scholarly journals Framework Implementation of the INSPIRE ICOPE-CARE program in collaboration with the World Health Organization (WHO) in the Occitania region

2020 ◽  
pp. 1-7
Author(s):  
N. Tavassoli ◽  
A. Piau ◽  
C. Berbon ◽  
J. De Kerimel ◽  
C. Lafont ◽  
...  
Keyword(s):  
Older People ◽  
World Health Organization ◽  
Large Scale ◽  
Care Program ◽  
World Health ◽  
Psychological State ◽  
Digital Medicine ◽  
The World ◽  
Intrinsic Capacity ◽  
Health Organization

Introduction: Limiting the number of dependent older people in coming years will be a major economic and human challenge. In response, the World Health Organization (WHO) has developed the «Integrated Care for Older People (ICOPE)» approach. The aim of the ICOPE program is to enable as many people as possible to age in good health. To reach this objective, the WHO proposes to follow the trajectory of an individual’s intrinsic capacity, which is the composite of all their physical and mental capacities and comprised of multiple domains including mobility, cognition, vitality / nutrition, psychological state, vision, hearing. Objective: The main objective of the INSPIRE ICOPE-CARE program is to implement, in clinical practice at a large scale, the WHO ICOPE program in the Occitania region, in France, to promote healthy aging and maintain the autonomy of seniors using digital medicine. Method: The target population is independent seniors aged 60 years and over. To follow this population, the 6 domains of intrinsic capacity are systematically monitored with pre-established tools proposed by WHO especially STEP 1 which has been adapted in digital form to make remote and large-scale monitoring possible. Two tools were developed: the ICOPE MONITOR, an application, and the BOTFRAIL, a conversational robot. Both are connected to the Gerontopole frailty database. STEP 1 is performed every 4-6 months by professionals or seniors themselves. If a deterioration in one or more domains of intrinsic capacity is identified, an alert is generated by an algorithm which allows health professionals to quickly intervene. The operational implementation of the INSPIRE ICOPE-CARE program in Occitania is done by the network of Territorial Teams of Aging and Prevention of Dependency (ETVPD) which have more than 2,200 members composed of professionals in the medical, medico-social and social sectors. Targeted actions have started to deploy the use of STEP 1 by healthcare professionals (physicians, nurses, pharmacists,…) or different institutions like French National old age insurance fund (CNAV), complementary pension funds (CEDIP), Departmental Council of Haute Garonne, etc. Perspective: The INSPIRE ICOPE-CARE program draws significantly on numeric tools, e-health and digital medicine to facilitate communication and coordination between professionals and seniors. It seeks to screen and monitor 200,000 older people in Occitania region within 3 to 5 years and promote preventive actions. The French Presidential Plan Grand Age aims to largely implement the WHO ICOPE program in France following the experience of the INSPIRE ICOPE-CARE program in Occitania.

Prediction of Adverse Outcomes in Nursing Home Residents According to Intrinsic Capacity Proposed by the World Health Organization

2019 ◽  
Vol 75 (8) ◽  
pp. 1594-1599 ◽  
Author(s):  
Alexia Charles ◽  
Fanny Buckinx ◽  
Médéa Locquet ◽  
Jean-Yves Reginster ◽  
Jean Petermans ◽  
...  
Keyword(s):  
Nursing Home ◽  
Health Outcomes ◽  
World Health Organization ◽  
Nursing Home Residents ◽  
World Health ◽  
Balance Performance ◽  
The World ◽  
Unit Increase ◽  
Intrinsic Capacity ◽  
Health Organization

