Readings in Medical Care

PEDIATRICS ◽  
1959 ◽  
Vol 23 (4) ◽  
pp. 752-752
Author(s):  
CHARLES D. MAY
Keyword(s):  
Public Health ◽  
Reference Material ◽  
Home Care ◽  
Medical Care ◽  
The Social ◽  
Wide Range ◽  
The Impact ◽  
Future Position

This is not a book that lends itself to review, but it should be known to those engaged in teaching diverse aspects of pediatrics. As the title implies, it is a collection of readings in medical care. The material covers a wide range of topics on the social and public health aspects of medicine and the hospital, office and home care of patients. It is a useful source of reference material to acquaint the student with his future position in the community and the impact of economic circumstances on medical care.

scholarly journals Natural Experiment on Trade and Investment Liberalization and Soft Drink Consumption

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Y Tcholakov
Keyword(s):  
Public Health ◽  
International Trade ◽  
Natural Experiment ◽  
Soft Drink ◽  
Trade Agreement ◽  
P Value ◽  
Soft Drink Consumption ◽  
Obesity And Diabetes ◽  
Wide Range ◽  
The Impact

Abstract Background Globalization is recognized to as a contributing factor to a health harming environment through a variety of mechanisms including through changes in food systems and food availability. Sugar-sweetened beverage (SSB) consumption is linked to obesity and diabetes and its regulation is a key priority for public health. The Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) is an international trade agreement between 11 countries. Methods This project uses of natural experiment methods to predict the impact of the entry into force of the CPTPP on SSB consumption. These methods allow quantitative inferences to be drawn in the situations where the exposure is not randomly assigned. Soft drink consumption data was collected from the Euromonitor database for 80 countries from all regions. This data was used to estimate the effect of agreements similar to the TPP. Results Eleven country trade agreement pairs were identified. In 5 cases out of the 11, the exposed country had a higher soft drink consumption at five years after the trade agreement. The effect of the trade agreement exposure for an average country in the sample in a trade agreement was found to be 1.10 (95% CI: 1.01-1.18; p-value: 0.03) after adjusting for GDP and the involvement of the US. In 7 of the 11 member-countries soft drink consumption is expected to increase yielding an average increase of 9.0% in those countries; the changes did not yield statistically significant differences in others. Conclusions This projected extended the use of synthetic methods to the projection of future effects of policy implementation. While it showed that there may be increasing trend of SSB consumption in certain scenarios, this could not be generalized to all cases. This illustrates the wide range of effects of international trade liberalization and highlights that national policy probably plays a strong modulating role on the impact that it has on local food environments. Key messages Globalization can lead to health harming environments and its impacts should further be studied by public health professionals and researchers. Many global policies have the potential to lead to significant health impacts but are negotiated without involving public health experts.

scholarly journals ANALYSIS OF ENDOCRINE RESPONSE TO PERCEIVED DIFFERENCE IN CROSS-CULTURAL INTERACTIONS

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Carole Woolford-Hunt ◽  
Marlene Murray ◽  
Tevni Guerra ◽  
Kristina Beenken-Johnson
Keyword(s):  
Cross Cultural ◽  
Human Relations ◽  
Endocrine Response ◽  
The Social ◽  
Wide Range ◽  
Education Psychology ◽  
The Impact ◽  
Practical Implications ◽  
Do So ◽  
Cultural Interactions

We live in a world where awareness of ethnic and cultural diversity is an ever increasing reality. Business and education turn to the social sciences to inform them about how to manage and optimize cross-cultural interactions. Although much research has been done on the impact of cross-cultural interactions on a wide range of variables, one less researched area is the endocrine response to cross-cultural interactions. In this study we set out to investigate the endocrine response to cross cultural interactions and the impact of these interactions on perceived differences. To do so we measured the pre and post levels of the stress hormone cortisol of individuals communicating in dyads for 15 minutes. Results showed a significant impact of ethnic interaction on perceived differences and cortisol levels. Practical implications of these findings could have application in the areas of education, psychology, business and human relations in general. Implications for further research are discussed.

