GBD

2020 ◽  
pp. 11-23
Author(s):  
Theo Vos
Keyword(s):  
Health It ◽  
Online Data ◽  
Data Synthesis ◽  
Value Choices ◽  
Disability Weights ◽  
History Of ◽  
Technical Details ◽  
Visualization Tools ◽  
Choice Of Life ◽  
Disease Study

This chapter describes the motivation behind and history of the Global Burden of Disease Study (GBD) and the approach it uses to measure population health. It discusses several of the value choices involved in the GBD (including choice of life expectancy, disability weights, comorbidity, and incidence vs. prevalence perspective), technical details involved in producing GBD results (including modeling techniques, data synthesis, and data analysis), several key metrics used by the GBD, and the GBD’s online data visualization tools. It concludes by briefly discussing some important empirical results from the most recent GBD study, before reflecting on the future of the GBD.

THE RISK FACTORS OF MOLAR PREGNANCY

2017 ◽  
pp. 53-58
Author(s):  
Lam Huong Le
Keyword(s):  
High Risk ◽  
Gestational Trophoblastic Disease ◽  
Living Standard ◽  
Control Group ◽  
Uterine Perforation ◽  
Molar Pregnancy ◽  
Health It ◽  
Pregnancy Risk ◽  
History Of ◽  
And Control

Objectives: Molar pregnancy is the gestational trophoblastic disease and impact on the women’s health. It has several complications such as toxicity, infection, bleeding. Molar pregnancy also has high risk of choriocarcinoma which can be dead. Aim: To assess the risks of molar pregnancy. Materials and Methods: The case control study included 76 molar pregnancies and 228 pregnancies in control group at Hue Central Hospital. Results: The average age was 32.7 ± 6.7, the miximum age was 17 years old and the maximum was 46 years old. The history of abortion, miscarriage in molar group and control group acounted for 10.5% and 3.9% respectively, with the risk was higher 2.8 times; 95% CI = 1.1-7.7 (p<0.05). The history of molar pregnancy in molar pregnancy group was 9.2% and the molar pregnancy risk was 11.4 times higher than control group (95% CI = 2.3-56.4). The women having ≥ 4 times births accounted for 7.9% in molar group and 2.2% in control group, with the risk was higher 3.8 times, 95% CI= 1.1-12.9 (p<0.05). The molar risk of women < 20 and >40 years old in molar groups had 2.4 times higher than (95% CI = 1.1 to 5.2)h than control group. Low living standard was 7.9% in molar group and 1.3% in the control group with OR= 6.2; 95% CI= 1.5-25.6. Curettage twice accounted for 87.5%, there were 16 case need to curettage three times. There was no case of uterine perforation and infection after curettage. Conclusion: The high risk molar pregnancy women need a better management. Pregnant women should be antenatal cared regularly to dectect early molar pregnancy. It is nessecery to monitor and avoid the dangerous complications occuring during the pregnancy. Key words: Molar pregnancy, pregnancy women

scholarly journals Amblyopia screening effectiveness at 3–4 years old: a cohort study

2021 ◽  
Vol 6 (1) ◽  
pp. e000599
Author(s):  
Sandra Guimaraes ◽  
Andreia Soares ◽  
Cristina Freitas ◽  
Pedro Barros ◽  
Ricardo Dourado Leite ◽  
...  
Keyword(s):  
Risk Reduction ◽  
Treatment Effectiveness ◽  
Absolute Risk ◽  
Absolute Risk Reduction ◽  
Number Needed To Screen ◽  
History Of ◽  
Disease Study ◽  
New Diagnosis ◽  
Screening Effectiveness ◽  
Timely Referral

