scholarly journals A STUDY OF THE MEDICO-SOCIAL ASPECTS OF MORBIDITY AMONG ADULTS AND CHILDREN IN THE ARAB COUNTRIES OF THE MIDDLE EAST

2018 ◽  
Vol 24 (4) ◽  
pp. 172-175 ◽  
Author(s):  
Valеriy S. Polunin ◽  
Abdul Majid Ali Al-Sabunchi ◽  
V. V Korolik ◽  
G. N Buslayeva
Keyword(s):  
Health Status ◽  
Middle East ◽  
Digestive System ◽  
Arab Countries ◽  
Social Aspects ◽  
High Morbidity ◽  
Primary Health ◽  
Adults And Children ◽  
Primary Health Services ◽  
The Village

For morbidity is assessed the health of the population, which influence the socio-economic conditions and lifestyle factors, conditions and external factors Wednesday, biological conditions and factors, conditions and factors of the system and service health care. In Russia regularly examines the details of medico-demographic aspects of population health, but the necessary activities to enhance the health of the population of the countries of the Middle East hampered by various problems. Purpose - a study of the medico-social aspects of morbidity among adults and children in the Arab countries of the Middle East. Materials and methods. The research of health status of the population and the influence of socio-hygienic factors in Yemen, Iraq and Syria during the period of 2005-2010, studied modern informational materials on this issue. Results-the health status of the population of Yemen, Iraq and Syria is under the constant influence of the complex socio-hygienic factors mostly negative for the high morbidity of population, the low availability of medical assistance and health literacy, poor living conditions, material income. The first 5 places in the structure of morbidity of the population occupy: andnfekcionnye and parasitic diseases (28.3%), diseases of bodies of digestion (26.1%), respiratory (13.7%), circulatory (12.3%), injuries ( 3.6%), accounting for 83.5% of pathology. Total morbidity adult and children population of the countries surveyed the first three places are occupied by respiratory diseases, infectious diseases and diseases of the digestive system. Almost half of the urban population have daccess to primary health services in the countries studied, the inhabitants of the village-only every fourth. This process in the period from 2011 to 2017 years worsened in connection with military actions. Correction of the prevailing situation is possible only with the establishment of peace and the use of preventive recommendations.

Primary Health Services Utilization and Inequality

2011 ◽  
Vol 1 (4) ◽  
pp. 1-13
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Status ◽  
Health Services ◽  
Health Services Utilization ◽  
Low Cost ◽  
Safety Net ◽  
Service Needs ◽  
Services Utilization ◽  
Primary Health ◽  
Primary Health Services ◽  
Universal Health

Hong Kong’s health services have shown signs of development in recent decades. The provision of public low-cost universal health services acts as a safety net, but its quality and quantity is sometimes questionable. Citizens’ health service needs often must be met by the supplementary private health services, especially the primary health services. Nevertheless, criticisms have been expressed regarding access to, and utilization of, these health services. This paper examines the utilization, in terms of accessibility, affordability, and primary health services for Hong Kong residents. Based on a survey data collected in 2009, findings revealed that the respondents were, on the whole, satisfied with the primary health services and that this attitude is positively correlated with their satisfaction in their own health status. Nevertheless, the findings also show that health services utilization varies according to social class which deserves attention.

scholarly journals An outbreak of krait bite amongst people in the desert sands: the cryptic enemy within

2021 ◽  
Vol 8 (3) ◽  
pp. 1476
Author(s):  
Vivek Gupta ◽  
M. S. Mustafa
Keyword(s):  
Snake Venom ◽  
Historical Data ◽  
Health Centre ◽  
Ventilatory Support ◽  
First Aid ◽  
Snake Bite ◽  
High Morbidity ◽  
The Third ◽  
Primary Health ◽  
The Village

Background: Snake bite has been associated with high morbidity and mortality. Personnel are at high risk of snake bite. This investigation was carried out amongst residents with the purpose of identifying the factors that led to the bites and recommending preventive measures.Methods: Three cases bitten by a single snake were investigated retrospectively. Historical data was collected and area reconnaissance was done. The severity of envenomation was assessed using a graded scale. Local authorities were briefed on remedial measures to prevent snake bite cases in future.Results: The three cases of snake bite were rushed to the Primary health centre for first aid. Local signs of envenomation were absent in all cases. Two cases died before reaching the hospital. The third case managed to reach the hospital and was administered anti snake venom and put on ventilatory support, following which he recovered. Absence of local signs, along with the neurotoxic features led to the conclusion that the bite was caused by a krait. Environmental survey revealed that the village was surrounded with thick vegetation, waste disposal was being done too close to the cookhouse and snake trenches were not dug up.Conclusions: The key for preventing fatality in snake bite is the immediate transfer of the victim to the nearest hospital equipped with anti-snake venom and ventilatory support equipment.

