Bleeding Disorders in Premenopausal Women: (Another) Public Health Crisis for Hematology?

Hematology ◽  
2006 ◽  
Vol 2006 (1) ◽  
pp. 474-485 ◽  
Author(s):  
Andra H. James ◽  
Margaret V. Ragni ◽  
Vincent J. Picozzi
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Premenopausal Women ◽  
Bleeding Disorder ◽  
Von Willebrand Disease ◽  
Deficiency Anemia ◽  
Public Health Approach ◽  
Major Public Health Problem ◽  
Bleeding Disorders ◽  
Health Crisis

Abstract Premenopausal women with bleeding disorders represent a major public health problem. Estimates suggest up to 20% of women with menorrhagia have an underlying bleeding disorder (corresponding to a prevalence of 1.5–4 million American women). Von Willebrand disease (VWD) is the most common bleeding disorder among women with menorrhagia, affecting up to 20% of such patients. Besides menorrhagia, important consequences of bleeding disorders in premenopausal women include iron deficiency anemia, miscarriage, postpartum bleeding, uterine bleeding and hysterectomy. These patients face many obstacles in achieving optimum care. Recognition is difficult as women may consider their symptoms “normal” and come to attention only after serious bleeding events. Symptoms of VWD may also overlap with benign conditions, primary providers may not suspect the diagnosis, and convenient hematologic input may be unavailable. Diagnosis is difficult as there is no single definitive test for VWD, and test results are variable, often being affected by extragenic factors, including stress, contraceptives, hormones, and pregnancy. Hemostatic treatment is limited by DDAVP tachyphylaxis, the lack of recombinant VWD concentrates, and the ineffectiveness of hormonal therapy, leading to unnecessary procedures and early hysterectomy. Finally, significant controversy exists regarding classification of type 1 VWD as a disease: given the overlap in symptoms and laboratory assays within the normal population, evaluation for those with VWD might be seen as identification of potential bleeding risk rather than detection of a disease. This symposium seeks to explore these issues in greater detail from the combined perspectives of the obstetrician-gynecologist and the hematologist to promote a better public health approach to this problem.

Violence and public health

2019 ◽  
Vol 27 (1) ◽  
pp. 2-5
Author(s):  
Alexander Butchart ◽  
Stephanie Burrows ◽  
Berit Kieselbach
Keyword(s):  
Public Health ◽  
Interpersonal Violence ◽  
Partner Violence ◽  
Youth Violence ◽  
Elder Abuse ◽  
Public Health Problem ◽  
Public Health Approach ◽  
Major Public Health Problem ◽  
Global Public Health ◽  
Health And Development

Abstract Violence is a major public health problem and in recent years has become increasingly important on the global public health agenda. This article provides an overview of the history and significance of interpersonal violence – including child maltreatment, youth violence, intimate partner violence and elder abuse – in global health and development policy, and illustrates the public health approach to violence prevention.

scholarly journals Prevalence and Determinants of Smoking among Young Age Male Patients Coming at OPD in Selected Hospital

2017 ◽  
Vol 29 (2) ◽  
pp. 38-41
Author(s):  
Md Golam Kibria ◽  
AKM Mazharul Islam ◽  
Md Mostafizur Rahman
Keyword(s):  
Public Health ◽  
Developing Country ◽  
Smoking Habit ◽  
Smoking Behavior ◽  
Public Health Problem ◽  
Young Age ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Health Crisis ◽  
Male Patients

Smoking is now recognized as a major public health problem in the developing world. Bangladesh is one of the largest populated developing country. Here public health crisis is in danger among youngers. The study was conducted among the young age male patients in selected hospital based on broad objective of exploring the prevalence and determinants of smoking behavior of young age male patients. A cross sectional descriptive study was conducted on prevalence of young age patients in selected hospital. The quantitative investigation was undertaken to fulfill the objectives of the study by collecting information using questionnaire. Findings of the study showed that 35.33% of respondents have smoking habit. We also found that about 86.79% smoking habit respondents start smoking when they were 14-17 years old. The study tried to find out current adolescent smoking trend in rural area of developing country. In our study we know that most of the smoker started smoking at their adolescent period & it is a high prevalence. There is a significant association between smoking and other risky behavior like Cannabis, Yaaba, Alcohol etc. So urgently our Govt. need to implement public health interventions, with special attention to the determinants of smoking in this age group.Medicine Today 2017 Vol.29(2): 38-41

scholarly journals BURN, EPILEPSY AND COVID-19

2021 ◽  
Vol 9 (10) ◽  
pp. 280-286
Author(s):  
Dehhaze Adil ◽  
◽  
Daghouri Nada-Imane ◽  
Labbaci Rim ◽  
Taybi Otmane ◽  
...  
Keyword(s):  
Public Health ◽  
Patient Education ◽  
Economic Crisis ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Thermal Burn ◽  
Health Crisis ◽  
Good Compliance ◽  
Epileptic Woman ◽  
Sanitary Conditions

The COVID-19 pandemic is a major public health problem. It is not only a health crisis of planetary scope but also a socio-economic crisis with serious consequences. Among the dramatic repercussions in our country was the condemnation of several health structures, including ours. We report the case of a young epileptic woman who suffered a thermal burn by scalding, causing her to suffer from 3rd-degree lesions.Her treatment was delayed because of the sanitary conditions preventing an excision with a skin graft, which led us to follow this patient in directed healing. Therapeutic management in the context of an epilepsy-burn association must be multidisciplinary and adequate, hence the interest of prevention based on patient education, good compliance with treatment, and correct management of the environment.

