scholarly journals A Review of Scabies: An Infestation More than Skin Deep

Dermatology ◽  
2018 ◽  
Vol 235 (2) ◽  
pp. 79-90 ◽  
Author(s):  
David J. Chandler ◽  
Lucinda C. Fuller
Keyword(s):  
World Health Organisation ◽  
Clinical Situation ◽  
World Health ◽  
Residential Home ◽  
The Past ◽  
Care Services ◽  
Worldwide Distribution ◽  
Health And Social Care ◽  
Variable Impact

Human scabies, a common infestation, has a worldwide distribution with a variable impact and presentation depending on the clinical situation. In developed, high-income settings, health institution and residential home outbreaks challenge health and social care services. In resource-poor settings, it is the downstream sequelae of staphylococcal and streptococcal bacteraemia, induced by scratching, which have a significant impact on the long-term health of communities. Over the past decade scabies has been recognised as a “neglected tropical disease” (NTD) by the World Health Organisation, has an accepted practical system of global diagnostic criteria and is being adopted into integrated programmes of mass drug administration for NTDs in field settings. This review seeks to summarise the recent advances in the understanding of scabies and highlight the advocacy and research headlines with their implication for diagnosis and management of outbreaks and individuals. In addition, it will indicate the priorities and questions that remain.

The Politics of Entitlement and Personalisation: Perspectives on a Proposed National Disability Long-term Care and Support Scheme in Australia

2012 ◽  
Vol 11 (3) ◽  
pp. 331-343 ◽  
Author(s):  
Michele Foster ◽  
Paul Henman ◽  
Jennifer Fleming ◽  
Cheryl Tilse ◽  
Rosamund Harrington
Keyword(s):  
Long Term Care ◽  
Individual Case ◽  
Term Care ◽  
Case Examples ◽  
The Past ◽  
Care Services ◽  
Trade Offs ◽  
Care And Support ◽  
Health And Social Care

Internationally, over the past two decades the theme of personalisation has driven significant reforms within health and social care services. In the Australian context, the principles of ‘entitlement based on need’ and ‘personalisation’ frame the proposed National Disability Long-Term Care and Support Scheme (LTCSS). In this article, we critically examine the interpretations and ambiguities of need and personalisation. We consider the administrative complexities of applying these principles in practice and the uncertainties about the roles of state and the market, and use individual case examples to illustrate areas of potential tension. Whether principles translate to deliver personalised services and avoid harmful trade-offs between access, equity and choice is the true test of social policy.

scholarly journals Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations

2022 ◽  
Vol 12 ◽  
Author(s):  
Neerja Chowdhary ◽  
Corrado Barbui ◽  
Kaarin J. Anstey ◽  
Miia Kivipelto ◽  
Mariagnese Barbera ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Risk Reduction ◽  
Social Care ◽  
Guideline Development ◽  
Action Plan ◽  
World Health Organisation ◽  
World Health ◽  
Public Health Response ◽  
Health And Social Care ◽  
The World

With population ageing worldwide, dementia poses one of the greatest global challenges for health and social care in the 21st century. In 2019, around 55 million people were affected by dementia, with the majority living in low- and middle-income countries. Dementia leads to increased costs for governments, communities, families and individuals. Dementia is overwhelming for the family and caregivers of the person with dementia, who are the cornerstone of care and support systems throughout the world. To assist countries in addressing the global burden of dementia, the World Health Organisation (WHO) developed the Global Action Plan on the Public Health Response to Dementia 2017–2025. It proposes actions to be taken by governments, civil society, and other global and regional partners across seven action areas, one of which is dementia risk reduction. This paper is based on WHO Guidelines on risk reduction of cognitive decline and dementia and presents recommendations on evidence-based, multisectoral interventions for reducing dementia risks, considerations for their implementation and policy actions. These global evidence-informed recommendations were developed by WHO, following a rigorous guideline development methodology and involved a panel of academicians and clinicians with multidisciplinary expertise and representing geographical diversity. The recommendations are considered under three broad headings: lifestyle and behaviour interventions, interventions for physical health conditions and specific interventions. By supporting health and social care professionals, particularly by improving their capacity to provide gender and culturally appropriate interventions to the general population, the risk of developing dementia can be potentially reduced, or its progression delayed.

