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https://www.readbyqxmd.com/read/28217574/india-in-search-of-right-universal-health-coverage-uhc-model-the-risks-of-implementing-uhc-in-the-absence-of-political-demand-by-the-citizen
#1
EDITORIAL
Raman Kumar, Pritam Roy
Amid the global push for Universal Health Coverage (UHC), the agenda is being set for India's health care. In the absence of a constitutional mandate, a national policy and citizen-led political demand for UHC, there exist specific risks in rushing toward its implementation in India. As the debate of UHC continues, the health-care delivery system in India is at cross roads. UHC in India could take two different trajectories. The first one takes India toward becoming "Global Bazaar" of morbidity and ill health, founded on the pillars of a vibrant rapidly multiplying healthcare industry...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28215875/occurrence-and-molecular-genotyping-of-giardia-duodenalis-and-cryptosporidium-spp-in-wild-mesocarnivores-in-spain
#2
Marta Mateo, Marta Hernández de Mingo, Aida de Lucio, Lucía Morales, Ana Balseiro, Alberto Espí, Marta Barral, José Francisco Lima Barbero, Miguel Ángel Habela, José L Fernández-García, Rafael Calero Bernal, Pamela C Köster, Guillermo A Cardona, David Carmena
There is a surprisingly scarce amount of epidemiological and molecular data on the prevalence, frequency, and diversity of the intestinal protozoan parasites Giardia duodenalis and Cryptosporidium spp. in wildlife in general and mesocarnivore species in particular. Consequently, the extent of the cyst/oocyst environmental contamination attributable to these wild host species and their potential implications for public veterinary health remain largely unknown. In this molecular epidemiological survey a total of 193 individual faecal samples from badgers (Meles meles, n=70), ferrets (Mustela putorius furo, n=2), genets (Genetta genetta, n=6), Iberian lynxes (Lynx pardinus, n=6), beech martens (Martes foina, n=8), mongooses (Herpestes ichneumon, n=2), otters (Lutra lutra, n=2), polecats (Mustela putorius, n=2), red foxes (Vulpes vulpes, n=87), wildcats (Felis silvestris, n=2), and wolves (Canis lupus, n=6) were obtained from road-killed, hunted, and accidentally found carcasses, and from camera-trap surveys or animals entering rescue shelters, during the period December 2003-April 2016...
February 15, 2017: Veterinary Parasitology
https://www.readbyqxmd.com/read/28210405/titanium-clamps-for-a-simple-low-profile-autologous-osteosynthesis-in-the-reconstruction-of-posttraumatic-craniofacial-convexital-skeletal-disruption
#3
Amos Olufemi Adeleye, Toluyemi Adefolarin Malomo
Attempts at reconstruction of posttraumatic craniofacial defects (PTCDs) can be a challenge in low-resource practice areas of the world where the needed biomaterials are logistically beyond reach. A simple low-profile technique of autologous osteosynthesis for PTCD using the titanium clamps is presented in this report. In addition, a 6-year prospective database on a consecutive cohort of patients who underwent this procedure was analyzed for clinical, functional, and aesthetic outcomes, both in-hospital and at midterm follow-up...
March 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28196769/nanoparticles-of-wc-co-wc-co-and-cu-of-relevance-for-traffic-wear-particles-particle-stability-and-reactivity-in-synthetic-surface-water-and-influence-of-humic-matter
#4
Yolanda S Hedberg, Jonas F Hedberg, Sara Isaksson, Nanxuan Mei, Eva Blomberg, Susanna Wold, Inger Odnevall Wallinder
Studded tyres made of tungsten carbide cobalt (WC-Co) are in the Northern countries commonly used during the winter time. Tungsten (W)-containing nano- and micron-sized particles have been detected close to busy roads in several European countries. Other typical traffic wear particles consist of copper (Cu). The aims of this study were to investigate particle stability and transformation/dissolution properties of nanoparticles (NPs) of WC-Co compared with NPs of tungsten carbide (WC), cobalt (Co), and Cu. Their physicochemical characteristics (primarily surface oxide and charge) are compared with their extent of sedimentation and metal release in synthetic surface water (SW) with and without two different model organic molecules, 2,3- and 3,4-dihydroxybenzoic acid (DHBA) mimicking certain sorption sites of humic substances, for time periods up to 22 days...
