scholarly journals Successful Implementation of a Window for Routine Antimicrobial Prophylaxis Shorter than That of the World Health Organization Standard

2012 ◽  
Vol 33 (9) ◽  
pp. 912-916 ◽  
Author(s):  
Heidi Misteli ◽  
Andreas F. Widmer ◽  
Walter P. Weber ◽  
Evelyne Bucher ◽  
Marc Dangel ◽  
...  
Keyword(s):  
World Health Organization ◽  
Antimicrobial Prophylaxis ◽  
Skin Incision ◽  
World Health ◽  
Secondary Outcome ◽  
Successful Implementation ◽  
Outcome Parameter ◽  
Time Period ◽  
The World ◽  
Health Organization

Objective.To evaluate the feasibility of implementation of the refined window for routine antimicrobial prophylaxis (RAP) of 30-74 minutes before skin incision compared to the World Health Organization (WHO) standard of 0-60 minutes.Design.Prospective study on timing of routine antimicrobial prophylaxis in 2 different time periods.Setting.Tertiary referral university hospital with 30,000 surgical procedures per year.Methods.In all consecutive vascular, visceral, and trauma procedures, the timing was prospectively recorded during a first time period of 2 years (A; baseline) and a second period of 1 year (B; after intervention). An intensive intervention program was initiated after baseline. The primary outcome parameter was timing; the secondary outcome parameter was surgical site infection (SSI) rate in the subgroup of patients undergoing cholecystectomy/colon resection.Results.During baseline time period A (3,836 procedures), RAP was administered 30–74 minutes before skin incision in 1,750 (41.0%) procedures; during time period B (1,537 procedures), it was administered in 914 (56.0%; P < .001). The subgroup analysis did not reveal a significant difference in SSI rate.Conclusions.This bundle of interventions resulted in a statistically significant improvement of timing of RAP even at a shortened window compared to the WHO standard.

scholarly journals Assessment of the Context for eHealth Development in the Philippines: A Work in Progress from 1997 to 2020

2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Jinky Leilanie Lu ◽  
Portia Grace F. Marcelo
Keyword(s):  
World Health Organization ◽  
Information And Communication Technologies ◽  
National Level ◽  
Information Management System ◽  
The Philippines ◽  
World Health ◽  
Successful Implementation ◽  
International Telecommunication Union ◽  
The World ◽  
Health Organization

Introduction. eHealth is described by the World Health Organization (WHO) as the use of information and communication technologies (ICT) for health. The use of eHealth closes the gaps in terms of geographical barriers, time constraints, lack of healthcare professionals in healthcare and service delivery. This study is important as it provides the current landscape and status of eHealth in the Philippines. Hence, policymakers, program implementors as well as other stakeholders, including the public, will be able to know which eHealth and telemedicine services and products are available in various sectors of society, either private or government, what are the existing gaps in eHealth, and the trajectory in the future based on the guide of the World Health Organization - International Telecommunication Union (WHO-ITU). Objectives. The objectives of the study are 1) to provide a landscape of eHealth in the Philippines since its start in the country; 2) to identify programs, services, and technology innovations implemented in the country on eHealth and telemedicine; and 3) to identify Philippine systems that correspond to the eHealth components laid out by WHO-ITU for a successful implementation of eHealth at a national level. Methods. We conducted an extensive review of the literature and key informant interviews with eHealth experts in the Philippines. The literature review covered research and studies, gray literature, peer-reviewed journals, databases, and government statistics. The years covered in this study span a total of 24 years from 1997, which is the beginning of the information management system as an institutional approach in the country, to 2020. The assessment tool was based on the framework provided by the WHO-ITU on the context for eHealth development. Results. The National Telehealth Center (NTHC) of the Philippines began with projects for 1) eLearning, 2) eMedicine, 3) eRecords, 4) eHealth Policy and Advocacy, and 5) eSurveillance. Telemedicine services are now being offered by hospitals in the country. This shows eHealth services, in general, and telemedicine are being utilized in not only targeting the poor, but also in giving faster, more efficient, and equally effective virtual health services to the general public, even the private-pay patients. Conclusion. The sustainability of eHealth in the Philippines still depends on the national effort to institutionalize an eHealth structure and eHealth system where the various components are interrelated.

scholarly journals Everyone Should be Fatactivists or Fat-allies

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Dina Almlund
Keyword(s):  
World Health Organization ◽  
Healthcare Professionals ◽  
Health Hazard ◽  
Western Culture ◽  
World Health ◽  
Time Period ◽  
Social Inequities ◽  
The World ◽  
History Of ◽  
Health Organization