Evidence-Based Global Public Health

2013 ◽  
Author(s):  
Vincanne Adams
Keyword(s):  
Public Health ◽  
Health Care ◽  
Global Health ◽  
Experimental Research ◽  
Evidence Based ◽  
Global Public Health ◽  
The Social ◽  
Research Populations ◽  
Based Medicine ◽  
The Impact

This chapter examines the impact of “evidence-based medicine” (EBM) on global public health. An epistemic transformation in the field of global health is underway, and it argues that the impact of EBM has been twofold: (1) the creation of an experimental metric as a means of providing health care; and (2) a shift in the priorities of caregiving practices in public health such that “people [no longer] come first.” The production of experimental research populations in and through EBM helps constitute larger fiscal transformations in how we do global health. Notably, EBM has created a platform for the buying and selling of truth and reliability, abstracting clinical caregiving from the social relationships on which they depend.

O’Cionnfaola v. the Wellcome Foundation and Daniel McCarthy

2018 ◽  
pp. 126-143
Author(s):  
Michael Dwyer
Keyword(s):  
Public Health ◽  
State Intervention ◽  
Active Immunization ◽  
Free State ◽  
Public Health Issue ◽  
Childhood Immunization ◽  
Immunization Programme ◽  
The Social ◽  
Vaccine Confidence ◽  
The Impact

Chapter six argues that by the end of 1936, the Irish Free State had come close to incepting an operational national anti-diphtheria immunization scheme. This is a noteworthy achievement, as state-backed anti-diphtheria schemes were not introduced as an intervention against this pressing public health issue in the rest of Europe until 1938 and were only pursued with any vigour when wartime conditions exacerbated the problem from 1940 onwards. If it had progressed unimpeded, the Free State intervention seemed destined to eliminate diphtheria, and to become the first established national childhood immunization programme in Europe. However, the death of Siobhán O’Cionnfaola in April 1937, and the subsequent controversy surrounding the Ring incident, asked serious questions of active immunization and ultimately undermined vaccine confidence among parents, practitioners, and politicians. This chapter will evaluate the impact of the Ring controversy and the social, political and medical implications left in the wake of the incident.

scholarly journals The Public Health Implications of Brexit: A Health Impact Assessment Approach

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Green
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Impact ◽  
Complex Nature ◽  
The Public ◽  
Wide Range ◽  
The Impact ◽  
The Eu ◽  
Public Bodies

Abstract On March 29th 2019, the United Kingdom (UK) was due to exit the EU in a process known informally as ’Brexit’. This exit and entry into a 2-year transition is a period of unprecedented political and social upheaval - with many unknowns and much uncertainty attached to the outcomes and future impact. In preparation for Brexit, Public Health Wales commissioned the Wales HIA Support Unit to carry out a health impact assessment of Brexit in Wales to support and inform its and other public bodies planning and future work. This paper examines the unique HIA carried out between July and December 2018 on the impact of the UK withdrawal from the EU in Wales. It discusses the robust, participatory process undertaken, the stakeholders involved and the benefits reaped from this. It highlights the evidence gathered and analysed including the collection methods, the complex nature of the work and disseminates the main findings from the HIA including the potential determinants of health and population groups identified. Finally, it describes the challenges faced, how these were overcome, and the huge benefits, impact and influence it has had to date across a wide range of UK and Welsh organisations and public bodies. This work demonstrates continued leadership in the field of impact assessment and spearheads the requirement for public bodies to carry out HIAs as part of the forthcoming statutory requirements of the Public Health (Wales) Act 2017 an can inform practice at a global level. Key messages HIA can inform and influence action in response to important strategic decisions. The Brexit HIA is a unique example which can inform international HIA practice.