Developing a Skilled Workforce: Impact of a Postgraduate Programme on Dementia Knowledge, Attitudes and Training Needs

2020 ◽  
pp. 1-2
Author(s):  
C. Scerri
Keyword(s):  
Action Plan ◽  
World Health Organisation ◽  
World Health ◽  
Public Health Response ◽  
The Public ◽  
Knowledge Based ◽  
Healthcare Profession ◽  
Health Response ◽  
Health And Social Care ◽  
Global Action

In 2017, the World Health Organisation (WHO) launched the global action plan on the public health response to dementia. Among its many aims, the plan recommends the need to create a knowledge-based healthcare profession that delivers evidence-based, culturally-appropriate and human rights-orientated health and social care, including long-term services for individuals with dementia.

Case Management for Long‐Term Conditions: The Role of Networks in Health and Social Care Services

2010 ◽  
Vol 18 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Jessica Abell ◽  
Jane Hughes ◽  
Siobhan Reilly ◽  
Kathryn Berzins ◽  
David Challis
Keyword(s):  
Case Management ◽  
Social Care ◽  
Long Term Conditions ◽  
Care Services ◽  
Health And Social Care

Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia

2013 ◽  
Vol 35 (4) ◽  
pp. 704-724 ◽  
Author(s):  
STÉPHANIE J. M. NOWAK ◽  
CLAUDIA C. M. MOLEMA ◽  
CAROLINE A. BAAN ◽  
SIMON J. OOSTING ◽  
LENNEKE VAANDRAGER ◽  
...  
Keyword(s):  
The Netherlands ◽  
Day Care ◽  
Central Government ◽  
Municipal Services ◽  
Term Care ◽  
Care Services ◽  
People With Dementia ◽  
Health And Social Care ◽  
Green Care Farms

ABSTRACTResponsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.

Controversies in Sepsis Management—What is the Way Forward?

2020 ◽  
Vol 49 (9) ◽  
pp. 661-668
Author(s):  
Alvin HY Lo ◽  
Adrian CL Kee ◽  
Andrew Li ◽  
Francesca Rubulotta
Keyword(s):  
Bacterial Infections ◽  
Clinical Evidence ◽  
World Health Organisation ◽  
World Health ◽  
Surviving Sepsis Campaign ◽  
Sepsis Management ◽  
Sepsis Bundles ◽  
The Past ◽  
Key Words Critical Care ◽  
Life Threatening

Sepsis is life-threatening and might potentially progress from dysregulation to severe organ dysfunction. It is recognised by the World Health Organisation as a global health priority. The mortality rate for sepsis has decreased in many countries, and this is credited to the earlier recognition and treatment of this complex syndrome. In 2002, the Surviving Sepsis Campaign was launched, and there have been several revisions to the sepsis recommendations therefrom. The latest sepsis guidelines focus on viral as well as bacterial infections, and advise that initiating resuscitation and management should take place within one hour from when sepsis is initially suspected. Numerous studies and guidelines pertaining to sepsis management have been published over the past 2 decades. The use of novel therapies and alternative adjunctive therapies has tremendous potential in sepsis management. Debates amongst intensivists exist with the creation of updated sepsis guidelines and advances in treatment. The present review article provides both a summary and recommendations based on the latest clinical evidence and controversies around sepsis management. Key words: Critical Care Medicine, Intensive Care Medicine, Respiratory Medicine, Sepsis, Sepsis Bundles, Sepsis Management

Global lessons from Ebola crisis may be ignored

2015 ◽  
Keyword(s):  
Health Services ◽  
World Health Organisation ◽  
World Health ◽  
Health Priorities ◽  
Local Health ◽  
International Organisations ◽  
Content Type ◽  
The World ◽  
National Governments

Subject Lessons from the Ebola crisis. Significance The Ebola epidemic in West Africa caught national governments and international organisations off-guard. As the epidemic begins to abate in the affected countries, the World Health Organisation (WHO) has begun an internal process to learn lessons for future global health emergencies. However, many of the required responses were well-known before the Ebola outbreak but ignored. Shifting entrenched political attitudes will be a challenge. Impacts Popular distrust of local health services continues to mar comprehensive detection of Ebola infections in affected countries. Re-building local health services will be distorted if the Ebola crisis dominates planning over long-term health priorities. However, donors tend to prefer orientation towards disease-specific programmes and interventions over strengthening health systems.

