scholarly journals Analysis of the Consumption of Drugs Prescribed for the Treatment of Asthma in Belgian Children

Author(s):  
Natacha Biset ◽  
Wies Kestens ◽  
Dominique Detemmerman ◽  
Murielle Lona ◽  
Güngör Karakaya ◽  
...  

(1) Asthma is one of the most common chronic diseases in the world among children. The main purpose of this study was to analyze the consumption of asthma medications in order to investigate asthma in children (2–18 years) and the association with health care consumption; (2) a retrospective study using anonymized administrative data for 2013–2018 from the third largest Belgian health insurer was conducted; (3) in 2018, 12.9% of children received at least one asthma medication and 4.4% received at least two packages with a minimum of 30 days between purchases. Preschool children (2–6 years) were three times more likely to take asthma medication than older children (7–18 years). ICS, in combination or not with LABA, were the most dispensed drugs among children. Children with asthma medications were almost twice as likely to receive antibiotics, more likely to end up in the emergency room, and twice as likely to be hospitalized; (4) most children took ICS, according to the GINA guidelines. High rates of nebulization in young children were observed, despite the recommendation to use an inhaler with a spacing chamber as much as possible. Finally, children who took asthma medications were more likely to end up in the ER or be hospitalized.

Author(s):  
Dina Seljogi ◽  
S Hashimoto ◽  
S J H Vijverberg ◽  
E Sariguney ◽  
S W J Terheggen-Lagro ◽  
...  

2017 ◽  
Vol 13 (36) ◽  
pp. 1
Author(s):  
Marta Tripane

China is the world's largest country by population, the third largest by territory and the second largest world’s economy by GDP. Therefore it is important to follow the successes and failures of China in the field of health, because they affect the health area and processes in the world. This article includes retrospective analysis of empirical data to analyze the main inputs and outputs of China's health policy in order to identify the main problems and highlight the major challenges. In the article is concluded that main problems are related with insufficient and unequal access to health care.


2003 ◽  
Vol 40 (139) ◽  
pp. 150-155
Author(s):  
Roger Strasser

As we move into the third millennium, it is clear that the World Health Organisation(WHO) goal of “Health for All” is yet to be achieved. Nowhere is this more evidentthan in developing countries like Nepal where the majority of people live in ruralareas, many of them caught in the poverty-ill health-low productivity downward spiral.In recent decades, most programs aimed at improving population health outcomeshave been designed and delivered with little or no involvement of medical practitionersother than specialists in specific diseases or population/public health.General practice is the medical discipline which involves the provision of continuing,comprehensive, community-based patient-centred prevention-oriented primary care.General practitioners are at the interface between: low technology/low cost and hightechnology/high cost care; medical and non-medical health and welfare services; andindividual care for illness, injury or disability and community/population healthapproaches to improving health status. This places general practice and generalpractitioners in a pivotal position to provide individuals and families with timely cost-effective care, and to provide leadership in the development and implementation ofhealth care systems which are responsive to community and societal needs.Since 1994, the WHO and WONCA, the World Organisation of Family Doctors, havebeen working together first through a landmark Invitational Conference and Reporton “Making Medical Practice and Education More Relevant to People’s Needs: TheContribution of the Family Doctor”, and more recently through a Memorandum ofAgreement and the Towards Unity for Health (TUFH) Project. TUFH promotes effortsworldwide to create unity in health service organisations particularly throughsustainable integration of medicine and public health, individual health and communityhealth related activities. Achievement of “Health for All” will require development ofbalanced, affordable and sustainable health care systems which build on the broadexpertise of general practitioners and general practice.


