scholarly journals Surgical Triage of Breast Disorders During the COVID-19 Pandemic: An Indian Perspective

2020 ◽  
Vol 27 (6) ◽  
pp. 187-189
Author(s):  
Raghav Yelamanchi ◽  
Himanshu Agrawal ◽  
C K Durga
Keyword(s):  
Developing Countries ◽  
Treatment Options ◽  
Limited Resources ◽  
Triage System ◽  
Female Population ◽  
Common Cause ◽  
Healthcare Facilities ◽  
Simple Observation ◽  
Indian Perspective

Breast complaints are a very common cause of healthcare visits in the female population. They range in severity from benign to malignant, and treatment options vary from simple observation to mastectomy. As healthcare facilities are overburdened with coronavirus disease 2019 (COVID-19) patients, properly triaging patients diagnosed with breast disorders is necessary for the optimal use of limited resources in developing countries. We are proposing a concise triage system for timely intervention among patients with breast disorders during the havoc of the COVID-19 pandemic.

Critical Review of Data Analytics techniques used in the Expanded Program on Immunization (EPI)

2020 ◽  
Vol 16 ◽  
Author(s):  
Sadaf Qazi ◽  
Muhammad Usman
Keyword(s):  
Machine Learning ◽  
Developing Countries ◽  
Data Analytics ◽  
Public Health Intervention ◽  
Cold Chain ◽  
Data Repository ◽  
Quality Of Data ◽  
Mortality And Morbidity ◽  
Healthcare Facilities ◽  
Expanded Program On Immunization

Background: Immunization is a significant public health intervention to reduce child mortality and morbidity. However, its coverage, in spite of free accessibility, is still very low in developing countries. One of the primary reasons for this low coverage is the lack of analysis and proper utilization of immunization data at various healthcare facilities. Purpose: In this paper, the existing machine learning based data analytics techniques have been reviewed critically to highlight the gaps where this high potential data could be exploited in a meaningful manner. Results: It has been revealed from our review, that the existing approaches use data analytics techniques without considering the complete complexity of Expanded Program on Immunization which includes the maintenance of cold chain systems, proper distribution of vaccine and quality of data captured at various healthcare facilities. Moreover, in developing countries, there is no centralized data repository where all data related to immunization is being gathered to perform analytics at various levels of granularities. Conclusion: We believe that the existing non-centralized immunization data with the right set of machine learning and Artificial Intelligence based techniques will not only improve the vaccination coverage but will also help in predicting the future trends and patterns of its coverage at different geographical locations.

An overview of proximal suspensory ligament desmitis

UK-Vet Equine ◽  
2019 ◽  
Vol 3 (5) ◽  
pp. 175-181
Author(s):  
Jonathan Anderson
Keyword(s):  
Treatment Options ◽  
Poor Performance ◽  
Diagnostic Techniques ◽  
Common Cause ◽  
Suspensory Ligament ◽  
The Common ◽  
Hindlimb Lameness

Proximal suspensory disease is a common cause of both forelimb and hindlimb lameness and poor performance in the horse. The following article describes the common presentations, diagnostic techniques and treatment options for the condition in both the forelimbs and the hindlimbs.

scholarly journals Treatment Options for Vestibular Migraine

US Neurology ◽  
2016 ◽  
Vol 12 (01) ◽  
pp. 39 ◽  
Author(s):  
Steffen Naegel ◽  
◽  
Manjit Matharu ◽  
Mark Obermann ◽  
◽  
...  
Keyword(s):  
Prophylactic Treatment ◽  
International Headache Society ◽  
Controlled Trial ◽  
Treatment Options ◽  
Evidence Base ◽  
Vestibular Migraine ◽  
Controlled Trials ◽  
Common Cause ◽  
Randomized Controlled ◽  
Trial Testing

Although vestibular migraine is a common cause of vertigo, affecting approximately 1% of the Western world’s population, it remains widely under-recognized and is under-diagnosed. Diagnostic criteria for vestibular migraine were recently published in collaboration with the International Headache Society and the Bárány-Society. Trials investigating the treatment of vestibular migraine are sparse but some are now underway. This review focuses on the treatments options available for vestibular migraine, based on the existing evidence base where available. Regarding acute treatments, there are two randomized controlled trials that provide evidence for the use of triptans (zolmitriptan and rizatriptan) for the management of vestibular migraine attacks. For prophylactic treatment, the evidence base is largely non-existent, since the only multicenter randomized placebo-controlled trial testing metoprolol versus placebo is still underway. Consequently, the treatment recommendations for the prophylactic treatment of vestibular migraine are mainly based on expert opinion and the treatments guidelines for migraine with and without aura.

scholarly journals Consensus for Treatment of Metastatic Castration-Sensitive Prostate Cancer: Report From the First Global Prostate Cancer Consensus Conference for Developing Countries (PCCCDC)

