Economic Development and Non-Communicable Chronic Diseases

2012 ◽  
Vol 12 (4) ◽  
pp. 1850274 ◽  
Author(s):  
David A. Mayer-Foulkes ◽  
Claudia Pescetto-Villouta
Keyword(s):  
Chronic Diseases ◽  
Health Sector ◽  
Two Dimensions ◽  
Data Availability ◽  
Health Policies ◽  
Comprehensive Data ◽  
Lack Of Exercise ◽  
The Individual ◽  
Research Initiatives ◽  
The Impact

This article outlines the economics of non communicable chronic diseases (NCDs), necessary for designing evidence-based health policies to reduce the prevalence of NCDs. The main risk factors of NCDs are manmade: abuse of alcohol, tobacco, junk food, and lack of exercise. Hence we define an economic category of analysis, unwholesome goods. The analysis tackles the two dimensions of NCDs: individual and collective. The first one linked to how much NCDs are a result of consumer’s choice and the second one, the recognition that NCDs are result of a complex interrelated environment at the society level, evidencing the need for a multisectoral approach. An economic analysis includes the study of 1) NCD in the context of intergenerational life cycle dynamics; 2) demand, supply, externalities, and political economy of NCD factors; 3) the incidence of lifestyle risks according to socioeconomic status, and changes under the impact of economic growth and the demographic transition. Where do the different countries lie on the development pathway? How much of the burden lies on the individual and on the collective dimensions of NCDs? What are the most effective policies for immediate application tackling both, the individual and collective dimensions? To what extent are households affected by financial catastrophe and impoverishment due to NCDs? What are the essential requirements for the health systems to respond with efficiency and efficacy to the NCDs phenomenon? Policy and research initiatives include health sector capability for NCDs, prevention of NCD factors, promotion of multisectoral approaches, and a comprehensive data initiative. Conclusions point to the need to simultaneously implement health policy and construct the necessary evidence bases. A comprehensive data initiative is proposed as needed in addition to expanding data availability in tandem with policy implementation. Finally an initiative is proposed to formulate sufficiently effective multisectoral policies and to establish the necessary links between the health sector and other sectors involved.

Does Wrongdoer Reputation Matter? Impact of Auditor-Wrongdoer Performance and Likeability Reputations on Fellow Auditors' Intention to Take Action and Choice of Reporting Outlet

2011 ◽  
Vol 23 (2) ◽  
pp. 207-234 ◽  
Author(s):  
Jesse C. Robertson ◽  
Chad M. Stefaniak ◽  
Mary B. Curtis
Keyword(s):  
Two Dimensions ◽  
Data Availability ◽  
Good Performer ◽  
Reporting Decisions ◽  
Prior Literature ◽  
Reporting Channel ◽  
Channel Preferences ◽  
Main Effects ◽  
The Impact ◽  
Selection Of

ABSTRACT We investigate the effects of auditor-wrongdoer reputations for performance and likeability on fellow auditors' intentions to take action in response to a questionable audit act. We also use this context to explore auditor selection of reporting outlets, when they do choose to take action. In an experiment with 181 auditors, main effects suggest that likeability reputation is a significant determinant of intention to take action, while performance reputation is marginally significant. As expected, interaction results indicate that auditors have the greatest intention to take action against less likeable, poor performers. Contrary to expectations, intention to take action against a more likeable, good performer is no lower than the mixed conditions. Thus, the influence of the two dimensions of reputation is complex. Additionally, we find auditors are more likely to whistle-blow internally than externally, and through non-anonymous outlets than anonymous outlets. Our contributions include exploring the impact of reputation on the actions of third parties, and advancing prior literature by considering the influence of wrongdoer attributes on reporting decisions and auditors' reporting channel preferences. Data Availability: Data are available from the first author upon request.

scholarly journals The Impact of COVID-19 on the Dietary Habits of Middle-Class Population in Mulund, Mumbai, India

2020 ◽  
Author(s):  
Vidhi Mehta
Keyword(s):  
Dietary Habits ◽  
Preventive Measures ◽  
Negative Impact ◽  
Health Sector ◽  
Eating Patterns ◽  
Early Implementation ◽  
The Usa ◽  
The Individual ◽  
The Impact