ObjectiveTo study the effectiveness of amblyopia screening at ages 3–4.Methods and AnalysisFrom a population with no previous screening, a cohort of 2300 children with 3–4 years old attending school (91% of children this age attend school in Portugal), were submitted to a complete ophthalmological evaluation. Amblyopia was diagnosed, treated and followed. Amblyopia prevalence, treatment effectiveness, absolute risk reduction (ARR), number needed to screen (NNS) and relative risk reduction (RRR) were estimated.ResultsPast/present history of amblyopia was higher than 3.1%–4.2%, depending on amblyopia definition normatives. Screening at age 3–4, had estimated ARR=2.09% (95% CI 1.50% to 2.68%) with a reduced risk of amblyopia in adulthood of 87% (RRR). NNS was 47.8 (95% CI 37.3 to 66.7). Treatment effectiveness of new diagnosis was 88% (83% if we include children already followed). 91% of new amblyopia diagnoses were refractive (of which 100% surpassed amblyopia Multi-Ethnic Pediatric Eye Disease Study criteria after treatment), while most strabismic amblyopias were already treated or undertreatment. Only 30% of children with refractive amblyopia risk factors that were not followed by an ophthalmologist, ended up having amblyopia at age 3–4. Eye patch was needed equally in new-diagnosis versus treated-earlier refractive amblyopia.ConclusionsScreening amblyopia in a whole-population setting at age 3–4 is highly effective. For each 48 children screened at age 3–4, one amblyopia is estimated to be prevented in the future (NNS). Screening earlier may lead to overdiagnosis and overtreatments: Treating all new diagnosis before age 3–4 would have a maximal difference in ARR of 0.3%, with the possible burden of as much as 70% children being unnecessary treated before age 3–4.Involving primary care, with policies for timely referral of suspicious/high-risk preverbal children, plus whole screening at age 3–4 seems a rational/effective way of controlling amblyopia.

The Toolkit of Nationalist Populism in Contemporary Hungary: Symbols, Objects, and Modalities of Circulation

2021 ◽  
pp. 088832542095081
Author(s):  
Virág Molnár
Keyword(s):  
Political Communication ◽  
Far Right ◽  
Online Data ◽  
Everyday Objects ◽  
The People ◽  
Consumer Markets ◽  
History Of ◽  
Primary Focus ◽  
Material Circulation

This article belongs to the special cluster, “National, European, Transnational: Far-right activism in the 20th and 21st centuries”, guest edited by Agnieszka Pasieka. Research on populism attributes great significance to mapping the distinctive discursive logic of populist reasoning (e.g., the trope of pitting corrupt elites against the people). This article aims to move beyond the primary focus on discursive structures to stress the role of symbols, objects, and different modalities of circulation in the political communication of populist ideas, using the case of Hungary. By tracing the history of one of the key symbols of nationalist populism—the image of “Greater Hungary”—from its emergence in the interwar period to its present-day use, the article shows how the meanings and material forms this symbol assumed in political communication that evolved under different political regimes. The analysis builds on extensive archival, ethnographic, and online data to highlight how the diversity of material forms and the conduits through which this image circulated have contributed to its endurance as a key political symbol. Symbols, like the Greater Hungary image, condense complex historical narratives into a powerful sign that can be easily objectified, reproduced, and diffused. Today’s differentiated consumer markets provide convenient conduits for this kind of material circulation. These symbols carry meaning in and of themselves as signs, and once they are turned into everyday objects, they facilitate the normalization of radical politics by increasing their salience and broad visibility.

Public Health and the State: Changing Views in Massachusetts, 1842-1936, by Barbara Gutmann Rosenkrantz. Cambridge, Massachusetts: Harvard University Press, 1972, 259 pp., $9.00

PEDIATRICS ◽  
1973 ◽  
Vol 51 (2) ◽  
pp. 323-324
Author(s):  
William M. Schmidt
Keyword(s):  
Public Health ◽  
Health Authority ◽  
100Th Anniversary ◽  
Harvard University ◽  
The State ◽  
Health It ◽  
State Health ◽  
History Of ◽  
Structure And Functions ◽  
State Board

This book was written in commemoration of the 100th anniversary of the founding of the Massachusetts State Board of Health. It is a record of events in mid-l9th century Massachusetts which led to the establishment of the Board of Health and of the changes in structure and functions of the State health authority from 1869 to 1936. It is, however, much more than this. As the subtitle indicates, this is a history of views and opinions about public health, particularly conflicting views as to the nature and extent of the Commonwealth's public health responsibilities.

scholarly journals The Invisible Burden of the Vietnam War: From the Memoirs of a Soviet Officer

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Andrey Lyamzin
Keyword(s):  
Everyday Life ◽  
Vietnam War ◽  
Reproductive System ◽  
Legal Status ◽  
Health It ◽  
The Everyday ◽  
Human Reproductive ◽  
History Of ◽  
Post Traumatic ◽  
The Vietnam War

