Healthy living and smart choices - A project for developing a web-based Turkish obesity treatment program

2016 ◽  
Vol 33 (S1) ◽  
pp. S390-S390
Author(s):  
C. Hepdurgun ◽  
H. Elbi ◽  
Ş. Pırıldar ◽  
F.L. Saygılı ◽  
M.O. Ünalır ◽  
...  
Keyword(s):  
Treatment Program ◽  
Primary Care Physicians ◽  
Behavioral Treatment ◽  
Public Health Problem ◽  
World Health ◽  
Major Public Health Problem ◽  
Healthy Weight ◽  
Behavioral Strategies ◽  
Web Based ◽  
The World

IntroductionObesity is a major public health problem in the world and getting obesity under control is one of the most important goals of the World Health Organization. Cognitive behavioral therapy techniques are helpful for adjusting lifestyle to stay at a healthy weight range. Success of web-based programs which designed with evidence-based behavioral strategies has been proven with different studies. However, a web-based program suitable for Turkish culture and eating habits is still missing.ObjectivesPrimary objective of this project is to develop and test a web-based obesity behavioral treatment program in collaboration with experienced academicians from different disciplines.AimsThe aim of this project is to develop a program which will help Turkish primary care physicians in treating and tracking obesity patients.MethodThe web-based program will include a 12-week-long core behavioral program. Participants will be asked to record their daily dietary intakes and automatic feedback will be given by the system. Weekly behavioral training videos will be available during the core program. As participants watch the videos and record their daily intakes, they will get instant awards such as virtual diet-coin which they will be able to spend for gifts such as low calorie recipes. One hundred obese patients (with body mass index greater than 30 kg/m2) will be recruited to evaluate the effectiveness of the program. The changes in their blood pressures, body weights and waist circumferences will be recorded.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Actual problems of measles

2017 ◽  
Vol 8 (3) ◽  
pp. 120-129 ◽  
Author(s):  
Vladimir N Timchenko ◽  
Tatyana A Kaplina ◽  
Olga A Leonicheva ◽  
Oksana V Bulina ◽  
Jean-Claude Hakizimana ◽  
...  
Keyword(s):  
Developing Countries ◽  
Parvovirus B19 ◽  
Public Health Problem ◽  
Childhood Mortality ◽  
World Health ◽  
Symptomatic Therapy ◽  
Major Public Health Problem ◽  
Duration Of Treatment ◽  
Recombinant Interferon ◽  
The World

Measles is still an major public health problem in many countries. According to the World Health Organization, up to 3 million measles cases were recorded annually. Measles was one of the main causes of death among young children in the pre-vaccine period. More than 10 million children died of measles every year throughout the world. In 2014, on a global scale, there were 114 900 deaths from measles almost 314 deaths per day or 13 deaths per hour. The main cause of death from measles are complications from the respiratory tract (pneumonia), the central nervous system (meningitis, encephalitis, meningoencephalitis, encephalomyelitis), gastrointestinal tract (diarrhea). Between 2000 and 2014, mass measles vaccination reduced global measles mortality rate by 79%, and about 17.1 million children's lives were saved. However, measles still remains endemic and, one of the leading causes of childhood mortality in developing countries as a result of lack of immunization policies. Up to 98% of measles mortality are registered in developing countries, such India, Bangladesh, Nigeria, RDC, etc. If in the pre-vaccine period, measles affected predominantly children aged less than five years, the global immunization era led to a change in the measles-age-category pattern. The increase measles occurency in adults is due to the loss of protective antibodies, that last generally for 10 to 15 years after vaccination in only 36% of the vaccinees. Complications due to measles in adolescents and adults are most likely than in children. However, immunocompetent individuals may have repeated measles infections. The possibility of transplacental transmission of the disease: measles in pregnant women leads to a higher risk of premature birth, spontaneous abortion, congenital malformations, and with a woman at the end of pregnancy intrauterine infection and the birth of a child with signs of measles. In the absence of specific anti-measles antibodies in the mother, the child may become ill in theantenatal period. Differential diagnosis of measles is carried out with infections that occur with exanthema syndrome (parvovirus B19, sudden exanthema, etc.). Etiotropic therapy is carried out with preparations of recombinant interferon (viferon, etc.). Doses of drugs and the duration of treatment are determined by the severity of the disease. Pathogenetic and symptomatic therapy is strongly recommended.