In India, the SARS-CoV-2 COVID-19 pandemic has grown to 112,359 cases and 3,435 deaths as per 21st May, 2020. The severe acute respiratory syndrome (SARS) affected the world with 4,893,186 cases and 323,256 deaths as of 21st May, 2020. The WHO declared the outbreak as a public health emergency of international concern on 30th January, 2020 and it was declared as a pandemic in March 2020. Clinical studies conducted on hospitalized cases show that the onset of COVID-19 is associated with symptoms commonly associated with viral pneumonia, most commonly fever, cough/sore throat and myalgia/fatigue. COVID-19 world pandemic imposed a new set of challenges for the individual to maintain a healthy diet. When compared to the USA, India is currently facing lesser cases of the pandemic because of early implementation of the preventive measures such as a lockdown. Because of the lockdown imposed, India has and is facing a downfall in every aspect, such as the economy, the agriculture, the health sector, the IT and management sectors and also tourism. This in turn, will have a negative impact on the quality of life and economy in India. The present paper aims to find out the impact of COVID-19 pandemic on the health sector and is based on the results obtained from a survey about the eating patterns of participants from Mulund, Mumbai, India. It was seen that the mental stress caused due to the pandemic had an effect on the dietary behaviors of the participants.

scholarly journals Reconciling Flagging Strategies for Multi-Sensor Satellite Soil Moisture Climate Data Records

2020 ◽  
Vol 12 (20) ◽  
pp. 3439
Author(s):  
Mendy van der Vliet ◽  
Robin van der Schalie ◽  
Nemesio Rodriguez-Fernandez ◽  
Andreas Colliander ◽  
Richard de Jeu ◽  
...  
Keyword(s):  
Soil Moisture ◽  
European Space Agency ◽  
Data Availability ◽  
Climate Data ◽  
Mountainous Regions ◽  
Soil Moisture Data ◽  
Climate Records ◽  
The Individual ◽  
The Impact

Reliable soil moisture retrievals from passive microwave satellite sensors are limited during certain conditions, e.g., snow coverage, radio-frequency interference, and dense vegetation. In these cases, the retrievals can be masked using flagging algorithms. Currently available single- and multi-sensor soil moisture products utilize different flagging approaches. However, a clear overview and comparison of these approaches and their impact on soil moisture data are still lacking. For long-term climate records such as the soil moisture products of the European Space Agency (ESA) Climate Change Initiative (CCI), the effect of any flagging inconsistency resulting from combining multiple sensor datasets is not yet understood. Therefore, the first objective of this study is to review the data flagging system that is used within multi-sensor ESA CCI soil moisture products as well as the flagging systems of two other soil moisture datasets from sensors that are also used for the ESA CCI soil moisture products: The level 3 Soil Moisture and Ocean Salinity (SMOS) and the Soil Moisture Active/Passive (SMAP). The SMOS and SMAP soil moisture flagging systems differ substantially in number and type of conditions considered, critical flags, and data source dependencies. The impact on the data availability of the different flagging systems were compared for the SMOS and SMAP soil moisture datasets. Major differences in data availability were observed globally, especially for northern high latitudes, mountainous regions, and equatorial latitudes (up to 37%, 33%, and 32% respectively) with large seasonal variability. These results highlight the importance of a consistent and well-performing approach that is applicable to all individual products used in long-term soil moisture data records. Consequently, the second objective of the present study is to design a consistent and model-independent flagging strategy to improve soil moisture climate records such as the ESA CCI products. As snow cover, ice, and frozen conditions were demonstrated to have the biggest impact on data availability, a uniform satellite driven flagging strategy was designed for these conditions and evaluated against two ground observation networks. The new flagging strategy demonstrated to be a robust flagging alternative when compared to the individual flagging strategies adopted by the SMOS and SMAP soil moisture datasets with a similar performance, but with the applicability to the entire ESA CCI time record without the use of modelled approximations.

scholarly journals Analysis of a Cooperation and Interventional Model in Humanitarian Medicine

