Analyses of clinical and laboratory characteristics of dengue adults at their hospital presentations based on the World Health Organization clinical-phase framework: Emphasizing risk of severe dengue in the elderly

The spread of Corona virus disease 19 (Covid-19) which has been going on since December 2019 has had a very broad impact on all walks of life. Data quoted from the official website of the World Health Organization (WHO), as of September 25, 2020, reported that there were more than 31,026,758 confirmed cases of Covid-19 worldwide, and more than 755,786 people had died with positive Covid-19 ( 1). Meanwhile in Indonesia, as monitored by the Kompas.com website, 137,468 confirmed cases of Covid-19 were reported and more than 6,071 people died. The mortality rate is estimated to be 4.416%, of which most cases involve the elderly (> 80%) (2). Seeing the reality on the ground, by not being disciplined in responding to health protocols to prevent Covid-19 transmission, this number will continue to show an increase.

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Assessment of the new World Health Organization’s dengue classification for predicting severity of illness and level of healthcare required

10.1101/516229 ◽

2019 ◽

Author(s):

Balgees A. Ajlan ◽

Maram M. Alafif ◽

Maha M. Alawi ◽

Naeema A. Akbar ◽

Eman K. Aldigs ◽

...

Keyword(s):

Retrospective Study ◽

World Health Organization ◽

Chronic Diseases ◽

Warning Signs ◽

World Health ◽

Severe Dengue ◽

New Classification ◽

The World ◽

Health Organization ◽

Higher Sensitivity

AbstractThe objective of this observational study was to assess the validity of the new dengue classification proposed by the World Health Organization (WHO) in 2009 and to develop pragmatic guidelines for case triage and management. This retrospective study involved 357 laboratory-confirmed cases of dengue infection diagnosed at King Abdulaziz University Hospital, Jeddah, Saudi Arabia over a 4-year period from 2014 to 2017. The sensitivity of the new classification for identifying severe cases was limited (65.0%) but higher than the old one (30 0%). It had a higher sensitivity for identifying patients who needed advanced healthcare compared to the old one (72.0% versus 32.0%, respectively). We propose adding decompensation of chronic diseases and thrombocytopenia-related bleeding to the category of severe dengue in the new classification. This modification improves sensitivity from 72.0% to 97.5% for identifying patients who need advanced healthcare without altering specificity (96.7%). It also improves sensitivity in predicting severe outcomes from 32% to 88.0%. In conclusion, the new classification had a low sensitivity for identifying patients needing advanced care and for predicting morbidity and mortality. We propose to include decompensation of chronic diseases and thrombocytopenia-related bleeding to the category of severe dengue in the new classification to improve the sensitivity of predicting cases requiring advanced care.Author summaryDengue fever, the most prevalent arthropod-borne viral disease in human, has been conventionally classified into four main categories: non-classical, classical, dengue hemorrhagic fever, and dengue shock syndrome. Several studies reported lack of correlation between the categories of the conventional classification and the disease severity. As a consequence, the World Health organization proposed in 2008 a new classification that divides dengue into two categories: non-severe and severe dengue; the non-severe dengue is further divided into two categories: dengue with warning signs and dengue without warning signs. In this retrospective study we reviewed 357 cases of dengue diagnosed in our institution over a 4-year period to assess the validity of the new dengue classification in order to develop pragmatic guidelines for case triage and management in the Emergency Departments. We found that the sensitivity of the new classification for identifying severe cases was limited even though it had a higher sensitivity for identifying patients who needed advanced healthcare compared to the old one. We propose adding decompensation of chronic diseases and low platelets-related bleeding to the category of severe dengue in the new classification. This modification dramatically improves the sensitivity for identifying patients who need advanced healthcare and the sensitivity to predict severe outcomes.

