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PT magazine article 1994
PT magazine article 1994Denise Dumont-Bernier
油
PT as primary care providers for musculoskeletal injuriesMaineBiz Article 2015
MaineBiz Article 2015Denise Dumont-Bernier
油
MaineGeneral Health Services' Workplace Health department works with 250 businesses employing 20,000 people to help reduce healthcare costs through workplace wellness programs. The department saved MaineGeneral $1 million in insurance costs during a large hospital construction project by providing on-site medical care. It has also helped lower healthcare claims and workers' compensation costs for businesses like J.S. McCarthy Printers by providing services like health coaching, wellness programs, and injury prevention. MaineGeneral's own program for its 4,300 employees has contributed to lower than expected healthcare costs since 2008.MORA Maine occupational research association conference 2003
MORA Maine occupational research association conference 2003Denise Dumont-Bernier
油
Lower back injuries are highly prevalent in healthcare settings, accounting for over 70% of injuries. Risk factors include tasks like lifting patients, which can place up to 1,150 pounds of pressure on the lower back. Common injuries are low back pain, herniated discs, and strained muscles or tendons. Prevention strategies include proper lifting techniques, exercise, ergonomic adjustments to workstations, job modifications, and back injury education programs. Implementing a comprehensive ergonomic management program can help reduce injuries and their associated costs.MEMIC comp summit 2005 
MEMIC comp summit 2005 Denise Dumont-Bernier
油
- Many lost workdays from injuries are preventable, but 60-80% involve non-medical factors prolonging time off. Effective communication between physicians, employers, and employees is key to addressing issues like motivational problems or poor workplace relationships that inhibit recovery.
- Physicians play an important role in injury management by diagnosing accurately, providing treatment plans, and accepting responsibility for addressing both medical and non-medical barriers to returning to work. Addressing just the medical factors is not enough.
- Preventing prolonged disability requires a cooperative approach where physicians obtain information from employers about job duties and employers help injured workers feel supported in returning to restricted work.NAOHP 2016
NAOHP 2016Denise Dumont-Bernier
油
The document provides an overview of an upcoming occupational health course being offered by Denise Dumont-Bernier, Director of Workplace Health at Hospital-based Occupational Medicine. The course will feature presentations from various experts on topics like shoulder injuries, back injury prevention, employee wellbeing, ergonomics, aging workers, and workers' compensation. It also lists Denise Dumont-Bernier as presenting on preplacement evaluations and provides her contact information.Maine Safety Conference presentation 2011
Maine Safety Conference presentation 2011Denise Dumont-Bernier
油
This document discusses ergonomics and employee behavior change. It outlines 10 essential elements: understanding the 3 elements of ergonomics (work, worker, worksite); recognizing risk factors that can be changed; understanding the behavior change process; setting employees up for success through education and support; and teaching proper techniques like lifting, flexibility, exercises, workstation setup, pacing, and wellness. The goal is to help employees adopt new habits to prevent injuries through awareness, commitment to change, and consistent practice of safe behaviors.Health People of the Kennebec
Health People of the KennebecDenise Dumont-Bernier
油
This document provides information about Healthy People of the Kennebec Valley (HPKV), a collaborative focused on promoting worksite wellness in the Kennebec Valley region. HPKV focuses on providing resources and education to employers on workplace health and wellness best practices. It lists upcoming events on nutrition, medical self-care, and National Employee Health and Fitness Day. Membership benefits include wellness program consultation, networking opportunities, and discounted rates for events. The document encourages businesses to become members at various sponsorship levels to support HPKV's mission of engaging employers to promote health and wellness.City of Portland stretch program 
City of Portland stretch program Denise Dumont-Bernier
油
The Portland Public Works department implemented a stretching program to address high injury rates among employees, particularly in the Solid Waste Division. A study by the Maine Municipal Association found that many injuries were sprains and strains occurring early in the work day. A physical therapist then developed a customized stretching program called Fit For Work, which includes warm-up exercises, stretches for major muscle groups, and flexibility tests. The 10-minute program is performed daily in a standing position. It reduced injuries and improved employees' range of motion. Dedicated supervisors and management support were keys to the program's success.Ergonomics symposium 2007 stretching the limits
Ergonomics symposium 2007 stretching the limitsDenise Dumont-Bernier
油
Stretching the Limits at Work discusses implementing successful workplace stretch programs. Many companies have implemented such programs to prevent sprain and strain injuries, which cost $45-54 billion annually. While basic science shows stretching reduces injuries, studies of workplace programs' efficacy are equivocal. A successful program includes proper stretches led by trained peers, management support, and monitoring. Proper implementation considers employee duties and injury patterns. The value of stretch programs includes reduced injuries and costs if coordinated with an organizational safety culture.Maine Municipal HR Conference 2016
Maine Municipal HR Conference 2016Denise Dumont-Bernier
油
The document describes Oakland's new stretching program for municipal employees led by Denise Dumont-Bernier and Libby Parr. The program aims to prevent unnecessary strain and injuries through proper stretching. It is mandatory for employees over 50 years old in high risk departments. The program takes 5-10 minutes in the morning and has improved employee health, morale and reduced workers compensation costs for Oakland.Back safety presentation
Back safety presentationDenise Dumont-Bernier
油
Back injuries are common, accounting for 1 in 5 workplace injuries. Lifting heavy objects, twisting, prolonged sitting or standing, and falls are common causes. The spine consists of vertebrae, discs, joints, ligaments and muscles that can be injured. Maintaining good posture and lifting techniques, exercising for back strength and flexibility, stretching, and being aware of ergonomic risks can help prevent back injuries.The aging worker.2015 Maine Municipal HR Conference
