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Emergency care and Sustainable Development Goals

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https://www.readbyqxmd.com/read/30080852/a-systematic-review-of-hepatitis-b-virus-hbv-drug-and-vaccine-escape-mutations-in-africa-a-call-for-urgent-action
#1
Jolynne Mokaya, Anna L McNaughton, Martin J Hadley, Apostolos Beloukas, Anna-Maria Geretti, Dominique Goedhals, Philippa C Matthews
International sustainable development goals for the elimination of viral hepatitis as a public health problem by 2030 highlight the pressing need to optimize strategies for prevention, diagnosis and treatment. Selected or transmitted resistance associated mutations (RAMs) and vaccine escape mutations (VEMs) in hepatitis B virus (HBV) may reduce the success of existing treatment and prevention strategies. These issues are particularly pertinent for many settings in Africa where there is high HBV prevalence and co-endemic HIV infection, but lack of robust epidemiological data and limited education, diagnostics and clinical care...
August 6, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/30079956/strengthening-community-support-resilience-programmes-and-interventions-in-infectious-diseases-of-poverty
#2
Ernest Tambo, Jeanne Y Ngogang, Xiao Ning, Zhou Xiao-Nong
Background: There is an urgent need to promote innovative partnerships, community leadership and commitment toward strengthening coherent and sustainable community support, resilience programmes, engagement and social mobilization for resiliency. Aims: This paper aims to strengthen coherent, scalable and sustainable community participation, resilience policies and innovative programmes to accelerate elimination and eradication of infectious diseases of poverty. Methods: An unstructured and retrospective review approach was used to determine and to define full papers, reviewed publications, and grey literature on the topics of community resilience, infectious diseases of poverty elimination and eradication, and the global health security agenda...
July 29, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/30047600/exploring-the-roles-and-factors-influencing-community-health-workers-performance-in-managing-and-referring-severe-acute-malnutrition-cases-in-two-subdistricts-in-south-africa
#3
Faith N Mambulu-Chikankheni, John Eyles, Prudence Ditlopo
As primary providers of preventive and curative community case management services in low- and middle-income countries (LMICs), community health workers (CHWs) have emerged as a formalised part of the health system (HS). However, discourses on their practices as formalised cadres of the HS are limited. Therefore, we examined their role in care, referral (to clinics) and rehabilitation of severe acute malnutrition (SAM) cases. Focusing on SAM was essential since it is a global public health problem associated with 30% of all South Africa's (SA's) child deaths in 2015...
July 26, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/30016814/miracum-medical-informatics-in-research-and-care-in-university-medicine
#4
Hans-Ulrich Prokosch, Till Acker, Johannes Bernarding, Harald Binder, Martin Boeker, Melanie Boerries, Philipp Daumke, Thomas Ganslandt, Jürgen Hesser, Gunther Höning, Michael Neumaier, Kurt Marquardt, Harald Renz, Hermann-Josef Rothkötter, Carmen Schade-Brittinger, Paul Schmücker, Jürgen Schüttler, Martin Sedlmayr, Hubert Serve, Keywan Sohrabi, Holger Storf
INTRODUCTION: This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. Similar to other large international data sharing networks (e.g. OHDSI, PCORnet, eMerge, RD-Connect) MIRACUM is a consortium of academic and hospital partners as well as one industrial partner in eight German cities which have joined forces to create interoperable data integration centres (DIC) and make data within those DIC available for innovative new IT solutions in patient care and medical research...
July 2018: Methods of Information in Medicine
https://www.readbyqxmd.com/read/29949636/the-care-stimulation-and-nutrition-of-children-from-0-2-in-malawi-perspectives-from-caregivers-who-s-holding-the-baby
#5
Melissa Gladstone, John Phuka, Shirin Mirdamadi, Kate Chidzalo, Fatima Chitimbe, Marianne Koenraads, Kenneth Maleta
INTRODUCTION: Universal access to quality early childhood development and care is a fundamental part of Sustainable Development Goal 4.2.1. Research from diverse settings, including that in low and middle income countries, now demonstrates the positive impact that interventions to promote play, stimulation, early communication and responsiveness can have, not just on child development, but on long term gains in education and economic growth. International agencies have recently produced the Nurturing Care Framework for Early Child Development in order to promote this and to encourage countries to move the focus from child survival to child thrival...