scholarly journals Adherence to Immunization: Rebuttal of Vaccine Hesitancy

2020 ◽  
pp. 1-5
Author(s):  
Tamar Etzioni-Friedman ◽  
Amos Etzioni
Keyword(s):  
Adverse Effects ◽  
Public Health Problem ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Major Public Health Problem ◽  
Immunodeficiency Virus ◽  
The World ◽  
Health Organization ◽  
Near Future ◽  
New Vaccines

Immunizations have been saving the lives of millions of people since they were first used by Edward Jenner in 1796, and new vaccines are being developed all the time. Hopefully, a new vaccine for coronavirus disease 2019 (COVID-19) will be developed in the near future, and perhaps even one for human immunodeficiency virus. Although the effectiveness of vaccinations has been proven over the years and adverse effects to currently available vaccinations are extremely rare, many people continue to defer immunizations for themselves and their families. According to the World Health Organization (WHO), this phenomenon, known as “vaccine hesitancy,” is a major public health problem globally. This review summarizes the unproven adverse effects of various vaccines and stresses the importance of enforcing vaccination policies to minimize vaccine hesitancy. Every effort should be made to improve existing vaccines and to produce new ones, according to carefully designed scientific preclinical and clinical trials. This is particularly important in today’s era, in light of the global transparency regarding vaccination development, and the potential for future pandemics such as COVID-19.

scholarly journals Quality control and standardization of FACA® syrup

2018 ◽  
Vol 9 (4) ◽  
pp. 101
Author(s):  
Salfo Ouedraogo ◽  
Sidiki Traoré ◽  
Jean Claude W. Ouédraogo ◽  
Moumouni Koala ◽  
Lazare Belemnaba ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Public Health Problem ◽  
World Health ◽  
Calotropis Procera ◽  
Major Public Health Problem ◽  
Cell Disease ◽  
European Pharmacopoeia ◽  
Powder Preparation ◽  
The World

<p>Sickle cell disease is a major public health problem. It is the first genetic disease in the world. FACA syrup offers an alternative treatment. It is a dry powder preparation of two components, the roots barks of <em>Zanthoxylum zanthoxyloides</em> Lam. (Rutaceae) Zepernick, Timler and <em>Calotropis procera</em>. Ait. R.B.r. (Asclepiadaceae). The product was developed at Institute for Research in Health Sciences (IRSS) from a traditional recipe used in Burkina Faso for treatment of sickle cell crises. This study aimed to establish physical-chemical, pharmaco technical and microbiological control parameters essential for the standardization of the phytomedicine. This valuation concerned specifications of moisture content, pH, the fingerprint by thin layer chromatography, pesticide residues, heavy metal content, microbial quality, and total ash. These charcteristics were determined by the methods prescribed by the World Health Organization (1998) and the European Pharmacopoeia 6th edition. The results have shown that dry syrups and reconstituted syrups were sweet, slightly spicy with a bitter after taste, a white room color and a faint odor. The density at the preparation was 0.985 and the pH was 5.93. After 2 months of storage in the laboratory, the organoleptic parameters of the reconstituted syrups have not changed. They were mold free, the density remained around 1 and the pH between 5 and 4. These parameters have shown that the quality of plants powders and these medicine comply with the recommendations of the European pharmacopoeia. Faca syrup may contribute to the better management of sickle cell disease in children.</p>

scholarly journals Association of Cassava Consumption with Median Urinary Iodine Concentrations and Goiter Prevalence: A Pooled Analysis of 176 Countries