Primary Health Services Utilization and Inequality

2013 ◽  
pp. 165-175
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Status ◽  
Health Services ◽  
Health Services Utilization ◽  
Low Cost ◽  
Safety Net ◽  
Service Needs ◽  
Services Utilization ◽  
Primary Health ◽  
Primary Health Services ◽  
Universal Health

Hong Kong’s health services have shown signs of development in recent decades. The provision of public low-cost universal health services acts as a safety net, but its quality and quantity is sometimes questionable. Citizens’ health service needs often must be met by the supplementary private health services, especially the primary health services. Nevertheless, criticisms have been expressed regarding access to, and utilization of, these health services. This paper examines the utilization, in terms of accessibility, affordability, and primary health services for Hong Kong residents. Based on a survey data collected in 2009, findings revealed that the respondents were, on the whole, satisfied with the primary health services and that this attitude is positively correlated with their satisfaction in their own health status. Nevertheless, the findings also show that health services utilization varies according to social class which deserves attention.

KETERTINDASAN MELAYU DALAM CERPEN “SUKU POMPONG” KARYA FEDLI AZIS DAN CERPEN “RUMAH DI UJUNG KAMPUNG” KARYA HANG KAFRAWI

2017 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Marlina Marlina
Keyword(s):  
Short Stories ◽  
Large Scale ◽  
Social Aspects ◽  
Land Conversion ◽  
The Public ◽  
Historical Reality ◽  
Sociological Approach ◽  
The Social ◽  
Imaginative Literature ◽  
The Village

Reading short stories “Suku Pompong” (Pompong Tribe) and “Rumah di Ujung Kampung” (House at the End of the Village) is like reading a historical reality that is happening on the ground of Riau Malay. The exploitation of forest resources on a large scale in recent decades in Riau Province has changed the land use of the area of intact forest into plantation area. The exploitation process causes friction in the community. The friction is eventually lead to conflict between communities and plantation companies. Their struggle to resolve conflicts and maintain their ancestral land, the strength of the company that has the license to the land and sadness when the public finally has always been on the losing side. This study objected to describe the objective reality of the Malay community in terms of land conversion, the communal land into plantations and reality of imaginative literature contained in the short stories “Suku Pompong” dan “Rumah di Ujung Kampung”. This study applied the sociology of literature approach, while the sociological approach to literature is a literary approach that specializes in reviewing literature by considering the social aspects. Based on these approaches, it can be concluded that short stories Suku Pompong and Rumah di Ujung Jalan are short stories that raised the reality of the Malay community.AbstrakMembaca cerpen “Suku Pompong” dan cerpen “Rumah di Ujung Kampung” seperti membaca sebuah realita sejarah yang terjadi di tanah Melayu Riau. Ekploitasi sumber daya hutan secara besar-besaran pada beberapa dekade terakhir di Provinsi Riau telah mengubah tata guna lahan dari kawasan hutan yang utuh menjadi kawasan perkebunan. Proses eksploitasi tersebut menimbulkan gesekan-gesekan dalam masyarakat. Gesekan-gesekan inilah yang akhirnya menimbulkan konflik antara masyarakat dengan pihak perusahaan perkebunan. Perjuangan masyarakat dalam menyelesaikan konflik dan mempertahankan tanah leluhur mereka, kekuatan pihak perusahaan yang memiliki surat izin atas tanah tersebut, dan kesedihan ketika masyarakat akhirnya selalu berada di pihak yang kalah. Penelitian ini bertujuan untuk mendeskripsikan realitas objektif masyarakat Melayu Riau dalam hal alih fungsi lahan, dari lahan tanah ulayat menjadi lahan perkebunan, dan realititas imajinatif sastra yang terdapat dalam cerpen “Suku Pompong” dan cerpen “Rumah di Ujung Kampung”. Penelitian ini menggunakan pendekatan sosiologi sastra, yaitu suatu pendekatan sastra yang mengkhususkan diri dalam menelaah karya sastra dengan mempertimbangkan segi-segi sosial kemasyarakatan. Dari pendekatan tersebut dapat diambil kesimpulan bahwa cerpen “Suku Pompong” dan cerpen “Rumah di Ujung Kampung” memang merupakan cerpen yang mengangkat realitas masyarakat Melayu Riau.

Clinical Presentation, Quality of Care, Risk Factors and Outcomes in Women with Acute ST-Elevation Myocardial Infarction (STEMI): An Observational Report from Six Middle Eastern Countries

2019 ◽  
Vol 17 (4) ◽  
pp. 388-395 ◽  
Author(s):  
Abdulla Shehab ◽  
Khalid F. AlHabib ◽  
Akshaya S. Bhagavathula ◽  
Ahmad Hersi ◽  
Hussam Alfaleh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Quality Of Care ◽  
Middle East ◽  
Clinical Presentation ◽  
Middle Eastern ◽  
High Morbidity ◽  
Inhospital Mortality ◽  
Acute Stemi

