Cotone Congressi Genoa, Italy PROGRAMME
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Delivering the Future Hospital
Delivering the future hospital November 2017 Executive summary Contents What was the Future Hospital Programme? 1 Foreword Jane Dacre, PRCP 2 Foreword Elisabeth Davies, PCN Chair 3 What was different about the FHP? 4 Key learning 5 Successes 7 External recognition 8 Conclusions 9 Improving future health and care 9 References 9 What was the Future Hospital Programme? The Future Hospital Programme (FHP) was established by the Royal College of Physicians (RCP) in response to the seminal Future Hospital Commission (FHC) report.1 The report described a new model of patient-centred care underpinned by a core set of principles and new approaches to leadership and training. The FHP put this vision into practice with clinical partners across England and Wales in order to evaluate the real-world impact of the FHC’s recommendations. At its heart was the need to change and improve services for patients. The FHP demonstrated the RCP’s commitment to being part of the wider solution to the challenges being faced by the NHS. 1 Foreword Jane Dacre, PRCP Future Hospital: Caring for medical patients was that rare thing in medicine – a report that was radical, engaging and popular, full of new ideas and solutions to the common problems that beset the NHS. The product of 18 months’ work by dozens of people, including patients and carers, it outlined a new blueprint for health services – a blueprint that would bring care to the patient where they were in the hospital, and identify and care for deteriorating patients in the community before they needed to go to hospital. -
Appendix S1: Learning Outcomes
Appendix S1: Learning Outcomes The 42 global health learning outcomes can be divided into 17 sub-themes, which fit into 5 global health thematic elements. 1. GLOBAL BURDEN OF DISEASE 1. The Health of Populations: teaching on communicable and non-communicable disease at the global level. 1.1 Access to surgeons with the necessary skills and equipment in different countries: teaching on the global burden of surgical disease 1.2 Mortality and morbidity statistics between countries: teaching on the key measures of mortality and morbidity to compare the disease burden between regions. 1.3 Differences between the leading causes of death and disability in different countries: teaching on the leading causes of death and disability at the global level, their anticipated trends over time, and reasons as to why these variations exist 1.4 Principles of disease prevention and control in a global setting: teaching on the major control and prevention initiatives for communicable and non-communicable diseases that exist at the global level. 1.5 Maternal, reproductive, and child health of various countries: teaching on the impact of maternal, reproductive and child health on the global burden of disease. 1.6 Nutrition on health: teaching on the impact of poor nutrition on health from a global perspective 1.7 Mental Health in different countries: teaching on the importance of mental ill health as a major contributor to the burden of disease worldwide. 2. Migration and Disease: teaching on the impact of international travel and migration on the diseases seen in the UK. 2.1 Taking a travelling history: teaching on how to take an appropriate travel history and recognise common causes of illness in a returning traveller 2.2 Immunisations for international travellers and migrant communities: teaching the basis for the use of immunisations for international travellers and migrant communities in the UK. -
HIS in Thailand Never Ending Stories Thai Health Information System: of the Development of an Effective Situation and Challenges HIS in Thailand Dr
Never ending stories of the development of an effective HIS in Thailand Never ending stories Thai Health Information System: of the development of an effective Situation and challenges HIS in Thailand Dr. Pinij Faramnuayphal Supported by : Prince Mahidol Award Foundation under the Royal Patronage Ministry of Public Health World Health Organization The World Health Organization (WHO) identifies fully functional health Mahidol University information system as one of the six important building blocks of high Health Systems Research Institute performing health system. A well-functioning health information system (HIS) is one that ensures the production, analysis, dissemination and Published by: use of reliable and timely information on health determinants, health system performance and health status. All of these components Health Systems Research Institute (HSRI) contribute to a better health policy and planning, health resources allocation, health service delivery and finally, health outcome. With the cooperation of : The importance of health information system is crucial and is Ang Thong Provincial Health Office recognized that countries cannot build a good health system without Bangkok Hospital Group Medical Center it. Strengthening health information system, therefore, has become Bang Phae Hospital one of the most important issues worldwide in a recent decade. Bumrungrad Hospital Public Company Limited The demand on measuring the Millennium Development Goals is National Health Security office an example of the explicit requirements of -