The aging worker.2015 Maine Municipal HR ConferenceDenise Dumont-Bernier
油
The document discusses the aging workforce and challenges employers may face. As people are living longer and legislation prevents mandatory retirement, the average age of workers is increasing. This presents physical, cognitive and sensory challenges for older employees. The document outlines these challenges and provides suggestions on how employers can accommodate an aging workforce through ergonomic adjustments, wellness programs, training and health screenings. Accommodating aging workers benefits both employees and employers by improving productivity and reducing health costs.Wellness Council of Maine: aging worker 2015
Wellness Council of Maine: aging worker 2015Denise Dumont-Bernier
油
This document discusses trends in an aging workforce and how employers can prepare. It notes that older workers are staying in the workforce longer due to various factors. The aging process can impact workers physically in areas like vision, hearing, balance and joint health. Employers should consider wellness programs, ergonomic improvements and training to help older employees stay healthy and productive. Key steps include assessing employee health risks, implementing wellness programs, and promoting a culture of health and wellness. This can help control rising healthcare costs while benefiting employee health and engagement.Maine Department of Education- Aging worker 2010
Maine Department of Education- Aging worker 2010Denise Dumont-Bernier
油
This document discusses aging workers and how to accommodate them. It notes trends showing that workers are aging and staying in the workforce longer. The effects of aging include declines in musculoskeletal, sensory, cardiovascular and other body systems. Injuries among older workers tend to be more severe and disabling. Wellness programs and ergonomic accommodations can help older workers stay healthy, productive and safe on the job. The document provides examples of specific accommodations employers can implement regarding vision, hearing, balance and more. It emphasizes that wellness programs are important for controlling healthcare costs and maintaining a productive workforce.Kennebec Valley Chamber Womens network meeting 2011
Kennebec Valley Chamber Womens network meeting 2011Denise Dumont-Bernier
油
This document discusses the business case for workplace wellness programs. It notes that chronic conditions are increasing as the workforce ages and obesity rises. Poor health leads to higher medical costs and lost productivity. Data from MaineGeneral Health shows that their wellness program reduced health risks and medical claims costs for participating employees. The personal case for wellness is also made, with five rules to live by: quantify your health status, eat well and watch portions, get regular physical activity, get good sleep, and quit smoking. The document advocates being a smart healthcare consumer by getting the right care, at the right time, and in the right place.Good health is good for business- Friday Forum for employers
Good health is good for business- Friday Forum for employersDenise Dumont-Bernier
油
This document summarizes a presentation given by Denise Dumont-Bernier and LeeAnna Lavoie of MaineGeneral's workplace health program. The presentation reviewed declining health trends in Maine, the rising costs of poor health to businesses, and how implementing a comprehensive wellness program can help integrate health as a business priority. The speakers discussed using behavioral economics to encourage healthy choices and changing organizational culture to support wellness. They provided an example of MaineGeneral's program centered on nurses and employees and emphasizing prevention, healthy environments, and community resources to create a culture where health is valued and supported.WLCME 2010 : Take care of yourself ...literally
WLCME 2010 : Take care of yourself ...literallyDenise Dumont-Bernier
油
This document summarizes a presentation on optimizing health outcomes in the workplace. It discusses:
1) Different types of healthcare like primary care, specialty care, and occupational health care and when each is appropriate.
2) Signs that warrant emergency care vs when self-care or seeing a primary care provider is sufficient.
3) Ways employers can positively impact healthcare like wellness programs, health plan design, and creating a culture that supports healthy behaviors.
4) How better health consumerism can control costs, increase productivity and improve outcomes.Maine HR Summit 2010- Rules for Wellness Programs
Maine HR Summit 2010- Rules for Wellness ProgramsDenise Dumont-Bernier
油
This document discusses the growing costs and prevalence of chronic health conditions and how employers can promote employee wellness to improve health and reduce costs. It provides data showing chronic conditions and obesity are increasing in the US workforce. Poor health contributes significantly to medical and productivity costs. The document outlines MaineGeneral Health's successful wellness program which reduced health risks and costs through health coaching, incentives, and measuring outcomes. Their program shifted many employees to lower risk categories, lowering claims costs by nearly $1 million. The summary emphasizes how wellness programs can systematically improve workforce health and enhance business performance if they take a long-term, data-driven approach to health behavior change.NAOHP 2014- Onsite healthcare for Smaller business
NAOHP 2014- Onsite healthcare for Smaller businessDenise Dumont-Bernier
油
On-site medical clinics are becoming more common and accessible for small employers. While traditionally only available to large companies, on-site clinics can provide value to employers of all sizes by improving employee health, reducing medical costs and workers' compensation claims, and boosting productivity and engagement. A case study of CM Almy, a manufacturing company with 79 employees in Pittsfield, Maine, found their on-site clinic reduced workers' compensation premiums by 60% and eliminated $60,000 in lost productivity costs. On-site services should be tailored to meet the needs of the specific employer but can include occupational health, injury treatment, wellness programs, and basic non-occupational care.Good health is good for business
Good health is good for businessDenise Dumont-Bernier
油
- Employee health and wellness programs can help lower healthcare costs and improve productivity for businesses. Presenters from MaineGeneral Health reviewed key health trends, the impact of chronic conditions on lost productivity, and the full costs of employee poor health beyond just medical claims.