2021 ◽  
pp. 550-558
Author(s):  
Fernando Cotait Maluf ◽  
Felipe Moraes Toledo Pereira ◽  
Pedro Luiz Serrano Uson ◽  
Diogo Assed Bastos ◽  
Diogo Augusto Rodrigues da Rosa ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Developing Countries ◽  
Androgen Deprivation Therapy ◽  
Best Practice ◽  
Specific Antigen ◽  
Limited Resource ◽  
Consensus Conference ◽  
Androgen Deprivation ◽  
Limited Resources ◽  
Resource Limited

PURPOSE International guideline recommendations may not always be extrapolated to developing countries where access to resources is limited. In metastatic castration-sensitive prostate cancer (mCSPC), there have been successful drug and imaging advancements that were addressed in the Prostate Cancer Consensus Conference for Developing Countries for best-practice and limited-resource scenarios. METHODS A total of 24 out of 300 questions addressed staging, treatment, and follow-up for patients with mCSPC both in best-practice settings and resource-limited settings. Responses were compiled and presented in percentage of clinicians supporting each response. Questions had 4-8 options for response. RESULTS Recommendations for staging in mCSPC were split but there was consensus that chest x-ray, abdominal and pelvic computed tomography, and bone scan should be used where resources are limited. In both de novo and relapsed low-volume mCSPC, orchiectomy alone in limited resources was favored and in relapsed high-volume disease, androgen deprivation therapy plus docetaxel in limited resources and androgen deprivation therapy plus abiraterone in high-resource settings were consensus. A 3-weekly regimen of docetaxel was consensus among voters. When using abiraterone, a regimen of 1,000 mg plus prednisone 5 mg/d is optimal, but in limited-resource settings, half the panel agreed that abiraterone 250 mg with fatty foods plus prednisone 5 mg/d is acceptable. The panel recommended against the use of osteoclast-targeted therapy to prevent osseous complications. There was consensus that monitoring of patients undergoing systemic treatment should only be conducted in case of prostate-specific antigen elevation or progression-suggestive symptoms. CONCLUSION The treatment recommendations for most topics addressed differed between the best-practice setting and resource-limited setting, accentuating the need for high-quality evidence that contemplates the effect of limited resources on the management of mCSPC.

scholarly journals Consensus on Treatment and Follow-Up for Biochemical Recurrence in Castration-Sensitive Prostate Cancer: A Report From the First Global Prostate Cancer Consensus Conference for Developing Countries

2021 ◽  
pp. 538-544
Author(s):  
Fernando S. M. Monteiro ◽  
Fabio A. Schutz ◽  
Igor A. P. Morbeck ◽  
Diogo A. Bastos ◽  
Fernando V. de Padua ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Developing Countries ◽  
Biochemical Recurrence ◽  
Specific Antigen ◽  
Consensus Conference ◽  
Limited Resources ◽  
Response Options ◽  
Recommended Treatment ◽  
Clinical Scenarios

PURPOSE To present a summary of the treatment and follow-up recommendations for the biochemical recurrence in castration-sensitive prostate cancer (PCa) acquired through a questionnaire administered to 99 PCa experts from developing countries during the Prostate Cancer Consensus Conference for Developing Countries. METHODS A total of 27 questions were identified as related to this topic from more than 300 questions. The clinician's responses were tallied and presented in a percentage format. Topics included the use of imaging for staging biochemical recurrence, treatment recommendations for three different clinical scenarios, the field of radiation recommended, and follow-up. Each question had 5-7 relevant response options, including “abstain” and/or “unqualified to answer,” and investigated not only recommendations but also if a limitation in resources would change the recommendation. RESULTS For most questions, a clear majority (> 50%) of clinicians agreed on a recommended treatment for imaging, treatment scenarios, and follow-up, although only a few topics reached a consensus > 75%. Limited resources did affect several areas of treatment, although in many cases, they reinforced more stringent criteria for treatment such as prostate-specific antigen values > 0.2 ng/mL and STAMPEDE inclusion criteria as a basis for recommending treatment. CONCLUSION A majority of clinicians working in developing countries with limited resources use similar cutoff points and selection criteria to manage patients treated for biochemically recurrent castration-sensitive PCa.