2021 ◽  
Vol 9 ◽  
Author(s):  
Stefano M. Marianeschi ◽  
Nicola Uricchio ◽  
Gianandrea Bern Cerri ◽  
Simone Ghiselli ◽  
Cristina Carro ◽  
...  
Keyword(s):  
Developing Countries ◽  
Cardiac Surgery ◽  
Health Sector ◽  
Humanitarian Mission ◽  
Disability Adjusted Life ◽  
Life Years ◽  
Medical Teams ◽  
The Individual ◽  
The Cost ◽  
The Impact

Background: Every year, around 15 million children, in developing countries, die or develop life-long disabilities because of congenital cardiac diseases. In this report we measure the effect of a pediatric cardiac surgery humanitarian project on the health of the individual and on the potential influence this has on the countries economy and its growing health services.Methods: We collected and analyzed data from the Italian NGO, Mission Bambini's database, including all congenital cardiac missions undertaken in Cambodia between 2012 and 2019. DALY's (Disability Adjusted Life Years) saved by the humanitarian mission were estimated and used to reflect on the impact this had on the populations economy. Progression in the local medical teams skills emulated the advancements made in the health sector of the region.Results: Between 2012 and 2019, 128 patients underwent a congenital cardiac operation at Angkor Hospital for Children at Siem Reap, Cambodia. The median age was 6 years. The majority of the pathologies included VSD, TOF, ASD. The mean Aristotle's Complexity Score was 6. Post-operative mortality was 0.8% (1/128). The cost-effectiveness analysis identified 5.360 DALY's saved by surgery. The competency of the local team was progressive with them being able to handle more complex cases on subsequent missions.Conclusion: In developing Countries, performing congenital cardiac surgery cases can be carried out successfully with improvement in both the economy and the health system of the country by increasing the years and the quality of life of the working population and developing the expertise of the regional team.

scholarly journals Congenital abnormalities: experiences of parents atoshakati intermediate hospital, oshana region, Namibia

2017 ◽  
Vol 5 (2) ◽  
pp. 228
Author(s):  
Marian Sankombo ◽  
Linda Lukolo ◽  
Charles Lukanga Kanga Kimera
Keyword(s):  
Family Relationships ◽  
Congenital Abnormalities ◽  
Family Members ◽  
Health Sector ◽  
Phenomenological Approach ◽  
Formal Services ◽  
Parenting Expectations ◽  
The Individual ◽  
Contextual Study ◽  
The Impact

Background: Congenital abnormality (CA) is one among eminent problems in the society that affects the livelihood of the individual, communities and the health sector. It creates uncertainty among family members as they strive to identify ways and means to assist one another in the upbringing of these children born with an anomaly. The ultimate purpose of this study was to describe and explore the experiences of parents of children with congenital abnormalities and to identify the source of support such as parents employs when dealing with the child born with congenital abnormalities. This study was conducted at Intermediate Hospital Oshakati (IHO) in Namibia‘s Oshana region.Methods: A qualitative, explorative and a contextual study design using a phenomenological approach was utilized throughout this study. In-depth interviews were conducted with twelve “purposefully” selected participants from the population of parents of children born with congenital abnormalities whose children were either admitted in hospital or brought for follow-up. Data analysis was done using a content analytical method.Results: Data were derived from 12 participants interviewed, comprised of parents of children with reversible and irreversible conditions, long hospitalization, more frequent follow ups and those waiting for surgery. The results were categorized in seven categories, including: 1) A child with congenital abnormalities: the impact of disability; 2) Family relationships; 3) Parenting expectations and practices; 4) Altering one’s family daily life- treading a new path; 5) Social support; 6) Formal services; 7) Societal and community acceptance.Conclusion: The expectations parents had for a normal child becomes a nightmare when the child they were expecting is born with the disability. Living with such a child can be stressful for parents and other family members. Therefore, exploring and describing the lived experiences of parents of children born with congenital abnormalities is an important in the process of finding ways to assist or support parents to provide proper care for their children.

