scholarly journals Snake Bite as a Public Health Problem: Bangladesh Perspective

2016 ◽  
Vol 5 (1) ◽  
pp. 24-29
Author(s):  
ABM Saiful Alam ◽  
AKM Monwarul Islam ◽  
Humayra Jesmin
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Problem ◽  
Public Health Problem ◽  
Snake Bite ◽  
Health Care Personnel ◽  
Incidence Density ◽  
Delayed Presentation ◽  
Tropical Condition ◽  
Snake Bites

Snake bite is an important but often under-recognized public health problem in Bangladesh, with an incidence density one of the highest in the world, which may be 623.4/100,000 person years. The proportion of poisonous snake bites is 10 to 45%, with the reported mortality 0.5 to 22%. Among the 82 species of snakes, 28 are venomous; bites by green pit vipers, cobras and kraits are the most commonly identified ones. High population density, widespread agricultural activities, numerous venomous snake species and lack of functional snake bite control programs favour the high burden of snake bites. Poorer rural populations are the main victims, imposing considerable socioeconomic impact. Treatment of snake bite is largely dominated by traditional snake charmers (Ozha) or ‘Kaviraj’ offering unscientific practices and healers, causing undue delay and precluding standard medical management. Delayed presentation to the hospital, lack of availability of antivenom and modern management facility are the main causes of death. Antivenoms are entirely dependent on import, are expensive, and are not ‘customized’ to local needs. Auxiliary intensive care facilities are not widely available; health care personnel often lack necessary expertise. However, the trend is changing. Public awareness is growing, health care personnel are being trained, and a national guideline for snake bite management has been formulated. Further research, introduction of modern diagnostic facilities, local manufacture of antivenom, and above all, integrated approach on the part of Government, policy-makers and international community can change the outlook of snake bite as a neglected tropical condition in Bangladesh.Birdem Med J 2015; 5(1): 24-29

scholarly journals Health care waste management: a neglected and growing public health problem worldwide

2009 ◽  
Vol 14 (11) ◽  
pp. 1414-1417 ◽  
Author(s):  
Michael O. Harhay ◽  
Scott D. Halpern ◽  
Jason S. Harhay ◽  
Piero L. Olliaro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Waste Management ◽  
Health Problem ◽  
Public Health Problem ◽  
Health Care Waste

scholarly journals O enfermeiro na assistência à mulher com câncer de colo uterino

2015 ◽  
pp. 19
Author(s):  
Carla Monteiro Santos ◽  
Doralice De Almeida Nascimento Silva ◽  
Gleise Gonçalves Passos da Silva ◽  
Tatiana Santana de Oliveira ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Public Health ◽  
Health Care ◽  
Cervical Cancer ◽  
Health Problem ◽  
Public Health Problem ◽  
Morbidity And Mortality ◽  
Major Public Health Problem ◽  
Care Practices ◽  
Multiple Health

