scholarly journals Etica sanitaria e gestione della salute mondiale

2005 ◽  
Vol 54 (4) ◽  
Author(s):  
Jean-Marie Le Méné
Keyword(s):  
Health Management ◽  
Supply And Demand ◽  
Developed Countries ◽  
World Health ◽  
Health Programs ◽  
Industrialized Countries ◽  
The World ◽  
Health Circles ◽  
Health Demand ◽  
Health Situation

La gestione dei sistemi sanitari appare regolata prevalentemente dal binomio domanda e offerta che sta alla base di tutte le teorie economiche. Gli elementi di tale binomio condizionano in maniera assai differente, però, i programmi sanitari del Nord e del Sud del mondo. Analizzando la situazione della sanità mondiale, l’Autore mette in evidenza come nel mondo sviluppato, infatti, la domanda sanitaria stia gradualmente cambiando e si stia orientando verso nuovi bisogni che, seppure non specificatamente medici, sono fatti rientrare nel mondo della salute, portando ad un sempre maggiore aumento delle spese. Se, quindi, nei paesi industrializzati è la domanda il vero motore delle politiche sanitarie, nei paesi in via di sviluppo, invece, è l’offerta a penalizzare la gestione della sanità. I vari programmi sanitari adottati in questi paesi negli ultimi cinquant’anni, volti ad assicurare l’accesso della popolazione ad un livello minimo di cure, sono infatti falliti perché basati su modelli di assistenza sanitaria elaborati solo idealmente, ma inappropriati e insufficienti nella realtà. L’Autore individua l’errore che sta alla base delle scelte operate dalle organizzazioni internazionali nell’inventare “modelli” ideologici ed imporli agli stati beneficiari, senza tenere sufficientemente in considerazione il bene della persona. ---------- Health systems’ management seems to be regulated prevalently by the supply and demand binomial which is the basis of all economics theories. The elements of this binomial condition very differently, however, the health programs of North and South of the world. Analysing the world health situation, the Author points out how health demand of developed countries is gradually changing and is tending toward new needs which, though not specifically medical, are included in health circles, bringing forth a greater and greater expenses increasing. So, if demand is the real driver behind the health policies in the industrialized countries, on the contrary, supply damages health management in developing countries. The different health programs adopted in these countries in the last fifty years, directed to assure population the access to a minimum care level, are indeed failed because based on health aid models just ideally worked out, but inadequate and insufficient in reality. The Author identifies the error in which the choices of the international organizations are based on, in inventing ideological “models” and imposing them on the beneficiary states, not holding in due consideration the good of the person.

scholarly journals Osteopathic correction in the treatment of pain in the lower back

2020 ◽  
pp. 140-146
Author(s):  
V. O. Belash ◽  
Yu. O. Novikov
Keyword(s):  
Back Pain ◽  
Developed Countries ◽  
Economic Problem ◽  
World Health ◽  
Randomized Controlled ◽  
Lower Back ◽  
The World ◽  
Working Age ◽  
Acute Back Pain ◽  
Health Organization

According to experts of the World Health Organization the lower back pain (LBP) prevalence in developed countries reaches the pandemic size, and it is a serious medical and socio-economic problem. Acute back pain is transformed into chronic in 10–20 % of working age patients′ cases; this causes serious psychological disorders appearing, forms painful behavior and persists even when the initial pain trigger is eliminated. Data from metaanalyses of randomized controlled trials indicate the effectiveness of the osteopathic approach in the treatment of LBP patients. At the same time the osteopathic correction is effective not only for acute pain, but also for chronic pain. A case from clinical practice is described demonstrating the possibility of osteopathic correction of a LBP patient.

scholarly journals The WHO European health for all database

2003 ◽  
Vol 7 (6) ◽  
Author(s):  
Keyword(s):  
World Health ◽  
Health Statistics ◽  
Regional Office ◽  
International Context ◽  
Health Trends ◽  
Wide Range ◽  
The World ◽  
European Health ◽  
Health Organization ◽  
Health Situation

The European health for all database provides easy and rapid access to a wide range of basic health statistics (indicators) for the 51 Member States of the World Health Organization (WHO) European Region. It was developed by the WHO Regional Office for Europe in the mid 1980s to support the monitoring of health trends in the Region. The database is a helpful tool for international comparison and for assessing the health situation and trends in any European country in an international context.

scholarly journals Evaluation of the Therapeutic Effectiveness of Combined Action Antiallergic Drugs in Monotherapy of Allergic Conjunctivitis

2020 ◽  
Vol 17 (1) ◽  
pp. 117-123
Author(s):  
N. G. Zumbulidze ◽  
V. M. Khokkanen ◽  
I. B. Litvin
Keyword(s):  
Allergic Conjunctivitis ◽  
Systemic Exposure ◽  
Local Therapy ◽  
Allergic Diseases ◽  
Developed Countries ◽  
World Health ◽  
Common Disease ◽  
Ophthalmic Manifestations ◽  
The World ◽  
Health Organization

