scholarly journals Vaccination Decisions as a Perpetual Compulsory Democratic Programme for Society and Individuals

2020 ◽  
Vol 3 (8) ◽  
Author(s):  
Axel Iseke
Keyword(s):  
Infectious Diseases ◽  
Large Scale ◽  
Health Care Systems ◽  
High Standard ◽  
Standard Of Living ◽  
Vaccination Rates ◽  
Care Systems ◽  
Single Vaccination ◽  
The Individual ◽  
Large Groups

Infectious agents, which can spread rapidly within large groups of people, have always been a threat to human health. Hygieneand vaccination measures have played a crucial role in reducing diseases on a large scale. Globally, however, infectious diseases continue to affect the differences in life expectancy between the populations of different countries. In societies with a high standard of living and well-trained health care systems, the threat posed by infectious diseases has been comprehensively suppressed through successes in prevention. This can lead to individuals deciding against immunization because they do not perceive an individual threat from the disease. Global pandemics such as HIV and currently SARS-CoV-2, make it clear however, that many infectious diseases cannot be regulated without the presence of vaccines, or can only be regulated by accepting considerable consequences for society. A single vaccination protects the individual; high vaccination rates protect the population as a whole and particularly those at risk. Vaccination decisions must, therefore, be made on the basis of a public consensus-oriented discussion. Against this background, the vaccination idea should be a permanent part of educational canons.

scholarly journals Ways to improve the market of green agricultural products in Ukraine

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
O. Yevtushevska ◽  
L. Holovachenko ◽  
J. Rudnichenko
Keyword(s):  
Human Health ◽  
Large Scale ◽  
Positive Impact ◽  
High Standard ◽  
Scientific Work ◽  
Environmental Safety ◽  
Standard Of Living ◽  
Natural Reproduction ◽  
Acti Vity ◽  
Livestock Products

Human has been influencing the environment since ancient times, but never has this impact been asintense as in the last century. The use of natural resources is currently occurring at such a large scale and atsuch a rapid rate that the natural reproduction of the environments used is not ensured. As a result, the mu ltifaceted centuries-old human activity has left deep traces on the modern soil and vegetation, air and waterenvironment, wildlife. Today, more and more consumers in the world are aware of the benefits and preferproducts that have a positive impact on the environment and human health. The environmental safety ofagri-food products, whether it is finished products, crop products or livestock products, is a global issue, as itcovers not only human health but also the country's economy. The standard of living of citizens, social acti vity of the person depend on quality of production, and also there is an influence on demographic aspect ofhis existence. Therefore, to ensure a high standard of living, the state must pay more attention to the environmental safety of finished products. The scientific work investigates and highlights the features and currentstate of the market for clean products in Ukraine, determines the level of populations attitude to organicproducts, outlines ways to improve the market for organic products in Ukraine.

scholarly journals Preventing and managing antimicrobial resistance in the African region: A scoping review protocol

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254737
Author(s):  
Chinwe Juliana Iwu-Jaja ◽  
Anelisa Jaca ◽  
Ishmael Festus Jaja ◽  
Portia Jordan ◽  
Phelele Bhengu ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Infectious Diseases ◽  
Scoping Review ◽  
Health Care Systems ◽  
Grey Literature ◽  
Antibiotic Consumption ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
African Region ◽  
Care Systems

Introduction Antimicrobial resistance (AMR) constitutes a significant threat to global health and food security, typically associated with high morbidity and mortality rate. The high burden of infectious diseases coupled with the weak health systems in most countries of Africa magnifies the risk of increasing AMR and its consequences thereof. This scoping review will be aimed at mapping the evidence on interventions used to prevent and manage antimicrobial resistance in Africa, guided by the “One Health” concept. Methods We will consider interventions targeting multiple sectors such as health care systems, the agricultural and veterinary sectors. The outcomes to be considered include reduction of AMR decreased morbidity and mortality due to infectious diseases, increased awareness for rational use of antimicrobials and reduced antibiotic consumption. We will include all types of studies regardless of study designs conducted within the context of the WHO African region. Studies will be excluded if they are not conducted in Africa and if they are literature reviews, only describing the concept of AMR without mentioning interventions. We will include studies identified through a comprehensive search of peer-reviewed and grey literature databases. In addition, we will search the reference lists of included studies and relevant reviews. Finally, we plan to do a citation search for included studies. Findings of this review will be narratively synthesized.

