scholarly journals COVID-19 and gynecological cancer: a review of the published guidelines

2020 ◽  
Vol 30 (9) ◽  
pp. 1424-1433 ◽  
Author(s):  
Christina Uwins ◽  
Geetu Prakash Bhandoria ◽  
TS Shylasree ◽  
Simon Butler-Manuel ◽  
Patricia Ellis ◽  
...  
Keyword(s):  
Gynecological Cancer ◽  
Health Resources ◽  
Relevant Information ◽  
Legal Aspects ◽  
World Health ◽  
Web Pages ◽  
Surgical Morbidity ◽  
Face To Face ◽  
Surgery Patient ◽  
Health Organization

On March 11, 2020 the COVID-19 outbreak was declared a ‘pandemic’ by the World Health Organization. COVID-19 is associated with higher surgical morbidity and mortality. An array of guidelines on the management of cancer during this pandemic have been published since the first reports of the outbreak. This narrative review brings all the relevant information from the guidelines together into one document, to support patient care. We present a detailed review of published guidelines, statements, comments from peer-reviewed journals, and nationally/internationally recognized professional bodies and societies' web pages (in English or with English translation available) between December 1, 2019 and May 27, 2020. Search terms included combinations of COVID, SARS-COV-2, guideline, gynecology, oncology, gynecological, cancer. Recommendations for surgical and oncological prioritization of gynecological cancers are discussed and summarized. The role of minimally invasive surgery, patient perspectives, medico-legal aspects, and clinical trials during the pandemic are also discussed. The consensus is that elective benign surgery should cease and cancer surgery, chemotherapy, and radiotherapy should continue based on prioritization. Patient and staff face-to-face interactions should be limited, and health resources used efficiently using prioritization strategies. This review and the guidelines on which it is based support the difficult decisions currently facing us in gynecological cancer. It is a balancing act: limited resources and a hostile environment pitted against the time-sensitive nature of cancer treatment. We can only hope to do our best for our patients with the resources available to us.

The Coronavirus Disease 2019 Pandemic in Taiwan: An Facebook Online study on Concern/Fear Regarding the Disease and General Anxiety and Relevant Factors (Preprint)

2020 ◽  
Author(s):  
Peng-Wei Wang ◽  
Wei-Hsin Lu ◽  
Yi-Lung Chen ◽  
Dian-Jeng Li ◽  
Yu-Ping Chang ◽  
...  
Keyword(s):  
Mental Health ◽  
Environmental Factors ◽  
Online Survey ◽  
Psychological Impact ◽  
Health Resources ◽  
World Health ◽  
Regional Government ◽  
General Anxiety ◽  
Self Confidence ◽  
Health Organization

BACKGROUND The World Health Organization (WHO) declared COVID-19 a ‘public health emergency of international concern. Both worry and anxiety are the common psychological impact during the pandemic. The level of and determinants for worry and anxiety during COVID-19 are not well explored. OBJECTIVE The present study aimed to explore the associations of demographic and environmental factors with worry toward COVID-19 and general anxiety among people in Taiwan. METHODS In total, 1970 respondents were recruited through a Facebook advertisement and completed an online survey on worry toward COVID-19, general anxiety during the pandemic, and individual and environmental factors. RESULTS In total, 51.7% and 43.4% of respondents reported high levels of worry toward COVID-19 and general anxiety, respectively. Worse self-rated mental health, lower self-confidence in COVID-19 management, and insufficient mental health resources were significantly associated with high levels of both worry toward COVID-19 and general anxiety. Lower perceived confidence in COVID-19 management by the regional government was significantly associated with a higher level of worry toward COVID-19. Lower perceived social support was significantly associated with a higher level of general anxiety during the COVID-19 pandemic. CONCLUSIONS The results showed that high levels of worry toward COVID-19 and general anxiety were prevalent during the disease outbreak. Multiple individual and environmental factors related to worry toward COVID-19 and general anxiety were identified. CLINICALTRIAL

Digital transformation of face-to-face focus group methodology: engaging a globally dispersed audience in management of institutional change (Preprint)

2021 ◽  
Author(s):  
Mohamed Mahmoud ◽  
Anna TOKAR ◽  
Melissa ARRIAS ◽  
Christos MYLONAS ◽  
Heini UTUNEN ◽  
...  
Keyword(s):  
Focus Group ◽  
Learning Strategy ◽  
Transformation Process ◽  
World Health ◽  
Global Learning ◽  
Group Discussions ◽  
Face To Face ◽  
Global Workforce ◽  
The World ◽  
Health Organization