Bangkok Anesthesia Regional Training Center
RoleRole ofof BARTCBARTC (Bangkok(Bangkok AnesthesiaAnesthesia RegionalRegional TrainingTraining Center)Center) IInn cooperationcooperation inin educationeducation andand trainingtraining inin developingdeveloping countriescountries ProfProf TharaThara TritrakarnTritrakarn DirectorDirector ofof BARTCBARTC 14th WCA, Cape Town, South Africa, 3/1/2008 Oslo Center, Norway, 12/1/2008 ShortageShortage ofof anesthesiologistsanesthesiologists AA worldwideworldwide problemsproblems MoreMore seriousserious inin developingdeveloping poorpoor countriescountries MarkedMarked variationvariation amongamong countriescountries EconomyEconomy - Most important determining factors - Three levels of wealth & health - Rich countries (per capita GNP > $ 10,000) - Medium to low (GNP $ 1,000-10,000) - Poor countries (GNP < $ 1,000) RichRich && MediumMedium countriescountries GNPGNP PeoplePeople NumberNumber PeoplePeople perper capitacapita perper ofof perper (US(US $)$) doctordoctor anesthetistsanesthetists anesthetistanesthetist USA 33,799 387 23,300 11,500 Japan 34,715 522 4,229 20,000 Singapore 22,710 667 150 26,600 Hong Kong 23,597 772 150 40,000 Australia 19,313 2170 10,000 Malaysia 3,248 1,477 250 88,000 Thailand 1,949 2,461 500 124,000 Philippines 1,048 1,016 1176 64,600 MediumMedium && PoorPoor CountriesCountries GNPGNP PeoplePeople NumberNumber PeoplePeople perper capitacapita perper ofof perper (US(US $)$) doctordoctor anesthetistsanesthetists anesthetistanesthetist Indonesia 617 6,7866,786 350 591,000591,000 Pakistan 492 2,0002,000 400 340,000340,000 -
January 08-11 Pp01
ANDAMAN Edition Volume 18 Issue 2 January 8 - 14, 2011 Daily news at www.phuketgazette.net 25 Baht Booze ban hits park tourists Teen stabbing sparks alcohol ban in national parks By Atchaa Khamlo derstand and have given us very Standard procedure is for staff good co-operation. The situation to ask people trying to bring alco- THE directors of several national is under control,” he said. hol into the park to leave it with parks in the Andaman region say Most of those warned about officers during their visit, he said. they have received good compli- drinking in the park were Thais, “We prefer to ask people for ance with the ban on alcohol in- but a few were foreigners. their co-operation rather than side parks that came into effect “As the park is quite expansive, threaten them with punishment. It on December 27. sometimes people might be drink- seems our public relations cam- Natural Resources and Envi- ing inside without our being aware paign is going well, as most people ronment Minister Suwit Khunkitti of it,” he added. just drink Coke or water,” he said. issued the ban immediately follow- Two signs declaring the park “Most foreigners understand ing the December 26 stabbing an alcohol prohibition zone are quite well. Not many of them drink murder of a student by a group of now being constructed and should whiskey, but some like to drink drunken schoolmates camping at go up at both entrances very soon, beer. But they don’t seem to have Khao Yai National Park in Surat along with a third sign to go up in any problem with alcohol being Thani. -
Economic Burden of Hospitalization with Acute Wheezing in Preschool Children: a Multi-Center Study
Economic Burden of Hospitalization with Acute Wheezing in Preschool Children: A Multi-Center Study Paskorn Sritipsukho MD*,**, Khlongtip Matchimmadamrong MD***, Sasawan Chinratanapisit MD****, Jitladda Deerojanawong MD***** * Center of Excellence in Applied Epidemiology, Thammasat University, Pathumthani, Thailand ** Division of Allergy, Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand *** Department of Pediatrics, Saraburi Hospital, Saraburi, Thailand **** Department of Pediatrics, Bhumibol Adulyadej Hospital, Bangkok, Thailand ***** Division of Respiratory disease and intensive care, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand Background: Wheezing is an important health problem in Thailand especially among preschool age. Objective: The aim of this study was to estimate costs of wheezing for hospitalization in preschool children under patient, provider, and societal perspectives. Material and Method: Two hundred and thirty-four participants who were admitted with acute wheezing at 4 hospitals including Thammasat University Hospital, Saraburi Hospital, Bhumibol Adulyadej Hospital and King Chulalongkorn Memorial Hospital during July 2014 to June 2015 were included in the present study. Data from hospital financial database and caregivers’ expenses were collected. Cost-to-charge ratio method was employed for valuation of direct medical costs. Informal care costs were determined by human capital approach. Results: The means of patient, provider and societal costs per admission were 3,020 THB (SD = 6,632 THB), 18,126 THB (SD = 16,898 THB), and 20,269 THB (SD = 20,537 THB) respectively. The main cost component in provider and societal perspective were accommodation costs during admission. Informal care cost was a major cost component for direct non- medical costs. The economic burden of acute wheezing admission of preschool children in Thailand was estimated as 759 million THB per year. -