- MaineGeneral implemented a comprehensive workplace wellness program that included leadership support, health coaching, focus on company culture, and rewards for participation and healthy behaviors. This helped lower their employees' health risks and medical spending without raising benefits costs for three years.
- Critical factors for an effective wellness program include visible leadership support, making healthy choices easy, offering health coaching, focusing on developing a healthy culture, emphasizing employee engagement, and recognizing success. MaineGeneral's programNAOHP 2015- Developing Worksite Wellness for Employers
NAOHP 2015- Developing Worksite Wellness for EmployersDenise Dumont-Bernier
油
MaineGeneral Health's mission is to enhance the health of the local community. Their workplace wellness program aims to make health a priority and part of the business strategy to reduce costs from claims, health plan costs, absences and lost productivity. The program focuses on becoming role models, demonstrating results, and partnering with customers. Over time they have expanded programming, engaged stakeholders, and shown outcomes like no health insurance premium increases in three years and millions saved. Their goals are to continuously communicate commitment, make health part of the culture, and encourage staff participation to support a healthier, happier, and more engaged workforce.
Local Anesthetic Use in the Vulnerable Patients
Local Anesthetic Use in the Vulnerable PatientsReza Aminnejad
油
Local anesthetics are a cornerstone of pain management, but their use requires special consideration in vulnerable groups such as pediatric, elderly, diabetic, or obese patients. In this presentation, well explore how factors like age and physiology influence local anesthetics' selection, dosing, and safety. By understanding these differences, we can optimize patient care and minimize risks.
ECZEMA 3rd year notes with images .pptx
ECZEMA 3rd year notes with images .pptxAyesha Fatima
油
If its not Itch Its not Eczema
Eczema is a group of medical conditions which causes inflammation and irritation to skin.
It is also called as Dermatitis
Eczema is an itchy consisting of ill defined erythremotous patches. The skin surface is usually scaly and As time progress, constant scratching leads to thickened lichenified skin.
Several classifications of eczemas are available based on Etiology, Pattern and chronicity.
According to aetiology Eczema are classified as:
Endogenous eczema: Where constitutional factors predispose the patient to developing an eczema.
Family history (maternal h/o eczema) is often present
Strong genetic predisposition (Filaggrin gene mutations are often present).
Filaggrin is responsible for maintaining moisture in skin (hence all AD patients have dry skin.
Immunilogical factor-Th-2 disease, Type I hypersensitivity (hence serum IgE high)
e.g., Seborrheic dermatitis, Statis dermatitis, Nummular dermatitis, Dyshidrotic Eczema
Exogenous eczema: Where external stimuli trigger development of eczema,
e.g., Irritant dermatitis, Allergic Dermatitis, Neurodermatitis,
Combined eczema: When a combination of constitutional factors and extrinsic triggers are responsible for the development of eczema
e.g., Atopic dermatitis
Extremes of Temperature
Irritants : Soaps, Detergents, Shower gels, Bubble baths and water
Stress
Infection either bacterial or viral,
Bacterial infections caused by Staphylococcus aureus and Streptococcus species.
Viral infections such as Herpes Simplex, Molluscum Contagiosum
Contact allergens
Inhaled allergens
Airborne allergens
Allergens include
Metals eg. Nickle, Cobalt
Neomycin, Topical ointment
Fragrance ingredients such as Balsam of Peru
Rubber compounds
Hair dyes for example p-Phenylediamine
Plants eg. Poison ivy .
Atopic Dermatitis : AD is a chronic, pruritic inflammatory skin disease characterized by itchy inflamed skin.
Allergic Dermatitis: A red itchy weepy reaction where the skin has come in contact with a substance That immune system recognizes as foreign substances.
Ex: Poison envy, Preservatives from creams and lotions.
Contact Irritant Dermatitis: A Localized reaction that include redness, itching and burning where the skin has come In contact with an allergen or with irritant such as acid, cleaning agent or chemical.
Dyshidrotic Eczema: Irritation of skin on the palms and soles by
clear deep blisters that itch and burn.
Clinical Features; Acute Eczema:- Acute eczema is characterized by an erythematous and edematous plaque, which is ill-defined and is surmounted by papules, vesicles, pustules and exudate that dries to form crusts. A subsiding eczematous plaque may be covered with scales.