scholarly journals Primary care: A renewed strategy

2011 ◽  
pp. 379-387 ◽  
Author(s):  
Arnold Brommet ◽  
Jaime Lee ◽  
José A. Serna
Keyword(s):  
Health Sector ◽  
Universal Coverage ◽  
Regional Governance ◽  
Development Rate ◽  
Health Policies ◽  
Medical Attention ◽  
Health Determinants ◽  
Public Health Policies ◽  
Primary Health ◽  
The Individual

This review explores changes established by various groups worldwide about the concept and method of implementing the Strategy for Primary Health Care (PHC) originated in Alma Ata in 1978. It establishes four key pillars to introduce Health Systems as its axis with the APS, which are achieving universal coverage for all people, providing medical attention focused on the individual patient, promoting public health policies that benefit the entire community, and engaging in a concerted national and regional governance in all sectors that influence health determinants of individuals and their environment. The implementation of such in each health system depends on the context of each country and the growth and development rate of its health sector.

The intellectual capital and the learning organization

2018 ◽  
Vol 14 (2) ◽  
pp. 109-118
Author(s):  
Omar Muhammad Durrah ◽  
Kamaal Kamel Allil ◽  
Taher Alkhalaf
Keyword(s):  
Learning Organization ◽  
Intellectual Capital ◽  
Health Sector ◽  
Decisive Role ◽  
Two Dimensions ◽  
Decision Makers ◽  
Administrative Staff ◽  
Content Type ◽  
Structural Capital ◽  
The Impact

Purpose The purpose of this paper is to identify the simultaneous effect of the intellectual capital (IC) dimensions (human capital (HC), structural capital (SC), and relational capital (RC)) in enhancing the learning organization (LO) capability, specifically in the health sector. Design/methodology/approach A survey data were collected from administrative staff working in a well-known hospital in Paris. In all, 182 observations were used to test the hypotheses. The data were analyzed using multiple regression analysis. Findings The results illustrate that only one dimension of IC, namely HC has a positive and significant effect on the LO capability while the other two dimensions namely SC and RC were found to have no significant effect. Research limitations/implications The current study highlights the significance of the HC in building and enhancing the LO. Practical implications Hospitals’ decision makers should play a more decisive role in the process of attracting, maintaining, and training HR. It also confirms the importance of sustaining a sound work environment that motivates HR for continuous learning. Originality/value Few studies have examined the impact of IC on the LO capability in hospitals.

scholarly journals The impact of diagnosis on the psychosocial and spiritual needs of the patients

2019 ◽  
Vol 68 ◽  
pp. 02006
Author(s):  
Anna Kralova ◽  
Sona Hlinkova
Keyword(s):  
Two Dimensions ◽  
The Body ◽  
Spiritual Needs ◽  
Psychosocial Needs ◽  
Physical Problems ◽  
Significant Difference ◽  
Life Threatening ◽  
Statistical Program ◽  
The Individual ◽  
The Impact

Introduction: Holistic care focuses on the relationship between the body, mind, and spirit. Spiritual needs are among the basic needs of the individual. From the physical and spiritual dimension and the interaction of these two dimensions, the spiritual needs of the person are developed. Aim:The aim of our study was to analyze if the patient's knowledge regarding their diagnosis and possible proximity of death have significant impact on satisfaction of psychological and spiritual needs. Material and Methods:In our study we used standardized questionnaire The Spiritual Needs Assessment for Patient – SNAP constructed by Sharma Rashmi, applied for 113 respondents and processed by SPSS statistical program. Results:Reliability of questionnaire is given by Cronbach's Alpha 0.945 for the total SNAP. A statistically significant difference at the level p < 0.01 has been confirmed in all questions among respondents with fatal diagnosis and respondents with not life-threatening diagnosis. In domain of psychosocial needs, significant difference was not confirmed regarding to gender, age, education, income, religion and place of residency. In domain of spiritual needs, significant difference was partially confirmed regarding religion in 4 questions from 13. Conclusion:Faced with chronic or fatal diseases, many patients rely on dealing with spiritual and religious issues. In fact, spirituality/religiosity can be considered an important source of support and management of severe chronic diseases. It is possible to identify the four basic dimensions of spiritual need: interconnection, peace, meaning/purpose, and transcendence. Patients often have the problem addressing their needs for related psychosocial and physical problems such as physical disability, fatigue, sleep disorders, side effects of treatment, etc. Importance of satisfaction of psychosocial and spiritual needs is increased in time of threat, fatal diagnosis.