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Burden, effectiveness and safety of influenza vaccines in elderly, paediatric and pregnant populations

Therapeutic Advances in Vaccines and Immunotherapy ◽

10.1177/2515135519826481 ◽

2019 ◽

Vol 7 ◽

pp. 251513551982648 ◽

Cited By ~ 10

Author(s):

Sheena G. Sullivan ◽

Olivia H. Price ◽

Annette K. Regan

Keyword(s):

Influenza Vaccination ◽

Pregnant Women ◽

World Health Organization ◽

The Elderly ◽

Antigenic Drift ◽

Influenza Vaccines ◽

World Health ◽

Key Populations ◽

The World ◽

Health Organization

Vaccination is the most practical means available for preventing influenza. Influenza vaccines require frequent updates to keep pace with antigenic drift of the virus, and the effectiveness, and sometimes the safety, of the vaccine can therefore vary from season to season. Three key populations that the World Health Organization recommends should be prioritized for influenza vaccination are pregnant women, children younger than 5 years of age and the elderly. This review discusses the burden of influenza and the safety and effectiveness profile of influenza vaccines recommended for these groups.

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Interpersonal Violence and Public Policy: What about the Victims?

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2004.tb00463.x ◽

2004 ◽

Vol 32 (1) ◽

pp. 73-81 ◽

Cited By ~ 1

Author(s):

Dean G. Kilpatrick

Keyword(s):

World Health Organization ◽

Interpersonal Violence ◽

Youth Violence ◽

The Elderly ◽

The United States ◽

World Health ◽

Physical Force ◽

Injury Death ◽

The World ◽

Health Organization

Violence is an extremely prevalent problem in the United States and throughout the world, and it is a major contributing factor to increased mortality and mortalityty. These facts are well documented in the recent Report on violence and Health published by the World Health Organization. This report, which is likely to become a landmark document in the public health community, defines violence broadly as: The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation. This World Health Organization definition encompasses three types of violence: 1) suicide and selfharm, 2) collective violence, and 3) interpersonal violence.Interpersonal violence is defined asviolence inflicted by an individual or small group of individuals and includes youth violence, violence between intimate partners, other forms of family violence such as abuse of children and the elderly, rape and sexual assault by strangers, and violence in institutional settings such as schools, workplaces, nursing homes and prisons.

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Ensuring elderly well being during COVID-19 by using IoT

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2020.390 ◽

2020 ◽

pp. 1-10

Author(s):

Prateek Pandey ◽

Ratnesh Litoriya

Keyword(s):

World Health Organization ◽

Elderly Population ◽

Well Being ◽

The Elderly ◽

Living Alone ◽

World Health ◽

The World ◽

The Future ◽

Research Findings ◽

Health Organization

ABSTRACT As per the World Health Organization (WHO)[1], COVID-19 cases continue to surge, and the world must learn from this disaster. Most of the world economies are shattered due to this pandemic. The development of infrastructure to counter such deadly viral attacks in the future is the wisest investment that can be made. Another report from WHO [2] says that the elderly population is the most vulnerable section affected by the pandemic, and the threat to their life becomes manifold if they are living alone. Thus a well-formed elderly support framework is required to safeguard the vulnerable from COVID like disasters in the future. We report here on the research findings we conducted by laying out a mitigation system for elderly wellbeing during disastrous times. The proposed system demands a sound collaboration between software, hardware devices, the state, and social agencies.

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Edentulism and shortened dental arch in Brazilian elderly from the National Survey of Oral Health 2003

Revista de Saúde Pública ◽

10.1590/s0034-89102011005000057 ◽

2011 ◽

Vol 45 (5) ◽

pp. 817-823 ◽

Cited By ~ 14

Author(s):

Marco Túlio Freitas Ribeiro ◽

Marco Aurélio Camargo da Rosa ◽

Rosa Maria Natal de Lima ◽

Andréa Maria Duarte Vargas ◽

João Paulo Amaral Haddad ◽

...

Keyword(s):

