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https://www.readbyqxmd.com/read/28371342/essential-medicines-list-implementation-dynamics-a-case-study-using-brazilian-federal-medicines-expenditures
#1
Rachel Magarinos-Torres, Larry David Lynd, Tatiana Chama Borges Luz, Paulo Eduardo Potyguara Coutinho Marques, Claudia Garcia Serpa Osorio-de-Castro
The aim was to analyse the implementation dynamics of the Essential Medicines List (EML). We used the government expenditures on medicines and Brazil as a case study. Drug purchases were considered as a proxy for utilization. The essential medicines (EMs) expenditures were followed over time by Brazilian National EMLs lifetime and defined by broad therapeutic categories and by specific medicines. Brazil increased the number of the EMs during the last four editions of your Brazilian National EMLs and the federal government expenditures on them...
March 29, 2017: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/28369377/men-s-health-in-alternative-spaces-exploring-men-s-sheds-in-ireland
#2
Maya Lefkowich, Noel Richardson
Men often struggle to find or gain access to meaningful health services. Despite, or because of this trend, men are increasingly seeking out alternative sources of support for their wellbeing. Global health conversations and policies are calling for a greater awareness of men's heath issues, uptake of gender-sensitive strategies and integration of community and voluntary sectors. Men's Sheds, which are community and volunteer-run spaces for men, are increasing in popularity for men across Ireland. This study aimed to investigate men's experiences as members of Men's Sheds and the relationship between their involvement in the Shed and their wellbeing...
December 26, 2016: Health Promotion International
https://www.readbyqxmd.com/read/28365251/country-level-predictors-of-vaccination-coverage-and-inequalities-in-gavi-supported-countries
#3
Catherine Arsenault, Mira Johri, Arijit Nandi, José M Mendoza Rodríguez, Peter M Hansen, Sam Harper
BACKGROUND: Important inequalities in childhood vaccination coverage persist between countries and population groups. Understanding why some countries achieve higher and more equitable levels of coverage is crucial to redress these inequalities. In this study, we explored the country-level determinants of (1) coverage of the third dose of diphtheria-tetanus-pertussis- (DTP3) containing vaccine and (2) within-country inequalities in DTP3 coverage in 45 countries supported by Gavi, the Vaccine Alliance...
March 29, 2017: Vaccine
https://www.readbyqxmd.com/read/28342074/evaluation-of-saefvic-a-pharmacovigilance-surveillance-scheme-for-the-spontaneous-reporting-of-adverse-events-following-immunisation-in-victoria-australia
#4
Hazel J Clothier, Nigel W Crawford, Melissa Russell, Heath Kelly, Jim P Buttery
INTRODUCTION: Australia is traditionally an early adopter of vaccines, therefore comprehensive and effective post-licensure vaccine pharmacovigilance is critical to maintain confidence in immunisation, both nationally and internationally. With adverse event following immunisation (AEFI) surveillance the responsibility of Australian jurisdictions, Victoria operates an enhanced passive AEFI surveillance system integrated with clinical services, called 'SAEFVIC' (Surveillance of Adverse Events Following Vaccination In the Community)...
March 24, 2017: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/28340935/individual-and-hospital-related-determinants-of-potentially-inappropriate-admissions-emerging-from-administrative-records
#5
Marco Fusco, Alessandra Buja, Paolo Piergentili, Maria Teresa Golfetto, Gianni Serafin, Silvia Gallo, Livio Dalla Barba, Vincenzo Baldo
INTRODUCTION: The appropriate use of health care is an important issue in developed countries. The purpose of this study was to ascertain the extent of potentially inappropriate hospital admissions and their individual, clinical and hospital-related determinants. METHODS: Medical records were analyzed for the year 2014 held by the Local Heath Unit n. 13 in the Veneto Region of north-east Italy (19,000 records). The outcomes calculated were: admissions for conditions amenable to day hospital care; brief medical admissions; outlier lengths of stay for elderly patients' medical admissions; and medical admissions to surgical wards...
November 2016: Health Policy
https://www.readbyqxmd.com/read/28340453/long-term-nitrogen-deposition-increases-heathland-carbon-sequestration
#6
Chris D Field, Chris D Evans, Nancy B Dise, Jane R Hall, Simon J M Caporn
The large increases in reactive nitrogen (N) deposition in developed countries since the Industrial Revolution have had a marked impact on ecosystem functioning, including declining species richness, shifts in species composition, and increased N leaching. A potential mitigation of these harmful effects is the action of N as a fertiliser, which, through increasing primary productivity (and subsequently, organic matter production), has the potential to increase ecosystem carbon (C) storage. Here we report the response of an upland heath to 10years of experimental N addition...