Abstract Background This study aimed to evaluate the predictive value of the domains of intrinsic capacity (ie, cognition, locomotion, sensory, vitality, and psychosocial) proposed by the World Health Organization (WHO) on the 3-year adverse health outcomes of nursing home residents. Methods A 3-year incidence of mortality, falls, repeated falls, and autonomy decline (ie, a one-unit increase in the Katz score) was assessed in a cohort of Belgian nursing home residents. Cognition was assessed using the Mini-Mental State Examination (MMSE). For locomotion, balance, gait speed and chair stand performance were evaluated by the Short Physical Performance Battery test. The sensory domain was measured using the Strawbridge questionnaire for audition and vision. For vitality, abdominal circumference, body mass index, nutritional status (by Mini Nutritional Assessment [MNA]) and handgrip strength were assessed. Psychosocial status was evaluated by the EQ-5D and the Center for Epidemiological Studies Depression scale. Missing data were handled by multiple imputations. Cox proportional hazard models, logistic regressions, and analysis of variance were used for the analyses. Results In the multivariable model, a one-unit increase in balance performance and in the nutrition score decreased the probability of death by 12% (Hazard ratio [HR] = 0.88; 95% confidence interval [CI] 0.78–0.99) and 4% (HR = 0.96; 95% CI 0.93–0.99), respectively. The risk of falling decreased when there was a one-unit increase in balance performance (HR = 0.87, 95% CI 0.79–0.96) and in the nutrition score (HR = 0.96, 95% CI 0.93–0.98). No association was found for intrinsic capacity and repeated falls. Low scores in nutrition (odds ratio = 0.86, 95% CI 0.77–0.96) were associated with a higher probability of autonomy decline. Conclusion Some domains of intrinsic capacity predicted health outcomes among nursing home residents. Nutrition and balance should be regularly checked among this population.

scholarly journals A qualitative study of old patients’ experiences of the quality of the health services in hospital and 30 days after hospitalization

2019 ◽  
Author(s):  
Ingvild Lilleheie ◽  
Jonas Debesay ◽  
Asta Bye ◽  
Astrid Bergland
Keyword(s):  
Older People ◽  
World Health Organization ◽  
Everyday Life ◽  
Financial Burden ◽  
Healthcare Quality ◽  
World Health ◽  
Old Patients ◽  
The World ◽  
Health Organization ◽  
The Impact

Abstract Background: The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions. The impact of multimorbidity is often significantly greater than expected from the sum of the effects of each condition. The World Health Organization has indicated that healthcare systems must prepare for a change in the focus of clinical care for older people. The World Health Organization (WHO) defines healthcare quality as care that is effective, efficient, integrated, patient centered, equitable and safe. The degree to which healthcare quality can be defined as acceptable is determined by services’ ability to meet the needs of users and adapt to patients’ expectations and perceptions.Method: We took a phenomenological perspective to explore older patients’ subjective experiences and conducted semistructured individual interviews. Eighteen patients (aged from 82 to 100 years) were interviewed twice after discharge from hospital. The interview transcriptions were analyzed thematically.Results: The patients found their meetings with the health service to be complex and demanding. They reported attempting to restore a sense of security and meaning in everyday life, balancing their own needs against external requirements. Five overarching themes emerged from the interviews: hospital stay and the person behind the diagnosis, poor communication and coordination, life after discharge, relationship with their next of kin, and organizational and systemic determinants.Conclusion: According to the WHO, to deliver quality healthcare, services must include all six of the dimensions listed above. Our findings show that they do not. Healthcare focused on measurable values and biomedical inquiries. Few opportunities for participation, scant information and suboptimal care coordination left the patients with a feeling of being in limbo, where they struggled to find balance in their everyday life. Further work must be done to ensure that integrated services are provided without a financial burden, centered on the needs and rights of older people.

Following the directives of World Health Organization: A Hobsons Choice

Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Shaima S. Ali Miraj
Keyword(s):  
World Health Organization ◽  
Large Scale ◽  
Financial Burden ◽  
International Health ◽  
Health Agency ◽  
Developed Countries ◽  
World Health ◽  
Effective Control ◽  
The World ◽  
Health Organization

Introduction: Of late several articles in prestigious scientific platforms have shown that, 'COVID-19 has questioned the global health expertise of some developed countries like the USA UK and other European nations as well as the international health agency, the World Health Organization, highlighting that they faltered in managing the crisis during the pandemic. The objective of this article is to highlight the fact that as there was no specific vaccine or treatment at hand, the portfolio available with these nations under the directions of the WHO to counter the measures against COVID19, was limited. There was no other alternative in this time of world’s most unprecedented emergency, and whatever immediate steps were taken to contain the virus spread by the WHO were justified. Methods: Using the available literature on the internet and library sources, a survey of published articles in leading journals of the world have been made to analyse the various articles describing the position of the WHO and its future strategies in dealing with the worlds most unprecedented pandemic. Results and Conclusion: The present communication suggests that a large scale fund allocation in a fixed percentage for Health for All, from every member country’s defence budget can be separately made for substantially replenishing the already depleting funding of the WHO. This will enable an effective control of the global pandemic crisis with significant international cooperation, allowing sharing of the financial burden. The specially created fund can be used under international monitoring for such unprecedented calamities in future. More focus can thus be given to special training of manpower, advancements in the protective equipment, development of vaccines, critical care hospitals and centres on a global basis.