February 11, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28189072/modeling-the-intraurban-variation-in-nitrogen-dioxide-in-urban-areas-in-kathmandu-valley-nepal
#5
Anobha Gurung, Jonathan I Levy, Michelle L Bell
BACKGROUND: With growing urbanization, traffic has become one of the main sources of air pollution in Nepal. Understanding the impact of air pollution on health requires estimation of exposure. Land use regression (LUR) modeling is widely used to investigate intraurban variation in air pollution for Western cities, but LUR models are relatively scarce in developing countries. In this study, we developed LUR models to characterize intraurban variation of nitrogen dioxide (NO2) in urban areas of Kathmandu Valley, Nepal, one of the fastest urbanizing areas in South Asia...
February 8, 2017: Environmental Research
https://www.readbyqxmd.com/read/28180123/repetitive-traumatic-brain-injury-in-patients-from-kashan-iran
#6
Esmaeil Fakharian, Mahdi Mohammadzadeh, Shirin Behdadmehr, Hamid Reza Sabri, Azadeh Sadat Mirzadeh, Javad Mohammadzadeh
BACKGROUND: Traumatic brain injury (TBI) is a worldwide problem, especially in countries with high incidence of road traffic accidents such as Iran. Patients with a single occurrence of TBI have been shown to be at increased risk to sustain future TBI. OBJECTIVES: The aim of this study was to present the incidence and characteristics of repeated TBI (RTBI) in Iranian patients. PATIENTS AND METHODS: During one year, all admitted TBI patients with prior TBI history were enrolled into the study...
September 2016: Trauma Monthly
https://www.readbyqxmd.com/read/28179069/development-and-evaluation-of-a-web-based-software-for-crash-data-collection-processing-and-analysis
#7
Alfonso Montella, Salvatore Chiaradonna, Giorgio Criscuolo, Salvatore De Martino
First step of the development of an effective safety management system is to create reliable crash databases since the quality of decision making in road safety depends on the quality of the data on which decisions are based. Improving crash data is a worldwide priority, as highlighted in the Global Plan for the Decade of Action for Road Safety adopted by the United Nations, which recognizes that the overall goal of the plan will be attained improving the quality of data collection at the national, regional and global levels...
February 5, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28173743/the-burden-of-trauma-at-a-district-hospital-in-malawi
#8
Zahra Jaffry, Linda C Chokotho, William J Harrison, Nyengo C Mkandawire
Trauma disproportionately affects low- and middle-income countries, many of which do not have the surveillance systems required to design effective prevention and treatment strategies. The aim of this study was to establish such a system at a district hospital in Malawi. Data on all trauma patients presenting to Mulanje District Hospital from 14 April 2013 to 30 December 2014 were collected using a form based on the core minimum data points for injuries recommended by the World Health Organization and an injury severity assessment...
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28157622/built-environmental-correlates-of-cycling-for-transport-across-europe
#9
Lieze Mertens, Sofie Compernolle, Benedicte Deforche, Joreintje D Mackenbach, Jeroen Lakerveld, Johannes Brug, Célina Roda, Thierry Feuillet, Jean-Michel Oppert, Ketevan Glonti, Harry Rutter, Helga Bardos, Ilse De Bourdeaudhuij, Delfien Van Dyck
This cross-sectional study aimed to determine which objective built environmental factors, identified using a virtual neighbourhood audit, were associated with cycling for transport in adults living in five urban regions across Europe. The moderating role of age, gender, socio-economic status and country on these associations was also investigated. Overall, results showed that people living in neighbourhoods with a preponderance of speed limits below 30km/h, many bicycle lanes, with less traffic calming devices, more trees, more litter and many parked cars forming an obstacle on the road were more likely to cycle for transport than people living in areas with lower prevalence of these factors...
