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Lower and lower middle income countries

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https://www.readbyqxmd.com/read/29322309/the-global-spine-care-initiative-a-summary-of-guidelines-on-invasive-interventions-for-the-management-of-persistent-and-disabling-spinal-pain-in-low-and-middle-income-communities
#1
REVIEW
Emre Acaroğlu, Margareta Nordin, Kristi Randhawa, Roger Chou, Pierre Côté, Tiro Mmopelwa, Scott Haldeman
PURPOSE: The purpose of this study was to synthesize recommendations on the use of common elective surgical and interventional procedures for individuals with persistent and disabling non-radicular/axial with or without myelopathy, radicular back pain, cervical myelopathy, symptomatic spinal stenosis, and fractures due to osteoporosis. This review was to inform a clinical care pathway on the patient presentations where surgical interventions could reasonably be considered. METHODS: We synthesized recommendations from six evidence-based clinical practice guidelines and one appropriate use criteria guidance for the surgical and interventional management of persistent and disabling spine pain...
January 10, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29319380/a-short-structured-skills-training-course-for-critical-care-physiotherapists-in-a-lower-middle-income-country
#2
Sanjeewa Tunpattu, Victoria Newey, Chathurani Sigera, Pubudu De Silva, Amal Goonarathna, Iranga Aluthge, Pasan Thambavita, Rohan Perera, Amila Meegahawatte, Ilhaam Isaam, Arjen M Dondorp, Rashan Haniffa
OBJECTIVES: The aim of this article is to describe the delivery and acceptability of a short, structured training course for critical care physiotherapy and its effects on the knowledge and skills of the participants in Sri Lanka, a lower-middle income country. METHODS: The two-day program combining short didactic sessions with small group workshops and skills stations was developed and delivered by local facilitators in partnership with an overseas specialist physiotherapist trainer...
January 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29318195/economic-costs-of-hospitalized-diarrheal-disease-in-bangladesh-a-societal-perspective
#3
Abdur Razzaque Sarker, Marufa Sultana, Rashidul Alam Mahumud, Nausad Ali, Tanvir M Huda, M Salim Uzzaman, Sabbir Haider, Hafizur Rahman, Ziaul Islam, Jahangir A M Khan, Robert Van Der Meer, Alec Morton
Background: Diarrheal diseases are a major threat to human health and still represent a leading cause of morbidity and mortality worldwide. Although the burden of the diarrheal diseases is much lower in developed countries, it is a significant public health problem in low and middle-income countries like Bangladesh. Though diarrhea is preventable and managed with low-cost interventions, it is still the leading cause of morbidity according to the patient who sought care from public hospitals in Bangladesh indicating that significant resources are consumed in treating those patients...
2018: Global health research and policy
https://www.readbyqxmd.com/read/29314234/institutional-setting-and-wealth-gradients-in-cesarean-delivery-rates-evidence-from-six-developing-countries
#4
Ardeshir Sepehri
BACKGROUND: The influence of the type of institutional setting on cesarean delivery is well documented. However, the traditional boundaries between public and private providers have become increasingly blurred with the commercialization of the state health sector that allows providers to tailor the quantity and quality of care according to patients' ability to pay. This study examined wealth-related variations in cesarean rates in six lower- and upper-middle income countries: the Dominican Republic, Egypt, Guatemala, Jordan, Pakistan, and the Philippines...
January 4, 2018: Birth
https://www.readbyqxmd.com/read/29310624/adhd-medication-in-offspring-of-immigrants-does-the-income-level-of-the-country-of-parental-origin-matter
#5
Arzu Arat, Viveca Östberg, Bo Burström, Anders Hjern
BACKGROUND: Child psychiatric treatment facilities vary greatly worldwide and are virtually non-existent in many low-income countries. One of the most common psychiatric disorders in childhood is ADHD, with an estimated prevalence of 3-5% in Sweden. Previous studies have shown a similar prevalence of ADHD in minority and majority children in Sweden and the UK. However, clinical studies demonstrated that children from immigrant families living in Sweden received less psychiatric care than those of native-born parents...