This article publishes and analyses an interview with Lieutenant Colonel V. V. Skoryak, a Soviet military specialist who took part in the Vietnam War for eleven months in 1970. The interview describes little-known facts about military advisers’ stay in the country, when they mostly stayed far away from the frontline and dealt with the preparation and maintenance of the S‑75 high-altitude air defence systems. Special attention is paid to the everyday life of the advisers and their legal status, which helps reveal new aspects of the “everyday history” of war. Skoryak speaks about the ideological, moral, and psychological preparedness of the Soviet people to fulfil their “international duty”, which, according to him, was internally motivated. He also analyses post-traumatic syndromes in Soviet military men: it was especially frequent and profound in the early stages of the conflict. Additionally, the interview contains information about the medical care provided to the participants of the conflict and the consequences for their health. It puts forward some ideas about how the chemical weapons used by the Americans affected the human reproductive system. The interview provides an emotional assessment of the war and their place in the biography of a Soviet officer.

scholarly journals Slaying little dragons: the impact of the Guinea Worm Eradication Program on dracunculiasis disability averted from 1990 to 2016

2018 ◽  
Vol 2 ◽  
pp. 30 ◽  
Author(s):  
Elizabeth A. Cromwell ◽  
Sharon Roy ◽  
Dieudonne P. Sankara ◽  
Adam Weiss ◽  
Jeffrey Stanaway ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Case Reports ◽  
Annual Number ◽  
Infection Prevalence ◽  
Eradication Program ◽  
Guinea Worm ◽  
Disability Weights ◽  
Life Years ◽  
Disease Study ◽  
The Impact

Background:The objective of this study was to document the worldwide decline of dracunculiasis (Guinea worm disease, GWD) burden, expressed as disability-adjusted life years (DALYs), from 1990 to 2016, as estimated in the Global Burden of Disease study 2016 (GBD 2016). While the annual number of cases of GWD have been consistently reported by WHO since the 1990s, the burden of disability due to GWD has not previously been quantified in GBD.Methods:The incidence of GWD was modeled for each endemic country using annual national case reports. A literature search was conducted to characterize the presentation of GWD, translate the clinical symptoms into health sequelae, and then assign an average duration to the infection. Prevalence measures by sequelae were multiplied by disability weights to estimate DALYs.Results:The total DALYs attributed to GWD across all endemic countries (n=21) in 1990 was 50,725 (95% UI: 35,265–69,197) and decreased to 0.9 (95% UI: 0.5–1.4) in 2016. A cumulative total of 12,900 DALYs were attributable to GWD from 1990 to 2016.Conclusions:Using 1990 estimates of burden propagated forward, this analysis suggests that between 990,000 to 1.9 million DALYs have been averted as a result of the eradication program over the past 27 years.

Non-governmental organizations and mental health

2018 ◽  
pp. 487-498
Author(s):  
Marguerite Regan ◽  
Jenny Edwards ◽  
Iris Elliott
Keyword(s):  
Mental Health ◽  
Health Needs ◽  
Current Policy ◽  
Health It ◽  
International Networks ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Policy Frameworks ◽  
History Of ◽  
The Uk

This chapter examines to contribution of non-governmental organizations (NGOs) to meeting the mental health needs of individuals, families, and communities. After providing an overview of the history of mental health NGOs, and the current policy frameworks within which they work, it then examines the scope of mental health NGOs, and maps the main international networks and within the UK context. It examines the contribution of NGOs, the key challenges they face working within mental health, and concludes with the steps NGOs can take when striving for parity for mental health. It includes examples of international mental health NGOs throughout.

scholarly journals Concepts and Quality Considerations in Unani System of Medicine

2020 ◽  
Vol 103 (3) ◽  
pp. 609-633
Author(s):  
Abida Parveen ◽  
Rabea Parveen ◽  
Asim Akhatar ◽  
Bushra Parveen ◽  
Khalid M Siddiqui ◽  
...  
Keyword(s):  
Quality Control ◽  
Indian Subcontinent ◽  
Health Sector ◽  
Health It ◽  
Extrinsic Factors ◽  
Local Climate ◽  
Traditional System ◽  
Unani Medicine ◽  
Greek Philosopher ◽  
History Of