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 910-910
Author(s):  
Paddy Ssentongo ◽  
Djibril Ba ◽  
Matt Pelton ◽  
Holly Wisnousky ◽  
Nick Lazzara ◽  
...  
Keyword(s):  
Urinary Iodine ◽  
Public Health Problem ◽  
Fold Increase ◽  
World Health ◽  
Urinary Iodine Concentration ◽  
Major Public Health Problem ◽  
Salt Iodization ◽  
Country Level ◽  
The World ◽  
Goiter Prevalence

Abstract Objectives Despite the universal iodization of salt in most parts of the world, iodine deficiency disorder remains a major public health problem, affecting over 2 billion people. Published literature on the association of over-consumption of cassava (a goitrogenic food) with lower urinary iodine concentration (UIC) and increased goiter prevalence are inconsistent. We aimed to examine the association of country-level cassava consumption with country-level median urinary iodine concentrations and goiter prevalence. Methods We analyzed data on cassava consumption (kcal/capita/day) from the food and agriculture organization (FAO), median UIC, and goiter prevalence from the World Health Organization for 176 countries. We adjusted for country-level salt iodization rates. Meta-regression analysis was used to estimate the association of cassava consumption with median UIC and goiter prevalence. Results The median UIC was: 171 μg/L; 25th and 75th percentile: 119–220). Median cassava consumption was 114 kcal/capita/day (25th and 75th percentile: 22–284). In the pooled multivariable-adjusted analysis, a 10-fold increase in salt iodization rate was significantly associated with a 157% increase in median UIC (β = 15.7, P = 0. 009. We found no association between cassava consumption and median UIC (β = −0.01, P = 0.90) or goiter prevalence (β = −0.005, P = 0.75). We consistently found no association between cassava consumption and the aforementioned outcomes in the subgroup of low and middle-income countries versus high-income countries and the lagged year of cassava consumption. Conclusions In this ecological study, the consumption of iodized salt was associated with higher median UIC. We found no association of cassava consumption with reduced median UIC or increased goiter prevalence. Funding Sources None.

scholarly journals DRUG UTILIZATION ANALYSIS OF ANTI-SNAKE VENOM AT A TERTIARY CARE CENTER IN CENTRAL MAHARASHTRA: A 3-YEAR RETROSPECTIVE STUDY

2018 ◽  
Vol 11 (8) ◽  
pp. 134
Author(s):  
Ketan Y Asawale ◽  
Mukesh C Mehta ◽  
Pravin S Uike
Keyword(s):  
Snake Venom ◽  
Care Center ◽  
Tertiary Care ◽  
Public Health Problem ◽  
World Health ◽  
Definitive Treatment ◽  
Major Public Health Problem ◽  
Prescribing Pattern ◽  
Bite Marks ◽  
The World

Objectives: In India, snakebite is a major public health problem. Anti-snake venom serum (ASVS) is the definitive treatment for poisonous snakebites. However, the non-availability of effective ASVS to treat the specific types of snakebite envenomation encountered in various regions of the world has become a critical health issue at global level. In the present observational descriptive study, we observed the prescribing pattern and rationality of ASVS and the dosage of ASVS at our hospital and compared them with the standard guidelines in the treatment of snakebite cases with the aim to observe optimum utilization of ASVS.Methods: Data collection of registered cases of snakebite of 3 years from January to December 2012, 2013, and 2014 was carried out between January 2015 and December 2015.Results: A total of 935 cases were studied. ASVS treatment was given to 774 cases of snakebite, out of which 161 had no bite marks and 613 patients had bite marks. Majority (615 [79.45%]) of cases were treated with 1–20 vials of ASVS during total stay at center. Overall, 899 cases were discharged, among them 606 cases were not followed the World Health Organization guidelines. 29 cases succumbed and seven were referred to other center. The mortality observed during the 3 years was 3.10%.Conclusion: We observed individualized treatment for treatment with ASVS, thereby reducing the use of ASVS. Thus, we conclude that individualized approach depending on locally predominant snakes for the treatment of snakebite based on the degree of envenomation is a way by which the scarce ASVS can be used optimally.

scholarly journals Prevalence of anemia among pregnant women in rural Koppal: a study from teaching hospital, Koppal, India

