scholarly journals Metrology for intraocular pressure measurements

ACTA IMEKO ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. 353
Author(s):  
D. Prazak ◽  
R. Ziolkowski ◽  
D. Rosu ◽  
M. Schiebl ◽  
J. Rybar ◽  
...  

The World Health Organization reports glaucoma as the second leading cause of blindness and the leading cause of irreversible blindness. Intraocular hypertension is the most relevant and only treatable risk factor for the disease. Non-invasive intraocular-pressure (IOP) measurements, carried out using eye tonometers, are used to screen for the intraocular hypertension. A correct measurement of the IOP is essential in the prevention and the fight against glaucoma. The authors present their work towards ensuring on one side the accuracy of IOP measurements for contact and non-contact tonometers in the Central European region and obtaining a harmonization of the requirements for IOP metrology at national level.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Marchetti ◽  
M Simonelli ◽  
M G Dente ◽  
M Marceca ◽  
S Declich

Abstract Background The Universal Health Coverage (UHC) proposes that an ideal health system must be able to extend the health coverage to the whole population (universality), to guarantee all the necessary services (globality) and to do it without additional direct costs for the people (free of charge). The achievement of the UHC represents the target 3.8 of the Sustainable Developed Goals. The World Health Organization and the World Bank have developed an index to monitor the UHC (an algorithm that contains 16 indicators of essential health services), while for financial protection they rely on the incidence of catastrophic expenditure on health (percentage of families in which the living expenses for health without reimbursement exceed the10% of consumption). Objectives To strengthen the Italian operators' knowledge about the accessibility to health services in Italy and in countries around the world utilizing the UHC index and the incidence of catastrophic expenditure. Results The National Center for Global Health of the Italian National Institute of Health (ISS) collected the documents and the data already produced and validated by the international scientific community. ISS in collaboration with the Department of Public Health and Infectious Disease of Sapienza University of Rome developed a workshop training program to bring the UHC concepts at national level in a simplified manner. This was developed in order to encourage a reflection and to strengthen the understanding of the complexity of the UHC. The framework and the program of the workshop will be presented during the conference. Conclusions Studying the UHC means focusing on the inequalities in health care. To increase the sensibility of professionals may be a resource to promote the health coverage for all in the national territory. Key messages Encouraging the discussion between professionals is possible to understand the complexity of the UHC. The achievement of the UHC may happen only through the improving of the knowledge about it.


2019 ◽  
Author(s):  
NENI AWORABHI ◽  
Tamunowari Numbere ◽  
Mohammed Shakir Balogun ◽  
Aisha Usman ◽  
Rowland Utulu ◽  
...  

Abstract Measles is a vaccine preventable, highly transmissible viral infection that affects mostly children under five years. It has been ear marked for eradication and Nigeria adopted the measles elimination strategies of the World Health Organization (WHO) African region to reduce cases and deaths. This study was done to determine trends in measles cases in Bayelsa State, to describe cases in terms of person and place, identify gaps in the case-based surveillance data collection system and identify risk factors for measles infection. We carried out a secondary data analysis of measles case-based surveillance data for the period of January 2014 to December 2018 obtained in Microsoft Excel from the State Ministry of Health. Cases were defined according the World Health Organization (WHO) standard case definitions. We calculated frequencies, proportions, estimated odds ratios (OR), 95% confidence intervals (CI) and multivariate analysis. A total of 449 cases of measles were reported. There were 245(54.6%) males, the most affected age group was 1-4 years with 288(64.1%) cases. Of all cases, 289(9.35%) were confirmed and 70 (48.27%) had received at least one dose of measles vaccine. There was an all-year transmission with increased cases in the 4th quarter of the year. Yenegoa Local Government Area had the highest number of cases. Timeliness of specimen reaching the laboratory and the proportion of specimens received at the laboratory with results sent to the national level timely was below WHO recommended 80%. Predictors of measles infection were, age less than 5 years (AOR: 0.57, 95% CI: 0.36-0.91) and residing in an urban area (AOR: 1.55, 95% CI:1.02-2.34). Measles infection occurred all-year round, with children less than 5 years being more affected. Measles case-based surveillance system showed high levels of case investigation with poor data quality and poor but improving indicators. Being less than 5 years was protective of measles while living in urban areas increased risk for infection. We recommended to state government to prioritize immunization activities in the urban centers, start campaigns by 4th quarter and continue to support measles surveillance activities while the federal government to strengthen regional laboratory capacities. Measles, Surveillance, Vaccination, Nigeria, Trend, Predictors