Cushing Syndrome

2019 ◽  
Author(s):  
Lynnette Nieman
Keyword(s):  
Chronic Exposure ◽  
Laboratory Tests ◽  
Adrenocorticotropic Hormone ◽  
Cushing Syndrome ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Screening Tests ◽  
Imaging Studies ◽  
Common Cause ◽  
Pituitary Adrenal Axis

Cushing syndrome is a condition with protean manifestations that are caused by chronic exposure to excess glucocorticoids. Treatment with supraphysiologic doses of glucocorticoids is the most common cause. Pathologic hypercortisolism may result from autonomous adrenal production or as a result of the action of excessive adrenocorticotropic hormone (ACTH) production by a tumor, which stimulates adrenal cortisol production. Primary adrenal forms include unilateral adenoma or carcinoma or, rarely, bilateral hyperplasia and/or nodules. This chapter covers the epidemiology, etiology, pathophysiology, and diagnosis of Cushing syndrome. Clinical manifestations, physical examination findings, and laboratory tests, including tests of the blood and other body fluids, imaging studies, and biopsy, are discussed. The differential diagnosis, treatment options, complications, and prognosis are described. Tables outline clinical features and causes of Cushing syndrome, abnormalities associated with primary adrenal causes of Cushing syndrome, diagnostic accuracy of screening tests, endogenous hypercortisolism without Cushing syndrome, and medical therapy for Cushing syndrome. Figures illustrate the causes of Cushing syndrome and a comparison of the hypothalamic-pituitary-adrenal axis in patients with ACTH-dependent Cushing syndrome and those with pseudo–Cushing syndrome. Algorithms show the evaluation of possible Cushing syndrome and evaluation of the causes of Cushing syndrome. Second-line treatments for Cushing syndrome when surgery fails or is not possible are also detailed. This chapter contains 5 figures, 7 tables, 50 references.

Telemedicine for Healthier Community Development in Pakistan

2021 ◽  
pp. 295-315
Author(s):  
Bushra Hamid ◽  
N. Z. Jhanjhi ◽  
Mamoona Humayun ◽  
Farkhanda Qamar ◽  
Vasaki Ponnusamy
Keyword(s):  
Developing Countries ◽  
Community Development ◽  
Information And Communication Technologies ◽  
Rural Areas ◽  
Health Research ◽  
Communication Technologies ◽  
The Other ◽  
Quality Healthcare ◽  
Healthcare Facilities ◽  
Information And Communication

Providing affordable and quality healthcare is the most burning demand for humanity. It is a fact that more or less half of the world's population resides in rural areas, and a majority of these people are left without the most basic amenities, such as healthcare and education. It is considered difficult to open and manage healthcare facilities in any community using traditional healthcare models for the states with limited resources particularly for developing countries. One of the most popular substitute tools is telemedicine to improve healthcare for underprivileged groups. In telemedicine, information and communication technologies (ICTs) are employed to ensure healthcare at a distance. On the other hand, one of the main problems in developing countries is the quality and cost of healthcare. In health research, telemedicine has become a new hope for eliminating bottlenecks. In this study, the authors have examined what challenges and issues developing countries are facing in implementation of telemedicine; particularly, they examine Pakistan as a case.

Pre-Design Ocean Outfall Studies

1986 ◽  
Vol 18 (11) ◽  
pp. 105-110
Author(s):  
Willard Bascom
Keyword(s):  
Developing Countries ◽  
Environmental Studies ◽  
Food Resources ◽  
Biological Data ◽  
Limited Resources ◽  
High Tech ◽  
Minimal Cost ◽  
Marine Food ◽  
Ocean Outfall

This paper is intended to provide guidance to persons in developing countries who are responsible for making ocean outfall studies but have limited resources. It consists mainly of practical suggestions based on the author's experience about what measurements are needed to obtain useful information and how to make them at minimal cost. Thoughtfulness in planning work that will produce useful answers is favored over pseudo-high-tech environmental studies. Some opinions are presented about the enhancement of marine food resources by outfalls and about collecting biological data as a defense against possible criticism. The special conditions that may exist in enclosed bays and estuaries are not specifically addressed in this paper.

Does Population Longevity Attract Foreign Direct Investments in Developing Countries?

2020 ◽  
pp. 097215092091536
Author(s):  
Ayona Bhattacharjee
Keyword(s):  
Developing Countries ◽  
Causal Effect ◽  
Disease Outbreaks ◽  
Good Health ◽  
Foreign Direct Investments ◽  
Middle Income ◽  
Female Population ◽  
Fdi Inflows ◽  
Middle Income Countries ◽  
Current Context

In a seminal paper, Alsan et al. (2006 , World Development, vol. 34, pp. 613–630) investigate the effect of population health on gross foreign direct investment (FDI) flows to the developing countries. The purpose of this article is to extend their work by exploring the causal effect of population longevity on attracting FDI flows to the middle-income countries over a longer and more recent period, while addressing endogeneity concerns through a novel instrumental variable (IV). The IV is constructed on the hypothesis of cross-country health convergence and generates plausibly exogenous variations in measures of longevity. Our IV estimates suggest that 1-year increase in a measure of longevity is likely to increase annual FDI inflows by at least 3 per cent in the sample of countries considered. Specifically, significant returns appear to emerge from increases in the longevity of the female population. In the current context of resurgence of FDI as a critical source of financial capital to the developing countries and the prevalence of frequent disease outbreaks, these results suggest that good health is not an end but a means to enable countries better integrate with the global markets.

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