2017 ◽  
Vol 6 (9) ◽  
pp. 3792 ◽  
Author(s):  
Seema B. N.
Keyword(s):  
Pregnant Women ◽  
Public Health Problem ◽  
Peripheral Blood Smear ◽  
Poverty Line ◽  
World Health ◽  
Major Public Health Problem ◽  
Severe Anemia ◽  
Mild Anemia ◽  
High Prevalence ◽  
Prevalence Of Anemia

Background: Anemia is the nutritional deficiency disorder and 56% of all women living in developing countries are anaemic according to World Health Organization. India has the highest prevalence of anaemia and 20% of total maternal deaths are due to anemia. To determine the prevalence of anemia and factors influencing its causation among pregnant women.           Methods: This is the study of 1769 pregnant women which was conducted in a rural population of Koppal district, Karnataka, India, from June 2016 to November 2016 i.e. a period of 6 months. This longitudinal prospective observational study was conducted in the district hospital of Koppal. Anemia was classified as per the Indian Council of Medical Research (ICMR) criteria. The diagnosis of anemia was undertaken by peripheral blood smear examination and standard hemoglobin estimation by shale’s method.Results: The average age of pregnant women was 23.5 years, ranging between 18 and 40 years. Most of the women belonged to below poverty line (BPL) families (84.6%) and Hindu religion (98%). Regarding education, 28.9% were illiterates. The mean haemoglobin level was found to be 8.95. Prevalence of anemia was 96.5% among the pregnant females in this region of rural Koppal. Out of these 22.47% had mild anemia, 56.30% had moderate anemia, 14.98% had severe anemia and 2.73% very severe anemia according to ICMR classification of anemia.Conclusions: High prevalence of anemia among pregnant women indicates anemia to be a major public health problem in the rural community and indicates strict implementation of National Nutrition Anemia prophylaxis programme. Factors such as socioeconomic status, education, birth interval, and gravida contribute to this high prevalence.

Severity and costs associated with hospitalization for dengue in public and private hospitals of Surat city, Gujarat, India, 2017–2018

2019 ◽  
Vol 113 (11) ◽  
pp. 661-669 ◽  
Author(s):  
Viral R Bajwala ◽  
Denny John ◽  
T Daniel Rajasekar ◽  
Manoj V Murhekar
Keyword(s):  
Urban Areas ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Warning Signs ◽  
World Health ◽  
Severe Dengue ◽  
Major Public Health Problem ◽  
Private Hospitals ◽  
Government Hospitals ◽  
The Cost

Abstract Background Dengue is major public health problem in India, especially in urban areas. We conducted a study to estimate the severity and costs of treatment among hospitalized dengue patients in Surat city, Gujarat, India. Methods We reviewed the medical records of dengue patients hospitalized in five tertiary care facilities (private [n=2], semi-government [n=2] and government [n=1]) between April 2017 and March 2018. We used the World Health Organization 2009 classification to classify the severity of dengue. A resource utilization approach was used to estimate the cost of illness in US dollars (US$) (inflation adjusted to 2018) from a quasi-societal perspective (excluding non-medical cost) for dengue hospitalization. Results Of the 732 hospitalized dengue patients, 44.7% had no warning symptoms, 39.5% had warning signs and 15.8% had severe dengue. The mean cost of hospitalization was US$86.9±170.7. The cost of hospitalization was 28.8 times higher in private hospitals compared with government hospitals. Consultant charges in private hospitals, laboratory investigations in semi-government hospitals and registration with admission charges in government hospitals accounted for 27.3%, 39.4% and 53% of the direct cost in these facilities, respectively. Conclusions A better triage system for hospitalization, subsidizing costs in the public sector and cost capping in the private sector can help to reduce the cost of hospitalization due to dengue so as to ensure affordability for larger portion of the society for universal health coverage.

scholarly journals How to Help Children and Adolescents with Austism SprectrumDisorder during Covid-19 Pandemic

2020 ◽  
Keyword(s):  
Social Isolation ◽  
Social Communication ◽  
Respiratory Infections ◽  
Autism Spectrum ◽  
World Health ◽  
Behavioral Strategies ◽  
Daily Lives ◽  
The Social ◽  
The World ◽  
Health Organization