Background: Most of the available literature on ST-Elevated myocardial infarction (STEMI) in women was conducted in the developed world and data from Middle-East countries was limited. Aims: To examine the clinical presentation, patient management, quality of care, risk factors and inhospital outcomes of women with acute STEMI compared with men using data from a large STEMI registry from the Middle East. Methods: Data were derived from the third Gulf Registry of Acute Coronary Events (Gulf RACE-3Ps), a prospective, multinational study of adults with acute STEMI from 36 hospitals in 6 Middle-Eastern countries. The study included 2928 patients; 296 women (10.1%) and 2632 men (89.9%). Clinical presentations, management and in-hospital outcomes were compared between the 2 groups. Results: Women were 10 years older and more likely to have diabetes mellitus, hypertension, and hyperlipidemia compared with men who were more likely to be smokers (all p<0.001). Women had longer median symptom-onset to emergency department (ED) arrival times (230 vs. 170 min, p<0.001) and ED to diagnostic ECG (8 vs. 6 min., p<0.001). When primary percutaneous coronary intervention (PPCI) was performed, women had longer door-to-balloon time (DBT) (86 vs. 73 min., p=0.009). When thrombolytic therapy was not administered, women were less likely to receive PPCI (69.7 vs. 76.7%, p=0.036). The mean duration of hospital stay was longer in women (6.03 ± 22.51 vs. 3.41 ± 19.45 days, p=0.032) and the crude in-hospital mortality rate was higher in women (10.4 vs. 5.2%, p<0.001). However, after adjustments, multivariate analysis revealed a statistically non-significant trend of higher inhospital mortality among women than men (6.4 vs. 4.6%), (p=0.145). Conclusion: Our study demonstrates that women in our region have almost double the mortality from STEMI compared with men. Although this can partially be explained by older age and higher risk profiles in women, however, correction of identified gaps in quality of care should be attempted to reduce the high morbidity and mortality of STEMI in our women.

scholarly journals Driving digital transformation of comprehensive primary health services at scale in India: an enterprise architecture framework

2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005242
Author(s):  
Sunita Nadhamuni ◽  
Oommen John ◽  
Mallari Kulkarni ◽  
Eshan Nanda ◽  
Sethuraman Venkatraman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Primary Healthcare ◽  
Enterprise Architecture ◽  
Digital Health ◽  
Security And Privacy ◽  
Primary Health ◽  
Architecture Framework ◽  
Primary Health Services ◽  
Enterprise Architecture Framework

In its commitment towards Sustainable Development Goals, India envisages comprehensive primary health services as a key pillar in achieving universal health coverage. Embedded in siloed vertical programmes, their lack of interoperability and standardisation limits sustainability and hence their benefits have not been realised yet. We propose an enterprise architecture framework that overcomes these challenges and outline a robust futuristic digital health infrastructure for delivery of efficient and effective comprehensive primary healthcare. Core principles of an enterprise platform architecture covering four platform levers to facilitate seamless service delivery, monitor programmatic performance and facilitate research in the context of primary healthcare are listed. A federated architecture supports the custom needs of states and health programmes through standardisation and decentralisation techniques. Interoperability design principles enable integration between disparate information technology systems to ensure continuum of care across referral pathways. A responsive data architecture meets high volume and quality requirements of data accessibility in compliance with regulatory requirements. Security and privacy by design underscore the importance of building trust through role-based access, strong user authentication mechanisms, robust data management practices and consent. The proposed framework will empower programme managers with a ready reference toolkit for designing, implementing and evaluating primary care platforms for large-scale deployment. In the context of health and wellness centres, building a responsive, resilient and reliable enterprise architecture would be a fundamental path towards strengthening health systems leveraging digital health interventions. An enterprise architecture for primary care is the foundational building block for an efficient national digital health ecosystem. As citizens take ownership of their health, futuristic digital infrastructure at the primary care level will determine the health-seeking behaviour and utilisation trajectory of the nation.

FLAGS AS A NEW ASSESSMENT OF MENTAL HEALTH STATUS

2003 ◽  
Vol 31 (6) ◽  
pp. 593-602
Author(s):  
Jawad A. Fatayer
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Clinical Experience ◽  
Mental Health Status ◽  
Arab Countries ◽  
Psychological Perspective ◽  
Social Psychological ◽  
Psychological Variables ◽  
New Instrument ◽  
Social Psychological Perspective

Mental health is examined from a social-psychological perspective based on years of clinical experience in the USAand some Arab countries. Three hundred and fifty-two participated to examine the validity and the reliability of this new instrument. Eleven social-psychological variables, integrated with five central emotions, make up the FLAGS assessment, which proved to have strength and dependability.

Middle East–Yemen Arab Republic–Asian Sub-Continent–East Africa–West Africa–Haiti–Colombia–Northern Ireland–Visits to political detainees

1973 ◽  
Vol 13 (142) ◽  
pp. 22-25
Keyword(s):  
Middle East ◽  
Northern Ireland ◽  
West Africa ◽  
East Africa ◽  
Prisoners Of War ◽  
Arab Countries ◽  
Yemen Arab Republic

ICRC delegates in Israel and the Arab countries have, in recent weeks, made several visits to prisoners of war. As usual, they talked with them without witnesses. In accordance with the established practice, reports are sent to the detaining authorities and to the prisoners' own governments.

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