Chronic Eczema:- Chronic eczema is characterized by lichenification, which is a triad of hyperpigmentation, thickening markings. The lesions are less exudative and more scaly. Flexural lesions may develop fissures.
Pruritus
Characteristic Rash
Chronic or repeatedly occurring symptoms.Description of Beta thalassemia its cause and management.
Description of Beta thalassemia its cause and management.KIMS
油
All about Beta Thalassemia etiology , pathology , manifestation and treatment & prevention..Flag Screening in Physiotherapy Examination.pptx
Flag Screening in Physiotherapy Examination.pptxBALAJI SOMA
油
Flag screening is a crucial part of physiotherapy assessment that helps in identifying medical, psychological, occupational, and social barriers to recovery. Recognizing these flags ensures that physiotherapists make informed decisions, provide holistic care, and refer patients appropriately when necessary. By integrating flag screening into practice, physiotherapists can optimize patient outcomes and prevent chronicity of conditions.Op-eds and commentaries 101: U-M IHPI Elevating Impact series
Op-eds and commentaries 101: U-M IHPI Elevating Impact seriesKara Gavin
油
A slide set about writing opinion and commentary pieces, created for the University of Michigan Institute for Healthcare Policy and Innovation in Jan. 2025Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"
Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"Rehab Aboshama
油
Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...KHUSHAL CHAVAN
油
This presentation provides an in-depth understanding of solubilization and its critical role in pharmaceutical formulations. It covers:
Definition & Mechanisms of Solubilization
Role of surfactants, micelles, and bile salts in drug solubility
Factors affecting solubilization (pH, polarity, particle size, temperature, etc.)
Methods to enhance drug solubility (Buffers, Co-solvents, Surfactants, Complexation, Solid Dispersions)
Advanced approaches (Polymorphism, Salt Formation, Co-crystallization, Prodrugs)
This resource is valuable for pharmaceutical scientists, formulation experts, regulatory professionals, and students interested in improving drug solubility and bioavailability.More Related Content
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City of Portland stretch program
City of Portland stretch program Denise Dumont-Bernier
油
The Portland Public Works department implemented a stretching program to address high injury rates among employees, particularly in the Solid Waste Division. A study by the Maine Municipal Association found that many injuries were sprains and strains occurring early in the work day. A physical therapist then developed a customized stretching program called Fit For Work, which includes warm-up exercises, stretches for major muscle groups, and flexibility tests. The 10-minute program is performed daily in a standing position. It reduced injuries and improved employees' range of motion. Dedicated supervisors and management support were keys to the program's success.Ergonomics symposium 2007 stretching the limits
Ergonomics symposium 2007 stretching the limitsDenise Dumont-Bernier
油
Stretching the Limits at Work discusses implementing successful workplace stretch programs. Many companies have implemented such programs to prevent sprain and strain injuries, which cost $45-54 billion annually. While basic science shows stretching reduces injuries, studies of workplace programs' efficacy are equivocal. A successful program includes proper stretches led by trained peers, management support, and monitoring. Proper implementation considers employee duties and injury patterns. The value of stretch programs includes reduced injuries and costs if coordinated with an organizational safety culture.Maine Municipal HR Conference 2016
Maine Municipal HR Conference 2016Denise Dumont-Bernier
油
The document describes Oakland's new stretching program for municipal employees led by Denise Dumont-Bernier and Libby Parr. The program aims to prevent unnecessary strain and injuries through proper stretching. It is mandatory for employees over 50 years old in high risk departments. The program takes 5-10 minutes in the morning and has improved employee health, morale and reduced workers compensation costs for Oakland.Back safety presentation
Back safety presentationDenise Dumont-Bernier
油
Back injuries are common, accounting for 1 in 5 workplace injuries. Lifting heavy objects, twisting, prolonged sitting or standing, and falls are common causes. The spine consists of vertebrae, discs, joints, ligaments and muscles that can be injured. Maintaining good posture and lifting techniques, exercising for back strength and flexibility, stretching, and being aware of ergonomic risks can help prevent back injuries.The aging worker.2015 Maine Municipal HR Conference
The aging worker.2015 Maine Municipal HR ConferenceDenise Dumont-Bernier
油
The document discusses the aging workforce and challenges employers may face. As people are living longer and legislation prevents mandatory retirement, the average age of workers is increasing. This presents physical, cognitive and sensory challenges for older employees. The document outlines these challenges and provides suggestions on how employers can accommodate an aging workforce through ergonomic adjustments, wellness programs, training and health screenings. Accommodating aging workers benefits both employees and employers by improving productivity and reducing health costs.Wellness Council of Maine: aging worker 2015
Wellness Council of Maine: aging worker 2015Denise Dumont-Bernier
油