The Autism Spectrum Disorder(ASD) are distinguished by persistent deficits in social communication and social interaction and restricted and repetitive patterns of behavior. Coronaviruses are an extremely common cause of colds and other upper respiratory infections. COVID-19, short for “coronavirus disease 2019”. The fast spread of the virus that causes COVID-19 has sparked alarm worldwide. The World Health Organization (WHO) has declared this rapidly spreading coronavirus outbreak a pandemic. Most of the countries around the world are adopting social distancing to slow the spread of coronavirus. There are several possible impacts of this pandemic on the daily lives of individuals with ASD, such as worsening of dysfunctional behaviors and regression of skills already acquired in different domains of development due to the social isolation. The objective of this article is to provide guidance to parents, health and education professionals that live or work with ASD individuals during the social isolation, on how to manage interventions that can be executed in the home environment, like remote training in language and social communication skills, behavioral strategies and sensory integration activities

scholarly journals The Quality Life of Renal Failure Patient Undergo Hemodialysis

2016 ◽  
Vol 3 (2) ◽  
pp. 118-122
Author(s):  
Rizky Firman ◽  
Sri Mugianti ◽  
Imam Sunarno ◽  
Sri Winarni
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Public Health Problem ◽  
World Health ◽  
Psychological State ◽  
World Health Organization Quality ◽  
Renal Failure Patient ◽  
Quality Life ◽  
The World

Chronic renal failure (CRF) is a public health problem in the world and is now recognized ascommon diseases with risk of hemodialysis therapy. Hemodialysis can have an impact to the patientquality of life. The aim of the research was to describe the patient quality of life with renal failure underghemodialysis at Mardi Waluyo Blitar hospital. The research used a descriptive research design. Thepopulation was all patients with renal failure which registered in Hemodialysis of Mardi Waluyo Blitarhospital on October-December 2014 as many as 84 patients. The sample was 34 patients selected byaccidental sampling. The data collection was conducted on March 30th – April 4th, 2015. The datacollecting used questionnaires of The World Health Organization Quality of Life (QoL WHO) whichdescribed physical health, psychological, social relationships, and environment. In general the qualitylife of renal failure patient underrgo hemodialysis in bad category was 55.9% (19 patients). Thiscondition was due to a chronic disease and its complications potentially stressors including renalfailure patient. Stressors that arise caused by environmental conditions, psychological state, and physicalhealth. The study recommended that health services were expected to provide comfortability, improvemaintenance functions, improve interpersonal relationships, and counseling.

scholarly journals Fever and Antipyretic Supported by Traditional Chinese Medicine: A Multi-Pathway Regulation

2021 ◽  
Vol 12 ◽  
Author(s):  
Le-Le Ma ◽  
Hui-Min Liu ◽  
Chuan-Hong Luo ◽  
Ya-Nan He ◽  
Fang Wang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Clinical Symptoms ◽  
Signal Transmission ◽  
Public Health Problem ◽  
Pharmacological Action ◽  
Major Public Health Problem ◽  
Neural Pathways ◽  
The World ◽  
In Series

The coronavirus disease, 2019 (COVID-19), has spread rapidly around the world and become a major public health problem facing the world. Traditional Chinese medicine (TCM) has been fully committed to treat COVID-19 in China. It improved the clinical symptoms of patients and reduced the mortality rate. In light of the fever was identified as one of leading clinical features of COVID-19, this paper will first analyze the material basis of fever, including pyrogenic cytokines and a variety of the mediators of fever. Then the humoral and neural pathways of fever signal transmission will be described. The scattered evidences about fever recorded in recent years are connected in series. On this basis, the understanding of fever is further deepened from the aspects of pathology and physiology. Finally, combining with the chemical composition and pharmacological action of available TCM, we analyzed the mechanisms of TCMs to play the antipyretic effect through multiple ways. So as to further provide the basis for the research of antipyretic compound preparations of TCMs and explore the potential medicines for the prevention and treatment of COVID-19.

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