scholarly journals Epidemiology and Pathophysiology of Diverticular Disease

2018 ◽  
Vol 31 (04) ◽  
pp. 209-213 ◽  
Author(s):  
Surya Nalamati ◽  
Semeret Munie
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Diverticular Disease ◽  
Older Age ◽  
Younger Patients ◽  
Western Countries ◽  
Care Issue ◽  
Colonic Diverticular Disease

AbstractColonic diverticular disease is a common health care issue which has historically been attributed to western countries and older age population. Recent studies have shown a rise in incidence among developing countries that have adopted western diets as well as rise in prevalence among younger patients. In this article, the authors discuss the incidence, epidemiology, and pathophysiology of colonic diverticular disease.

scholarly journals Complicated Diverticular Disease

2020 ◽  
Author(s):  
Kathleen M. Coakley ◽  
Bradley R. Davis ◽  
Kevin R. Kasten
Keyword(s):  
Postoperative Complications ◽  
Diverticular Disease ◽  
Surgical Intervention ◽  
Management Strategies ◽  
Significant Risk ◽  
Complicated Diverticulitis ◽  
Careful Attention ◽  
Correct Treatment ◽  
Treatment Paradigm ◽  
Colonic Diverticular Disease

AbstractThe modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

scholarly journals Prevalence of Polypharmacy and Risks of Potentially Inappropriate Medication Use in the Older Population in a Developing Country: A Systematic Review and Meta-Analysis

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Akshaya Srikanth Bhagavathula ◽  
Eyob Alemayehu Gebreyohannes ◽  
Daniela Fialova
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Literature Review ◽  
Developing Country ◽  
Systematic Literature Review ◽  
Meta Analysis ◽  
Inappropriate Medication ◽  
Older Age ◽  
Potentially Inappropriate Medication ◽  
Older Population

<b><i>Background and Aim:</i></b> Polypharmacy and potentially inappropriate medication (PIM) use in older populations (65+ years) have not yet been investigated by meta-analyses in developing countries. This systematic literature review and meta-analysis aimed to investigate the prevalence of polypharmacy and PIM use and major risk factors associated with PIM prescribing in older adults in Ethiopia. <b><i>Methods:</i></b> We searched PubMed/MEDLINE, Scopus, Embase, and Google Scholar databases to identify relevant studies published between January 1990 and October 2020. Observational studies reporting the prevalence and association of risk factors with polypharmacy and PIM use in the older population were meta-analyzed. A multilevel meta-analysis was conducted to pool the prevalence estimates, and the risk of PIM use was reported as a relative risk (RR) with a 95% confidence interval (CI). <b><i>Results:</i></b> We identified by systematic literature review 404 articles. Of those, 8 studies fulfilled inclusion criteria, comprising a total sample of 2,608 participants. The overall prevalence of polypharmacy and PIM use pooled by meta-analysis in the Ethiopian older population was 33 and 37%, respectively. The risk factors of PIM use were analyzed in the meta-analysis (particularly polymorbidity, polypharmacy, gender, and older age), and only older age of 65+ (RR: 1.71, 95% CI: 1.16–2.51) was significantly associated with PIM use. <b><i>Conclusion:</i></b> This first meta-analysis from a developing country revealed a high prevalence of polypharmacy and PIM use in the Ethiopian older population. There was no awareness about the risk of PIMs in patients with polypharmacy and polymorbidity, and older age significantly predicted PIM use. Interventions ensuring rational geriatric pharmacotherapy are essential in developing countries in order to reduce the expected burden of PIM-related geriatric morbidity, higher costs, and mortality.

scholarly journals Knowledge and attitude towards infection control among supporting staffs of Chitwan Medical College, Bharatpur, Chitwan

2017 ◽  
Vol 6 (1) ◽  
pp. 40-47
Author(s):  
M Lopchan ◽  
G Gurung ◽  
L Rajbanshi ◽  
C Osti ◽  
A Baniya
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Infection Control ◽  
Health Care Providers ◽  
Nosocomial Infections ◽  
Infection Prevention ◽  
College Teaching ◽  
Care Providers ◽  
Medical College ◽  
Regular Training