2018: PloS One
https://www.readbyqxmd.com/read/29949038/development-of-a-comprehensive-dataset-of-hepatitis-c-patients-and-examination-of-disease-epidemiology-in-the-united-states-2013-2016
#6
Viktor V Chirikov, Steven E Marx, Shivaji R Manthena, John P Strezewski, Sammy Saab
INTRODUCTION: Chronic infection with hepatitis C virus (HCV) is a leading cause of liver disease and infectious disease deaths. While recent and emerging treatment options for HCV patients have enabled higher rates of sustained virologic response (SVR), the demographic, clinical, geographic, and payer characteristics of the estimated 3.4 million chronic HCV patients in the USA are poorly understood. The goal of this study was to create a dataset describing the current HCV patient landscape in the USA...
July 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29943724/water-sanitation-and-hygiene-services-in-public-health-care-facilities-in-indonesia-adoption-of-world-health-organization-united-nations-children-s-fund-service-ladders-to-national-data-sets-for-a-sustainable-development-goal-baseline-assessment
#7
Mitsunori Odagiri, Cahyorini, Khadijah Azhar, Aidan A Cronin, Yulian Gressando, Indah Hidayat, Widya Utami, Karina Widowati, Airin Roshita, Rooswanti Soeharno, Sonny P Warouw, Ardhiantie
Provision of basic water, sanitation, and hygiene (WASH) services in health-care facilities is gaining increased attention, given growing acceptance of its importance to the maternal and newborn quality of care agenda and the universal health coverage framework. Adopting and contextualizing an emerging World Health Organization/United Nations Children's Fund Joint Program Monitoring service ladder approach to national data collected in 2010/2011, we estimated the national coverage of primary health centers (PHCs) ( N = 8,831), auxiliary PHCs ( N = 22,853), village health posts ( N = 28,692), and village maternity clinics ( N = 14,396) with basic WASH services in Indonesia as part of a Sustainable Development Goal baseline assessment...
June 25, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29873793/quality-improvement-and-emerging-global-health-priorities
#8
Nana Mensah Abrampah, Shamsuzzoha Babar Syed, Lisa R Hirschhorn, Bejoy Nambiar, Usman Iqbal, Ezequiel Garcia-Elorrio, Vijay Kumar Chattu, Mahesh Devnani, Edward Kelley
Quality improvement approaches can strengthen action on a range of global health priorities. Quality improvement efforts are uniquely placed to reorient care delivery systems towards integrated people-centred health services and strengthen health systems to achieve Universal Health Coverage (UHC). This article makes the case for addressing shortfalls of previous agendas by articulating the critical role of quality improvement in the Sustainable Development Goal era. Quality improvement can stimulate convergence between health security and health systems; address global health security priorities through participatory quality improvement approaches; and improve health outcomes at all levels of the health system...
April 20, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29799175/are-we-there-yet-how-and-when-specific-biotechnologies-will-improve-human-health
#9
REVIEW
Elizabeth O'Day, Leticia Hosta-Rigau, Diego A Oyarzún, Hideyuki Okano, Víctor de Lorenzo, Conrad von Kameke, Habiba Alsafar, Cong Cao, Guo-Qiang Chen, Weizhi Ji, Richard J Roberts, Mostafa Ronaghi, Karen Yeung, Feng Zhang, Sang Yup Lee
Patient X: A 67-year-old Caucasian man slips on a patch of ice. He has abrasions to his hands and has sustained significant damage to his hip. At the emergency room, he informs clinicians he takes atorvastatin, metformin, and glimepiride to treat hypertension and Type 2 Diabetes Mellitus (T2DM). X-rays reveal a fractured hip, which will require total hip replacement surgery.