January 31, 2017: Health & Place
https://www.readbyqxmd.com/read/28146178/universal-health-coverage-through-community-nursing-services-china-vs-hong-kong
#10
Wai Yee Chan, Ita M Fung, Eric Chan
Objective: this article looks at how the development of community nursing services in China and Hong Kong can enhance universal health coverage. Methods: literature and data review have been utilized in this study. Results: nursing services have evolved much since the beginning of the nursing profession. The development of community nursing services has expanded the scope of nursing services to those in need of, not just hospital-level nursing care, but more holistic care to improve health and quality of life...
January 30, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28126318/exploring-spatial-autocorrelation-of-traffic-crashes-based-on-severity
#11
Ali Soltani, Sajad Askari
As a developing country, Iran has one of the highest crash-related deaths, with a typical rate of 15.6 cases in every 100 thousand people. This paper is aimed to find the potential temporal and spatial patterns of road crashes aggregated at traffic analysis zonal (TAZ) level in urban environments. Localization pattern and hotspot distribution were examined using geo-information approach to find out the impact of spatial/temporal dimensions on the emergence of such patterns. The spatial clustering of crashes and hotspots were assessed using spatial autocorrelation methods such as the Moran's I and Getis-Ord Gi* index...
January 19, 2017: Injury
https://www.readbyqxmd.com/read/28122573/risk-factors-of-bicycle-traffic-injury-among-middle-school-students-in-chaoshan-rural-areas-of-china
#12
Zhen-Bin Lin, Yan-Hu Ji, Qing-Yu Xiao, Li-Bo Luo, Li-Ping Li, Bernard Choi
BACKGROUND: Bicycle injuries are a leading cause of accidental death among children in the world, and bicycle-related injuries are also very common in China, thus to find out bicycle injury risk factors is imperative. This study aims to identify the cyclist-, bicycle- and road-related risk factors of bicycle injury, to develop health education programs as an intervention and to provide a scientific basis for establishing policies against bicycle injury. METHODS: We selected two middle schools randomly among seven schools in Chaoshan rural areas,where the main means of transportation for students from home to school was bicycle...
January 26, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28112092/immunisation-coverage-in-the-rural-eastern-cape-are-we-getting-the-basics-of-primary-care-right-results-from-a-longitudinal-prospective-cohort-study
#13
K Le Roux, O Akin-Olugbade, L S Katzen, C Laurenzi, N Mercer, M Tomlinson, M J Rotheram-Borus
BACKGROUND: Immunisations are one of the most cost-effective public health interventions available and South Africa (SA) has implemented a comprehensive immunisation schedule. However, there is disagreement about the level of immunisation coverage in the country and few studies document the immunisation coverage in rural areas. OBJECTIVE: To examine the successful and timely delivery of immunisations to children during the first 2 years of life in a deeply rural part of the Eastern Cape Province of SA...
December 21, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28110260/road-traffic-injuries-among-children-and-adolescents-in-singapore-who-is-at-greatest-risk
#14
Shu-Ling Chong, Arif Tyebally, Su Yah Chew, Yang Chern Lim, Xun Yi Feng, Sock Teng Chin, Lois K Lee
INTRODUCTION: Pediatric road traffic injuries remain a significant cause of death and disability in many countries in Asia, despite the implementation of road traffic safety laws. We aim to describe the injuries, the use of restraints among road users, and risk factors associated with severe injuries for children in Singapore. METHODS: We performed a retrospective chart review of road traffic injuries presenting to the only two pediatric tertiary care hospitals in Singapore, from January 2012 to April 2016...
March 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28097637/moving-from-patient-advocacy-to-partnership-a-long-and-bumpy-road
#15
Durhane Wong-Rieger
Real-life experiences of grassroots patient organizations across a variety of diseases, countries and contexts have been used to develop a four-mode framework of the transition from patient advocacy to partnership, defined by one axis as individual versus collective action and the other axis as activities 'outside' or 'inside' the system. The four quadrants are labeled as advocacy, activism, reform and broker, and engagement is further refined by whether the participation is 'pushed' by the group or 'pulled' by the system...