Sometimes Falls Are Difficult to Prevent. What Comes Next?

2021 ◽  
Vol 36 (7) ◽  
pp. 318-319
Author(s):  
Chris Alderman
Keyword(s):  
Older People ◽  
World Health Organization ◽  
World Health ◽  
Important Contributor ◽  
Risk Of Death ◽  
Clinical Community ◽  
The World ◽  
Risk Of Falls ◽  
Serious Injury ◽  
Health Organization

The World Health Organization highlighted that older people have the highest risk of death or serious injury from falls, and the associated risks increase with age. The effects of medications are an important contributor in the overall equation for the risk of falls-related morbidity and mortality, and that is consistently demonstrated in research from around the world. In this edition of The Senior Care Pharmacist, there is further evidence presented, and the importance of this information cannot be challenged. However, the question remains: why has effective remediation of this risk consistently defeated the clinical community around the world?

Converting to a Synchronous Virtual Nursing Research Conference Amidst a Pandemic: A Case Study

2021 ◽  
Vol 27 (2) ◽  
pp. 118-124
Author(s):  
Lilian J. Canamo ◽  
Jessica P. Bejar ◽  
Judy E. Davidson
Keyword(s):  
World Health Organization ◽  
Large Scale ◽  
University Of California ◽  
World Health ◽  
User Engagement ◽  
Research Conference ◽  
The World ◽  
Health Organization ◽  
The University

University of California San Diego Health was set to launch its 13th annual Nursing and Inquiry Innovation Conference event in June 2020. However, the Coronavirus Disease 2019 (COVID-19) pandemic placed a barrier to large gatherings throughout the world. Because the World Health Organization designated 2020 as the Year of the Nurse and Midwife, the University committed to continuing the large-scale conference, converting to a virtual event. This article reviews the methodologies behind the delivery of the virtual event and implications for user engagement and learning on the blended electronic platform.

World Health Organization

1949 ◽  
Vol 3 (1) ◽  
pp. 163-164
Keyword(s):  
World Health Organization ◽  
Large Scale ◽  
Venereal Disease ◽  
Western Hemisphere ◽  
World Health ◽  
Director General ◽  
Executive Board ◽  
Regional Office ◽  
The World ◽  
Health Organization

The Executive Board of the World Health Organization met in Geneva for its second session from October 25 to November 11, 1948. Some of the more important matters considered from an agenda which comprised more than seventy items included: 1) allocation of $100,000 for an extensive research program on tuberculosis; 2) approval of the report of a committee of experts on venereal disease recommending the large-scale use of penicillin in the treatment of syphilis and calling for WHO to stimulate penicillin production and distribution; 3) authorization to the WHO Director-General to create a Bureau of Medical Supplies to coordinate information and to advise governments on questions concerning the procurement of essential drugs, biological products, and medical equipment; 4) allocation of nearly $1,500,000 for the purpose of giving more direct aid to governments in all parts of the world in the form of field demonstrations and the provision of fellowships for medical and public health personnel; 5) approval of research along lines suggested by the International Congress of Mental Health, including comparative studies, surveys and demonstrations in that field; 6) appointment of Lt. Col. Chandra Mani (India) as director of the WHO Regional Office for South East Asia which was to be established early in 1949 in New Delhi, and 7) authorization to the WHO Director-General to sign a working agreement with the Pan American Sanitary Organization to serve as the WHO regional organization for the Western Hemisphere as soon as fourteen of the twenty-one American republics had completed ratification of the WHO Constitution. The next session of the Executive Board was scheduled for February 21, 1949, also in Geneva.