Addressing the Sexual Concerns of Persons With Traumatic Brain Injury in Rehabilitation Settings: A Framework for Action

2001 ◽  
Vol 2 (2) ◽  
pp. 97-108 ◽  
Author(s):  
Grahame Simpson
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
World Health Organisation ◽  
World Health ◽  
Post Injury ◽  
Rehabilitation Programs ◽  
Human Functioning ◽  
Sexual Concerns ◽  
Organisational Structures

AbstractTraumatic brain injury (TBI) impacts upon people's sexuality with 50% to 60% of persons reporting some level of disruption post-injury. However, only small proportions of patients/family members report that rehabilitation health professionals made inquiries about whether they had any sexual concerns. Rehabilitation programs have a responsibility to meet the challenge of addressing this important area of human functioning. An agency framework is described that provides a non-threatening, structured way for services to conceptualise, introduce or upgrade sexuality services in a manner that can be maintained over the long term. The framework contains an underlying philosophy of sexuality, five proposed modalities of service provision and detail of the underlying organisational structures that are required to provide sexuality services with consistency and effectiveness over the long term. Finally, organisational strategies that can be employed to implement the framework are discussed as well as suggestions about the sequencing of such strategies. By using the framework, rehabilitation services can put sexuality back onto their treatment agenda, as they seek to restore patients/clients with TBI to the “highest level of adaptation attainable” (World Health Organisation, 1996, p. 1) in all areas of their lives.

scholarly journals SARS: current overview, aetiology and epidemiology

2003 ◽  
Vol 3 (2) ◽  
pp. 46-55
Author(s):  
Semra Čavaljuga ◽  
Michael Faulde ◽  
Jerrold J. Scharninghausen
Keyword(s):  
Public Health ◽  
World Health Organisation ◽  
The United States ◽  
Air Travel ◽  
World Health ◽  
New Disease ◽  
The Past ◽  
Health Authorities ◽  
The World ◽  
Public Health Authorities

At this moment, public health authorities, physicians and scientists around the world are struggling to cope with a severe and rapidly spreading new disease in humans called severe acute respiratory syndrome, or SARS. According to World Health Organisation (WHO) this appears to be the first severe and easily transmissible new disease to emerge in the 21st century. Though much about the disease remains poorly understood, including the details of the causative virus, we do know that it has features that allow it to spread rapidly along international air travel routes. As of 10 May 2003, a cumulative 7296 probable SARS cases with 526 deaths have been reported from 30 countries on three continents (WHO, ProMED). In the past week, more than 1000 new probable cases and 96 deaths were reported globally. This represents an increase of 119 new cases and 8 new deaths compared with 9 May 2003 (China (85), Taiwan (23), and Hong Kong (7) represented the overwhelming majority, with one additional case each reported from France, Malaysia, Singapore, and the United States). Only in China, as of 10 May 2003 (WHO) total of 4884 with 235 deaths have been reported. Some outbreaks have reassuring features.

scholarly journals A Silver Hope in the Dreadful Pandemic: Shift towards a Healthier Lifestyle, Hygiene and Cleanliness

2021 ◽  
pp. 162-167
Author(s):  
Rishabh Dhabalia
Keyword(s):  
Side Effects ◽  
World Health Organisation ◽  
World Health ◽  
The Past ◽  
Positive Side ◽  
Small Countries ◽  
The World ◽  
Novel Coronavirus ◽  
Reign Of Terror ◽  
Positive Side Effects

The COVID-19 pandemic has spread its terror globally for over a year now. There is no continent that has been spared by this scourge. And perhaps a few small countries with no reported cases. Regardless, it is an irrefutable fact that this novel coronavirus pandemic has shaken the pillars of human civilization. For those unaware or living under a rock since the past year or so, the disease is caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus. The first cases were reported to the World Health Organisation as a cluster of pneumonia from unknown causes from Wuhan, China on the 31st December, 2019. And, thus began its reign of terror, spreading across the world, like hot cakes sold out in a carnival. That being said, humanity has suffered a lot at the hands of the pandemic. Innumerous deaths, sufferings, unending lockdowns and curfews, social problems, people losing their livelihoods and the list goes on. It is, thus, easy to give in to the mood of gloom and doom with all that is going on around us. However, just as with anything, there is a side too, that is scarcely talked about. There have also been some positive impacts of this pandemic that one couldn’t have foreseen beforehand. So, without further ado, below we have covered a few positive side effects of this curse of a pandemic!

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