UNSTRUCTURED As part of its transformation process to meet the health challenges of the 21st century by creating a motivated and fit-for-purpose global workforce, the World Health Organization (WHO) is developing the first-ever global Learning Strategy for health personnel around the world. Focus group discussions (FGDs) were organized as part of in-depth qualitative research on staff views, visions, and suggestions. Due to the pandemic, a flexible, multi-linguistic, participatory, iterative methodology for digitization of face-to-face FDGs to engage a globally dispersed workforce was implemented.

scholarly journals Knowledge and Determinants of Fruit and Vegetable Consumption among Adults in Hohoe Municipality, Ghana

2017 ◽  
Vol 2 (1) ◽  
pp. 1 ◽  
Author(s):  
Thomas K. Awuni ◽  
Gideon Kye-Duodu ◽  
Charles Duodu ◽  
Francis B. Zotor ◽  
Basma Ellahi
Keyword(s):  
Disease Risk ◽  
Vegetable Consumption ◽  
Binary Logistic Regression ◽  
World Health ◽  
Easy Access ◽  
Fruit And Vegetable ◽  
Face To Face ◽  
Home Based ◽  
Risk Factor Surveillance ◽  
Health Organization

<p><em>The World Health Organization (WHO) recommends that a person consumes at least 400g of Fruit and Vegetable (FV) daily to prevent chronic disease risk. We assessed knowledge of current WHO guidelines and other determinants of FV intake among adults (? 18 years, n = 397) in Hohoe Municipality, Ghana. Face-to-face interviews using a questionnaire adopted from </em><em>WHO Risk Factor Surveillance System were undertaken. </em><em>Knowledge of FV daily servings and determinants of intake were evaluated by descriptive statistics and binary logistic regression. There was a 99.2% response rate with approximately 9</em><em>% </em><em>of participants correctly stating the WHO daily recommended amount (P </em><em>=</em><em> </em><em>.</em><em>296</em><em>)</em><em>. Most (54%) of respondents’ FV intake was affected by unavailability of desired choice (</em><em>P </em><em>=</em><em> .050)</em><em>. Odds of inadequate consumption for persons aware of adequate intake amount was 1.97 (95% CI: 0.64, 6.05, P = .234) higher than persons without awareness. Participants with problems accessing their desired choice of FV had 0.59 odds (95% CI: 0.36, 0.95, P = .030) of consuming inadequate amount compared to those with easy access. Adequate FV intake depends on availability of consumer prefered choice regardless of knowledge of recommendations. Individual home based FV cultivation is relevant for availability of preferred choice and adequate consumption for NCDs risk reductions among Ghanaians.</em></p>

Consumption and Preferences of Fruits and Vegetables in Turkish Adults

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Hilal Hizli Güldemir ◽  
Neda Yousefirad ◽  
Cansu Akman ◽  
Fatma Elif Sezer ◽  
Havvanur Yoldas Ilktac ◽  
...  
Keyword(s):  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
World Health ◽  
Face To Face ◽  
Interview Method ◽  
Geographical Regions ◽  
Dried Fruit ◽  
Health Organization ◽  
Vegetables And Fruits

AbstractHigh fruit and vegetable intake is associated with reduced risk of future chronic diseases. This study aimed to evaluate the consumption of fruits and vegetables in adults living in Turkey.The study was performed with selected by random sampling method on total of 7693 individuals, who lives in different geographical regions in Turkey. The research data were obtained through a questionnaire applied in face-to-face interview method in June-September 2017. In the study the consumption status, preferences and daily amount of vegetables and fruits were questioned; height, body weight and Body Mass Index (BMI) were evaluated. Statistical analyzes were performed with SPSS 22.0 program.33.2% of the participants were male; 66.8% are female. The mean age of the subjects was 34.8 ± 13.2 years and BMI was 25.3 ± 5.0 kg / m2. According to the World Health Organization, 5.1% of individuals were lean, 46.7% were normal, 30.9% were slightly obese and 17.2% were obese. 95.5% of individuals reported that they consume vegetables and 96.5% of them consume fruits. In vegetable consumption preferences, it was determined that 62.9% of the individuals consumed raw vegetables every day, 80.4% of cooked with meat dishes, 85.0% of cooked meatless dishes, and 59.0% of them consumed as roasted at least once a week. Boiled and steamed vegetables are preferred rarely. In fruit consumption preferences, it was found that 58.7% of the individuals consumed fresh fruits every day, 40.9% of dried fruit, 17.0% of compote and 28.0% of fruit juice at least once a week. BMI was found to be significantly higher in individuals who did not consume vegetables and fruits (p < 0.05).Although the majority of the individuals reported that they consumed vegetables and fruits in general, the BMI of 48.1% was above normal. Informative studies are needed to increase the amount and variety of consumption of vegetables and fruits in Turkish adults.