scholarly journals Scabies in Indonesia: Epidemiology and Prevention

2021 ◽  
Vol 1 (2) ◽  
pp. 30
Author(s):  
Reqgi First Trasia
Keyword(s):  
World Health Organization ◽  
Health Problem ◽  
Large Scale ◽  
Total Population ◽  
Preventive Measures ◽  
World Health ◽  
Neglected Tropical Disease ◽  
The World ◽  
Health Organization ◽  
Scale Control

Scabies is still a health problem in the world, including Indonesia. The World Health Organization (WHO) in 2017 stated that scabies is included in the Neglected Tropical Disease (NTD) which requires large-scale control. In Indonesia, according to data from the Ministry of Health Republic of Indonesia the prevalence of scabies in 2017 is 6% of the total population in Indonesia. Discussion on the incidence and prevention of scabies from various regions in Indonesia so far is still not comprehensive. This review will provide an overview related to epidemiology and preventive measures against scabies so that scabies cases in Indonesia can be controlled properly

scholarly journals Juridical Optics in the Formulation of Execution Application Form Act No. 6 of 2018 concerning Health Quarantine After the End of the Implementation of Large-Scale Social Restrictions and the Imposition of New Normal and Safe Life Coordination Period 19 to Achieve Criminal Justice for Every Indonesian Citizen

2021 ◽  
Vol 8 (2) ◽  
pp. 162
Author(s):  
Edi Ribut Harwanto
Keyword(s):  
World Health Organization ◽  
Large Scale ◽  
Criminal Court ◽  
World Health ◽  
Director General ◽  
Bat Virus ◽  
Corona Virus ◽  
The World ◽  
Health Organization ◽  
National Disaster

World Health Organization (WHO) Director General of the World Health Organization, Tedros Adhanom Ghebreyesus officially announced the Corona virus (Covid 19) as a pandemic on Wednesday, March 11, 2020, so the world community and countries of the world were excited and asked to take steps prevention measures according to the health protocol established by WHO. The WHO reason is that prevention needs to be carried out by world countries, because the Corona Covid 19 Virus pandemic is an infectious disease that spreads easily from human to human in various parts of the world. I do not know, from where the source of this corona virus appears and infects and exposes the virus so that it becomes pandamic and kills many people in the countries of the world so quickly. Citing Worldometers website data, Tuesday (2/6/2020), the number of confirmed cases of corona virus infection globally is 6,358,294 (6.36 million) cases. Meanwhile, the number of deaths recorded was 377,031 cases. While the number of patients recovered as many as 2,888,571 (2.89 million) people. The number of active cases is 3,092,692 (3.09 million) cases, with 3,039,290 (3.04 million) in mild conditions, and 53,402 in serious conditions. Furthermore, the global tragedy to follow up and respond to the insistence of the WHO world health organization, the Indonesian state took anticipatory steps with the congressional movement starting on April 13, 2020, through the President of the Republic of Indonesia Joko Widodo expressly announcing and establishing and stating that the Covid 19 Virus is as a non-natural national disaster spreading Corona Virus Diseasses 2019 (Covid 19) as a national disaster.  In order to prevent the exposure or the strongest Covid 19 virus to the people of Indonesia, the government issued Presidential Regulation No. 12 of 2020, and Government Regulation No. 21 of 2020 concerning the implementation of the related large-scale Social Restrictions (hurud b), Article 49 Paragraph (3) and Article 59 of Law Law No. 6 of 2018 concerning Health Qulity. Indonesia did not want to bother, and asked WHO, the results of the Corona Covid 19 virus were accepted, but were more focused on handling the corona virus in the country. Meanwhile, developed countries such as America, Britain, Australia, opposed cool in an opinion war against China, which is associated with several countries Corona Virus came and began to plague in Wuhan, China using the source of infectious diseases through the bat virus. America, can receive that information, namely the President of the United States Donald Trump, accepts anger and sulking, and even has evidence of the results of his intelligence reports related to it, the Corona virus is actually not a virus transmitted from a bat virus to humans, but Donald Trump's presumption , that's the corona virus, originating from chemical laboratories in Wuhan China, which leaked and infected humans and eventually became a plague of infectious viruses throughout the world. Latest information, Britain, Australia, America will file a claim for compensation to the Chinese state through a lawsuit to the International Criminal Court (ICC).  Furthermore, to support the objectives of this study, the paradigm used in this study is the post-positivism paradigm. The post-positivism paradigm wants to prove everything is based on reality (which can be built based on experience, observation), the researcher is neutral towards the object of research, even though the researcher holding this paradigm remains neutral towards the object of research, but he wants to examine what actually happened from things the thing that seems certain. The post-positivism paradigm ontologically conceptualizes reality as it really is, but it is realized that there are actually many factors that influence that reality. Consequently, ontologically the post-positivism paradigm conceptualizes the law as a set of rules that apply in society whose behavior will be influenced by factors (economic, political, cultural, etc.). Epistemologically, researchers sit themselves impersonal, separate from the object of research. The researcher's position on the object of research is neutral and impartial.