This document discusses trends in an aging workforce and how employers can prepare. It notes that older workers are staying in the workforce longer due to various factors. The aging process can impact workers physically in areas like vision, hearing, balance and joint health. Employers should consider wellness programs, ergonomic improvements and training to help older employees stay healthy and productive. Key steps include assessing employee health risks, implementing wellness programs, and promoting a culture of health and wellness. This can help control rising healthcare costs while benefiting employee health and engagement.Maine Department of Education- Aging worker 2010
Maine Department of Education- Aging worker 2010Denise Dumont-Bernier
油
This document discusses aging workers and how to accommodate them. It notes trends showing that workers are aging and staying in the workforce longer. The effects of aging include declines in musculoskeletal, sensory, cardiovascular and other body systems. Injuries among older workers tend to be more severe and disabling. Wellness programs and ergonomic accommodations can help older workers stay healthy, productive and safe on the job. The document provides examples of specific accommodations employers can implement regarding vision, hearing, balance and more. It emphasizes that wellness programs are important for controlling healthcare costs and maintaining a productive workforce.Kennebec Valley Chamber Womens network meeting 2011
Kennebec Valley Chamber Womens network meeting 2011Denise Dumont-Bernier
油
This document discusses the business case for workplace wellness programs. It notes that chronic conditions are increasing as the workforce ages and obesity rises. Poor health leads to higher medical costs and lost productivity. Data from MaineGeneral Health shows that their wellness program reduced health risks and medical claims costs for participating employees. The personal case for wellness is also made, with five rules to live by: quantify your health status, eat well and watch portions, get regular physical activity, get good sleep, and quit smoking. The document advocates being a smart healthcare consumer by getting the right care, at the right time, and in the right place.Good health is good for business- Friday Forum for employers
Good health is good for business- Friday Forum for employersDenise Dumont-Bernier
油
This document summarizes a presentation given by Denise Dumont-Bernier and LeeAnna Lavoie of MaineGeneral's workplace health program. The presentation reviewed declining health trends in Maine, the rising costs of poor health to businesses, and how implementing a comprehensive wellness program can help integrate health as a business priority. The speakers discussed using behavioral economics to encourage healthy choices and changing organizational culture to support wellness. They provided an example of MaineGeneral's program centered on nurses and employees and emphasizing prevention, healthy environments, and community resources to create a culture where health is valued and supported.WLCME 2010 : Take care of yourself ...literally
WLCME 2010 : Take care of yourself ...literallyDenise Dumont-Bernier
油
This document summarizes a presentation on optimizing health outcomes in the workplace. It discusses:
1) Different types of healthcare like primary care, specialty care, and occupational health care and when each is appropriate.
2) Signs that warrant emergency care vs when self-care or seeing a primary care provider is sufficient.
3) Ways employers can positively impact healthcare like wellness programs, health plan design, and creating a culture that supports healthy behaviors.
4) How better health consumerism can control costs, increase productivity and improve outcomes.Maine HR Summit 2010- Rules for Wellness Programs
Maine HR Summit 2010- Rules for Wellness ProgramsDenise Dumont-Bernier
油
This document discusses the growing costs and prevalence of chronic health conditions and how employers can promote employee wellness to improve health and reduce costs. It provides data showing chronic conditions and obesity are increasing in the US workforce. Poor health contributes significantly to medical and productivity costs. The document outlines MaineGeneral Health's successful wellness program which reduced health risks and costs through health coaching, incentives, and measuring outcomes. Their program shifted many employees to lower risk categories, lowering claims costs by nearly $1 million. The summary emphasizes how wellness programs can systematically improve workforce health and enhance business performance if they take a long-term, data-driven approach to health behavior change.NAOHP 2014- Onsite healthcare for Smaller business
NAOHP 2014- Onsite healthcare for Smaller businessDenise Dumont-Bernier
油
On-site medical clinics are becoming more common and accessible for small employers. While traditionally only available to large companies, on-site clinics can provide value to employers of all sizes by improving employee health, reducing medical costs and workers' compensation claims, and boosting productivity and engagement. A case study of CM Almy, a manufacturing company with 79 employees in Pittsfield, Maine, found their on-site clinic reduced workers' compensation premiums by 60% and eliminated $60,000 in lost productivity costs. On-site services should be tailored to meet the needs of the specific employer but can include occupational health, injury treatment, wellness programs, and basic non-occupational care.Good health is good for business
Good health is good for businessDenise Dumont-Bernier
油
- Employee health and wellness programs can help lower healthcare costs and improve productivity for businesses. Presenters from MaineGeneral Health reviewed key health trends, the impact of chronic conditions on lost productivity, and the full costs of employee poor health beyond just medical claims.
- MaineGeneral implemented a comprehensive workplace wellness program that included leadership support, health coaching, focus on company culture, and rewards for participation and healthy behaviors. This helped lower their employees' health risks and medical spending without raising benefits costs for three years.