According to statistical studies in recent decades, there has been an increase of allergic diseases in most countries of the world. Predisposing factors are the deterioration of the environmental situation, the total “chemicalization” of life and the forced use of drugs. Twenty years ago, the World Health Organization called the new century “the century of allergies” and the disease itself as an “epidemic”. As time has shown, these forecasts have come true: from 2001 to 2010, the number of allergic people in the world increased by 20 % and many of these patients suffer from ophthalmic manifestations of the pathology: the eyes are involved in the process in almost every second case. This is due to the fact that the eyes are directly exposed to the environment and a variety of external allergens. The most common disease of an eye-allergic nature is allergic conjunctivitis: approximately 15 % of the total population of economically developed countries suffer from it. Allergic blepharitis, eyelid dermatitis, keratitis, iritis, uveitis, retinitis and optic neuritis are much less common. The following manifestations are typical for allergic conjunctivitis: burning, lacrimation, pruritus, hyperemia of the eyelids and conjunctiva, photophobia. In the case of a transition to a chronic form, pronounced tissue changes are observed. Therefore, timely diagnosis and effective treatment certainly have a positive effect on the quality of life of the patient and the course of the disease. The treatment of patients with allergic conjunctivitis, first of all, consists in the maximum possible restriction of contact with the allergen. During desensitizing therapy, local and general drugs are used. Numerous studies have proven the advantage of targeted and effective antiallergic local therapy compared with systemic exposure. Currently used local ophthalmic antiallergic drugs belonging to various groups. The tactics of their use is determined by the acuity, severity and etiology of the process. When choosing a drug, in some cases, you should focus on the presence of substances that provide a double mechanism of action: a pronounced antihistamine activity in combination with the stabilization properties of mast cells, which has a quick and long therapeutic effect. This study evaluated efficacy of Vizallergol (olopatadin 0.2 %) application in cases of allergic conjunctivitis in 239 patients was evaluated. The medication arrested the symptoms of allergic conjunctivitis in 89 % of patients, at that the mean period of treatment made 10.7 ± 0.3 days. In the treatment of allergic conjunctivitis, the therapeutic efficacy of Vizallergol 0.2 % was comparable to opatanol 0.1 % and was found to be more comfortable for most patients due to the convenience of a single use.

scholarly journals Economic burden of silent mental disorders: a case study of agnosia in schizophrenia

2017 ◽  
Vol 5 (1) ◽  
pp. 401
Author(s):  
Vijay Kumar Chattu ◽  
Paula Mahon
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mental Health Problems ◽  
Action Plan ◽  
Developed Countries ◽  
World Health ◽  
Economic Output ◽  
The World

Mental health problems affect society as a whole, and not just a small, isolated segment. In developed countries with well-organized healthcare systems, between 44% and 70% of patients with mental disorders do not receive treatment whereas in developing countries the treatment gap being close to 90%. Schizophrenia is a severe mental disorder affecting more than 21 million people worldwide. People with schizophrenia are 2-2.5 times more likely to die early than the general population. The case study highlights about agnosia in a schizophrenic patient in a primary care setting and how to address the management at a broader perspective using the appropriate antipsychotic medication and ensuring the support from a family without violating the human rights of the patient. The World Economic Forum estimated that the cumulative global impact of mental disorders in terms of lost economic output will amount to US$ 16 trillion over the next 20 years, equivalent to more than 1% of the global gross domestic product. Mental health should be a concern for all of us, rather than only for those who suffer from a mental disorder. The mental health action plan 2013-2020, endorsed by the World Health Assembly in 2013, highlights the steps required to provide appropriate services for people with mental disorders including schizophrenia. A key recommendation of the action plan is to shift services from institutions to the community. Mental health must be considered a focus of renewed investment not just in terms of human development and dignity but also in terms of social and economic development.

Brain Drain Controversy and African Scholars

1979 ◽  
Vol 9 (4) ◽  
pp. 27-30
Author(s):  
Man Singh Das
Keyword(s):  
United States ◽  
Human Resources ◽  
Brain Drain ◽  
Developed Countries ◽  
The United States ◽  
Industrialized Countries ◽  
Asian Student ◽  
Poor Countries ◽  
The Poor ◽  
The World

The phenomenon popularly known as brain drain has attracted growing concern in the United States and abroad (Tulsa Daily World, 1967; Committee on Manpower... 1967; Asian Student, 1968a: 3; 1968b: 1; 1969: 3; Institute of Applied Manpower . . . 1968; U. S. Congress, 1968; Gardiner, 1968: 194-202; Bechhofer, 1969: 1-71; Committee on the International Migration . . . 1970). The notion has been expressed that the poor countries of the world are being deprived of their talent and robbed of their human resources by the exchange of scholars and students which goes on between nations (U.S. Congress, 1968: 16-25; Mondale, 1967a: 24-6; 1967b: 67-9). Implicit is the idea that many students from these less developed countries go to the more highly developed and industrialized countries for study and decide not to return to their homeland.