Author(s):  
Mohammadreza Mobinizade ◽  
Zeinab Fakoorfard

Background: The health system is facing limited financial resources in all countries. Resource allocation is one of the tasks of the health system. Prioritizing interventions is one of the strategies that can help health policymakers in allocating financial resources. Rare diseases require more attention than other diseases due to their high cost and complex treatments. The countries use different policies to determine the effectiveness of interventions in the field of rare diseases. The purpose of this study is to refer to some policies in the field of allocating resources for rare diseases and to explain the importance of determining the threshold of cost-effectiveness for rare diseases in Iran. Methods: This research is a review study. First, a study was conducted on how to prioritize health interventions in the world and the thresholds of cost-effectiveness in different countries. Articles related to the research topic were then searched in accessible databases in Iran such as SID, Google Scholar and Medline. Finally, the obtained articles were screened and analyzed based on a thematic approach. Results: The World Health Organization (WHO) has set a threshold for determining the cost-effectiveness of health system interventions , that is determined and calculated based on the per capita GDP of each country. There are many differences between countries on policies related to the treatment of rare diseases, medicines, health care budgets and patient access. Conclusions: Due to the very high cost of treating rare diseases, it is impossible to use the threshold used for general disease interventions in rare diseases and it is necessary to use a higher threshold for rare diseases. In addition to cost-effectiveness, budget, justice, feasibility, and other criteria that are considered important at the national level should be considered.


2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Jinky Leilanie Lu ◽  
Portia Grace F. Marcelo

Introduction. eHealth is described by the World Health Organization (WHO) as the use of information and communication technologies (ICT) for health. The use of eHealth closes the gaps in terms of geographical barriers, time constraints, lack of healthcare professionals in healthcare and service delivery. This study is important as it provides the current landscape and status of eHealth in the Philippines. Hence, policymakers, program implementors as well as other stakeholders, including the public, will be able to know which eHealth and telemedicine services and products are available in various sectors of society, either private or government, what are the existing gaps in eHealth, and the trajectory in the future based on the guide of the World Health Organization - International Telecommunication Union (WHO-ITU). Objectives. The objectives of the study are 1) to provide a landscape of eHealth in the Philippines since its start in the country; 2) to identify programs, services, and technology innovations implemented in the country on eHealth and telemedicine; and 3) to identify Philippine systems that correspond to the eHealth components laid out by WHO-ITU for a successful implementation of eHealth at a national level. Methods. We conducted an extensive review of the literature and key informant interviews with eHealth experts in the Philippines. The literature review covered research and studies, gray literature, peer-reviewed journals, databases, and government statistics. The years covered in this study span a total of 24 years from 1997, which is the beginning of the information management system as an institutional approach in the country, to 2020. The assessment tool was based on the framework provided by the WHO-ITU on the context for eHealth development. Results. The National Telehealth Center (NTHC) of the Philippines began with projects for 1) eLearning, 2) eMedicine, 3) eRecords, 4) eHealth Policy and Advocacy, and 5) eSurveillance. Telemedicine services are now being offered by hospitals in the country. This shows eHealth services, in general, and telemedicine are being utilized in not only targeting the poor, but also in giving faster, more efficient, and equally effective virtual health services to the general public, even the private-pay patients. Conclusion. The sustainability of eHealth in the Philippines still depends on the national effort to institutionalize an eHealth structure and eHealth system where the various components are interrelated.


2002 ◽  
Vol 56 (3-4) ◽  
pp. 227-235 ◽  
Author(s):  
Ivan Pavlovic ◽  
Snezana Ivanovic

Toxoplasmosis is a parasitic anthropozoonosis caused by the protozoa Toxoplasma gondii whose real host is the cat and the transitory hosts are mammals, birds and reptiles. Human infections occur most often through meat of infected animals which is insufficiently processed thermally, so that the World Health Organization (WHO), on these grounds, adopted a Book of Regulations on meat control for the presence of T. gondii. During the period from 2000-2001, using digestive and modified digestive method (according to Pavlovic and Ivanovic), 235 broiler samples were examined, and T. gondii was established in 32.34 % samples (75/256). The results were confirmed with a biological examination. These data indicate the importance of poultry meat control in preventing toxoplasmatic infection in humans.