- Critical factors for an effective wellness program include visible leadership support, making healthy choices easy, offering health coaching, focusing on developing a healthy culture, emphasizing employee engagement, and recognizing success. MaineGeneral's programNAOHP 2015- Developing Worksite Wellness for Employers
NAOHP 2015- Developing Worksite Wellness for EmployersDenise Dumont-Bernier
油
MaineGeneral Health's mission is to enhance the health of the local community. Their workplace wellness program aims to make health a priority and part of the business strategy to reduce costs from claims, health plan costs, absences and lost productivity. The program focuses on becoming role models, demonstrating results, and partnering with customers. Over time they have expanded programming, engaged stakeholders, and shown outcomes like no health insurance premium increases in three years and millions saved. Their goals are to continuously communicate commitment, make health part of the culture, and encourage staff participation to support a healthier, happier, and more engaged workforce.Recently uploaded (20)
Local Anesthetic Use in the Vulnerable Patients
Local Anesthetic Use in the Vulnerable PatientsReza Aminnejad
油
Local anesthetics are a cornerstone of pain management, but their use requires special consideration in vulnerable groups such as pediatric, elderly, diabetic, or obese patients. In this presentation, well explore how factors like age and physiology influence local anesthetics' selection, dosing, and safety. By understanding these differences, we can optimize patient care and minimize risks.
ECZEMA 3rd year notes with images .pptx
ECZEMA 3rd year notes with images .pptxAyesha Fatima
油
If its not Itch Its not Eczema
Eczema is a group of medical conditions which causes inflammation and irritation to skin.
It is also called as Dermatitis
Eczema is an itchy consisting of ill defined erythremotous patches. The skin surface is usually scaly and As time progress, constant scratching leads to thickened lichenified skin.
Several classifications of eczemas are available based on Etiology, Pattern and chronicity.
According to aetiology Eczema are classified as:
Endogenous eczema: Where constitutional factors predispose the patient to developing an eczema.
Family history (maternal h/o eczema) is often present
Strong genetic predisposition (Filaggrin gene mutations are often present).
Filaggrin is responsible for maintaining moisture in skin (hence all AD patients have dry skin.
Immunilogical factor-Th-2 disease, Type I hypersensitivity (hence serum IgE high)
e.g., Seborrheic dermatitis, Statis dermatitis, Nummular dermatitis, Dyshidrotic Eczema
Exogenous eczema: Where external stimuli trigger development of eczema,
e.g., Irritant dermatitis, Allergic Dermatitis, Neurodermatitis,
Combined eczema: When a combination of constitutional factors and extrinsic triggers are responsible for the development of eczema
e.g., Atopic dermatitis
Extremes of Temperature
Irritants : Soaps, Detergents, Shower gels, Bubble baths and water
Stress
Infection either bacterial or viral,
Bacterial infections caused by Staphylococcus aureus and Streptococcus species.
Viral infections such as Herpes Simplex, Molluscum Contagiosum
Contact allergens
Inhaled allergens
Airborne allergens
Allergens include
Metals eg. Nickle, Cobalt
Neomycin, Topical ointment
Fragrance ingredients such as Balsam of Peru
Rubber compounds
Hair dyes for example p-Phenylediamine
Plants eg. Poison ivy .
Atopic Dermatitis : AD is a chronic, pruritic inflammatory skin disease characterized by itchy inflamed skin.
Allergic Dermatitis: A red itchy weepy reaction where the skin has come in contact with a substance That immune system recognizes as foreign substances.
Ex: Poison envy, Preservatives from creams and lotions.
Contact Irritant Dermatitis: A Localized reaction that include redness, itching and burning where the skin has come In contact with an allergen or with irritant such as acid, cleaning agent or chemical.
Dyshidrotic Eczema: Irritation of skin on the palms and soles by
clear deep blisters that itch and burn.
Clinical Features; Acute Eczema:- Acute eczema is characterized by an erythematous and edematous plaque, which is ill-defined and is surmounted by papules, vesicles, pustules and exudate that dries to form crusts. A subsiding eczematous plaque may be covered with scales.
Chronic Eczema:- Chronic eczema is characterized by lichenification, which is a triad of hyperpigmentation, thickening markings. The lesions are less exudative and more scaly. Flexural lesions may develop fissures.
Pruritus
Characteristic Rash
Chronic or repeatedly occurring symptoms.Description of Beta thalassemia its cause and management.
Description of Beta thalassemia its cause and management.KIMS
油
All about Beta Thalassemia etiology , pathology , manifestation and treatment & prevention..Flag Screening in Physiotherapy Examination.pptx
Flag Screening in Physiotherapy Examination.pptxBALAJI SOMA
油
Flag screening is a crucial part of physiotherapy assessment that helps in identifying medical, psychological, occupational, and social barriers to recovery. Recognizing these flags ensures that physiotherapists make informed decisions, provide holistic care, and refer patients appropriately when necessary. By integrating flag screening into practice, physiotherapists can optimize patient outcomes and prevent chronicity of conditions.Op-eds and commentaries 101: U-M IHPI Elevating Impact series
Op-eds and commentaries 101: U-M IHPI Elevating Impact seriesKara Gavin
油
A slide set about writing opinion and commentary pieces, created for the University of Michigan Institute for Healthcare Policy and Innovation in Jan. 2025Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"
Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"Rehab Aboshama
油
Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...KHUSHAL CHAVAN
油
This presentation provides an in-depth understanding of solubilization and its critical role in pharmaceutical formulations. It covers:
Definition & Mechanisms of Solubilization
Role of surfactants, micelles, and bile salts in drug solubility
Factors affecting solubilization (pH, polarity, particle size, temperature, etc.)