scholarly journals Epidemiology of Pediatric Septic Shock

2018 ◽  
Vol 08 (01) ◽  
pp. 003-010 ◽  
Author(s):  
Flávia Machado ◽  
Daniela de Souza
Keyword(s):  
Septic Shock ◽  
Developing Countries ◽  
Severe Sepsis ◽  
Cause Of Death ◽  
Public Health Problem ◽  
Developed Countries ◽  
Global Perspective ◽  
World Health ◽  
Disease Definition ◽  
The World

AbstractSepsis, or dysregulated host response to infection, is considered a worldwide public health problem. It is a major childhood disease both in terms of frequency and severity, and severe sepsis is still considered the main cause of death from infection in childhood. This review provides an overview of the epidemiology of pediatric septic shock. The prevalence of severe sepsis and septic shock among hospitalized children ranges from 1 to 26%. Mortality is high, ranging from 5% in developed countries to up to 35% in developing countries. However, 10 years after the publication of pediatric sepsis definitions, a global perspective on the burden of this disease in childhood is still missing. Major obstacles to a better knowledge of sepsis epidemiology in children are the absence of an adequate disease definition and not having sepsis as a cause of death in the World Health Organization Global Burden of Disease Report, which is one of the most important sources of information for health policies decision-making in the world. Several studies performed in both developed and developing countries have shown that mortality from septic shock is high and is associated with delayed diagnosis, late treatment, and nonadherence to the treatment guidelines. Reducing mortality from sepsis in childhood is a worldwide challenge, especially in developing countries, where the highest number of cases and deaths are recorded and where financial resources are scarce. Many specialists consider that prevention, education, and organization are key to achieve a reduction in the burden of sepsis.

Protecting Global Brands: Toward a Global Norm

2002 ◽  
Vol 10 (2) ◽  
pp. 99-112 ◽  
Author(s):  
Kate Gillespie ◽  
Kishore Krishna ◽  
Susan Jarvis
Keyword(s):  
World Trade Organization ◽  
World Trade ◽  
Resource Constraints ◽  
Developed Countries ◽  
Industrialized Countries ◽  
Newly Industrialized Countries ◽  
The Past ◽  
The World ◽  
Managerial Implications ◽  
Trademark Protection

In 1995, the World Trade Organization bound member countries to new standards of foreign trademark protection. Developed countries were given a year to bring their national trademark regimes into compliance. Other countries were allowed from 5 to 11 years. In the past 7 years, governments have taken many steps to reach compliance. Nonetheless, many countries fall short of the envisaged global norm. To better understand the challenges of the past several years, the authors focus on the state of national trademark regimes on the eve of the establishment of the World Trade Organization. The authors particularly address how contagion influence, resource constraints, and xenophobia affected treaty participation, domestic trademark law, application processing, and the relative treatment of foreign and domestic applications. The authors analyze data for 62 countries, which suggest that distinct patterns of foreign trademark protection existed for developed countries, newly industrialized countries, less developed countries, and transitional economies. The authors explain the managerial implications of these findings and argue that there is evidence that countries are moving toward global norms in trademark protection. However, an international treaty is the beginning, not the end, of this process.

Depression as a Systemic Illness

2018 ◽  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Collaborative Care ◽  
Primary Care Physicians ◽  
Depressive Disorders ◽  
Developed Countries ◽  
Care Physician ◽  
World Health ◽  
Mental Health Training ◽  
The World

Depression has been declared by the World Health Organization in March of 2017 to be the illness with the greatest burden of disease in the world. This volume attempts to examine the current state of our understanding of depressive disorders, from the animal models, allostatie load, patterns of recurrence, effects on other illnesses, for example, cancer, neurological, cardiovascular, wound healing, etc. It is from this perspective that the editors declare that depression is a systemic illness, not just a mental disorder. Therefore, primary care physicians need to know how to diagnose, treat, and refer when necessary for the non-complicated, non-refractory forms of depression. From this perspective models of mental health training for the primary care physician are reviewed. Then a new model, the medical model, a step beyond collaborative care is described. Non complicated depressive illness needs to be addressed by the primary care physician much as they do asthma, diabetes, hyptertension, and congestive heart failure. Even collaborative care models are unable as the number of psychiatrists is too few even in developed countries, let alone in developing ones to work with primary care. Medical schools and residency training programs need to incorporate curriculum and clinical experiences to accommodate developing expertise to diagnose, treat, and refer when necessary in this most common medical malady. Finally, a modified electronic medical record is proposed as a collaborating agent for the primary care physician.

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