Organizing a diabetes service

2011 ◽  
pp. 2005-2011
Author(s):  
Stephen C. L. Gough
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Cost Effective ◽  
Health Care Need ◽  
Delivery Of Care ◽  
Strategic Approach ◽  
Effective Manner ◽  
Care Systems ◽  
The Individual ◽  
The Uk

The increasing worldwide incidence and prevalence of diabetes is placing substantial pressures on health care systems and economies. As a consequence individuals involved in the care of people with diabetes are looking at services currently being provided and examining ways in which care can be organized in the most cost-effective manner. Whilst the degree to which diabetes care is delivered differs from country to country, similar fundamental questions are being asked by those involved in the delivery of care, including: What are we currently providing? What do we need to provide? What are we able to provide? Although the answers to these questions are quite different not just between countries but often within specific localities within a country, the ultimate aim is the same: to provide the best possible care to as many people with diabetes as possible. The global diversity of diabetes health care need is enormous and while the solutions will be equally diverse, the approach to the development of a diabetes service will, for many organizations, be similar. The main focus of this chapter is based upon the model or the strategic approach developed in the UK, but many of the individual component parts are present in most health care settings.

scholarly journals Data work: A condition for integrations in health care

2019 ◽  
Vol 25 (3) ◽  
pp. 526-535 ◽  
Author(s):  
Camilla Bjørnstad ◽  
Gunnar Ellingsen
Keyword(s):  
Health Care ◽  
Large Scale ◽  
Health Care Systems ◽  
Medication Management ◽  
Articulation Work ◽  
Efficient Treatment ◽  
Daily Work ◽  
Local Actors ◽  
Care Systems ◽  
Information And Communication

Integration and interoperability between different information and communication technology (ICT) systems are crucial for efficient treatment and care in hospitals. In this article, we are particularly interested in the daily local work conducted by health-care personnel to maintain integrations. A principal aim of our article is, therefore, to contribute to a sociotechnical understanding of the “data work” that is embedded in the integration of health-care systems. Theoretically, we draw on the concepts of “information infrastructures” and “articulation work,” and we discuss how social status may influence the invisible articulation work. Furthermore, we show how historical decisions and existing systems both nationally and regionally have impacts on the daily work of local actors. Empirically, we have studied the formative stages of a large-scale electronic medication management system project in the Northern Norway Regional Health Authority.

scholarly journals Újraélesztést követő koszorúér-angiográfia és katéteres intervenció

2019 ◽  
Vol 160 (46) ◽  
pp. 1826-1831
Author(s):  
László Rudas ◽  
Endre Zima
Keyword(s):  
Coronary Angiography ◽  
Large Scale ◽  
Health Care Systems ◽  
Coronary Intervention ◽  
Developed Countries ◽  
Public Access ◽  
Temperature Management ◽  
Prehospital Management ◽  
Care Systems ◽  
St Elevation

Abstract: Out-of-hospital cardiac arrest (OHCA) presents a great challenge for the health care systems even in the highly developed countries. For several decades, our greatest efforts have been directed toward the improvement of the prehospital management, including promotion of lay resuscitation and deployment of public access automated defibrillators. Recently, the importance of the hospital phase of the OHCA-management has been also emphasized. Attention has been paid to targeted temperature management and also to early coronary intervention. For those patients who present with ST-elevation on their post-resuscitation ECG, our approach is straightforward: urgent coronary angiography is indicated. The optimal management of those survivors of OHCA who present without ST-elevation is, however, still debated. Although up to 30% of these subjects also suffer from acute occlusive epicardial coronary disease, the clear benefit of urgent coronary angiography for the whole group is yet to be documented. Several large-scale randomized studies are under way to resolve this question. In our present review we detail the above controversies and outline the future directions. Orv Hetil. 2019; 160(46): 1826–1831.