O Câncer de Colo Uterino apresenta nos dias atuais um grande problema de saúde pública no Brasil, necessitando cada vez mais de profissionais capacitados para o combate a essa doença maligna, minimizando sua morbimortalidade. Neste âmbito podemos destacar o Papel do enfermeiro como fundamental na transformação dessa realidade que vivemos hoje. O enfermeiro atua tanto no sentido de assistir, coordenar as práticas de cuidado, quanto no sentido de educar, promover, proteger, reabilitar essas mulheres, de forma autônoma, criativa e ativa nos múltiplos níveis de atenção à saúde, através do levantamento de hipóteses analíticas e intervenções sistematizadas de rotinas de cuidados, subsidiando falhas e promovendo continuidade e resolutividade do cuidado em saúde.Descritores: Câncer de Colo Uterino, Mulher, Enfermagem. Nurses in care woman with cervical cancerAbstract: The Cancer Cervical presents nowadays a major public health problem in Brazil, requiring more and more trained professionals to combat this evil disease, minimizing morbidity and mortality. In this context we can highlight the nurse's role as fundamental in transforming this reality we live in today. The nurse acts both to assist coordinate care practices, as to educate, promote, protect, rehabilitate these women in an autonomous, creative and active in multiple health care levels, through the lifting of analytical assumptions systematized and interventions care routines, subsidizing failure and promoting continuity and resolution of health care. Descriptors: Cervical Cancer, Women, Nursing. Enfermero en la atención la mujer con cáncer de cuello uterinoResumen: Los regalos del cáncer de cuello uterino hoy en día un importante problema de salud pública en Brasil, lo que requiere cada vez más capacitados profesionales para combatir esta enfermedad mal, lo que minimiza la morbilidad y la mortalidad. En este contexto cabe destacar el papel de la enfermera tan fundamental en la transformación de esta realidad que vivimos hoy. La enfermera actúa tanto para ayudar, coordinar las prácticas de atención, como para educar, promover, proteger, rehabilitar a estas mujeres en un autónomas, creativas y activas en múltiples niveles de atención de salud, a través de la elevación de supuestos analíticos rutinas sistematizados y las intervenciones de atención, subsidiando el fracaso y la promoción de la continuidad y de la resolución de la atención sanitaria. Descriptores: Cáncer de Cuello Uterino, Mujer, Enfermería.

scholarly journals PERAN SARANA PELAYANAN KESEHATAN TERHADAP KEJADIAN MALARIA DI KECAMATAN SILIAN RAYA KABUPATEN MINAHASA TENGGARA

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Meilany Tangkilisan ◽  
Angle Sorisi ◽  
Josef S. B. Tuda
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Problem ◽  
Health Workers ◽  
Public Health Problem ◽  
Malaria Prevention ◽  
Health Care Facilities ◽  
Survey Study ◽  
Care Facilities ◽  
Descriptive Survey

Abstract: The problem of public health, especially in developing coutries such as Indonesia, is based on the physical aspects such as health facilities, the treatment of disease, and non physical aspects related to the health problem. Malaria is still a public health problem because it often creates exrtraordinary events, which has great impact on quality on life and economy, and may result death. The main keys of reducing the incidence of malaria especially in high endemic areas are prevention and treatment. This study aimed to determine the role of health care facilities on the incidence of malaria in Silian Raya sub-district of Southheast Minahasa district. This was a descriptive survey study. The population was the community in Silian Raya sub-district of Southeast Minahasa district with total samples 194 respondents. The results showed that the counseling done by health workers was at the most 2 times (39.2%). Spraying insecticide by health workers was 1 time (41.8%). People that used the available health care facilities in Silian Raya sub-district, the health center, were 51.0%.Keywords: malaria, prevention, treatmentAbstrak: Masalah kesehatan masyarakat terutama di negara-negara berkembang seperti Indonesia didasarkan pada, aspek fisik seperti sarana kesehatan dan pengobatan penyakit, dan aspek non fisik yang menyangkut masalah kesehatan.Malaria masih merupakan masalah kesehatan masyarakat karena sering menimbulkan Kejadian Luar Biasa (KLB), berdampak luas terhadap kualitas hidup dan ekonomi, serta dapat mengakibatkan kematian. Dalam upaya mengurangi angka kejadian malaria terutama di daerah endemis tinggi, upaya pencegahan dan pengobatan merupakan kunci utama. Tujuan penelitian ini untuk mengetahui peran sarana pelayanan kesehatan terhadap kejadian malaria di Kecamatan Silian Raya Kabupaten Minahasa Tenggara. Jenis penelitian ini adalah survey yang bersifat deskriptif. Populasi penelitian adalah masyarakat di Kecamatan Silian Raya Kabupaten Minahasa Tenggara dengan jumlah sampel 194 responden. Hasil penelitian menunjukkan penyuluhan yang dilakukan oleh tenaga kesehatan tertinggi 2 kali (39,2%). Penyemprotan insektisida oleh tenaga kesehatan tertinggi 1 kali (41,8%) dan masyarakat yang langsung memanfaatkan sarana pelayanan kesehatan yang tersedia di Kecamatan Silian Raya yaitu Puskesmas (51,0%).Kata kunci: malaria, pencegahan, pengobatan

scholarly journals Barriers in adult vitamin D service provision by health care workers: a qualitative study in three ecologies of Ethiopia