scholarly journals OSTEOPOROSIS - STATISTICAL DATA FOR PATIENTS WITH OSTEOPOROSIS IN THE PERIOD FROM 2020 AND THE CURRENT 2021

2021 ◽  
Vol 9 (7) ◽  
pp. 366-370
Author(s):  
Jihe Zhu ◽  
Blagica Arsovska ◽  
Kristina Kozovska
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
World Health Organization ◽  
Hospital Care ◽  
Statistical Data ◽  
World Health ◽  
Need For Treatment ◽  
Treatment And Prevention ◽  
The World ◽  
Health Organization

About 120.000 women in Macedonia suffer from osteoporosis. These statistics of the World Health Organization are just a warning about the need for treatment and prevention of this disease. For this research were analyzed statistical data for patients with osteoporosis in the period from 2020 and the current 2021. The data were taken from PHI Medika - Strumica, R.N. Macedonia and the Faculty of Medicine, Skopje RS Macedonia. From the obtained data from 2020 and 2021 for the number of examinations that have been performed in patients with osteoporosis over 50 years, in 2020, out of a total of 542 examinations, 523 are women diagnosed with osteoporosis and 19 are men. In the current 2021, out of a total of 115 examinations, 112 are women and 3 men are registered with osteoporosis. From the obtained data from the PHI Medika - Strumica, in 2020, out of a total of 792 examinations, 762 are women diagnosed with osteoporosis and 30 are men. In the current 2021, out of a total of 256 examinations, 250 are women and 6 men. In women osteoporosis is significantly more common than in men. From the hospitalized patients with hip fracture because of osteoporosis, 3.4% of those who are hospitalized are patients aged from 60 to 69 years, 30.6% are aged from 70 to 79 years, 66% are patients aged 80+ years. Age also plays an important role in osteoporosis and fractures. Older people are more likely to need hospital care than younger people.

scholarly journals How to choose the right real-time RT-PCR primer sets for the SARS-CoV-2 genome detection? 

2020 ◽  
Author(s):  
Ahalieyah Anantharajah ◽  
Raphael Helaers ◽  
Jean-Philippe Defour ◽  
Nathalie Olive ◽  
Florence Kabera ◽  
...  
Keyword(s):  
World Health Organization ◽  
Large Scale ◽  
Diagnostic Testing ◽  
Detection Sensitivity ◽  
World Health ◽  
Coding Region ◽  
Viral Loads ◽  
The World ◽  
Health Organization ◽  
The Right

Abstract The SARS-CoV-2 pandemic has created an unprecedented need for rapid large-scale diagnostic testing. Currently, several quantitative reverse-transcription polymerase chain reaction (RT-qPCR) assays recommended by the World Health Organization are being used by clinical and public health laboratories and typically target regions of the RNA-dependent RNA polymerase (RdRp), envelope (E) and nucleocapsid (N) coding region. However, it is currently unclear if results from different tests are comparable. The present study demonstrates substantial differences in SARS-CoV-2 RNA detection sensitivity among the primer/probe sets recommended by the World Health Organization especially for low-level viral loads. The alignment of thousands of European SARS-CoV-2 sequences against the primers/probe highlights single mismatches which might also contribute to false negatives. An understanding of the limitations depending on the targeted genes and primer/probe sets may influence the selection of molecular detection assays by clinical laboratories.

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