scholarly journals Is Leishmaniasis donovani elimination feasible in Bhutan? A review of current prevention and control mechanisms in Bhutan

2020 ◽  
Vol 6 (2) ◽  
pp. 27-30
Author(s):  
Tashi Tobgay ◽  
Sithar Dorjee ◽  
Ambika Pradhan ◽  
Tenzin Wangdi ◽  
Tobgye Drukpa ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Sand Fly ◽  
System Control ◽  
Insect Vector ◽  
Control Mechanisms ◽  
Care Providers ◽  
Control And Prevention ◽  
No Elimination ◽  
Elimination Goal ◽  
And Control

Leishmaniasis is a neglected tropical disease with an annual estimated 700,000 to 1 million new cases globally. The diseases affect the rural community and people living in poverty. It is transmitted by female phlebotomine sand-fly; a tiny 2–3 mm long insect vector. Along with the regional countries, Bhutan has embarked on the elimination goal. However, several challenges lies ahead on its path to elimination. There is no elimination strategy and actions. The reporting, surveillance system, control and prevention mechanisms are inadequate. Further, there is lack of knowledge among the health care providers that impedes elimination goals. Therefore, if Bhutan is serious about its elimination goal, all the gaps and current challenges needs to be addressed appropriately. Keywords: Bhutan; Elimination; Leishmaniasis.

COVID 19 Aftermath - A Oral Health Care Provider Prospective

2020 ◽  
Author(s):  
Reena Sirohi
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Providers ◽  
Oral Health Care ◽  
Public Health Emergency ◽  
Care Providers ◽  
Close Proximity ◽  
Enormous Amount ◽  
Control And Prevention ◽  
Global Concern

The outbreak of the coronavirus disease 2019(COVID-19) is a public health emergency of global concern. Based on the data published by the Chinese Center for Disease Control and Prevention (China CDC), the majority of patients were asymptomatic or having mild symptoms but can release an enormous amount of viral load. It posed a worldwide challenge for containment of the infection of COVID-19. As, oral health care providers work in close proximity to the patients’ mouth, they are at higher risk for infection. The aim of this article is to emphasize on special measures to be taken for prevention and potential interventions.

Recommended Childhood Immunization Schedule

PEDIATRICS ◽  
1996 ◽  
Vol 97 (1) ◽  
pp. 143-143
Author(s):  
Keyword(s):  
Hepatitis B ◽  
American Academy ◽  
Health Care Providers ◽  
Hepatitis B Vaccine ◽  
News Article ◽  
Immunization Schedule ◽  
Care Providers ◽  
Childhood Immunization ◽  
Varicella Zoster ◽  
Control And Prevention

The Recommended Childhood Immunization Schedule for 1995 was developed by the Committee on Infectious Diseases (COID) of the American Academy of Pediatrics in collaboration with the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) and the American Academy of Family Physicians (AAFP).1 Since the January 1995 publication, the AAP, ACIP, and AAFP have agreed on the following revisions: 1. The revised schedule is dated January-June 1996 and will be reprinted in July 1996 with any indicated changes. Incorporating dates in the chart will assure health care providers that they are using the most current schedule. 2. A column has been added to indicate that the second dose of hepatitis B vaccine can be administered at 1 month of age, provided that at least 1 month has elapsed since the first dose was given. Also, the doses of vaccine are provided in micrograms by individual product instead of volume, as several different concentrations of recombivax-HB (Merck, Sharp and Dohme) vaccine are available. 3. A bar has been added at 11-12 years of age to indicate that adolescents who have not previously received three doses of hepatitis B vaccine should initiate or complete the three-dose series. 4. Varicella zoster virus vaccine (Var) has been added to the schedule. In addition to the previously issued Academy recommendations, answers to commonly asked questions are addressed in a recent AAP News article.2,3 5. Information on inactivated poliomyelitis vaccine (IPV) has been added to reflect the Academy's current policy.

Older Women's Community Mobility: A Qualitative Exploration

2002 ◽  
Vol 21 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Marcia Finlayson ◽  
Joseph Kaufert
Keyword(s):  
Older Women ◽  
Health Care Providers ◽  
Community Dwelling ◽  
Care Providers ◽  
Structured Interviews ◽  
Community Mobility ◽  
Bad Weather ◽  
Qualitative Exploration ◽  
And Control ◽  
The City

ABSTRACTMany of the limitations experienced by community-dwelling older women are related to mobility within their communities. This qualitative study explored community mobility from the perspective of older, community-dwelling women in Winnipeg, Manitoba. Semi-structured interviews were completed with 23 older women (mean age 75.9 years) identified through an existing database. In addition to travels to conduct instrumental activities of daily living and participate in social and recreational activities, the women in the study described trips to fulfil social obligations (e.g., attending funerals, visiting sick friends) and emphasized the importance of these trips. The women's travels through the city were influenced by their perception of risk and the strategies they employed to minimize or avoid risk during the day, in the evening, and during bad weather. Autonomous community mobility provided the women with a sense of independence and control. The findings have potential implications for health care providers and community programmers who work to maintain older women in the community.