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Wubegzier Mekonnen ◽  
Yeweyenhareg Feleke ◽  
Wubetsh Asnake ◽  
Yakob Desalegn ◽  
Jemal Haidar ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Vitamin D ◽  
Qualitative Study ◽  
Vitamin D Deficiency ◽  
Health Care Workers ◽  
Education System ◽  
Health Problem ◽  
Public Health Problem ◽  
Care Workers

Abstract Background Adult vitamin D deficiency, which is a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on important minerals their counseling on the uses of vitamin D and its possible sources was not witnessed since their knowledge and practice is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D. Methods An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Themes were developed using thematic analysis which is presented using themes and sub-themes. Result The main barriers are related to health systems, HCWs’ understandings, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, lack of capacity building scheme and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the absence of studies,the focus of the medical curriculum on child vitamin D and the inadequacy of laboratory investigation are barriers related to the education system and research. Conclusion Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

scholarly journals Improving Global Kidney Health: International Society of Nephrology Initiatives and the Global Kidney Health Atlas

2018 ◽  
Vol 72 (Suppl. 2) ◽  
pp. 28-32 ◽  
Author(s):  
Adeera Levin
Keyword(s):  
Public Health ◽  
Health Care ◽  
Kidney Disease ◽  
International Society ◽  
Health Problem ◽  
Public Health Problem ◽  
International Community ◽  
Medical Society ◽  
Major Public Health Problem ◽  
Kidney Health

Background: Chronic Kidney Disease (CKD) is a major public health problem and is increasingly being recognized as an important driver of costs in all health care systems. The diversity of outcomes for people living with CKD is in part due to variability in biology, access to care, environmental factors, and health care system differences. The International Society of Nephrology (ISN), working in collaboration with its partners, has evolved into a philanthropic organization, from a traditional medical society, committed to a vision that sees “a future where all people have access to sustainable kidney health”. A set of activities, including a Global Kidney Health Summit, the Global Kidney Health Atlas, and a Global Kidney Health Policy Forum, which has formed the basis of a multi-stakeholder engagement process, building on a solid base of ISN programs and educational activities, is described. Through building awareness and increasing capacity to conduct research, the international community will build a more solid foundation on which to advocate for sustainable, ethical solutions to the problem of kidney disease throughout the world. Summary: The ISN aims to improve kidney health worldwide through a variety of diverse activities addressing education, advocacy, and research. Collaboration with partners within and outside the medical community is key in achieving this goal. Key Messages: Kidney disease is an important public health problem and is driven by genetic, environmental, and socioeconomic factors. Through active collaboration with diverse partners, the international community is striving for sustainable kidney health and aims to achieve this through coordinated work in a variety of spheres.

scholarly journals Elimination of lymphatic filariasis as a public health problem from the Arab Republic of Egypt

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
R Ramzy
Keyword(s):  
Public Health ◽  
Health Care ◽  
Lymphatic Filariasis ◽  
Health Problem ◽  
Nile Delta ◽  
Drug Distribution ◽  
Public Health Problem ◽  
Director General ◽  
Mosquito Vector ◽  
Upper Egypt