Nosocomial infections (NIs) are one of the most important health issues, particularly in developing countries, because these infections cause high mortality and morbidity, and economic and human resource loss as a consequence Nosocomial infections can be defined as those occurring within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation. Many studies have examined risk factors of nosocomial infections. However, knowledge of frontline workers (attendants) in infection prevention have been reported rarely in developing countries. The aim of this study was to investigate the knowledge of attendants working in different wards and OPDs about infection prevention. S: Data were collected from 100 attendants in Chitwan Medical College Teaching Hospital. Regarding the knowledge on hand washing, gloving and personal accessories for Infection Prevention, majority of the respondents had good knowledge ranging from 94-100%. Though hospital has established Infection Prevention Committee and regular training on infection prevention is provided to all the staffs, the data indicated that only 68% respondents were benefitted by the infection prevention training and proper use of virex solution to disinfect the equipment’s was found unsatisfactory. Infection control is the responsibility of all Health Care Facility (HCF) personnel. The goal of the infection control policies are to identify and reduce risks of acquiring and transmitting infections among patients, staff, students, volunteers, contract service workers, and visitors Although significant effort has been made to reduce the Nosocomial infections, regular training as well as monitoring supervision will enhance the capacity of the health care providers and front line workers for cleaning services they are our valued respondents.DOI: http://dx.doi.org/10.3126/jcmc.v6i1.55069

Thailand's Bare-headed Doctors

1985 ◽  
Vol 19 (4) ◽  
pp. 761-796 ◽  
Author(s):  
David Gosling
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Basic Health ◽  
Basic Health Care

For the last few years an imaginative programme for training Buddhist monks in basic health care has been in operation in Thailand. The scheme, originally based on two wats (temples) in Bangkok, is now being extended to the Northeast where poverty and malnutrition are most acute. The originator of the programme, Dr Prawase Wasi, a distinguished haematologist, has received several awards for his work, which is increasingly recognized as a major landmark in the implementation of health care in developing countries.

How to educate health care professionals in developing countries? A Brazilian experience

2010 ◽  
Vol 38 (6) ◽  
pp. 491-493 ◽  
Author(s):  
Carla Morales Guerra ◽  
Monica Parente Ramos ◽  
Virginia Zagallo Penna ◽  
Janaina Midori Goto ◽  
Leandro Queiroz Santi ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Professionals

Cancer funding in developing countries: the next health-care crisis?

The Lancet ◽  
2010 ◽  
Vol 376 (9755) ◽  
pp. 1827 ◽  
Author(s):  
Ian Magrath ◽  
Pierre Bey ◽  
Aziza Shad ◽  
Simon Sutcliffe
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Crisis

Inequity in Child Health as a Global Issue

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 739-741
Author(s):  
Tony Waterston
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Child Health ◽  
Environmental Factors ◽  
Clean Water ◽  
Annual Income ◽  
Dietary Energy ◽  
Refugee Status ◽  
Global Issue ◽  
The Social

The Issue. Poverty, violence, lack of education, abuse and exploitation, and refugee status are among the primary determinants of the health of children worldwide. There are 1.3 billion people living on less than US $1 per day. Half the world’s population, 3 billion people, live on less than US $1.30 per day. Of the 4.4 billion people who live in developing countries, 60% lack access to sanitation, 33% lack clean water, 20% have no health care, and 20% do not have enough dietary energy and protein.1 The world’s 225 richest people have a combined wealth equivalent to the annual income of the poorest 2.5 billion people, nearly half of the world’s population.1 This article describes a number of the social, political, and environmental factors impacting children in the developing (southern hemisphere) world and how these are affected by actions taken in the developed (northern hemisphere) world.

Sign in / Sign up

Export Citation Format

Share Document