Dementia Care: International Perspectives

According to estimates of the World Health Organization, the number of people living with dementia will double almost every 20 years for the foreseeable future. While in 2010, there were 35.6 million people with dementia worldwide, this number is expected to increase to 65.7 million by 2030, and to 115.4 million by 2050. The primary aim of this book Dementia Care: International Perspectives is to present arrangements for the care of people with dementia and their families in different parts of the world and to serve as a stimulus to develop new ideas for the provision of such care. While preparing this book, we asked the world’s leading experts in the field of dementia five questions—having initially gathered information about these issues through an Internet search. The results of this enquiry are shown for 45 of the countries, and the summary is presented. We have attempted to include, as far as we can, within the constraints of publishing a volume which is manageable and digestible for the reader, the descriptions of care for people with dementia in 47 countries, hoping that these descriptions will reflect the wide spread of countries, big and small, geographically diverse from all continents, and encompassing the major language and culture groups.

Author(s):  
Jaewon J. Lee ◽  
Scott Kopetz ◽  
Eduardo Vilar ◽  
John Paul Shen ◽  
Ken Chen ◽  
...  

COVID-19, the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has rapidly spread throughout the world and was declared a pandemic by the World Health Organization, thus leading to a rapid surge in the efforts to understand the mechanisms of transmission, methods of prevention, and potential therapies. While COVID-19 frequently manifests as a respiratory infection,1 there is evidence for infection of the gastrointestinal (GI) tract1–4 with documented viral RNA shedding in the stool of infected patients.2,4 In this study, we aimed to investigate the expression of ACE2 and TMPRSS2, which are required for SARS-CoV-2 entry into mammalian cells,5 from single-cell RNA sequencing (scRNA-seq) datasets of five different parts of the GI tract: esophagus, stomach, pancreas, small intestine, and colon/rectum.


QJM ◽  
2020 ◽  
Vol 113 (10) ◽  
pp. 717-719
Author(s):  
D Nabarro ◽  
J Atkinson

Abstract Societies are organizing themselves to keep the COVID-19 virus at bay for the foreseeable future. The World Health Organization (WHO) has proposed that every country implement a comprehensive set of measures to prevent infection, detect cases, interrupt transmission, control clusters, suppress outbreaks and reduce mortality. Throughout the world, four systems capabilities are emerging that are important for societies to get ahead of the virus and become COVID-19 ready. First: understand the pattern of infection locally and act on it effectively: assess the status of the outbreak; act rapidly and robustly to interrupt transmission. Second: enable people to be active participants in their own responses. Third: focus on the places where people are most at risk of infection. Fourth: assess the performance of responses to COVID-19 infection: detecting cases, interrupting chains of transmission, minimizing adverse consequences, protecting the most vulnerable and ensuring opportunities for sustainable livelihoods and well-being for all, leaving no-one behind. These four capabilities are being woven together within societies: successful weaving can be helped through focusing on three interlinked elements: making information available; assessing and reducing risk; and being able to suppress outbreaks rapidly. This means involving everyone in the response and having strong public health defences. Governments, authorities, public health teams, employers and community organizations make it possible for us to stay safe but, in the end, what happens is up to all of us, individually and collectively. If we are to live well with the threat of COVID-19, solidarity really does matter.


Dementia ◽  
2020 ◽  
pp. 147130122095467 ◽  
Author(s):  
Lily D Xiao ◽  
Sue McKechnie ◽  
Lesley Jeffers ◽  
Anita De Bellis ◽  
Elizabeth Beattie ◽  
...  

Background In Australia, informal caregivers (family, friends and neighbours) play a crucial role in supporting people with dementia to remain at home. Within the community aged care policy, informal caregivers are acknowledged as assisting with managing care. However, they usually receive very limited dementia care education and training to support them in their role. The World Health Organization (WHO) developed iSupport for Dementia, a comprehensive online dementia education and skill training programme, to address the gap in supporting informal caregivers. Aim The aim of the study was to identify stakeholders’ perspectives regarding adapting the WHO iSupport for use by informal caregivers of people with dementia in Australia. Methods An interpretive description study design was used. Data were collected in focus groups with informal caregivers and care staff of dementia and aged care service providers conducted in May–July 2018. A thematic analysis was utilised to analyse data and identify findings. Results In total, 16 informal caregivers and 20 care staff participated in the study. Five themes were identified. First, informal caregivers perceived iSupport as an opportunity to provide an online one-stop shop to meet their education needs and their needs to manage care services. Second, both informal caregivers and care staff believed that an integrated caregiver network moderated by a health professional was much needed to enable informal caregivers to share learning experiences and enhance social support. Third, both informal caregivers and care staff strongly suggested that dementia and aged care service providers had a role to play in promoting the iSupport. Fourth, informal caregivers were concerned about the time commitment to participate in the iSupport programme. Finally, informal caregivers expected the iSupport to be user-friendly. Conclusion Stakeholders perceived the adaptation of the WHO iSupport in Australia would strengthen informal caregiver education and optimise support for informal caregivers.