Oral Health ◽

World Health Organization ◽

Health Survey ◽

Elderly Population ◽

The Elderly ◽

World Health ◽

Dental Arch ◽

Shortened Dental Arch ◽

The World ◽

Health Organization

OBJECTIVE: To describe the distribution of edentulism and estimate the prevalence of functional dentition and shortened dental arch among elderly population. METHODS: A population-based epidemiological study was carried out with a sample of 5,349 respondents aged 65 to 74 years obtained from the 2002 and 2003 Brazilian Ministry of Health/Division of Oral Health survey database. The following variables were studied: gender; macroregion of residence; missing teeth; percentage that met the World Health Organization goal for oral health in the age group 65 to 74 years (50% having at least 20 natural teeth); presence of shortened dental arch; number of posterior occluding pairs of teeth. The Chi-square test assessed the association between categorical variables. The Kruskal-Wallis and Mann-Whitney tests were used to assess differences of mean between number of posterior occluding pairs teeth, macro-region and gender. RESULTS: The elderly population had an average of 5.49 teeth (SD: 7.93) with a median of 0. The proportion of completely edentulous respondents was 54.7%. Complete edentulism was 18.2% in the upper arch and 1.9% in the lower arch. The World Health Organization goal was achieved in 10% of all respondents studied. However, only 2.7% had acceptable masticatory function and aesthetics (having at least shortened dental arch) and a mean number of posterior occluding pairs of 6.94 (SD=2.97). There were significant differences of the percentage of respondents that met the World Health Organization goal and presence of shortened dental arch between men and women. There were differences in shortened dental arch between macroregions. CONCLUSIONS: The Brazilian epidemiological oral health survey showed high rate of edentulism and low rate of shortened dental arch in the elderly population studied, thus suggesting significant functional and aesthetic impairment in all Brazilian macroregions especially among women.

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Upaya Penerapan Imajinasi Terbimbing Untuk Menurunkan Tekanan Darah Pada Pasien Hipertensi

JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) ◽

10.33024/jkpm.v1i1.5505 ◽

2022 ◽

Vol 1 (1) ◽

pp. 267-273

Author(s):

Baik Heni Rispawati ◽

Dewi Nursukma Purqoti ◽

Ernawati Ernawati ◽

Supriyadi Supriyadi

Keyword(s):

Blood Pressure ◽

World Health Organization ◽

Health Program ◽

Signs And Symptoms ◽

The Elderly ◽

World Health ◽

Know How ◽

Lower Blood ◽

The World ◽

Health Organization

ABSTRAK Data world health organization (WHO) menunjukkan sekitar 1,13 Miliar orang di dunia menyandang hipertensi, artinya 1 dari 3 orang di dunia terdiagnosis hipertensi. Hipertensi disebut sebagai silent killer karena pada sebagian besar kasus tidak menunjukkan tanda dan gejala apapun, sehingga penderita tidak mengetahui jika dirinya terkena hipertensi. Tujuan Setelah diberikan penerapan imajinasi terbimbing diharapkan adanya perubahan tekanan darah pada penderita yg mengalami hipertensi pada Lansia dan mengetahui cara mengatasi hipertensi tanpa menggunakan obat. Pelaksanaan kegiatan ini dengan cara melakukan sebelumnya pengukuran tekanan darah pada lansia selanjutnya melakukan imajinasi terbimbing. Ditemukan lansia menderita hipertensi tetapi blm tau cara pengobatan menggunakan non farmakologi dan Imajinasi Terbimbing ini belum pernah diterapkan di Desa lingsar. Dengan demikian program kesehatan ini sangat mendukung dan sangat efektif untuk dilakukan khususnya kegiatan Imajinasi Terbimbing ini agar dapat dijadikan sebagai program rutin seperti sosialisasi, program kesehatan. Pelaksanaan Imajinasi Terbimbing Ini sangat bagus untuk menurunkan tekanan darah pada pasien Hipertensi. Oleh karena itu perawat di Puskesmas juga dapat mengaplikasikan teknik Imajinasi Terbimbing dalam membantu menurunkan tekanan darah pada pasien yang mengalami hipertensi Kata Kunci: Imajinasi Terbimbing, Tekanan Darah, Pasien Hipertensi ABSTRACT World Health Organization (WHO) data shows approx 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world is diagnosed with hypertension. Hypertension is called the silent killer because in most cases it does not show any signs and symptoms, so the patient does not know if he has hypertension. Objectives After being given the application of guided imagination, it is hoped that there will be changes in blood pressure in patients who have hypertension in the elderly and know how to treat hypertension without using drugs. The implementation of this activity is done by first measuring blood pressure in the elderly and then doing guided imagination. It was found that the elderly suffered from hypertension but did not know how to use non-pharmacological treatment and this Guided Imagination had never been applied in Lingsar Village. Thus this health program is very supportive and very effective to be carried out, especially this Guided Imagination activity so that it can be used as a routine program such as socialization, health programs. Implementation of Guided Imagination This is very good for lowering blood pressure in hypertensive patients. Therefore nurses at the Puskesmas can also apply the Guided Imagination technique to help lower blood pressure in patients with hypertension Keywords: Guided Imagination, Blood Pressure, Hypertension Patients