2021 ◽  
pp. 101053952110146
Author(s):  
Jia Ying Ooi ◽  
Luke Wolfenden ◽  
Rachel Sutherland ◽  
Nicole Nathan ◽  
Christopher Oldmeadow ◽  
...  

This review aimed to investigate national estimates of sugar-sweetened beverage (SSB) consumption in children and adolescents aged 2 to 18 years, from countries in regions particularly burdened by dietary-related chronic illnesses. The most recent studies or reports from included countries (n = 73) with national-level consumption data of SSBs in children and adolescents, collected between January 2010 and October 2019, were considered for inclusion. A random effects meta-analysis was used to calculate pooled estimates of the mean consumption of SSB in millimeters per day. Heterogeneity between national estimates was assessed using the I2 statistic and explored via subgroup analyses by the World Health Organization region, age groups, and country-level income. Forty-eight studies were included in the review reporting national estimates of consumption for 51 countries. The highest estimate of daily consumption was in China at 710.0 mL (95% confidence interval [CI] = 698.8-721.2), while the lowest was in Australia at 115.1 mL (95% CI = 111.2-119.1). Pooled synthesis of daily SSB consumption of the 51 countries was 326.0 mL (95% CI = 288.3-363.8), although heterogeneity was high, and was not explained by subgroup analyses. While there is considerable variability between countries, intake of SSB remains high among children and adolescents internationally underscoring the need for public health efforts to reduce SSBs consumption.


ORL ro ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 18-20
Author(s):  
Blebea Cristina Maria ◽  
Ujvary Laszlo Peter ◽  
Dindelegan Maximilian George ◽  
Violeta Necula ◽  
Alma Maniu

Longevity is expected to rise in the following years, therefore neurological problems become a global health concern. Dementia and hearing loss are highly prevalent pathologies in the older population, and a possible association be­t­ween them was studied in recent years. Dementia is still con­si­dered an incurable disease, but the evolution of the symp­toms is considered manageable by addressing the risk factors. In the latest studies, hearing loss has been con­sidered a modifiable risk factor for cognitive decline, along with obesity, smoking, hypertension, depression and physical inactivity. This paper presents the potentially pi­vo­tal role hearing loss might have in the evolution of cog­ni­tive decline and a summary of studied theories regarding the relationship between these pathologies. The recent guide­line of the World Health Organization regarding cognitive de­cline management involves otolaryngologists in the ef­fort of improving outcomes.


2003 ◽  
Vol 7 (15) ◽  
Author(s):  
P Barboza ◽  
I Quatresous

The situation of the international outbreak of Severe Acute Respiratory Syndrome (SARS) was summarized by the International Department at the Institut de veille sanitaire in France as of 1900 hours Central European time, 8 April 2003, as follows. Data were compiled from the following sources: Government of Hong Kong Special Administrative Region (SAR) Department of Health (http://www.info.gov.hk/dh/), Singapore Ministry of Health (http://app.moh.gov.sg/), Health Canada (http://www.hc-sc.gc.ca/), the World Health Organization (WHO, http://www.who.int), Center for Disease Control Taiwan, (http://www.cdc.gov.tw), Robert Koch-Institut, Germany (http://www.rki.de) , and other national public health institutes.


2019 ◽  
Vol 7 (13) ◽  
pp. 7-11
Author(s):  
Nadia Aguilar Castro ◽  
Eduardo Hernández Martínez

Today, tobacco is a serious public health problem considered a risk factor in chronic diseases and its complications. Tobacco habit is a risk factor completely modifiable, so it is important to quit this bad habit at all ages. Due to tobacco epidemic, the World Health Organization (WHO) established the Framework Convention on Tobacco Control (FCTC) and the Monitor, Protect, Offer, Warn, Enforce and Raise (MPOWER) Brochures and the importance of the use of social marketing as a tool of educational communication to transmit health information clearly, and promote healthy lifestyles, reinforce knowledge, attitudes or behaviors.


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