May 24, 2018: Biotechnology Journal
https://www.readbyqxmd.com/read/29765209/using-the-frailty-assessment-for-care-planning-tool-fact-to-screen-elderly-chronic-kidney-disease-patients-for-frailty-the-nurse-experience
#10
Heather Moffatt, Paige Moorhouse, Laurie Mallery, David Landry, Karthik Tennankore
Purpose: Recent evidence supports the prognostic significance of frailty for functional decline and poor health outcomes in patients with chronic kidney disease. Yet, despite the development of clinical tools to screen for frailty, little is known about the experiential impact of screening for frailty in this setting. The Frailty Assessment for Care Planning Tool (FACT) evaluates frailty across 4 domains: mobility, function, social circumstances, and cognition. The purpose of this qualitative study was as follows: 1) explore the nurse experience of screening for frailty using the FACT tool in a specialized outpatient renal clinic; 2) determine how, if at all, provider perceptions of frailty changed after implementation of the frailty screening tool; and 3) determine the perceived factors that influence uptake and administration of the FACT screening tool in a specialized clinical setting...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29686960/shifting-the-paradigm-of-emergency-care-in-developing-countries
#11
Ayesha Khan, Bradley T Penoff, Elizabeth A Pirrotta, Robert Hosang
Background The global agenda does not address a significant amount of preventable death in low- and middle-income countries (LMICs). While illnesses requiring acute care are increasing at an alarming rate in these countries, there are inadequate numbers of physicians or nurses to deal with the growing burden. Many people feel that emergency systems are too expensive and restricted in scope to have public health implications in resource-limited areas. Little empirical data exists to suggest otherwise. The goal of this study was to delineate the type and frequency of emergency conditions and define a novel method to estimate the burden of emergency diseases in Fort Liberte, Haiti...
February 22, 2018: Curēus
https://www.readbyqxmd.com/read/29666145/development-of-sustainable-community-paramedicine-programmes-a-case-study-in-pennsylvania
#12
Yuan-Han Huang, Linlin Ma, Luke A Sabljak, Zachary A Puhala
BACKGROUND: Community paramedicine (CP) models have been applied across rural and urban communities in support of healthcare delivery systems for nearly two decades. However, there is still insufficient information regarding the development of sustainable CP programmes. This study explores the strategies used by active CP programmes and investigates their operational statuses, community demographics, financial models and challenges for programme development. METHODS: A series of interviews was conducted with four CP programmes in Pennsylvania, USA, which are affiliated with a local government, a health system, an ambulance service and an emergency medical service, respectively...
June 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29627267/self-management-education-for-rehabilitation-inpatients-a-cluster-randomized-controlled-trial
#13
Karin Meng, Andrea Reusch, Gunda Musekamp, Bettina Seekatz, Bettina Zietz, Gero Steimann, Robert Altstidl, Günter Haug, Ulrike Worringen, Hermann Faller
OBJECTIVE: To evaluate generic self-management modules (SelMa) as an adjunct to disease-specific educational programs during inpatient medical rehabilitation. METHODS: A bi-center cluster-randomized controlled trial with 698 patients with coronary artery disease, metabolic syndrome, or inflammatory bowel disease was conducted. We compared two versions of SelMa, a group with 3 h or a lecture with 1 h, respectively, in addition to disease-related patient education, to usual care (only disease-related education)...
September 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29600241/a-standardized-needs-assessment-tool-to-inform-the-curriculum-development-process-for-pediatric-resuscitation-simulation-based-education-in-resource-limited-settings
#14
Nicole Shilkofski, Amanda Crichlow, Julie Rice, Leslie Cope, Ye Myint Kyaw, Thazin Mon, Sarah Kiguli, Julianna Jung
Introduction: Under five mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to first conduct a needs assessment of the target learner population...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29542121/report-of-a-workshop-on-ensuring-sustainable-access-to-safe-blood-in-developing-countries-international-blood-safety-forum-march-24-2017
#15
REVIEW
Louis M Katz, John J Donnelly, Christopher J Gresens, Jerry A Holmberg, James MacPherson, Peter J K Zacharias, Jean Stanley, Christine Bales
On March 24, 2017, more than 90 experts in blood safety and international development from blood centers, industry, government, and international and nongovernmental organizations gathered in Arlington, Virginia, for the Third International Blood Safety Forum, cosponsored by America's Blood Centers and Global Healing. This report summarizes presentations and major conclusions. The meeting explored ways to increase access to affordable, safe blood for low- and lower-middle-income countries (LMICs) in an era when funding from the US President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund has been redirected from preventing the spread of human immunodeficiency virus (HIV) to diagnosing and treating the 25 million-plus people living with HIV in LMICs...