Abstract Lymphatic filariasis (LF), caused by Wuchereria bancrofti infection, has probably occurred in Egypt since ancient times. In more recent years, LF was recognized as a major public health problem in the Nile delta since the early 1930s and Culex pipiens was identified as the major mosquito vector of transmission. Since then the Ministry of Health and Population (MoHP) took measures for control of the disease. During 1955-1965, a nationwide survey determined the size and extent of LF as a public health problem. The survey included all 20 governorates of the country, involved rural and urban areas. Over 0.5 million blood films were examined. The survey results indicated that LF was focally endemic in rural localities, concentrated in the eastern part of the Nile Delta mainly in Qalyubia, Sharqia, Dakahlia and Damietta governorates, and in Giza and Asyout in Upper Egypt. The LF prevalence was <1% in Behira, Cairo, Gharbia, Ismailia, Kafr El Sheikh, Menoufia, Port Said and Suez governorate. Six governorates In Upper Egypt were free of LF. In 1976, the National Filariasis Control Program was launched in Qalyubia governorate, and then gradually extended to cover 10 endemic governorates including: Asyout, Behira, Dakahlia, Damietta, Gharbia, Giza, Kafr El Sheikh, Menoufia, Qalyubia and Sharqia governorate. In 2000, Egypt was among the first countries to join the WHO global efforts and initiated a national LF elimination programme (NLFEP). The NLFEP programme adopted the WHO two objectives (1) elimination of LF as a public health problem based on annual mass drug distribution (MDA) of two drug regiments (DEC & albendazole) to the entire eligible population living in areas where the disease was endemic (≥1%); (2) alleviate the suffering caused by LF through increased morbidity management and disability prevention (MMDP) activities. Intervention for interruption of transmission included several programme components. These included mapping of eligible MDA implementation units (IUs; villages); training of drug distributers on drug distribution activities; social mobilization using a variety of formal and informal channels to reach people with clear messages; directly observed drug distribution; treatment of adverse reactions; and monitoring and evaluation of MDA rounds. In 2005, after five effective MDA rounds (MDA coverage rate ≥80%), MDA was stopped in 92.5% of IUs, and continued in other IUs. In 2013, the last MDA round was implemented. In the 2014-2015 scholastic year, 10 years after stopping MDA in 166 villages, and more than six months after the last MDA implemented in 29 IUs during 2013, transmission assessment survey (TAS) was carried out according to WHO guidelines. In 2017, the last TAS was implemented. All TAS data clearly indicated that LF has likely been eliminated from Egypt. MMDP: five health centers, part of the primary health care system, are actively working with lymphoedema and elephantiasis affected people by providing skin care, necessary health care aids and information booklets. Thus, after over a decade of continued efforts, Egypt has successfully eliminated LF as a public health problem. In December 2017 the Director General of WHO congratulated Egypt for this historical achievement.

scholarly journals O enfermeiro na assistência à mulher com câncer de colo uterino

2015 ◽  
Vol 5 (14) ◽  
pp. 19
Author(s):  
Carla Monteiro Santos ◽  
Doralice De Almeida Nascimento Silva ◽  
Gleise Gonçalves Passos da Silva ◽  
Tatiana Santana de Oliveira ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Public Health ◽  
Health Care ◽  
Cervical Cancer ◽  
Health Problem ◽  
Public Health Problem ◽  
Morbidity And Mortality ◽  
Major Public Health Problem ◽  
Care Practices ◽  
Multiple Health