Abstract Unani medicine, based largely on herbs, is practiced as a traditional system of medicine in the Indian subcontinent. It owes its origination to the Greek philosopher Hippocrates (460–377 BC) and his associates. However, it progressed and got established under the patronage of Persian and Arab empires and later came to the Indian sub-continent around the middle of the 14th century. Unani scholars have been of the view that every person has their own distinct temperament constituted from four basic humoral combinations. Temperament of an individual is supposed to be influenced by various intrinsic and extrinsic factors such as age and mental status of individual, local climate, and environmental conditions, etc. Treatment is applied through dietotherapy and/or pharmacotherapy consonant with the patient’s temperament. Unani medicine believes in health promotion and manages the disease through various modes of treatment such as regimental therapy, dietotherapy, and pharmacotherapy. A variety of clinical studies have shown that Unani medicines are effective with minimal side effects. Standardization, quality control, and toxicity profiling of many herbal drugs and the validation of formulations mentioned in the Unani Pharmacopeia of India have been accomplished in the recent past. Despite the mounting benefits of this system in the management of human health, it remains under-utilized. This article elucidates the basic concepts and a brief history of Unani medicine and summarizes information about its quality control, as well as its contribution to the health sector in India.

scholarly journals Resilience in Covid-19 Times - Is There a Plan B for the Future? A State of Art

2020 ◽  
Vol 3 (2) ◽  
pp. 85
Author(s):  
Augusto Renato Pérez Mayo ◽  
Roque Nieto Nohemí
Keyword(s):  
Human Evolution ◽  
Emotional Health ◽  
Well Being ◽  
General Idea ◽  
Health It ◽  
Meaningful Change ◽  
The Future ◽  
Plan B ◽  
History Of ◽  
State Of Art

There are three concepts represented that prove the possibilities of finding a plan B for humankind towards a pandemic such as Covid-19. Our papers focus in the study for the prove of the organizational ambit in Mexico, where it hasn’t been valued as a way of well-being to fortify people for a pandemic like Covid-19 in the organizations, that is to say, about which should be the Plan B for humankind, schools, universities, media, governments, and other domains. There is literature presented that provides arguments of an emergent and meaningful change in the paradigm of human evolution and other organization during future pandemics. To describe this change of strategy, we revisit Florentino, Ríos, Carrillo and Sacubo, Molina, Castello, Mikulic and Fernández, Palomar, Matus, Victorio among others. In any context where people are developed, they must confront situations that can affect significantly their life dynamics and lose forever the perception of a reality built over years of life, exposing them to risks on their physical, mental and emotional health. It is argued that the reason why organizations are not listening more, about the emergent sociocultural, economic, political, and even philosophical change that Covid-19 has caused. The general idea of a change on an emergent paradigm and the next step on the history of humankind is being hatched.

scholarly journals The Nature of Self-Organization of Geosystems of the Southern Baikal Region

2021 ◽  
Vol 35 ◽  
pp. 96-107
Author(s):  
M. A. Nogovitsyna ◽  
Keyword(s):  
Baikal Region ◽  
Research Area ◽  
The Self ◽  
Self Organization ◽  
Data Synthesis ◽  
Stage Of Development ◽  
Tectonic Processes ◽  
History Of ◽  
Methodological Principles ◽  
Current Stage

In modern geographical research, the study of transformations of geosystems occupies a special place, corresponding to the current stage of development of scientific knowledge. The study of the transformation of geosystems is based on the features of selforganization of geosystems – through the manifestation of connections and internal mechanisms, parts merge into a single space-time whole. The article presents the results of the study of the nature of self-organization of geosystems of the Southern Baikal region, which reflects the whole complex of its factors, that were formed and transformed in the process of formation of physical and geographical conditions of the territory. Their identification took into account the methodological principles of self-organization research, the features of geosystems of the region, the nature of tectonic processes, various data on climate, soils, petrological composition of rocks, permafrost, the history of the development of components of geosystems and comparison of similar landscapes. To characterize the self-organization of geosystems in the research area, the following factors were considered: inter-component relationships, interaction with the environment, and the resonance of processes. As a key area for the study, the territory of the Southern Baikal region was taken within the northern macroscline of Khamar-Daban, facing the lake Baikal, from the Khara-Murin river to the river Snow. On the basis of data synthesis, a map of the key site is compiled, which shows the nature of self-organization of geosystems, which manifests itself in three types. The first characterizes the harmonious development of the geosystem, its preservation and restoration after external influence. The second type, which is characterized by rigid relationships of components of geosystems, is associated with stagnation in the development of the geosystem, the preservation of existing relationships. The third type is determined by the destruction of inter-component and intersystem and the formation of new discrete relationships of geosystems. Within the Southern Baikal region, there is a change in the self-organization of geosystems, accompanied by the formation of rigid and discrete relationships. Anthropogenic impact reinforces the existing trends, creating conditions for rapid, often irreversible transformations of geosystems.

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