Substance Abuse and Drug-Related Death, Suicidal Ideation, and Suicide: A Review

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Substance Abuse ◽  
Suicidal Ideation ◽  
Family Support ◽  
Drug Users ◽  
Suicide Attempts ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Hiv Epidemic

The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.

Crucial role of physiotherapy in treating COVID-19 patients

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 967-971
Author(s):  
Poonam Thakre ◽  
Waqar M. Naqvi ◽  
Trupti Deshmukh ◽  
Nikhil Ingole ◽  
Sourabh Deshmukh
Keyword(s):  
Public Health ◽  
Distress Syndrome ◽  
Public Health Problem ◽  
Public Health Emergency ◽  
High Rate ◽  
Major Public Health Problem ◽  
Front Line ◽  
The Many ◽  
Sixth International

The emergence in China of 2019 of severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) previously provisionally names 2019-nCoV disease (COVID19) caused major global outbreak and is a major public health problem. On 30 January 2020, the WHO declared COVID19 to be the sixth international public health emergency. This present pandemic has engrossed the globe with a high rate of mortality. As a front line practitioner, physiotherapists are expected to be getting in direct contact with patients infected with the virus. That’s why it is necessary for understanding the many aspects of their role in the identification, contains, reduces and treats the symptoms of this disease. The main presentation is the involvement of respiratory system with symptoms like fever, cough, sore throat, sneezing and characteristics of pneumonia leads to ARDS(Acute respiratory distress syndrome) also land up in multiorgan dysfunction syndrome. This text describes and suggests physiotherapy management of acute COVID-19 patients. It also includes recommendations and guidelines for physiotherapy planning and management. It also covers the guidelines regarding personal care and equipment used for treatment which can be used in the treatment of acute adult patients with suspected or confirmed COVID-19.

Coagulopathies

2020 ◽  
Author(s):  
Michael Levine
Keyword(s):  
Key Words ◽  
Bleeding Disorder ◽  
Von Willebrand Disease ◽  
Coagulation Cascade ◽  
Bleeding Disorders ◽  
Platelet Disorders ◽  
Von Willebrand

Coagulopathy can be caused by numerous hereditary or acquired etiologies. Although some of these conditions are known and the patient is aware of the bleeding disorder, other bleeding disorders are diagnosed only after the onset of excessive hemorrhage. This review discusses both hereditary and acquired disorders of coagulopathy. Platelet disorders are discussed elsewhere. This review contains 2 figures, 7 tables, and 72 references. Key words: Coagulopathies; Coagulopathy; Bleeding disorder; Hereditary bleeding disorder; Acquired bleeding disorder; von Willebrand disease; Hemophilia; Coagulation cascade; Hemorrhage; Anticoagulant-associated hemorrhage

scholarly journals Healthy People 2020 Objectives for Violence Prevention and the Role of Nursing

2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Thomas Simon ◽  
Kimberly Hurvitz
Keyword(s):  
Public Health ◽  
Violence Prevention ◽  
Partner Violence ◽  
Youth Violence ◽  
Public Health Problem ◽  
The United States ◽  
Healthy People ◽  
Public Health Approach ◽  
Prevention Strategies ◽  
Healthy People 2020

Violence, including child maltreatment, youth violence, intimate partner violence, and sexual violence, is a significant public health problem in the United States. A public health approach can help providers understand the health burden from violence, evaluate evidence for prevention strategies, and learn where to turn for information about planning and implementing prevention strategies for this preventable problem. For the past three decades, the U.S. Department of Health and Human Services has published “Healthy People” objectives for the next decade. The Healthy People 2020 initiative includes 13 measurable objectives related to violence prevention, one of which was selected as a Healthy People 2020 Leading Health Indicator. Progress to achieve these objectives can save thousands of lives, reduce the suffering of victims and their families, and decrease financial cost to the law enforcement and healthcare systems. The role that nurses can and do play in violence prevention is critical and extends beyond just caring for victims to also include preventing violence before it happens. This article summarizes the violence prevention objectives in Healthy People 2020 and the resources for prevention available to support nurses and others as they move prevention efforts forward in communities to stop violence before it starts.

scholarly journals Anaemia among Egyptian adolescents: prevalence and determinants

2000 ◽  
Vol 6 (5-6) ◽  
pp. 1017-1025
Author(s):  
F. El Sahn ◽  
S. Sallam ◽  
A. Mandif ◽  
O. Galal
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Educational Level ◽  
Inverse Relationship ◽  
Public Health Problem ◽  
Public Health Education ◽  
Major Public Health Problem ◽  
Socioeconomic Level ◽  
Cross Sectional ◽  
Wide Scale

We aimed to estimate the nationwide prevalence of anaemia among adolescents in Egypt and to study possible risk factors. A cross-sectional approach was used. Blood samples were collected from 1980 adolescents for haemoglobin estimation. The overall prevalence of anaemia was 46.6%, most of which was mild or moderate, with severe cases in less than 1.0% of the sample. Gender difference was almost nonexistent. A significant inverse relationship was observed between the level of anaemia and age [especially among boys], socioeconomic level and educational level. Anaemia was more prevalent in rural areas and in Upper [southern] Egypt. Anaemia is a major public health problem among Egyptian adolescents and wide-scale public health education is warranted.

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