March 21, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28195528/sustainable-diets-within-sustainable-food-systems
#7
Alexandre Meybeck, Vincent Gitz
Sustainable diets and sustainable food systems are increasingly explored by diverse scientific disciplines. They are also recognised by the international community and called upon to orient action towards the eradication of hunger and malnutrition and the fulfilment of sustainable development goals. The aim of the present paper is to briefly consider some of the links between these two notions in order to facilitate the operationalisation of the concept of sustainable diet. The concept of sustainable diet was defined in 2010 combining two totally different perspectives: a nutrition perspective, focused on individuals, and a global sustainability perspective, in all its dimensions: environmental, economic and social...
February 2017: Proceedings of the Nutrition Society
https://www.readbyqxmd.com/read/28177472/heath-policy-and-mr-trump-public-health-consequences-of-the-trump-presidency
#8
Scott L Greer
No abstract text is available yet for this article.
February 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28095137/diabetes-mellitus-and-obesity-in-the-french-caribbean-a-special-vulnerability-for-women
#9
Philippe Carrère, Cédric Fagour, Dan Sportouch, Franciane Gane-Troplent, Jeannie Hélène-Pelage, Thierry Lang, Jocelyn Inamo
The objective of this study was to analyze the prevalence, awareness, treatment, and control of diabetes and its risk factors among French Caribbean adults. This cross-sectional study included 18-74-year-olds (N = 2252; 56.5% women) who underwent a heath examination in Guadeloupe during July-December 2014. Diabetes was defined as using antidiabetic treatment, or fasting glucose ≥7 mmol/l, and HbA1c ≥6.5%; diabetes control was defined as HbA1c <7%. Multilevel logistic regression was used. Diabetes prevalence was 8...
January 17, 2017: Women & Health
https://www.readbyqxmd.com/read/27925086/multidisciplinary-team-of-intensive-therapy-humanization-and-fragmentation-of-the-work-process
#10
Viviane Canhizares Evangelista, Thiago da Silva Domingos, Fernanda Paula Cerântola Siqueira, Eliana Mara Braga
Objective: to understand the meaning of humanized care in intensive care units considering the experience of the multidisciplinary team. Method: descriptive and exploratory qualitative research. For this purpose, we conducted semi-structured interviews with 24 professionals of the heath-care team, and, after transcription, we organized the qualitative data according to content analysis. Results: from two main categories, we were able to understand that humanized care is characterized in the actions of health-care: effective communication, team work, empathy, singularity, and integrality; and mischaracterized in the management processes, specifically in the fragmentation of the work process and health-care, in the precarious work conditions, and in differing conceptual aspects of the political proposal of humanization...
November 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27845485/physician-assisted-suicide-and-clinical-vulnerability-a-slippery-slope
#11
F Monacelli, M Martini, P Odetti, R Ciliberti
AIMS: The Belgian case of a 24 years' woman affected by resistant depression, who obtained the legal right to assisted suicide rehearsed ethical issues. From the famous Chabot case of the Dutch court in 1994, accumulating legal evidence indicates that the unbearable psychiatric suffering may be equate to the physical struggle of end of life patients. The Belgian law has addressed assisted suicide as an option in case of unbearable psychic suffering with no future prospective. DESIGN: It is unlikely that the practice of euthanasia may be mechanistically reduced to the provision of a suicide as alleviating the burden of suffering in depression is a long life commitment; moreover, the principle of patient's self determination and autonomy is highly debatable: the closure to the future, the hopelessness and the suicidal ideation represent per se core features of depression...
September 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/27831625/-use-of-evidence-in-heath-policies-and-programs-contributions-of-the-instituto-nacional-de-salud
#12
Ericson L Gutierrez, Marina Piazza, Alfonso Gutierrez-Aguado, Gisely Hijar, Gloria Carmona, Patricia Caballero, Nora Reyes, Carlos Canelo, Juan Pablo Aparco, Romina A Tejada, Rafael Bolaños-Díaz, Silvia Saravia, Ernesto Gozzer
This article analyzes some examples about how the Ministry of Health of Peru has used evidence for policy and program formulation, implementation and evaluation. It describes the process by which health budget programs are based and strengthened with scientific evidence. Provides an overview about how the development of clinical guidelines methodology is facilitating the generation of high quality evidence based clinical guidelines.It presents some examples of specific information needs of the Ministry of Health to which the Instituto Nacional de Salud has responded, and the impact of that collaboration...
July 2016: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/27828990/recreational-use-of-the-countryside-no-evidence-that-high-nature-value-enhances-a-key-ecosystem-service
#13
Karen Hornigold, Iain Lake, Paul Dolman
In Western Europe, recreational amenity is presented as an important cultural ecosystem service that, along with other values, helps justify policies to conserve biodiversity. However, whether recreational use by the public is enhanced at protected areas designated for nature conservation is unknown. This is the first study to model outdoor recreation at a national scale, examining habitat preferences with statutory designation (Site of Special Scientific Interest) as an indicator of nature conservation importance...