Methods to enhance drug solubility (Buffers, Co-solvents, Surfactants, Complexation, Solid Dispersions)
Advanced approaches (Polymorphism, Salt Formation, Co-crystallization, Prodrugs)
This resource is valuable for pharmaceutical scientists, formulation experts, regulatory professionals, and students interested in improving drug solubility and bioavailability.Pharm test bank- 12th lehne pharmacology nursing class
Pharm test bank- 12th lehne pharmacology nursing classkoxoyav221
油
A pediatric nursing course is designed to prepare nursing students to provide specialized care for infants, children, and adolescents. The course integrates developmental, physiological, and psychological aspects of pediatric health and illness, emphasizing family-centered care. Below is a detailed breakdown of what you can expect in a pediatric nursing course:
1. Course Overview
Focuses on growth and development, health promotion, and disease prevention.
Covers common pediatric illnesses and conditions.
Emphasizes family dynamics, cultural competence, and ethical considerations in pediatric care.
Integrates clinical skills, including medication administration, assessment, and communication with children and families.
2. Key Topics Covered
A. Growth and Development
Neonates (0-28 days): Reflexes, feeding patterns, thermoregulation.
Infants (1 month - 1 year): Milestones, immunization schedule, nutrition.
Toddlers (1-3 years): Language development, toilet training, injury prevention.
Preschoolers (3-5 years): Cognitive and social development, school readiness.
School-age children (6-12 years): Psychosocial development, peer relationships.
Adolescents (13-18 years): Puberty, identity formation, risk-taking behaviors.
B. Pediatric Assessment
Head-to-toe assessment in children (differences from adults).
Vital signs (normal ranges vary by age).
Pain assessment using age-appropriate scales (FLACC, Wong-Baker, Numeric).
C. Pediatric Disease Conditions
Respiratory disorders: Asthma, bronchiolitis, pneumonia, cystic fibrosis.
Cardiac conditions: Congenital heart defects, Kawasaki disease.
Neurological disorders: Seizures, meningitis, cerebral palsy.
Gastrointestinal disorders: GERD, pyloric stenosis, intussusception.
Endocrine conditions: Diabetes mellitus type 1, congenital hypothyroidism.
Hematologic disorders: Sickle cell anemia, hemophilia, leukemia.
Infectious diseases: Measles, mumps, rubella, chickenpox.
Mental health concerns: Autism spectrum disorder, ADHD, eating disorders.
D. Pediatric Pharmacology
Medication administration (oral, IV, IM, subcutaneous).
Weight-based dosing calculations (mg/kg).
Common pediatric medications (antibiotics, analgesics, vaccines).
Parenteral nutrition and fluid management.
E. Pediatric Emergency & Critical Care
Pediatric Advanced Life Support (PALS) basics.
Recognizing signs of deterioration (early vs. late signs).
Shock, dehydration, respiratory distress management.
F. Family-Centered Care & Communication
Parental involvement in care decisions.
Therapeutic communication with children at different developmental stages.
Cultural considerations in pediatric care.
G. Ethical and Legal Issues in Pediatric Nursing
Informed consent for minors.
Mandatory reporting of abuse and neglect.
Palliative care and end-of-life considerations in pediatrics.
3. Clinical Component
Hands-on experience in pediatric hospital units, clinics, or community settings.
Performing assessments and interventions under supervision.
Case study discDIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTER
DIAGNOSIS OF PREGNANCY PPT IN ALL TRIMESTERdaminipatel37
油
Diagnosis of all three trimester of pregnancy Hingula.ppt- Rasadravya parichaya- NCISM
Hingula.ppt- Rasadravya parichaya- NCISMShri Shivayogeeshwar Rural Ayurvedic Medical college, INCHAL,
油
Hingula(Cinnabar)
Synonyms - Churna Parada, Darada, Mleccha, Rasagarbha,Rasodbhava,
Shukatunda, Hamsapada, Lohagna
Mineralogical Identification
Chemical Formula- HgS
Chemical name- mercury sulfide
Nature Crystalline
Colour- Bright Red
Crystal- Trigonal.
Clevage- -
Diaphaneity- Transparent to Translucent
Fracture- Uneven
Tenacity- Brittle
Lustre- Vitreous
Streak- Red
Sp. Gravity- 8 to 8.1
Hardness- 2 to 2.5
Sources
- It is found near volcanic region and near mercury mines(extracted).
- It is associated with other minerals like Stibnite, pyrite, realgar, calcite etc.
- Almaden (Spain), California, Texas.
