Opioids and the World Health Organization pain ladder

Author(s):  
Manuel Rigal ◽  
Ricardo Martino ◽  
Richard Hain

Opioids constitute the most important group of drugs in the management of pain in palliative care. Morphine is still the drug of choice and considered the ‘gold standard’ in opioid prescribing in children. Other opioids have some pharmacological differences that may confer some advantages (and disadvantages) in specific types of pain or particular clinical scenarios. Opioid prescription must follow World Health Organization (WHO) approach to pain management principles. Understanding the rationale behind these principles improves the achievement of an individualized prescription to ease the pain of a particular patient. Opioid initiation, titration, breakthrough pain handling, and opioid substitution are essential aspects of opioid management. Their knowledge constitutes a core skill in paediatric palliative pain medicine.

Author(s):  
Kritika Vaishnav ◽  
Abhiruchi Galhotra ◽  
Utsav Raj ◽  
Nidhi Rai

COVID-19 was officially declared a pandemic by World health organization on 11 March 2020. The most effective ways to protect yourself and others against COVID-19 are non-pharmacological methods. Therefore, prevention and supportive care are highly recommended so health literacy going to play an important role in preventing the diseases. It implies to the achievement of a level of knowledge, personal skills and confidence to take action to improve personal and community health by changing personal lifestyles and living conditions. Health literacy is still new and there is a paucity of published literature, there are few studies have demonstrated its effectiveness, many countries with good literacy have got good success in controlling this pandemic, for example Kerala in India. This demonstrated that education can support the weak and overburden health systems in successfully mitigating the effect of this global pandemic where the treatments and vaccines for it are in the development phase.


2021 ◽  
Vol 11 (2) ◽  
pp. 134-150
Author(s):  
Arina Androsova ◽  
Tatiana Novikova

In the light of Coronavirus disease pandemic, the question of state responsibility in global health has become actual as never before. Rarely mentioned in the scientific literature, but at the same time, an important problem is the lack of an appropriate dispute settlement body which is competent to consider cases of violation of the World Health Organization’s instructions. The goal of the article is to research different bodies which are potentially competent to resolve disputes regarding violations in the scope of healthcare and to determine the most appropriate one in the light of responsibility of states over the COVID-19 pandemic. The paper analyzes the possibility of resolving a dispute regarding the new pandemic in the International Court of Justice, through arbitration, through negotiations, within an advisory body, and through the World Health Assembly. The article also considers the prospects of other organs of the World Health Organization to perform judicial functions. The paper relies on the analysis of treaty regulations regarding functioning of presented bodies, as well as on enforcement practice of these bodies. Additionally, the authors take into account an attitude of members of the World Health Organization to named bodies. The article shows the advantages and disadvantages of each dispute settlement mechanism. It also develops ways of reforming named bodies to expand their competence to hold states responsible for violations during outbreaks of infectious diseases. The paper concludes that the only body, which is currently able to assign the responsibility of states, is the main organ of the World Health Organization – the World Health Assembly. The absence of an effective way of holding states responsible for violations leads to systematic breaches of their obligations. Today responses of the World Health Organization have become a subject of significant criticism. Furthermore, the World Health Organization’s authority in the international community has been greatly shaken. Thus, effective dispute settlement in the field can solve the burning issue of seeking fairness within violations in the area of global health and also improve the effectiveness of the World Health Organization as a whole.


2019 ◽  
Vol 131 (2) ◽  
pp. 420-425 ◽  
Author(s):  
Arvid S. Haugen ◽  
Nick Sevdalis ◽  
Eirik Søfteland

Abstract The incidence of surgical complications has remained largely unchanged over the past two decades. Inherent complexity in surgery, new technology possibilities, increasing age and comorbidity in patients may contribute to this. Surgical safety checklists may be used as some of the tools to prevent such complications. Use of checklists may reduce critical workload by eliminating issues that are already controlled for. The global introduction of the World Health Organization Surgical Safety Checklist aimed to improve safety in both anesthesia and surgery and to reduce complications and mortality by better teamwork, communication, and consistency of care. This review describes a literature synthesis on advantages and disadvantages in use of surgical safety checklists emphasizing checklist development, implementation, and possible clinical effects and using a theoretical framework for quality of provided healthcare (structure—process—outcome) to understand the checklists’ possible impact on patient safety.


2018 ◽  
Author(s):  
Tesfit Brhane Netsereab ◽  
Meron Mehari Kifle ◽  
Robel Berhane Tesfagiorgis ◽  
Sara Ghebremichael Habteab ◽  
Yosan Kahsay Weldeabzgi ◽  
...  

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