Fatphobia is ubiquitous. Fatphobia is a structure in society. And it affects the lives of fat people in ways that are damaging to their health and can cause major inequities. This article maps out fatphobia as ever present through the history of Western culture – no time period exceptions – and it examines a very important report from the World Health Organization (WHO) concerning the health hazard and social inequities caused by fatphobia. Shakespeare’s fatjokes and the ever presence of shapewear and all the portraits of Jesus as a thin, white man show us 5,000 years of cultivated fatmisia. That is why WHO has written a report urging doctors and other healthcare professionals to treat fat patients with empathy and sensitivity like they would thin patients. In mapping out a structure that dehumanises people of size, I bring in a few examples from my own life as a fat person and as a fatactivist. Existing while fat in a world that hates fatness is hard work.

scholarly journals A Survey on some of the Global Effects of the COVID-19 Pandemic

2020 ◽  
Author(s):  
Ishaani Priyadarshini
Keyword(s):  
Gross Domestic Product ◽  
World Health Organization ◽  
Tourism Industry ◽  
World Health ◽  
High Tech ◽  
Travel And Tourism ◽  
Time Period ◽  
High Tech Product ◽  
The World ◽  
Health Organization

Abstract Ever since COVID-19 was first identified in Wuhan, China in December 2019, it has gained a lot of popularity. Within a span of two months, it managed to travel across the globe and affected more than a million people, resulting in several deaths. The World Health Organization recently declared COVID-19 as a pandemic over the number of cases registered by country. However, there is a lot more to just people being infected by the disease. Apparently COVID-19 has managed to disrupt businesses all over the world causing world panic. In this paper, some global effects of the COVID-19 pandemic are identified and certain trends related to the same over the approximate time period of January 2020- March 2020 have been observed. The impacts of the COVID-19 outbreak on the global Gross Domestic Product (GDP), the travel and tourism industry and high tech product shipments have been analyzed. The study would assist the industries to prepare better for the global crisis and would assist them in contemplating specific scenarios in case of an epidemic or pandemic in the future.

Evaluation of the World Health Organization outcome standards at the early and late post-operative visits following cataract surgery

2020 ◽  
Vol 12 (1) ◽  
pp. 66-74
Author(s):  
Jay J Meyer ◽  
Neil L Murray
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
World Health Organization ◽  
Outcome Measures ◽  
World Health ◽  
Secondary Outcome ◽  
Similar Proportion ◽  
Visual Outcomes ◽  
The World ◽  
Health Organization

Introduction: This study was conducted to determine whether the World Health Organization (WHO) visual acuity standards are correlated between the early and late early post-operative periods following phacoemulsification (phaco) and small incision extracapsular cataract surgery (SICS). Secondary aims were to compare visual outcomes and complications following SICS and phaco. Methods: Retrospective cohort study following phaco and SICS performed by one surgeon. Primary outcome measures included uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) at the early (≤72 hours) and late (≥21 days) post-operative visits. Secondary outcome measures included complications and astigmatism. Results: 705 eyes were studied (509 phaco, 196 SICS). The correlation for UCVA between early and late follow-up examinations was higher for phaco (rs=0.58) compared to SICS (rs=0.45, p=0.04) while correlation for BCVA was similar (phaco,rs=0.52; SICS, rs=0.47; p=0.44). At the early post-operative visit, a higher proportion in the phaco group achieved ≥6/18 UCVA (81.5% phaco vs 64.8% SICS, p<0.0001) and BCVA (87.8% phaco vs 73.5% SICS, p<0.0001). At the late post-operative visit, a higher proportion following phaco also achieved ≥6/18 UCVA (93.9% phaco vs 85.2% SICS, p=0.0004) and BCVA (96.9% phaco vs 91.3% SICS, p=0.004). After exclusion of eyes with pre-existing ocular comorbidities, a similar proportion had ≥6/18 late UCVA (98.9% phaco vs 96.9% SICS, p=0.22) and BCVA (100% phaco vs 99.2% SICS, p=0.27). Conclusions: Early and late post-operative WHO visual acuity levels are correlated, but not equivalent, following both phaco and SICS. In eyes without comorbidities, similar final visual outcomes can be achieved after phaco and SICS.

Erstes Instrument zur standardisierten Erfassung der Teilhabe Behinderter

2017 ◽  
Vol 79 (07) ◽  
pp. 526-527
Keyword(s):  
World Health Organization ◽  
World Health ◽  
The World ◽  
Health Organization ◽  
Menschen Mit Behinderung

Coenen M et al. [Recommendation for the collection and analysis of data on participation and disability from the perspective of the World Health Organization]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2016; 59: 1060–1067 Um eine gleichberechtigte Teilhabe an der Gesellschaft von Menschen mit Behinderung zu ermöglichen, werden zunächst Daten zu vorhandenen Einschränkungen gebraucht. Erst wenn diese detailliert erhoben wurden, können Konzepte zur Beseitigung von Problemen entwickelt werden. Ein standardisiertes Erhebungsinstrument für alle Aspekte der Funktionsfähigkeit fehlte jedoch bisher.

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