January 8, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29306685/road-traffic-accidents-prediction-modelling-an-analysis-of-anambra-state-nigeria
#6
Chukwutoo C Ihueze, Uchendu O Onwurah
One of the major problems in the world today is the rate of road traffic crashes and deaths on our roads. Majority of these deaths occur in low-and-middle income countries including Nigeria. This study analyzed road traffic crashes in Anambra State, Nigeria with the intention of developing accurate predictive models for forecasting crash frequency in the State using autoregressive integrated moving average (ARIMA) and autoregressive integrated moving average with explanatory variables (ARIMAX) modelling techniques...
January 4, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29306607/the-prevalence-and-correlates-of-frailty-in-urban-and-rural-populations-in-latin-america-china-and-india-a-10-66-population-based-survey
#7
Juan J Llibre Rodriguez, A Matthew Prina, Daisy Acosta, Mariella Guerra, Yueqin Huang, K S Jacob, Ivonne Z Jimenez-Velasquez, Aquiles Salas, Ana Luisa Sosa, Joseph D Williams, A T Jotheeswaran, Isaac Acosta, Zhaorui Liu, Martin J Prince
BACKGROUND: There have been few cross-national studies of the prevalence of the frailty phenotype conducted among low or middle income countries. We aimed to study the variation in prevalence and correlates of frailty in rural and urban sites in Latin America, India, and China. METHODS: Cross-sectional population-based catchment area surveys conducted in 8 urban and 4 rural catchment areas in 8 countries; Cuba, Dominican Republic, Puerto Rico, Venezuela, Peru, Mexico, China, and India...
January 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29304139/early-neonatal-mortality-and-neurological-outcomes-of-neonatal-resuscitation-in-a-resource-limited-setting-on-the-thailand-myanmar-border-a-descriptive-study
#8
Sophie Janet, Verena I Carrara, Julie A Simpson, Nant War War Thin, Wah Wah Say, Naw Ta Mlar Paw, Kesinee Chotivanich, Claudia Turner, Jane Crawley, Rose McGready
BACKGROUND: Of the 4 million neonatal deaths worldwide yearly, 98% occur in low and middle-income countries. Effective resuscitation reduces mortality and morbidity but long-term outcomes in resource-limited settings are poorly described. This study reports on newborn neurological outcomes following resuscitation at birth in a resource-limited setting where intensive newborn care including intubation is unavailable. METHODS: Retrospective analysis of births records from 2008 to 2015 at Shoklo Malaria Research Unit (SMRU) on the Thailand-Myanmar border...
2018: PloS One
https://www.readbyqxmd.com/read/29301537/social-health-insurance-contributes-to-universal-coverage-in-south-africa-but-generates-inequities-survey-among-members-of-a-government-employee-insurance-scheme
#9
Jane Goudge, Olufunke A Alaba, Veloshnee Govender, Bronwyn Harris, Nonhlanhla Nxumalo, Matthew F Chersich
BACKGROUND: Many low- and middle-income countries are reforming their health financing mechanisms as part of broader strategies to achieve universal health coverage (UHC). Voluntary social health insurance, despite evidence of resulting inequities, is attractive to policy makers as it generates additional funds for health, and provides access to a greater range of benefits for the formally employed. The South African government introduced a voluntary health insurance scheme (GEMS) for government employees in 2005 with the aim of improving access to care and extending health coverage...
January 4, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29300764/increased-hospitalizations-for-decompensated-heart-failure-and-acute-myocardial-infarction-during-mild-winters-a-seven-year-experience-in-the-public-health-system-of-the-largest-city-in-latin-america
#10
Renato Kawahisa Levin, Marcelo Katz, Paulo H N Saldiva, Adriano Caixeta, Marcelo Franken, Carolina Pereira, Salo V Coslovsky, Antonio E Pesaro
BACKGROUND: In high-income temperate countries, the number of hospitalizations for heart failure (HF) and acute myocardial infarction (AMI) increases during the winter. This finding has not been fully investigated in low- and middle-income countries with tropical and subtropical climates. We investigated the seasonality of hospitalizations for HF and AMI in Sao Paulo (Brazil), the largest city in Latin America. METHODS: This was a retrospective study using data for 76,474 hospitalizations for HF and 54,561 hospitalizations for AMI obtained from public hospitals, from January 2008 to April 2015...