Interventions to Reduce the Impact of Chronic Disease: Community-Based Arthritis Patient Education

1997 ◽  
Vol 15 (1) ◽  
pp. 101-122 ◽  
Author(s):  
JEAN GOEPPINGER ◽  
KATE LORIG
Keyword(s):  
Chronic Disease ◽  
Patient Education ◽  
Chronic Diseases ◽  
Social Impact ◽  
Educational Interventions ◽  
Community Based ◽  
Medical Care System ◽  
Community Environments ◽  
The Individual ◽  
The Impact

Systematic development and testing of the efficacy of educational interventions to improve functioning, prevent disability, and reduce the impact of chronic disease has been limited, perhaps because many chronic diseases disable, do not kill, and because they are managed largely within home, work, and community environments and not within the medical care system. Until recently, these factors contributed to a paucity of arthritis educational interventions. But since the impetus provided by the establishment of the Multipurpose Arthritis Centers Program of the NIH (1977), a number of arthritis patient education programs have been established and evaluated. This chapter summarizes findings from community-based arthritis patient education studies conducted between 1980 and 1995, critiques the methods of these studies, and provides guidance for state-of-the-art community-based intervention research aimed at reducing the individual and social impact of arthritis and other chronic diseases.

scholarly journals Understanding uncertainty in the Impact Classification for Alien Taxa (ICAT) assessments

NeoBiota ◽  
2020 ◽  
Vol 62 ◽  
pp. 387-405 ◽  
Author(s):  
Anna F. Probert ◽  
Lara Volery ◽  
Sabrina Kumschick ◽  
Giovanni Vimercati ◽  
Sven Bacher
Keyword(s):  
Alien Species ◽  
Epistemic Uncertainty ◽  
Confidence Score ◽  
Data Availability ◽  
Assessment Process ◽  
Socio Economic Impact ◽  
The Individual ◽  
Interspecific Comparisons ◽  
Quantitative Scoring ◽  
The Impact

The Environmental Impact Classification for Alien Taxa (EICAT) and the Socio-Economic Impact Classification of Alien Taxa (SEICAT) have been proposed to provide unified methods for classifying alien species according to their magnitude of impacts. EICAT and SEICAT (herein “ICAT” when refered together) were designed to facilitate the comparison between taxa and invasion contexts by using a standardised, semi-quantitative scoring scheme. The ICAT scores are assigned after conducting a literature review to evaluate all impact observations against the protocols’ criteria. EICAT classifies impacts on the native biota of the recipient environments, whereas SEICAT classifies impacts on human activities. A key component of the process is to assign a level of confidence (high, medium or low) to account for uncertainty. Assessors assign confidence scores to each impact record depending on how confident they are that the assigned impact magnitude reflects the true situation. All possible sources of epistemic uncertainty are expected to be captured by one overall confidence score, neglecting linguistic uncertainties that assessors should be aware of. The current way of handling uncertainty is prone to subjectivity and therefore might lead to inconsistencies amongst assessors. This paper identifies the major sources of uncertainty for impacts classified under the ICAT frameworks, where they emerge in the assessment process and how they are likely to be contributing to biases and inconsistency in assessments. In addition, as the current procedures only capture uncertainty at the individual impact report, interspecific comparisons may be limited by various factors, including data availability. Therefore, ranking species, based on impact magnitude under the present systems, does not account for such uncertainty. We identify three types of biases occurring beyond the individual impact report level (and not captured by the confidence score): biases in the existing data, data collection and data assessment. These biases should be recognised when comparing alien species based on their impacts. Clarifying uncertainty concepts relevant to the ICAT frameworks will lead to more consistent impact assessments and more robust intra- and inter-specific comparisons of impact magnitudes.

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