2014 ◽  
Vol 3 (4) ◽  
pp. 258-262
Author(s):  
James Appleyard

Trust in physicians is an essential part of the patient / physician dialogue, a relationship on which advances in medicine depend, be they new ideas or applications of old ideas to new situations. Trust is based on mutual understanding and a firm commitment by physicians to a code of ethics, which reflects the principles of beneficence, non-malfeasance, justice, fidelity and confidentiality with respect for the person. The four presentations at the 6th Geneva Conference by Dr. Otmar Kloiber, Secretary General of the World Medical Association; Dr. Marie-Charlotte Bouësseau from  Global Health Ethics of the World health Organization; Professor George N. Christodoulou,  World Federation for Mental Health; and Professor M.B. Vallotton, Council for International Organizations of Medical Sciences, illustrate four different perspectives and provide important lessons for the future.


1963 ◽  
Vol 2 (04) ◽  
pp. 163-165 ◽  
Author(s):  
H. Torloni

The author presents the work achieved by the World Health Organization in the field of histological .nomenclatiire and classification £f human _ turnours, through International Reference Centres and co-operating centres established in different parts of the world. Pathologists are exchanging material and diagnoses, and testing a proposed classification. A total of 36 pathologists from 21 countries are involved in this type of co-operating work. The following tumour sites are now being worked upon: lung, soft tissues, breast, leukaemias and other neoplastic conditions of the haematopoietic cells and oro-pharynx. Functions and mechanisms are given in detail. The first final classification is expected to be ready by 1964 for international adoption.


2021 ◽  
Vol 11 (S1) ◽  
Author(s):  
Ammar Saad

On March 11th 2020, the World Health Organization declared COVID-19 a global pandemic [1,2]. We had realized the gravity of the situation before but, until that day, did not comprehend how our reality was about to change for the foreseeable future. Following that declaration, most countries and states implemented strict public health restrictions to contain the spread of the virus and decrease its mortality rate by enforcing physical distancing measures. Albeit effective, such measures did not come without consequences on the quality of life and wellbeing of people worldwide [3]. Social isolation, loneliness, loss of employment and income, and housing instability were some of the adverse events that arose during what we call “the lockdown” [4,5]. A friend of mine who had migrated to Canada from a war-torn zone felt the magnitude of this lockdown. “It’s like moving from one prison to another” he explained, reminiscing about a time he was forced to stay home to avoid the unforgiving jaws of man-made conflict.


2006 ◽  
Vol 3 (4) ◽  
pp. 22-23
Author(s):  
Elizabeth Rimmer

Alzheimer's Disease International (ADI) is the international federation of 75 Alzheimer associations throughout the world and is in official relations with the World Health Organization. ADI was established to raise awareness about dementia, strengthen Alzheimer associations and provide a platform for the exchange of knowledge with the ultimate goal of improving the quality of life of people with dementia and their families.


Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 705-713
Author(s):  
Joao Cheira ◽  
Adilson Marques ◽  
João Martins ◽  
Miguel Peralta ◽  
Miguel Ángel González Valeiro

Este estudo analisou a oferta de uma escola internacional com o currículo International Baccalaureate (IB) para que os alunos, de ambos os sexos, possam cumprir as recomendações de atividade física (AF) da Organização Mundial de Saúde (OMS). Participaram 236 alunos (118 rapazes e 118 raparigas) com idades compreendidas dos 10 aos 17 anos, a diretora da escola e um grupo focal de 12 alunos. Utilizou-se mixed methods, através de entrevista com a diretora da escola, grupo focal de alunos e questionários aplicados aos alunos. Foram avaliados: a frequência no Desporto Escolar (DE); a perceção da carga horária do DE; as perspetivas sobre o currículo IB; o ambiente físico e social da escola. Após as análises, verificou-se que há mais rapazes a cumprir as recomendações de AF da OMS do que raparigas, que os alunos podem cumprir essas mesmas recomendações apenas com atividades realizadas na escola e que o currículo IB possibilita que os alunos realizem desportos variados oriundos de diferentes países. Resumen. Este estudio analizó la oferta de un colegio internacional con el plan de estudios de Bachillerato Internacional (BI) para que los alumnos, de ambos géneros, puedan cumplir con las recomendaciones de actividad física (AF) de la Organización Mundial de la Salud (OMS). Participaron 236 estudiantes (118 niños y 118 niñas) de 10 a 17 años, el director de la escuela y un grupo focal de 12 estudiantes. Se utilizaron métodos mixtos, a través de una entrevista con el director de la escuela, un grupo focal de estudiantes y cuestionarios aplicados a los estudiantes. Se evaluaron: frecuencia en Deporte Escolar (DE); la percepción de la carga de trabajo de DE; perspectivas sobre el currículo del BI y el entorno físico y social de la escuela. Después de los análisis, se encontró que hay más niños que niñas que cumplen con las recomendaciones de AF de la OMS, que los estudiantes solo pueden cumplir estas recomendaciones con actividades realizadas en el colegio y que el currículo del IB permite a los estudiantes practicar deportes variados de diferentes países. Abstract. This study analysed what does an international school with the curriculum International Baccalaureate (IB) offer so that students from both genders can fulfil the recommendations for physical activity from the World Health Organization (WHO). A total of 236 (118 boys and 118 girls) students, ages between 10 and 17 years old participated in the study, the school principal and a focus group of 12 students also participated in the study. Mix methods were used, through interview with the school principal, focus group and the questionnaires applied to the students. It was assessed: frequency in the school sports; perception of the time given to school sports; perspectives about the IB curriculum; the physical and social environment of the school. After the analysis, it was possible to verify that there are more boys than girls following the recommendations of physical activity of the WHO. And also, that it is possible for students to follow those recommendations just with activities performed in school and that the IB curriculum gives the students the chance of practicing a variety of sports that come from different parts of the world.


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