scholarly journals The Costs of Implementing Vaccination With the RTS,S Malaria Vaccine in Five Sub-Saharan African Countries

2019 ◽  
Vol 4 (2) ◽  
pp. 238146831989628 ◽  
Author(s):  
Elisa Sicuri ◽  
Fadima Yaya Bocoum ◽  
Justice Nonvignon ◽  
Sergi Alonso ◽  
Bakar Fakih ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Relevant Information ◽  
Candidate Vaccine ◽  
World Health ◽  
Future Price ◽  
African Countries ◽  
Fourth Dose ◽  
Sub Saharan ◽  
Expanded Program On Immunization ◽  
Health Organization

Background. The World Health Organization has recommended pilot implementation of a candidate vaccine against malaria (RTS,S/AS01) in selected sub-Saharan African countries. This exploratory study aimed to estimate the costs of implementing RTS,S in Burkina Faso, Ghana, Kenya, Mozambique, and Tanzania. Methods. Key informants of the expanded program on immunization at all levels in each country were interviewed on the resources required for implementing RTS,S for routine vaccination. Unit prices were derived from the same sources or from international price lists. Incremental costs in 2015 US dollars were aggregated per fully vaccinated child (FVC). It was assumed the four vaccine doses were either all delivered at health facilities or the fourth dose was delivered in an outreach setting. Results. The costs per FVC ranged from US$25 (Burkina Faso) to US$37 (Kenya) assuming a vaccine price of US$5 per dose. Across countries, recurrent costs represented the largest share dominated by vaccines (including wastage) and supply costs. Non-recurrent costs varied substantially across countries, mainly because of differences in needs for hiring personnel, in wages, in cold-room space, and equipment. Recent vaccine introductions in the countries may have had an impact on resource availability for a new vaccine implementation. Delivering the fourth dose in outreach settings raised the costs, mostly fuel, per FVC by less than US$1 regardless of the country. Conclusions. This study provides relevant information for donors and decision makers about the cost of implementing RTS,S. Variations within and across countries are important and the unknown future price per dose and wastage rate for this candidate vaccine adds substantially to the uncertainty about the actual costs of implementation.

scholarly journals Evaluation of the Quality of Life of Gynecological Cancer Patients Submitted to Antineoplastic Chemotherapy

2010 ◽  
Vol 18 (5) ◽  
pp. 849-855 ◽  
Author(s):  
Lívia Loamí Ruyz Jorge ◽  
Sueli Riul da Silva
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Gynecological Cancer ◽  
World Health ◽  
Outpatient Chemotherapy ◽  
General Quality ◽  
Health Organization ◽  
Professional Interventions ◽  
Antineoplastic Chemotherapy

This study aimed to evaluate the quality of life of female gynecological cancer patients submitted to antineoplastic chemotherapy Between August 2007 and April 2009, 50 patients who were undergoing chemotherapy at an outpatient chemotherapy unit in Uberaba - MG were interviewed, by applying the instrument of evaluation of Quality of Life of the World Health Organization, WHOQOL-BREF. The results showed that the domain most affected was the Physical and the more preserved, the Social, with the mean of the general quality of life above the means obtained in other studies. All domains correlated significantly with the general quality of life. It was evident then that the quality of life of these women is satisfactory, however it is suggested that the domains with lower scores be the targets of more accurate observations during multi-professional interventions in order to provide a better quality of life during the chemotherapy treatment.

scholarly journals Democracy Backsliding as a Danger of Sustainable Development in the Post-Pandemic Period: Social and Legal aspects of Decision

2021 ◽  
Vol 126 ◽  
pp. 06007
Author(s):  
Oleg Tkach ◽  
Оleh Batrymenko ◽  
Dmytro Nelipa ◽  
Mykola Khylko
Keyword(s):  
Human Life ◽  
Legal Aspects ◽  
World Health ◽  
Global Pandemic ◽  
The World ◽  
The Government ◽  
Democratic Principles ◽  
Health Organization ◽  
The Individual ◽  
The Right