Беларусь после Чернобыля: От замалчивания к игнорированию

2013 ◽  
Vol 40 (2) ◽  
pp. 239-259
Author(s):  
Aliaksandr Dalhouski
Keyword(s):  
Civil Rights ◽  
Chernobyl Accident ◽  
Legal Consciousness ◽  
Soviet Society ◽  
Full Information ◽  
The Social ◽  
Wide Range ◽  
Social Concerns ◽  
The Government ◽  
The Impact

Aliaksandr Dalhouski Belarus after the Chernobyl Disaster: From Silence to Neglect The accident at Chernobyl was an anthropogenic disaster. In the period of the suppression of the disaster’s consequences (1986-1988), the Chernobyl accident was not perceived by the majority of Belarusians as a nation-wide tragedy. At the same time, those living in the Belorussian SSR did not possess civil rights, which prevented them from demanding compensation as a result of inflicted harm, and also they were denied full information about the impact of the disaster on the environment and human health. Such phenomena were a consequence of the state’s suppression of the disaster’s consequences as well as the weak ecological and legal consciousness of the victims in the BSSR. In the period of growing democracy (1989-1991), civic engagement came to the fore and created the perception of the catastrophe a nationwide tragedy. The protest movement forced the government to enact Chernobyl legal legislation. Within the framework of this legislation, massive resettlement was undertaken and a wide range of privileges were granted. With the emergence of an independent and authoritarian regime in the new state of Belarus in the early 1990s, the risks of radiation were downplayed by the social concerns of post-Soviet society, in which the Belarusian regime of President Alexander Lukashenko lessened the importance of the Chernobyl catastrophe.

scholarly journals COVID-19, Governance, and Conflict: Emerging Impacts and Future Evidence Needs

2021 ◽  
Author(s):  
Siân Herbert ◽  
Heather Marquette
Keyword(s):  
Social Sciences ◽  
Public Health ◽  
High Income ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Social ◽  
Global Nature ◽  
Bodies Of Evidence ◽  
The Impact ◽  
Low And Middle Income

This paper reviews emerging evidence of the impact of COVID-19 on governance and conflict, using a “governance and conflict first” approach in contrast to other research and synthesis on COVID-19 in the social sciences that tends to be structured through a public health lens. It largely focuses on evidence on low- and middle-income countries but also includes a number of examples from high-income countries, reflecting the global nature of the crisis. It is organised around four cross-cutting themes that have enabled the identification of emerging bodies of evidence and/or analysis: Power and legitimacy; Effectiveness, capacity, and corruption; Violence, unrest, and conflict; and Resilience, vulnerability, and risk. The paper concludes with three over-arching insights that have emerged from the research: (1) the importance of leadership; (2) resilience and what “fixing the cracks” really means; and (3) why better ways are needed to add up all the “noise” when it comes to COVID-19 and evidence.

scholarly journals 4.K. Workshop: What is going on? New inequalities emerging from the COVID-19 syndemic

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Gender Inequalities ◽  
Cognitive Changes ◽  
Public Health Professionals ◽  
Measurement Framework ◽  
Wide Range ◽  
The Difference ◽  
The Right ◽  
The Impact

Abstract   COVID-19 pandemic interacts with the pandemic of chronic non-communicable diseases and is exacerbated in different social and societal contexts through existing health inequalities - resulting in a syndemic. The socio-economically weakest groups of the population have been most affected (Bambra, 2020, Horton, 2020). In 2020, most activities were focused on controlling the epidemic through a biomedical approach, and only in the second half of the year, with the onset of the second wave, did the understanding that we are dealing with a syndemic, emerge in public health, societal and lately political discourse at the national and EU levels. There is increasing indirect damage to public health due to the loss of jobs and income, the long-term closure of certain activities, difficult access to health systems for those with non-COVID-19 health problems, and general uncertainty about the present and future. Different dimensions of syndemic inequalities (e.g. mental health, cognitive decline, lifestyles, gender, intergenerational) are the main focus of the workshop, including inequalities that were traditionally perceived in public health, as well as new emerging inequalities. In Slovenia we are conducting a study on the impact of the syndemic on people's lives (SI-PANDA 2020/2021), to (1) better understand human behaviour in COVID-19 pandemic and (2) to identify and address the impact of the governmental decisions, pandemic measures and recommendations. The workshop will aim to: Showcase the value of timely measurement and surveying of the COVID-19 syndemic's influences on society; Increase participants' understanding and awareness of the opportunities and challenges associated with different types of inequalities linked to COVID-19; Increase awareness of public health professionals on the importance of overcoming the difference between the biomedical approach and psychosocial paradigms; The workshop will offer an opportunity to: Present some of the outputs of the PANDA research and outline the influences of COVID-19 on lifestyle, mental health and cognitive changes Inform participants about the benefits of the comprehensive national approach in measuring COVID-19 syndemic consequences, embedded in a broader internationally comparative WHO measurement framework; Explore traditional inequalities with new dimensions, such as gender inequalities, newly emerging economic vulnerabilities and transformational inequalities, such as intergenerational inequality. Identify possible syndemic outcome measures at the national and EU levels, while identifying gaps between employing biomedical versus psychosocial approach in controlling conditions. Key messages Present new evidence on a wide range of inequalities emerging from the COVID-19 syndemic and its approach to mitigate it. Showcase an example from Slovenia (within the WHO internationally harmonized approach) of timely measuring the right data to inform a biomedical response as well as psychosocial measures.