O Câncer de Colo Uterino apresenta nos dias atuais um grande problema de saúde pública no Brasil, necessitando cada vez mais de profissionais capacitados para o combate a essa doença maligna, minimizando sua morbimortalidade. Neste âmbito podemos destacar o Papel do enfermeiro como fundamental na transformação dessa realidade que vivemos hoje. O enfermeiro atua tanto no sentido de assistir, coordenar as práticas de cuidado, quanto no sentido de educar, promover, proteger, reabilitar essas mulheres, de forma autônoma, criativa e ativa nos múltiplos níveis de atenção à saúde, através do levantamento de hipóteses analíticas e intervenções sistematizadas de rotinas de cuidados, subsidiando falhas e promovendo continuidade e resolutividade do cuidado em saúde.Descritores: Câncer de Colo Uterino, Mulher, Enfermagem. Nurses in care woman with cervical cancerAbstract: The Cancer Cervical presents nowadays a major public health problem in Brazil, requiring more and more trained professionals to combat this evil disease, minimizing morbidity and mortality. In this context we can highlight the nurse's role as fundamental in transforming this reality we live in today. The nurse acts both to assist coordinate care practices, as to educate, promote, protect, rehabilitate these women in an autonomous, creative and active in multiple health care levels, through the lifting of analytical assumptions systematized and interventions care routines, subsidizing failure and promoting continuity and resolution of health care. Descriptors: Cervical Cancer, Women, Nursing. Enfermero en la atención la mujer con cáncer de cuello uterinoResumen: Los regalos del cáncer de cuello uterino hoy en día un importante problema de salud pública en Brasil, lo que requiere cada vez más capacitados profesionales para combatir esta enfermedad mal, lo que minimiza la morbilidad y la mortalidad. En este contexto cabe destacar el papel de la enfermera tan fundamental en la transformación de esta realidad que vivimos hoy. La enfermera actúa tanto para ayudar, coordinar las prácticas de atención, como para educar, promover, proteger, rehabilitar a estas mujeres en un autónomas, creativas y activas en múltiples niveles de atención de salud, a través de la elevación de supuestos analíticos rutinas sistematizados y las intervenciones de atención, subsidiando el fracaso y la promoción de la continuidad y de la resolución de la atención sanitaria. Descriptores: Cáncer de Cuello Uterino, Mujer, Enfermería.

Reasons for Non-Compliance to Inhaled Medications among Adult Asthma Patients Attending Referral Chest Hospital in North India

2018 ◽  
Vol 3 (06) ◽  
Author(s):  
Mohd Yousoof Dar ◽  
Naveed Nazir Shah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Education ◽  
Health Problem ◽  
Public Health Problem ◽  
Asthma Patient ◽  
North India ◽  
Major Public Health Problem ◽  
Asthma Patients ◽  
Number Of Individuals

Introduction: Asthma is a major public health problem affecting a large number of individuals of all ages, characterized bychronic airway inflammation and inhaled medications are main stay of treatment but compliance to these medications is poor.Aim: This study was conducted to look for common reasons for non-compliance to inhaled medications (MDI and DPI) in asthmapatients attending out-patient department of a referral chest hospital. Material and methods: The study was conducted on 150diagnosed asthma patients on follow based on an open labeled questionnaire in a hospital from North India. Results: Overallcompliance of the patients to inhaled medications (MDI and DPI) was only 34.6% (52 /150 patients) and 65.4 % (98 out of 150) were found to be noncompliant. Among reason for non-compliance, belief that medications were not needed during symptom freeperiod was found in 43.8% (43/98), followed by feeling that they may become dependent/ develop addiction if used for long timein  32.6% (32/98) and social embarrassment in using inhalers found in  14.2%(14/98). All other reasons accounted for onlyaround 9% of non-compliance. Conclusion: The data indicates that despite strict instructions for adherence to medicationcompliance rate was poor, although majority of the patients believed that compliance was extremely important. This studysuggests that besides continued health education new health care initiatives are needed to be designed to improve the complianceof asthma patient for inhaled medications.

scholarly journals Сlinical case: social load is the predictor and preventer of somatization

2017 ◽  
Vol 2 (2) ◽  
pp. 020228
Author(s):  
Olexandr Romaniv ◽  
Katherine Pohoriliak
Keyword(s):  
Public Health ◽  
Professional Development ◽  
Health Care ◽  
Health Problem ◽  
Depressive Disorders ◽  
Clinical Care ◽  
Somatic Symptoms ◽  
Public Health Problem ◽  
Health Care Use ◽  
Psychosomatic Disorders

Somatization can lead to social dysfunction, problems at a workplace and increase the health care use. Thus, it is both clinical and public health problem. It is incredibly problem understand the psychosomatic disorders, especially in Ukraine. This article discusses the clinical care of a person who has sufficient level of social status and professional development, long suffering from anxiety-depressive disorders with somatic symptoms. The level of social load greatly influences to disorder severity, alternatively as the predictor and preventer of clinical features.

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