2018 ◽  
Vol 13 (2) ◽  
pp. 231-231
Author(s):  
Shunichi Koshimura ◽  

I am honored to receive the Third JDR Award, and I am very grateful to the editorial committee members and staff of the Journal of Disaster Research (JDR). I also wish to express my gratitude to all the authors who contributed to the papers in three special issues entitled “Disaster and Big Data,” which were published in 2016, 2017, and 2018. I really enjoyed the opportunities I had in guest editing the 36 excellent papers in the special issues. My approximately 30 publications in the JDR include the outcomes from the international joint research projects of SATREPS Indonesia, Peru, and Chile, so I would like to share the delight of receiving the JDR award with all the research members of the projects and thank them for their fruitful collaboration. The Journal of Disaster Research all across the wide and comprehensive scope of its outstanding research has provided topical and valuable insights as well as significant implications for disaster reduction and management. I do hope I have contributed to making the JDR an excellent publication of valuable disaster research findings from around the world.


2018 ◽  
Vol 51 (2) ◽  
pp. 1701579 ◽  
Author(s):  
Hannele Pruikkonen ◽  
Terhi Tapiainen ◽  
Merja Kallio ◽  
Teija Dunder ◽  
Tytti Pokka ◽  
...  

Magnesium sulfate has been shown to be an effective treatment in older children with asthma exacerbations, but it has not been investigated in acute severe virus-induced wheezing in young children.The study enrolled 61 children aged 6 months to 4 years. Inclusion criteria were severe wheezing, classified as a score of ≥6 points as assessed by the Respiratory Distress Assessment Instrument (RDAI) after initial treatment with salbutamol, and the symptoms of acute viral infection. The children were randomly allocated to receive either an infusion of magnesium sulfate (40 mg·kg−1) or 0.9% sodium chloride as a placebo infusion for 20 min. Primary outcome measure was mean change in RDAI scores from baseline to 6 h after the treatment.Change in the severity of wheezing from baseline to 6 h after the treatment, as measured by mean±sdRDAI scores, was 4.7±2.6 in the magnesium sulfate group and 4.2±4.2 in the placebo group (difference 0.5, 95% CI −1.3 to 2.3, p=0.594).Intravenous magnesium sulfate was ineffective in treating acute severe virus-induced wheezing in young children, in contrast to the previous efficacy demonstrated in older children.


2020 ◽  
Vol 7 (10) ◽  
pp. 1486
Author(s):  
Rugma Karunakaran ◽  
Rati Santhakumar ◽  
Johny Vincent

Background: The effects of obesity on asthma severity, diagnosis and control are increasingly recognized. Primary objective of our study was to find out the relationship between BMI and severity of asthma in children. Secondary objectives were to study associated co-morbid conditions viz., atopic eczema and allergic rhinitis in children with asthma and the relationship between family history of asthma, atopy and allergic rhinitis with severity of asthma.Methods: This cross-sectional study was done in the tertiary care centre in Thrissur, Kerala. Children of age 6 to 14 years diagnosed as asthma according to Global Initiative for Asthma (GINA) guidelines were included. One hundred children qualified for the study during the stipulated time period. Children with symptoms and signs of asthma, were classified to intermittent and persistent based on GINA guidelines. BMI was calculated in all. Preliminary details and details on the risk factors were collected.Results: Mean age of the study population is 8.8 years. The study group had male predominance (57%). 39% had mild intermittent, 33% had mild persistent, 22% had moderate persistent and 6% had severe persistent asthma. Intermittent, mild persistent and moderate persistent were grouped as non-severe. 50% children had normal BMI, 28% were overweight and 22% underweight. Family history of asthma and atopic dermatitis was 47% and 38% respectively. Maximum children belonged to low socioeconomic status.Conclusion: Did not find any statistically significant association between severity and duration of asthma with obesity or overweight in children with asthma (p>0.05). 