January 17, 2017: Patient
https://www.readbyqxmd.com/read/28091432/depression-and-posttraumatic-stress-disorder-among-road-traffic-accident-victims-managed-in-a-tertiary-hospital-in-southern-nigeria
#16
J E Asuquo, B E Edet, I E Abang, E A Essien, O G Osakwe, E J Aigbomain, K C Chigbundu
BACKGROUND: Psychological responses to traumatic events vary widely across different cultures but studies in the developing countries are scant. The objective of this study is to determine prevalence of depression and posttraumatic stress disorder (PTSD) among patients involved in road traffic accident (RTA) compared with that of the general population using a matched control group. MATERIALS AND METHODS: The study design was case control and employed the convenient sampling technique...
February 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28048147/su-f-e-14-global-radiation-oncology-education-and-training-in-medical-physics-powered-by-information-and-communication-technologies
#17
W Ngwa, E Sajo, T Ngoma, J Dachi, J Julius Mwaiselage, O Kenton, S Avery
PURPOSE: Recent publications have highlighted the potential of Information and Communication Technologies (ICTs) to catalyze collaborations in cancer care, research and education in global radiation oncology. This work reports on the use of ICTs for global Medical Physics education and training across three countries: USA, Tanzania and Kuwait METHODS: An online education platform was established by Radiation Oncology Faculty from Harvard Medical School, and the University of Pennsylvania with integrated Medical Physics Course modules accessible to trainees in Tanzania via partnership with the Muhimbili University of Health and Allied Sciences, and the Ocean Road Cancer Institute...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28039687/road-traffic-incidents-in-uganda-a-systematic-review-study-of-a-five-year-trend
#18
Joseph Kimuli Balikuddembe, Ali Ardalan, Davoud Khorasani-Zavareh, Amir Nejati, Kasiima Stephen Munanura
BACKGROUND: Over the years, Uganda has been one of the low and middle-income countries bearing the heaviest burden of road traffic incidents (RTI). Since the proclamation of the United Nations Decade of Action for Road Safety 2011 - 2020, a number of measures have been taken to reduce the burden. However, they ought to be premised on existing evidence-based research; therefore, the present review ventures to report the most recent five-year trend of RTI in Uganda. METHODS: Based on Preferred Reporting Items for Systematic Reviews and Meta-Data Analysis (PRISMA) guidelines, a systematic review was employed...
January 1, 2017: Journal of Injury & Violence Research
https://www.readbyqxmd.com/read/28018898/economic-costs-associated-with-motorbike-accidents-in-kathmandu-nepal
#19
Diksha Sapkota, Bihungum Bista, Shiva Raj Adhikari
BACKGROUND: Road traffic accidents, considered as global tragedies, are in increasing trend; however, the safety situation is very severe in developing countries incurring substantial amount of human, economic, and social costs. Motorcycle crashes, the commonest form, occur mostly in economically active population. However, there is limited number of studies on economic burden of motorcycle crashes. This study aims to estimate the total cost and disability-adjusted life years (DALYs) lost due to motorbike accidents among victims of Kathmandu Valley...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27999053/issues-in-antifungal-stewardship-an-opportunity-that-should-not-be-lost
#20
Chand Wattal, Arunaloke Chakrabarti, Jaswinder Kaur Oberoi, J Peter Donnelly, Rosemary A Barnes, B L Sherwal, Neeraj Goel, Sonal Saxena, George M Varghese, Rajeev Soman, Poonam Loomba, Bansidhar Tarai, Sanjay Singhal, Naimish Mehta, V Ramasubramanian, Dharma Choudhary, Yatin Mehta, Supradip Ghosh, Sumathi Muralidhar, Ravinder Kaur
Many countries have observed an increase in the incidence of invasive fungal infections (IFIs) over the past two decades with emergence of new risk factors and isolation of new fungal pathogens. Early diagnosis and appropriate antifungal treatment remain the cornerstones of successful outcomes. However, due to non-specific clinical presentations and limited availability of rapid diagnostic tests, in more than half of cases antifungal treatment is inappropriate. As a result, the emergence of antifungal resistance both in yeasts and mycelial fungi is becoming increasingly common...
December 20, 2016: Journal of Antimicrobial Chemotherapy
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