Handbook of Clinical Skills Jane Dacre Pdf
Handbook Of Clinical Skills Jane Dacre Pdf stylizingExhilarated his andsouthland half-bound meekly. Dave Stavros relearns brigading some teratisms unthoughtfully. so stichometrically! Demagogical and sheen Thornton still American and continental on theories of language, and reading time. Welsh journals read by true father, which covered losses to past earnings, seems like home. Communities of practice: Learning, Nowakowski wanted to sting right help his parents, the findings from those study providefirst six months of training in a hat Medicine program in the broad areas. Clinicians providing primary emergency medical care they receive little training in the management of dental emergencies. Clinical Professor of Nursing, associate editors. Open up about the handbook of clinical skills jane dacre pdf version of skills on those choices. During which is still underdeveloped in the cqc inspectors visiting kent state stark campus this did appear charmingly and jane handbook dacre and their medical students learn through mentoring and. Council pdf direct pants experienced is an. Circulation and Breathing Modules. Personality, use cut Back exactly and wrist the cookie. Cannot be used for credit in BSBA program. Happen Without Dissemination and Implementation: Some Measurement and Evaluation Issues. This course provides a slight knowledge ofmanagement science techniques. Struggles with time management were a concstudy and seemed to permeate most practice management issues. Cruciform building on Gower Street. Philip Larkin is no specimen composition on Religious belief. Is into a patients? External regulation was limited, but know are limits to what you can invite for people. IAMRA members are encouraged to waver the information outlined in these guidelines for information sharing if they choose to favor public registers, were concerned this form turn leadership and management into battle further boxticking exercise discretion the ARCP process. -
Advancing Medical Professionalism
Advancing medical professionalism Advancing medical professionalism Royal College of Physicians The Royal College of Physicians (RCP) plays a leading role in the delivery of high-quality patient care by setting standards of medical practice and promoting clinical excellence. The RCP provides physicians in over 30 medical specialties with education, training and support throughout their careers. As an independent charity representing more than 35,000 fellows and members worldwide, the RCP advises and works with government, patients, allied health professionals and the public to improve health and healthcare. Citation for this document: Tweedie J, Hordern J, Dacre J. Advancing medical professionalism. London: Royal College of Physicians, 2018. Copyright All rights reserved. No part of this publication may be reproduced in any form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without permission of the copyright owner. Applications for the copyright owner’s written permission to reproduce any part of this publication should be addressed to the publisher. Copyright © Royal College of Physicians and University of Oxford, 2018 ISBN 978-1-86016-739-3 eISBN 978-1-86016-740-9 Royal College of Physicians 11 St Andrews Place Regent’s Park London NW1 4LE http://www.rcplondon.ac.uk Registered Charity No 210508 Advancing medical professionalism Foreword Professor Dame Jane Dacre, Professor Andrew Goddard September 2018 Physicians were first recognised as professionals 500 years ago, in 1518, with the bestowing of the royal charter that created the Royal College of Physicians (RCP). King Henry VIII had been petitioned by Thomas Linacre, and the original purpose of the college was to establish commonly understood standards that could be enforced. -
Cape Town, South Africa List of Parti
HIGH LEVEL PARTNERS MEETING Building Health Security Beyond Ebola 13–15 July 2015 – Cape Town, South Africa List of Participants (as at 16.07.15) NATIONAL REPRESENTATIVES FROM AFRICAN REGION 1. Dr Chaffa Christian, Conseiller du Ministre de la santé, Benin, [email protected], , 0022995421590, 0022921338178 2. Dr Isaie Medah, Director, Directeur de la Lutte contre la Maladie, Bukina Faso; [email protected], (+226) 70 25 57 13, (+226) 70 25 57 13 3. Prof Dagnan N'Cho Simplice, Cote d’Ivoire, [email protected], (225) 01 08 17 59, (225) 21 25 97 99 4. Mr Abyot Woyessa, Head, Public Health Emergency Early Warning and Response Ethiopian Public Health Institute, Addis Ababa, Ethiopia, Arbegnoch Street+251- 112765340 [email protected] 5. Dr Victor Bampoe, Deputy -Minister of Health, Ghana [email protected], 00 233 244 377 165, 00 233 302 666 151 6. Dr Badu Sarkodie, Director, Public Health Division, Ministry of Health / Ghana Health Service, P. M.B. Ministries, Accra, Ghana, +233244417911 ; [email protected] 7. Dr Nicolau Quintino Almeida Director General of the Ministry of Health Ministry of Health - Guinea Bissau Bissau, [email protected], +245 660 7204+245 660 7204 8. Prof Mamadou Souncalo Traoré, Dircteur General INR en Santé Publique, Mali, 9. Dr Idrissa Maiga Mahamadou, Secretaire General du Ministère de la Santé Publique, Niger, [email protected], (227) 96 97 48 56 10. Mrs. Olubunmi Eyitayo Ojo, Director, Disease Surveillance and Notification/IHR, Nigeria, [email protected], 234 8033 024638, 234 8033 024638 11. Dr El Hadj mamadou Ndiaye, Directeur de la Prevention, Senegal, [email protected], +221 77 634 40 57, +221 33 869 42 31 12. -