May 2018: Transfusion
https://www.readbyqxmd.com/read/29493898/measuring-movement-towards-improved-emergency-obstetric-care-in-rural-kenya-with-implementation-of-the-pronto-simulation-and-team-training-program
#16
Julia C Dettinger, Stephen Kamau, Kimberly Calkins, Susanna R Cohen, John Cranmer, Minnie Kibore, Onesmus Gachuno, Dilys Walker
As the proportion of facility-based births increases, so does the need to ensure that mothers and their newborns receive quality care. Developing facility-oriented obstetric and neonatal training programs grounded in principles of teamwork utilizing simulation-based training for emergency response is an important strategy for improving the quality care. This study uses 3 dimensions of the Kirkpatrick Model to measure the impact of PRONTO International (PRONTO) simulation-based training as part of the Linda Afya ya Mama na Mtoto (LAMMP, Protect the Health of mother and child) in Kenya...
February 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29471814/moral-dilemmas-and-conflicts-concerning-patients-in-a-vegetative-state-unresponsive-wakefulness-syndrome-shared-or-non-shared-decision-making-a-qualitative-study-of-the-professional-perspective-in-two-moral-case-deliberations
#17
Conny A M F H Span-Sluyter, Jan C M Lavrijsen, Evert van Leeuwen, Raymond T C M Koopmans
BACKGROUND: Patients in a vegetative state/ unresponsive wakefulness syndrome (VS/UWS) pose ethical dilemmas to those involved. Many conflicts occur between professionals and families of these patients. In the Netherlands physicians are supposed to withdraw life sustaining treatment once recovery is not to be expected. Yet these patients have shown to survive sometimes for decades. The role of the families is thought to be important. The aim of this study was to make an inventory of the professional perspective on conflicts in long-term care of patients in VS/UWS...
February 22, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29434521/nursing-education-challenges-and-solutions-in-sub-saharan-africa-an-integrative-review
#18
Thokozani Bvumbwe, Ntombifikile Mtshali
Background: The Lancet Commission and the Global Health Workforce Alliance reported that professional education has generally not kept up the pace of health care challenges. Sub Saharan Africa needs an effective and efficient nursing education system to build an adequate, competent and relevant nursing workforce necessary for the achievement of Sustainable Development Goals. The Plan of Action for Scaling up Quality Nursing and Midwifery Education and Practice for the African Region 2012 - 2022 provided a framework for scale up of nurses and midwives...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29395268/countdown-to-2030-tracking-progress-towards-universal-coverage-for-reproductive-maternal-newborn-and-child-health
#19
REVIEW
(no author information available yet)
Building upon the successes of Countdown to 2015, Countdown to 2030 aims to support the monitoring and measurement of women's, children's, and adolescents' health in the 81 countries that account for 95% of maternal and 90% of all child deaths worldwide. To achieve the Sustainable Development Goals by 2030, the rate of decline in prevalence of maternal and child mortality, stillbirths, and stunting among children younger than 5 years of age needs to accelerate considerably compared with progress since 2000...
April 14, 2018: Lancet
https://www.readbyqxmd.com/read/29331091/terminal-spreading-depolarization-and-electrical-silence-in-death-of-human-cerebral-cortex
#20
Jens P Dreier, Sebastian Major, Brandon Foreman, Maren K L Winkler, Eun-Jeung Kang, Denny Milakara, Coline L Lemale, Vince DiNapoli, Jason M Hinzman, Johannes Woitzik, Norberto Andaluz, Andrew Carlson, Jed A Hartings
OBJECTIVE: Restoring the circulation is the primary goal in emergency treatment of cerebral ischemia. However, better understanding of how the brain responds to energy depletion could help predict the time available for resuscitation until irreversible damage and advance development of interventions that prolong this span. Experimentally, injury to central neurons begins only with anoxic depolarization. This potentially reversible, spreading wave typically starts 2 to 5 minutes after the onset of severe ischemia, marking the onset of a toxic intraneuronal change that eventually results in irreversible injury...
February 2018: Annals of Neurology
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