The article considers topical issues of the threat of collapse of democracy. Examples of the democracy collapse have shown the lack of free and fair elections in the world, which threatens the independence of the judiciary, restrictions on the right to freedom of speech, which limits the ability of the political opposition to challenge the government, to prosecute, to offer alternatives to the regime. The collapse of democracy in connection with the spread of COVID-19 is being considered, as the democratic spectrum has repeatedly resorted to excessive control, discriminatory restrictions on freedoms such as movement and assembly, and arbitrary or coercive coercion. Attention is drawn to the fact that the outbreak of coronavirus COVID-19 has led to the introduction in all countries of restrictions on the rights and freedoms of the individual in order to prevent the spread of this infectious disease, declared a global pandemic by the World Health Organization. Thus, the unusual nature of the COVID - 19 coronavirus pandemic poses numerous dilemmas to the public, governments, parliaments, the judiciary, law enforcement and many other actors when it comes to the need for effective protection of health and, ultimately, human life, as well as adherence to and ensuring the fundamental democratic principles of man and society.

scholarly journals Alcohol’s harm to others: An international collaborative project

2016 ◽  
Vol 5 (2) ◽  
pp. 25-32
Author(s):  
Sarah Callinan ◽  
Anne-Marie Laslett ◽  
Dag Rekve ◽  
Robin Room ◽  
Orratai Waleewong ◽  
...  
Keyword(s):  
World Health ◽  
Cultural Norms ◽  
Computer Assisted ◽  
Research Project ◽  
Collaborative Project ◽  
Face To Face ◽  
Telephone Interviews ◽  
Harm To Others ◽  
International Collaborative ◽  
Health Organization

Callinan, S., Laslett, A., Rekve, D., Room, R., Waleewong, O., Benegal, V., Casswell, S., Florenzano, R., Hanh, H., Hanh, V., Hettige, S., Huckle, T., Ibanga, A., Obot, I., Rao, G., Siengsounthone, L., Rankin, G., & Thamarangsi, T. (2016). Alcohol’s harm to others: An international collaborative project. The International Journal Of Alcohol And Drug Research, 5(2), 25-32. doi:http://dx.doi.org/10.7895/ijadr.v5i2.218Aims: This paper outlines the methods of a collaborative population survey project measuring the range and magnitude of alcohol’s harm to others internationally.Setting: Seven countries participating in the World Health Organization (WHO) and ThaiHealth Promotion Foundation (ThaiHealth) research project titled “The Harm to Others from Drinking,” along with two other countries with similar studies, will form the core of a database which will incorporate data from other countries in the future.Measures: The WHO-ThaiHealth research project developed two comparable versions of a survey instrument, both measuring harm from others’ drinking to the respondent and the respondent’s children.Design: Surveys were administered via face-to-face methods in seven countries, while similar surveys were administered via computer-assisted telephone interviews in two additional countries. Responses from all surveys will be compiled in an international database for the purpose of international comparisons.Discussion: Harms from the alcohol consumption of others are intertwined with the cultural norms where consumption occurs. The development of this database will make it possible to look beyond reports and analyses at national levels, and illuminate the relationships between consumption, harms, and culture.Conclusions: This database will facilitate work describing the prevalence, patterning, and predictors of personal reports of harm from others’ drinking cross-nationally.

scholarly journals Evaluating Trauma Care Capabilities using the Essential Trauma Care Guidelines of the World Health Organization

2021 ◽  
Author(s):  
Aisha Al Balushi ◽  
Zaleikha Al Balushi ◽  
Asma Ali Al Salmani
Keyword(s):  
World Health Organization ◽  
Trauma Care ◽  
English Language ◽  
Health Centre ◽  
Medical Officer ◽  
Health Resources ◽  
World Health ◽  
National Guidelines ◽  
Cross Sectional ◽  
Health Organization

Objectives: This study aimed to evaluate trauma care capabilities at the primary care level in Muscat, Oman, using World Health Organization guidelines. Methods: This descriptive cross-sectional study was conducted between January and March 2015 at eight primary health centres in Seeb. An English-language questionnaire was distributed to the medical officer or nurse in charge at each centre to determine the number of staff, total population being served, number of emergency trauma cases and availability of ambulances. Subsequently, 10 doctors from each health centre were randomly selected to assess the availability of physical resources as well as their trauma skills and knowledge. Results: There were limited physical and human resources for the management of trauma and a complete absence of trauma administrative functions, such as local trauma registries or quality improvement activities. Conclusion: This study highlighted the need to introduce national guidelines and improve the delivery of trauma services in Oman. Keywords: Primary Healthcare; Trauma; Emergency Medicine; Capacity Building; Health Resources; Delivery of Health Care; Oman.

Sign in / Sign up

Export Citation Format

Share Document