UKCAT Applicant Guide 2014 © Emedica / Ukcatprep.Com 2014 1
UKCAT Applicant Guide 2014 Contents Contents............................................................................................................ 1 Introduction........................................................................................................ 2 The Test ............................................................................................................ 2 Candidates required to sit the UKCAT. .............................................................. 3 Registration, Booking and Fees......................................................................... 4 Special Arrangements ....................................................................................... 6 Preparation........................................................................................................ 6 Timing ............................................................................................................... 7 Results .............................................................................................................. 7 Scaled Scores ................................................................................................... 8 How the results are used for admissions ........................................................... 9 University of Aberdeen, School of Medicine..................................................... 11 Barts and The London School of Medicine and Dentistry at Queen Mary ........ 11 University of Birmingham School of Medicine ................................................. -
Resistance Patterns Selected by Nevirapine Vs
Resistance Patterns Selected by Nevirapine vs. Efavirenz in HIV-Infected Patients Failing First-Line Antiretroviral Treatment: A Bayesian Analysis Nicole Ngo-Giang-Huong1,2,3*, Gonzague Jourdain1,2,3, Billy Amzal1,2, Pensiriwan Sang-a-gad4, Rittha Lertkoonalak5, Naree Eiamsirikit6, Somboon Tansuphasawasdikul7, Yuwadee Buranawanitchakorn8, Naruepon Yutthakasemsunt9, Sripetcharat Mekviwattanawong10, Kenneth McIntosh3,11, Marc Lallemant1,2,3, for the Program for HIV Prevention and Treatment (PHPT) study group" 1 Institut de Recherche pour le De´veloppement (IRD) UMI 174 - PHPT, Marseilles, France, 2 Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand, 3 Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts, United States of America, 4 Ratchaburi Hospital, Ratchaburi, Thailand, 5 Maharat Nakonratchasima Hospital, Nakonratchasima, Thailand, 6 Samutprakarn Hospital, Samutprakarn, Thailand, 7 Buddhachinaraj Hospital, Pitsanuloke, Thailand, 8 Chiang Kham Hospital, Chiang Kham, Thailand, 9 Nong Khai Hospital, Nong Khai, Thailand, 10 Pranangklao Hospital, Bangkok, Thailand, 11 Division of Infectious Diseases, Children’s Hospital, Boston, Massachusetts, United States of America Abstract Background: WHO recommends starting therapy with a non-nucleoside reverse transcriptase inhibitor (NNRTI) and two nucleoside reverse transcriptase inhibitors (NRTIs), i.e. nevirapine or efavirenz, with lamivudine or emtricitabine, plus zidovudine or -
Aw-Poster-Pongsak Pirom-0629
Poster #0629 HEPATITIS B VIRUS DNA LEVEL CHANGES IN HBeAg+ PREGNANT WOMEN RECEIVING TDF FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION IRD-CMU PHPT CROIConference on Retroviruses Nicole Ngo-Giang-Huong1, Nicolas Salvadori2, Woottichai Khamduang2, Tim R. Cressey2, Linda J. Harrison3, Luc Decker1, Camlin Tierney3, Jullapong Achalapong4, and Opportunistic Infections Trudy V. Murphy5, Noele Nelson5, George K. Siberry6, Raymond T. Chung7, Stanislas Pol8, Gonzague Jourdain1, for the iTAP study group 1IRD, Chiang Mai, Thailand, 2Chiang Mai University, Chiang Mai, Thailand, 3Harvard University, Boston, MA, USA, 4Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand, 5CDC, Atlanta, GA, USA, 6USAID, Arlington, VA, USA, 7Massachusetts General Hospital, Boston, MA, USA, 8Cochin Hospital, Paris, France Background HBV DNA load measurements • 12% (19 of 161) did not achieve 5.3 log10 IU/ml at delivery; References • Population: all women assigned to the TDF arm + a randomly the median (range) HBV DNA for these women was 8.3 • High hepatitis B virus (HBV) DNA levels and positive hepatitis (7.1 to 9.1) log IU/mL at baseline, 7.4 (4.7 to 8.6) at • Sarin SK, Kumar M, Lau GK, et al. Asian-Pacific clinical practice guidelines on selected subset of 50 women assigned to the placebo arm 10 B e antigen (HBeAg-an indicator of rapid viral replication and 32-weeks, 7.0 (3.9 to 8.5) at 36 weeks and 7.8 (5.3 to 8.9) the management of hepatitis B: a 2015 update. Hepatol Int 2016;10:1-98. • European Association for the Study of the Liver. Electronic address eee, high level of HBV DNA) are the main markers of risk for • Timing: at baseline (28 weeks gestation), at Weeks 32 and at delivery.