Health Indexes Sensitive to Medical Care Variation

1977 ◽  
Vol 7 (2) ◽  
pp. 293-309 ◽  
Author(s):  
Carlos J. M. Martini ◽  
G. J. Boris Allan ◽  
Jan Davison ◽  
E. Maurice Backett
Keyword(s):  
Medical Care ◽  
Outcome Measures ◽  
Sociodemographic Characteristics ◽  
Health Statistics ◽  
Community Based ◽  
Sociodemographic Differences ◽  
Traditional Health ◽  
The Social ◽  
Provision Of Care ◽  
The Impact

Data from the fifteen Hospital Regions of England and Wales were used to determine the utility of health outcome indexes, derived from existing health statistics, for monitoring the quality and effectiveness of health services. Outcome measures reflect not only the impact of the system of care but also the sociodemographic characteristics of the population. An attempt therefore was made to identify those outcome measures most sensitive to variations in medical care and least affected by sociodemographic differences. In general, most indexes examined in this paper appear to be more sensitive to variations in the sociodemographic characteristics of the population. However, those outcome measures related to provision of care in hospital appear to be relatively more sensitive to variation in medical care than those which are community based. This suggests that, at least for monitoring the effectiveness of medical care in the community, it may be necessary to move away from the more “traditional” health indexes toward measures that take into consideration the different patterns of care and the social and behavioral aspects of health.

Factors Contributing to the Occurrence of Leptospirosis, and the Impact on Public Health in Saint Lucia 2008-2019

2020 ◽  
Vol 8 (4) ◽  
pp. 69-78
Author(s):  
Edward L. Emmanuel
Keyword(s):  
Public Health ◽  
Secondary Data ◽  
Educational Programme ◽  
Easy Access ◽  
Bacterial Disease ◽  
Mortality And Morbidity ◽  
Wide Range ◽  
Saint Lucia ◽  
The Individual ◽  
The Impact

Leptospirosis is a bacterial disease that affects humans and animals. The causative agent is a spirochete of the genus Leptospira. In humans, it causes a wide range of symptoms, however, asymptomatic presentation is not uncommon. Without proper treatment, leptospirosis can lead to kidney damage, meningitis, liver failure, and respiratory distress. Death may occur in some patients. The aim of the study is to identify the factors contributing to the occurrence of leptospirosis, and the impact on public health in Saint Lucia 2008-2019. The study design is a mixed – method, comprising quantitative and qualitative data. A stratified sampling design using probability proportionate to size sampling at the settlement level was used. Secondary data on the incidence of leptospirosis were obtained from the Ministry of Health, and rainfall data were obtained from the Meteorology Office. Analysis of the data reveals several factors contributing to the occurrence of leptospirosis in Saint Lucia: poor garbage disposal; a large rodent population with easy access to garbage; and a lack of knowledge of leptospirosis. The impact on public health is manifested in the mortality and morbidity of individuals primarily men, and the health, social, and economic impact on the country. Reducing the impact of leptospirosis on the individual and country necessitates an island wide multi - sectoral control and prevention educational programme; an evaluation of the collection, storage, and disposal of household garbage; and the enforcement of legislation governing the proper collection, storage and disposal of garbage.

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