Diacovensia ◽  
2018 ◽  
Vol 26 (1) ◽  
pp. 133.-154.
Author(s):  
Stanislav Šota

The paper analyzes the understanding of the pastoral and catechetical dimension of the bishop’s ministry in the documents of Pope Francis. In four parts, the paper presents the content and characteristics of bishop’s pastoral and catechetical activities, the mode of its realization and concrete contribution. Speaking primarily of the Jesus-like dimension of bishop’s pastoral-catechetical activity, the paper analyzes, it “stops” on Jesus’ face as the image and the synonym of bishop’s necessary evangelizing zeal, fervor and transformation. Jesus’ transformed face is a call, a mission and a need for the evangelizing, pastoral and catechetical transformation. The Jesus-like face speaks about the necessity of bishops being imbued with the principles and values of Jesus, about the necessity of their testimony and concrete love rooted in pastoral and catechetical activity. The second part of the paper brings concrete tasks of bishop’s ministry in the pastoral and catechetical sense: the incorporation of the Gospel in the socio-cultural environment, creating new models of pastoral-catechetical activity, promoting missionary communion, reviewing traditions, overcoming the “rural syndrome” in the pastoral-catechetical activity, the need to realize the bishop’s ministry in the dimension of “Jesus the Citizen” and “going out” to the peripheries, especially with a better family pastoral. In the third part, the author analyzes the pastoral-catechetical postulates of the bishop’s ministry through the prism of stronger inculturation, active, rather than re-active pastoral-catechetical activity, the overcoming of atheistic and anti-ecclesial culture of modern man, the need to preserve the original ways of incorporating the Gospel in the society, and the need for a stronger pastoral and catechetical inculturational involvement of bishops in their own dioceses. The fourth part of the paper points to the social dimension of the pastoral-catechistical activity of bishops, by stressing the need for bishops’ initiative to overcome evil and poverty that are present in the world, to deprive and eliminate their consequences, to point out their structural causes, with concern for ensuring health care for every person, the dignity of work, fair pay, protection of the dignity of human life, to contribute to and spread social dialogue as an essential dimension of peace and common good in the world.


2017 ◽  
Vol 26 (4) ◽  
pp. 259-267
Author(s):  
Susan Benedict ◽  
Linda Shields ◽  
Colin Holmes ◽  
Julia Kurth

Eugenics underpinned the Nazi race theories which saw the murder of over 10 million people from “undesirable” groups, including Sinti (referred to in Nazi times as “Gypsies”), during the Holocaust. Eva Justin, from Dresden, completed a doctoral dissertation which examined a group of Sinti children of St Josef’s Home in Mulfingen, Germany. She aimed to prove the racial inferiority of these children; her work was done with no informed consent, and the children were sent to Auschwitz after her experiments. The study was supported by senior Nazis, supervised by Nazi “scientists” and examined by committed Nazis. We argue that her work was biased, poorly designed, and ultimately unethical, but was in keeping with methods of the emerging disciplines of anthropology and racial hygiene, in Germany and other countries, at the time. It is not possible to say that her work caused the children to meet their deaths (of the 39 children she included, only four survived); however, she did reinforce the Nazi racial theories. It is unfortunate that one of the first nurses in the world to receive a PhD did so through research attempting to prove that a group of children were “racially inferior” in support of National Socialism.


2006 ◽  
pp. 75-92 ◽  
Author(s):  
S. Moiseev

The number of classical banks in the world has reduced. In the majority of countries the number of banks does not exceed 200. The uniqueness of the Russian banking sector is that in this respect it takes the third place in the world after the USA and Germany. The paper reviews the conclusions of the economic theory about the optimum structure of the banking market. The empirical analysis shows that the number of banks in a country is influenced by the size of its territory, population number and GDP per capita. Our econometric estimate is that the equilibrium number of banks in Russia should be in a range of 180-220 units.


2006 ◽  
pp. 126-134
Author(s):  
L. Evstigneeva ◽  
R. Evstigneev

“The Third Way” concept is still widespread all over the world. Growing socio-economic uncertainty makes the authors revise the concept. In the course of discussion with other authors they introduce a synergetic vision of the problem. That means in the first place changing a linear approach to the economic research for a non-linear one.


Sign in / Sign up

Export Citation Format

Share Document