2018: PloS One
https://www.readbyqxmd.com/read/29299763/the-health-knowledge-mechanism-evidence-on-the-link-between-education-and-health-lifestyle-in-the-philippines
#11
Roman Hoffmann, Sebastian Uljas Lutz
Studies have found substantial differences in health-related behavior and health care usage between educational groups, which may explain part of the well-documented educational gradient in health. The allocative efficiency hypothesis offers a behavioral explanation for these reported differences. According to this theory, the educated possess more health knowledge and information, allowing them to make better health choices. We perform a mediation analysis to study this mechanism using original survey data from the Philippines, a lower-middle-income country...
January 3, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29287683/how-close-are-countries-of-the-who-european-region-to-achieving-the-goal-of-vaccinating-75-of-key-risk-groups-against-influenza-results-from-national-surveys-on-seasonal-influenza-vaccination-programmes-2008-2009-to-2014-2015
#12
Pernille Jorgensen, Jolita Mereckiene, Suzanne Cotter, Kari Johansen, Svetla Tsolova, Caroline Brown
BACKGROUND: Influenza vaccination is recommended especially for persons at risk of complications. In 2003, the World Health Assembly urged Member States (MS) to increase vaccination coverage to 75% among older persons by 2010. OBJECTIVE: To assess progress towards the 2010 vaccination goal and describe seasonal influenza vaccination recommendations in the World Health Organization (WHO) European Region. METHODS: Data on seasonal influenza vaccine recommendations, dose distribution, and target group coverage were obtained from two sources: European Union and European Economic Area MS data were extracted from influenza vaccination surveys covering seven seasons (2008/2009-2014/2015) published by the Vaccine European New Integrated Collaboration Effort and European Centre for Disease Prevention and Control...
December 26, 2017: Vaccine
https://www.readbyqxmd.com/read/29285834/evidence-for-increased-use-of-the-society-of-pediatric-anesthesia-critical-events-checklist-in-resource-limited-environments-a-retrospective-observational-study-of-app-data
#13
Vikas N O'Reilly-Shah, Jamie Kitzman, Craig S Jabaley, Grant C Lynde
BACKGROUND: Electronic decision support tools in anesthesiology practice have great value, including the potential for mobile applications to simplify delivery of best-practice guidelines. AIMS: We sought to combine demographics with usage information to elucidate important patterns in the rate of use of the Society of Pediatric Anesthesia Critical Events Checklist, as measured by in-app accesses of the checklist via the freely available anesthesia calculator app anesthesiologist...
December 28, 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29284999/high-burden-of-stroke-risk-factors-in-developing-country-the-case-study-of-bosnia-herzegovina
#14
Marija Bender, Edin Jusufovic, Vesna Railic, Sima Kelava, Selma Tinjak, Damir Dzevdetbegovic, Dario Mot, Mensuda Tresnjo, Sandra Lakicevic, Natasa Pejanovic-Skobic, Osman Sinanovic
Introduction: The burden of stroke has been increasing worldwide, especially in developing countries. Very few data regarding epidemiology of stroke are available in Bosnia and Herzegovina (BH). Patients and methods: We undertook a retrospective hospital-based study in all hospitals existing in five cantons and one district of BH. The patients were recruited between January 1st, 2014, and December 31st, 2014, and only first-ever-in-lifetime strokes (FES) were included for evaluation...
December 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29284807/a-clinical-study-of-opioid-substitution-therapy-in-a-tertiary-care-center-of-eastern-india
#15
Satyakam Mohapatra, Mihir Ranjan Nayak, Manaswini Dash
Background: Opioid substitution therapy (OST) is an evidence-based intervention for opiate-dependent persons that replaces illicit drug use with medically prescribed, orally administered opiates such as buprenorphine and methadone. OST reduces HIV risk behaviors and harms associated with injecting opioid. Most of the evidence for OST effectiveness has been generated in middle- and high-income countries where programs are mostly located in dedicated health-care settings; evidence regarding the outcomes of OST programs in low-income countries where OST is often provided in grassroots settings such as drop-in centers is limited...