scholarly journals Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

2018 ◽  
Vol 10 (12) ◽  
pp. 4439 ◽  
Author(s):  
Elio Borgonovi ◽  
Paola Adinolfi ◽  
Rocco Palumbo ◽  
Gabriella Piscopo
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Financial Economic ◽  
Point Of View ◽  
Health Care Environment ◽  
Health Gains ◽  
Care Systems ◽  
The One ◽  
The Individual

Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

How health care regionalisation in Italy is widening the North–South gap

2014 ◽  
Vol 9 (3) ◽  
pp. 231-249 ◽  
Author(s):  
Federico Toth
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
The South ◽  
Hospital System ◽  
The North ◽  
Level Of Satisfaction ◽  
Italian National Health Service ◽  
Care Systems ◽  
System 2 ◽  
The Individual

AbstractThe Italian National Health Service began experimenting with a significant regionalisation process during the 1990s. The purpose of this article is to assess the effects that this regionalisation process is having on the rift between the north and the south of the country. Has the gap between the health care systems of the northern and southern regions been increasing or decreasing during the 1999–2009 decade? Three indicators will be utilised to answer this question: (1) the level of satisfaction expressed by the citizens towards the regional hospital system; (2) the mobility of the patients among regions; (3) the health care deficit accumulated by the individual regions. On the basis of these three indicators, there is evidence to conclude that, during the decade under study, the gap between the North and the South, already significant, has increased further.

scholarly journals Radiological Diagnoses in the Context of Emigration: Infectious diseases

2017 ◽  
Vol 190 (02) ◽  
pp. 121-133 ◽  
Author(s):  
Marija Stojkovic ◽  
Jan Müller ◽  
Thomas Junghanss ◽  
Tim Weber
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Cystic Echinococcosis ◽  
Health Care Systems ◽  
Care Center ◽  
Medical Practitioners ◽  
Health Care Center ◽  
Care Systems ◽  
Care Problems ◽  
Visceral Leishmaniosis

Background Globalization and emigration impact on the spectrum of diseases challenging health care systems. Medical practitioners have to particularly prepare for infectious diseases. Methods The database of a health care center specialized on tropical medicine was screened for patients with history of migration and one of the following diagnoses: Cystic echinococcosis, tuberculosis, schistosomiasis, visceral leishmaniosis, and neurocysticercosis. Representative casuistics were prepared from select case histories. Radiological pertinent knowledge was compiled based on literature search. Results A small selection of frequently imported infectious diseases covers a considerable fraction of health care problems associated with migration. For cystic echinococcosis, schistosomiasis, and neurocysticercosis imaging is the most relevant diagnostic procedure defining also disease stages. Tuberculosis and visceral leishmaniosis are important differentials for malignant diseases. Conclusion Imaging plays a meaningful role in diagnosis, treatment stratification, and follow-up of imported infectious diseases. Radiological skills concerning these diseases are important for providing health care for patients in context of migration. Key Points  Citation Format

scholarly journals A minimalist technique for insertion of intrauterine devices

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Norman David Goldstuck
Keyword(s):  
Large Scale ◽  
Health Care Systems ◽  
Intrauterine Device ◽  
General Rule ◽  
Cost Effective ◽  
The United States ◽  
Efficacy Rate ◽  
Pelvic Infection ◽  
Care Systems ◽  
Long Acting

The world’s population is approaching 7 billion. As a general rule, the countries with the highest population have the least available healthcare resources, the most notable exception being the United States of America (USA). Most of these countries have an urgent need to reduce their populations. The intrauterine device (IUD) is used by the largest number of contraceptives world-wide and it has a proven record in reducing unwanted pregnancies. Its efficacy rate as a long-acting reversible contraceptive is matched only by subdermal implants which are not as cost effective. Although the rates of pelvic infection are elevated in many countries with low-resource health care systems, we now know that pelvic infection rates are independent of IUD usage. This is therefore no longer a contraindication for using IUDs on a large scale in family planning programs. The technique of IUD insertion as described in most textbooks and journals is unnecessarily complex and based on ritual rather than good clinical evidence. This is particularly interesting in that at a time where we prefer evidence based medicine there are still so many clinical practice sacred cows. This article advocates a simplification of the technique for inserting IUDs. The scientific rationale for simplifying the technique is presented, as well as evidence that it is as safe if not safer than the currently suggested methods, if used for the correct type of IUD acceptors.

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