Types
1) Charmara
2) Shukhatunda
3) Hamsapada ( Ap 2/69)
1) Khanija
2) Kritrima (RT 9/4)
Grahya ad Agrahyata
爐爐爐 爐爛爐伍爐 爐朽ぐ爛爐爐鉦き: 爐爛爐劇ぃ 爐伍爐爐爛爐項ぐ: |
爐爐項爐爛爐朽ぞ爐迦 爐爐鉦ぐ爐爛爐萎爐爛 爐項た爐爐爛爐: 爐謹爐萎爐劇爐 爐爐爛爐爐む || RT 9/3
Doshas
Andya( Blindness)
Kshinata
Klama
Bhrama
Moha
Prameha ( AP 2/73)
Shodhana
1) Grahya Hingula ChurnaArdraka rasa bhavana(7)--Shuddhahingula (RT 9/12)
Marana
Other Processing Techniques
Satwa Patana
-Shuddha HingulaAdhaha patana/Urdhwa patana -Satva (Parada) (RRS 3/144)
Yogas
Hinguleshwar rasa
Anandabhairava Rasa,
Mrutunjaya Rasa,
Tribhuvana keerti Rasa, etc.
Research Updates
A CONCEPTUAL REVIEW ON HINGULA (CINNABAR- HgS)
https://ijapr.in/index.php/ijapr/article/view/1237
EXTRACTION OF PARAD FROM HINGULA, A TRADITIONAL AYURVEDIC METHOD
https://www.researchgate.net/publication/323601866_EXTRACTION_OF_PARAD_FROM_HINGULA_A_TRADITIONAL_AYURVEDIC_METHOD
DrMahantesh.B.Rudrapuri,
M.D.(Ayu) FAGE , PGDYT
HOD Department of Rasa Shastra&BhaishajyaKalpana
Shri Shivayogeeshwar Rural Ayurvedic Medical College,
INCHAL 591 102, Dist: Belgaum
Mob: 9972710790
MLS 208 - UNIT 4 A - Tissue Processing - ETANDO AYUK - SANU 1 - Secured.pdf
MLS 208 - UNIT 4 A - Tissue Processing - ETANDO AYUK - SANU 1 - Secured.pdfEswatini Medical Christian University - EMCU / Southern Nazarene University - SANU
油
The course covers the steps undertaken from tissue collection, reception, fixation,
sectioning, tissue processing and staining. It covers all the general and special
techniques in histo/cytology laboratory. This course will provide the student with the
basic knowledge of the theory and practical aspect in the diagnosis of tumour cells
and non-malignant conditions in body tissues and for cytology focusing on
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Cardiac Arrhythmia definition, classification, normal sinus rhythm, characteristics , types and management with medical ,surgical & nursing, health education and nursing diagnosis for paramedical students. 
BIOMECHANICS OF THE MOVEMENT OF THE SHOULDER COMPLEX.pptx
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The shoulder complex acts as in coordinated fashion to provide the smoothest and greatest range of motion possible of the upper limb.
Combined motion of GH and ST joint of shoulder complex helps in:
Distribution of motion between other two joints.
Maintenance of glenoid fossa in optimal position.
Maintenance of good length tension
Although some amount of glenohumeral motion may occur while the other shoulder articulations remain stabilized, movement of the humerus more commonly involves some movement at all three shoulder joints.
Sudurpaschim logsewa aayog Medical Officer 8th Level Curriculum
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Sudurpaschim province psc ( lok sewa aayog) medical officer 8th level syllabusStability of Dosage Forms as per ICH Guidelines
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This presentation covers the stability testing of pharmaceutical dosage forms according to ICH guidelines (Q1A-Q1F). It explains the definition of stability, various testing protocols, storage conditions, and evaluation criteria required for regulatory submissions. Key topics include stress testing, container closure systems, stability commitment, and photostability testing. The guidelines ensure that pharmaceutical products maintain their identity, purity, strength, and efficacy throughout their shelf life. This resource is valuable for pharmaceutical professionals, researchers, and regulatory experts.
Non-Invasive ICP Monitoring for Neurosurgeons
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This presentation delves into the latest advancements in non-invasive intracranial pressure (ICP) monitoring techniques, specifically tailored for neurosurgeons. It covers the importance of ICP monitoring in clinical practice, explores various non-invasive methods, and discusses their accuracy, reliability, and clinical applications. Attendees will gain insights into the benefits of non-invasive approaches over traditional invasive methods, including reduced risk of complications and improved patient outcomes. This comprehensive overview is designed to enhance the knowledge and skills of neurosurgeons in managing patients with neurological conditions.
Invasive systems are commonly used for monitoring intracranial pressure (ICP) in traumatic brain injury (TBI) and are considered the gold standard. The availability of invasive ICP monitoring is heterogeneous, and in low- and middle-income settings, these systems are not routinely employed due to high cost or limited accessibility. The aim of this presentation is to develop recommendations to guide monitoring and ICP-driven therapies in TBI using non-invasive ICP (nICP) systems.
Hingula.ppt- Rasadravya parichaya- NCISM
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MLS 208 - UNIT 4 A - Tissue Processing - ETANDO AYUK - SANU 1 - Secured.pdf
MLS 208 - UNIT 4 A - Tissue Processing - ETANDO AYUK - SANU 1 - Secured.pdfEswatini Medical Christian University - EMCU / Southern Nazarene University - SANU
油