November 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29284758/barriers-and-explanatory-mechanisms-of-delays-in-the-patient-and-diagnosis-intervals-of-care-for-breast-cancer-in-mexico
#16
Karla Unger-Saldaña, Daniel Ventosa-Santaulària, Alfonso Miranda, Guillermo Verduzco-Bustos
BACKGROUND: Most breast cancer patients in low- and middle-income settings are diagnosed at advanced stages due to lengthy intervals of care. This study aimed to understand the mechanisms through which delays occur in the patient interval and diagnosis interval of care. MATERIALS AND METHODS: We conducted a cross-sectional survey including 886 patients referred to four major public cancer hospitals in Mexico City. Based in a conceptual model of help-seeking behavior, a path analysis strategy was used to identify the relationships between explanatory factors of patient delay and diagnosis delay...
December 28, 2017: Oncologist
https://www.readbyqxmd.com/read/29284036/effect-of-innate-antiviral-glycoproteins-in-breast-milk-on-seroconversion-to-rotavirus-vaccine-rotarix-in-children-in-lusaka-zambia
#17
Katayi Mwila-Kazimbaya, Miguel Pugliese Garcia, Samuel Bosomprah, Natasha Makabilo Laban, Caroline Cleopatra Chisenga, Sallie Robey Permar, Michelo Simuyandi, Sody Munsaka, Roma Chilengi
INTRODUCTION: Rotavirus vaccines have been introduced into national immunization programmes to mitigate morbidity and mortality associated rotavirus diarrhoea. Lower vaccine effectiveness has however been noted in low-middle income countries, but little is known about the role of maternal components found in breast milk. This study assessed the effect of lactoferrin, lactadherin, and tenascin-c on rotavirus vaccine seroconversion. METHODS: This was a retrospective cohort study of 128 infants who had been fully immunized with Rotarix™...
2017: PloS One
https://www.readbyqxmd.com/read/29282008/pricing-appraisal-of-anti-cancer-drugs-in-the-south-east-asian-western-pacific-and-east-mediterranean-region
#18
Shahrzad Salmasi, Kah Seng Lee, Long Chiau Ming, Chin Fen Neoh, Mahmoud E Elrggal, Zaheer-Ud- Din Babar, Tahir Mehmood Khan, Muhammad Abdul Hadi
BACKGROUND: Globally, cancer is one of the leading causes of mortality. High treatment cost, partly owing to higher prices of anti-cancer drugs, presents a significant burden on patients and healthcare systems. The aim of the present study was to survey and compare retail prices of anti-cancer drugs between high, middle and low income countries in the South-East Asia, Western Pacific and Eastern Mediterranean regions. METHODS: Cross-sectional survey design was used for the present study...
December 28, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29281710/maternal-influenza-immunization-in-malawi-piloting-a-maternal-influenza-immunization-program-costing-tool-by-examining-a-prospective-program
#19
Clint Pecenka, Spy Munthali, Paul Chunga, Ann Levin, Win Morgan, Philipp Lambach, Niranjan Bhat, Kathleen M Neuzil, Justin R Ortiz, Raymond Hutubessy
BACKGROUND: This costing study in Malawi is a first evaluation of a Maternal Influenza Immunization Program Costing Tool (Costing Tool) for maternal immunization. The tool was designed to help low- and middle-income countries plan for maternal influenza immunization programs that differ from infant vaccination programs because of differences in the target population and potential differences in delivery strategy or venue. METHODS: This analysis examines the incremental costs of a prospective seasonal maternal influenza immunization program that is added to a successful routine childhood immunization and antenatal care program...
2017: PloS One
https://www.readbyqxmd.com/read/29281659/immunogenicity-of-rotavirus-vaccine-rotarixtm-in-infants-with-environmental-enteric-dysfunction
#20
Innocent Mwape, Samuel Bosomprah, John Mwaba, Katayi Mwila-Kazimbaya, Natasha Makabilo Laban, Caroline Cleopatra Chisenga, Gibson Sijumbila, Michelo Simuyandi, Roma Chilengi
INTRODUCTION: Deployment of rotavirus vaccines has contributed to significant declines in diarrheal morbidity and mortality globally. Unfortunately, vaccine performance in low-middle income countries (LMICs) is generally lower than in developed countries. The cause for this has been associated with several host and maternal factors including poor water sanitation and hygiene (WASH) status, which are predominant in LMICs. More recently, environmental enteric dysfunction (EED) has specifically been hypothesized to contribute to poor vaccine uptake and response...
2017: PloS One
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