2016: PloS One
https://www.readbyqxmd.com/read/27806041/barriers-facilitators-and-priorities-for-implementation-of-who-maternal-and-perinatal-health-guidelines-in-four-lower-income-countries-a-great-network-research-activity
#14
Joshua P Vogel, Julia E Moore, Caitlyn Timmings, Sobia Khan, Dina N Khan, Atkure Defar, Azmach Hadush, Marta Minwyelet Terefe, Luwam Teshome, Katherine Ba-Thike, Kyu Kyu Than, Ahmad Makuwani, Godfrey Mbaruku, Mwifadhi Mrisho, Kidza Yvonne Mugerwa, Lisa M Puchalski Ritchie, Shusmita Rashid, Sharon E Straus, A Metin Gülmezoglu
BACKGROUND: Health systems often fail to use evidence in clinical practice. In maternal and perinatal health, the majority of maternal, fetal and newborn mortality is preventable through implementing effective interventions. To meet this challenge, WHO's Department of Reproductive Health and Research partnered with the Knowledge Translation Program at St. Michael's Hospital (SMH), University of Toronto, Canada to establish a collaboration on knowledge translation (KT) in maternal and perinatal health, called the GREAT Network (Guideline-driven, Research priorities, Evidence synthesis, Application of evidence, and Transfer of knowledge)...
2016: PloS One
https://www.readbyqxmd.com/read/27798085/twenty-years-of-the-cochrane-tobacco-addiction-group-past-present-and-future
#15
REVIEW
Nicola Lindson-Hawley, Laura Heath, Jamie Hartmann-Boyce
Cochrane is a global organization committed to carrying out high-standard systematic reviews and meta-analyses to inform health care and those associated with it, from patients to providers. The Cochrane Tobacco Addiction Group (TAG) has been reviewing the evidence for interventions to treat and prevent tobacco addiction for 20 years. During this time, the group has published over 70 reviews in the area, which have had substantial impacts on health care guidance and treatment provision. This has coincided with a reduction in smoking prevalence in the United Kingdom...
October 6, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27782831/civil-society-participation-in-the-health-system-the-case-of-brazil-s-health-councils
#16
Martha Gabriela Martinez, Jillian Clare Kohler
BACKGROUND: Brazil created Health Councils to bring together civil society groups, heath professionals, and government officials in the discussion of health policies and health system resource allocation. However, several studies have concluded that Health Councils are not very influential on healthcare policy. This study probes this issue further by providing a descriptive account of some of the challenges civil society face within Brazil's Health Councils. METHODS: Forty semi-structured interviews with Health Council Members at the municipal, state and national levels were conducted in June and July of 2013 and May of 2014...
October 26, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27734014/toward-standardizing-a-lexicon-of-infectious-disease-modeling-terms
#17
Rachael Milwid, Andreea Steriu, Julien Arino, Jane Heffernan, Ayaz Hyder, Dena Schanzer, Emma Gardner, Margaret Haworth-Brockman, Harpa Isfeld-Kiely, Joanne M Langley, Seyed M Moghadas
Disease modeling is increasingly being used to evaluate the effect of health intervention strategies, particularly for infectious diseases. However, the utility and application of such models are hampered by the inconsistent use of infectious disease modeling terms between and within disciplines. We sought to standardize the lexicon of infectious disease modeling terms and develop a glossary of terms commonly used in describing models' assumptions, parameters, variables, and outcomes. We combined a comprehensive literature review of relevant terms with an online forum discussion in a virtual community of practice, mod4PH (Modeling for Public Health)...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27686884/trichomonas-vaginalis-infection-is-uncommon-in-the-british-general-population-implications-for-clinical-testing-and-public-health-screening
#18
Nigel Field, Soazig Clifton, Sarah Alexander, Catherine A Ison, Rumena Khanom, Pamela Saunders, Gwenda Hughes, Laura Heath, Simon Beddows, Catherine H Mercer, Clare Tanton, Anne M Johnson, Pam Sonnenberg
INTRODUCTION: Variable use of new molecular assays, asymptomatic infections and a lack of population data mean that the population burden of Trichomonas vaginalis is uncertain. We investigated the age-specific prevalence of T. vaginalis within the sexually active British general population to inform testing strategies. METHODS: Britain's third National Survey of Sexual Attitudes and Lifestyle (Natsal-3) is a probability sample survey of 15 162 individuals aged 16-74 years, undertaken during 2010-2012...
September 29, 2016: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/27685674/creating-the-next-steps-to-care-maternal-heath-improvisation-and-fulani-women-in-niamey-niger
#19
Sarah Burgess
On paper, Niger's maternal healthcare system is extensively outlined by policies which assure access to certain services and create hierarchical referral chains. In practice it remains intensely improvisational: actors in the system must frequently make up the next steps to giving and receiving care, often outside the existing policies and procedures. Although population health in Niger has improved since the recently enacted gratuité des soins policy (which guarantees free access to certain material and child health services), care on the ground is still dictated by difficult circumstances and scarce resources...
December 2016: Anthropology & Medicine
https://www.readbyqxmd.com/read/27637786/introduction-health-policy-ii-a-new-era-of-heath-policy-in-electrophysiology-and-cardiology
#20
Fred Kusumoto
No abstract text is available yet for this article.
October 2016: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
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