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Urgensi Revisi Undang-Undang tentang Kesejahteraan Lanjut Usia

Jurnal Aspirasi ◽

10.46807/aspirasi.v11i1.1589 ◽

2020 ◽

Vol 11 (1) ◽

pp. 43-55

Author(s):

Lukman Nul Hakim

Keyword(s):

World Health Organization ◽

Old Age ◽

The Elderly ◽

Scientific Study ◽

World Health ◽

Active Ageing ◽

The World ◽

The Law ◽

Health Organization

At present we are witnessing an increasing population of the world's elderly. The World Health Organization (WHO) calls this phenomenon as humanity’s greatest triumph. Indonesia is one of the countries with the most elderly population in the world. The WHO predicts that in 2025 Indonesia will occupy the fifth position with the highest percentage of elderly people in the world. This article tries to answer what is the latest scientific study of the elderly? What should be the category limit old age in Indonesia? Is the revision of the Law Number 13 of 1998 concerning Elderly Welfare (the Elderly Act) is urgent to do? Finally, what is the role of the Indonesian Parliament on this issue? The researcher uses a qualitative method with a combination of interview techniques and literature studies. This article tries to answer what is the latest scientific study of the elderly? What should be the category limit old age in Indonesia? Is the revision of the Law Number 13 of 1998 concerning Elderly Welfare (the Elderly Act) is urgent to do? Finally, what is the role of the Indonesian Parliament on this issue? So if there is an elderly bonus, the burden on productive people will be heavier. Gerontologists introduce the concept of active aging as a solution. A concept that invites us to see the elderly not as burdens but people with economic and social potential. A solutive, comprehensive and implementative policy that is supported by implementers at the central, regional, and community level will make the bonus of the elderly a blessing. Therefore, the revision of Law No. 13 of 1998 on Elderly Welfare is urgently called for, with several important things that must be included, namely the principle of humanity, the rights of the elderly, elderly data collection, and economic protection for the elderly.AbstrakSaat ini kita sedang menyaksikan meningkatnya populasi lanjut usia (lansia) di dunia. World Health Organization (WHO) menyebut fenomena ini sebagai kemenangan terbesar umat manusia. Indonesia merupakan salah satu negara yang mempunyai populasi lansia terbanyak di dunia. WHO memprediksi bahwa pada tahun 2025 Indonesia akan menempati posisi kelima negara dengan persentase lansia tertinggi di dunia. Artikel ini mencoba menjawab bagaimanakah kajian ilmiah terkini tentang lansia? Berapakah sebaiknya batasan kategori usia lansia di Indonesia? Apakah revisi Undang-Undang Nomor 13 Tahun 1998 tentang Kesejahteraan Lanjut Usia (UU Lansia) mendesak untuk dilakukan? Terakhir, bagaimana peran DPR RI mengenai isu ini? Peneliti menggunakan metode penelitian kualitatif, yaitu dengan kombinasi teknik wawancara dengan pakar dan kajian literatur. Berdasarkan perhitungan dependency ratio oleh BPS, pada tahun 2020 ini 100 orang usia produktif menanggung beban 48 orang non-produktif, sehingga jika terjadi bonus lansia maka beban orang produktif akan semakin berat. Para ahli gerontologi memperkenalkan konsep active ageing sebagai solusi. Sebuah konsep yang mengajak kita memandang lansia bukan sebagai beban melainkan orang-orang yang potensial secara ekonomi dan sosial. Sebuah kebijakan yang solutif, komprehensif dan implementatif yang didukung oleh para pelaksana di tingkat pusat, daerah, dan unsur masyarakat akan menjadikan bonus lansia sebagai berkah. Karena itu revisi UU Lansia mendesak dilakukan, dengan beberapa hal penting yang harus dimasukkan, yaitu prinsip kelanjutusiaan, hak-hak lansia, pendataan lansia, dan proteksi ekonomi bagi lansia.

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