTA® (DULOXETINE) ABBREVIATED PRESCRIBING increase in blood pressure. For patients who experience a sustained increase in failure, hepatitis, acute liver injury, angioneurotic oedema, Stevens-Johnson INFORMATION Presentation Hard gastro-resistant capsules, 30mg or 60mg of blood pressure while receiving duloxetine, consider either dose reduction or syndrome, trismus, and gynaecological haemorrhage have been made. Cases of duloxetine. Also contains sucrose. Uses Treatment of major depressive disorder. gradual discontinuation. Caution in patients taking anticoagulants or products suicidal ideation and suicidal behaviours have been reported during duloxetine Treatment of generalised anxiety disorder. Treatment of diabetic peripheral known to affect platelet function, and those with bleeding tendencies. therapy or early after treatment discontinuation. Cases of aggression and anger neuropathic pain (DPNP) in adults. Dosage and Administration Major Hyponatraemia has been reported rarely, predominantly in the elderly. Caution have been reported, particularly early in treatment or after treatment Depressive Disorder Starting and maintenance dose is 60mg once daily, with or is required in patients at increased risk for hyponatraemia, such as elderly, discontinuation. Cases of convulsion and tinnitus have been reported after without food. Dosages up to a maximum dose of 120mg per day have been cirrhotic, or dehydrated patients, or patients treated with diuretics. treatment discontinuation. Discontinuation of duloxetine (particularly abrupt) evaluated from a safety perspective in clinical trials. However, there is no clinical Hyponatraemia may be due to a syndrome of inappropriate anti-diuretic commonly leads to withdrawal symptoms.
    [Show full text]
  • Palliative Care and Mental Health How a Palliative Care Movement Has Grown to Be Inclusive of Its Needs in Kerala, Southern India
    9th&10th August 2018 ‘Building Momentum’ Makerere and Mulago PC Unit 10th anniversary • Dr. Chitra Venkateswaran is founder/clinical director of Mehac Foundation, in Kerala India, a not for profit palliative care mode for mental health. She also devotes her time to the palliative care, with emphasis on psychological health • Dr Chitra is also a Professor in Psychiatry, Consultant in Psycho- oncology, Department of Palliative Medicine, Amrita Institute of Medical Sciences, Kochi and National Faculty, Indian Association of Palliative Care • She is also involved in Bioethics, Cairdeas UK and National Advisory Board, Indian Journal of Palliative Care • Graduate, International Palliative Care Leadership Development Initiative, San Diego • Contributor for the development of Palliative Tool kit by Help the Hospices, UK PALLIATIVE CARE AND MENTAL HEALTH HOW A PALLIATIVE CARE MOVEMENT HAS GROWN TO BE INCLUSIVE OF ITS NEEDS IN KERALA, SOUTHERN INDIA Dr Chitra Venkateswaran, MD Professor in Psychiatry, Consultant in Psycho Oncology, Clinical Director Mehac Foundation, Kochi, Kerala, India Member, Board of Directors, International Association of Hospice and Palliative Care Honorary Senior Research fellow, Hull Medical School, UK Kampala 10/08/2018 2/3 of the country’s 300 Kerala palliative care centres and where service is available in every district, it is in the category of approaching 4a World Health Organization Collaborating Centers • Policy, research and training institution of Pain Institute of Palliative Medicine and Palliative Care Kozhikode Society, Calicut, Kerala • WHOCC for ‘Training and Policy on access to Pain Relief Models of care Total care Integration • with Kerala Cancer Model centres - community-based model of delivery of care - Urban setting outpatient-based and home based cares - Home-based care - Establishing psycho oncology models for patients with chronic illnesses in distress, and their caregivers Hospice - Multidisciplinary team Hospitals - Supported by volunteers - Hospice and hospital- - Empowering families based palliative care to patients.
    [Show full text]
  • Red Data Book of Namibian Plants
    Red Data Book of Namibian Plants Sonja For any enquiries about the Red Data Book of Namibian Plants contact: National Botanical Research Institute Loo Private Bag 13184 Windhoek ts Namibia Tel.: (264) 61 202 2023 Fax: (264) 61 258153 E-mail: [email protected] Red Data Book of Namibian Plants by Sonja Loots Southern African Botanical Diversity Network Report No. 38 2005 Key to the species accounts Species and infraspecific taxa are arranged alphabetically by family, genus, and species to facilitate easy lookup. Where available, synonyms are also included. Note that families are listed alphabetically, regardless of whether they are dicotyle- dons or monocotyledons. Endemic and protected species are identified by the following icons: C1 CITES Appendix I C2 CITES Appendix II E Endemic taxon P Protected under Nature Conservation Ordinance 4 of 1975 Status The conservation status is indicated by the following abbreviations: CR Critically Endangered EN Endangered LC Least Concern NT Near Threatened R Rare VU Vulnerable Description Description of the growth form and major distinguishing characters of each taxon. Rationale Brief explanation of the reasons for listing and the factors that contributed to a particular assessment. Habitat Short description of habitat and altitude (in metres) where taxon may be expected to occur. Threats List of the main factors that threaten the taxon with extinction in Namibia. Additional notes Other important information. Where available, common names are included in this section. Other publications in this series 1. *Southern African national herbaria: status reports, 1996. C.K. 20. Checklist of grasses in Namibia. E.S. Klaassen & P.
    [Show full text]