Primary health care providers surveyed commonly misinterpret 'first void urine' for chlamydia screening

Sexual Health ◽  
2009 ◽  
Vol 6 (1) ◽  
pp. 91 ◽  
Author(s):  
M. Josephine Lusk ◽  
Ruby Uddin ◽  
Mark Ferson ◽  
William Rawlinson ◽  
Pam Konecny
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Chlamydia Screening ◽  
Care Providers ◽  
Sample Collection ◽  
Hospital Emergency ◽  
Primary Health Care Providers ◽  
Open Question ◽  
And Control ◽  
Question Survey

An open question survey of general practitioners (GP) and hospital emergency department (ED) doctors revealed that the term ‘FVU’ (first void urine) used for urine chlamydia testing, is ambiguous, potentially leading to incorrect urine sample collection and barriers to effective screening. The results of this survey indicate that only 4.3% (95% confidence interval [CI] 0.5–14.5%) of GP and 6.9% (95% CI 0.9–22.8%) of ED doctors respectively, correctly interpreted the meaning of FVU. The majority of clinicians surveyed misunderstood ‘FVU’ to require the first urine void of the day, accounting for 68.1% (95% CI 52.9–80.9%) of GP responses and 37.9% (95% CI 20.7–57.7%) of ED doctors responses. This highlights the need for clarification and standardisation of terminology used in urine chlamydia screening for health care providers, in order to optimise strategies for diagnosis and control of the ongoing chlamydia epidemic.

scholarly journals 753 Facilitators and barriers in adherence to infection prevention and control recommendations among healthcare providers in cardiac settings

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Oronzo Chialà ◽  
Ludovica Chiaretti ◽  
Antonio Ruggiero ◽  
Angelica Carnevale ◽  
Jacopo Fiorini ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Fundamental Aspect ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Mortality And Morbidity ◽  
Facilitators And Barriers ◽  
And Control

Abstract Aims The infection prevention and control (IPC) represents a global issue. In cardiac settings, it is a fundamental aspect, mostly in interventional procedures (PMK and valves implantation, angiography procedures), even if with different levels of incidence, mortality, and morbidity. Different guidelines and recommendations have been published to reduce complications related to cardiac procedures infections. Although there are several recommendations, the presence of specific protocols and the adherence to them in medical treatment facilities are controversial. The aim is to identify facilitators and barriers to IPC guidelines in health care providers of cardiac settings. Methods and results The research will be conducted in three phases: (1) an integrative review, to identify the main IPC recommendations related to the most common invasive procedures in cardiac interventional settings and the most cited facilitator and barriers; (2) the information collected by the review will help to conduct an explorative survey, involving health care providers from cardiac settings, to better understand what are the most helpful facilitators and the hardest barriers to face; and (3) a qualitative study, using explorative interviews will be held to analyze the experiences of health care providers in their professional action. Conclusions Generally, the adherence to IPC recommendations results difficult and time-consuming. For example, even if healthcare workers may value the use of IPC guidelines, such as wearing PPE, these are not always available, adequate for purpose, or comfortable. Identifying which factors could be considered facilitators or barriers will help authorities and healthcare facilities in developing effective strategies to support health care providers to undertake IPC measures.

scholarly journals Review of the Scientific Literature on Young Adults Related to Cardiovascular Disease Intervention

2020 ◽  
Vol 5 (1) ◽  
pp. 35-46
Author(s):  
Dieu-My T. Tran ◽  
Angela Sojobi
Keyword(s):  
Cardiovascular Disease ◽  
At Risk ◽  
Young Adults ◽  
Health Care Providers ◽  
Behavioral Interventions ◽  
Dietary Habits ◽  
Care Providers ◽  
Lifestyle Modifications ◽  
Behavioral Choices ◽  
Control And Prevention

Many young adults are at risk for cardiovascular disease related to their behavioral choices. Irresponsible alcohol consumption, tobacco smoking, sedentary lifestyle, poor dietary habits, and excessive weight gain are some of the behaviors that put young adults at risk. The Centers for Disease Control and Prevention identified that 15% of young adults are diagnosed with chronic illnesses related to their behavioral choices. The purpose of this review is to identify, in the literature, interventions that are currently available to young adults and evaluate the adequacy and effectiveness of those interventions. An extensive electronic search was conducted using CINAHL, EBSCOhost, Cochrane, PubMed, and Google Scholar. A total of 130 articles were identified and 28 articles met the inclusion criteria. Three main interventions were identified for young adults: personalized interventions, technology-based interventions, and educational/behavioral interventions. The interventions were all effective to different degrees and interventions were most effective when they were combined. This review impacts in what manner nurses and health care providers deliver health promotion, prevention, and management of cardiovascular risk factors in young adults; in particular, nurses play a key role in lifestyle modifications including diet and exercise.

Knowledge and awareness of Covid -19 symptoms among dental students - A questionnaire based survey

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 816-821
Author(s):  
Joseph George Kallivayalil ◽  
Abilasha R ◽  
Kavitha S
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Deadly Disease ◽  
And Control ◽  
Dental Professionals

COVID -19 is the most recent pandemic disease that has affected the world's population. We, as health care providers should be more responsible for reducing the transmission of this deadly disease. The aim of the survey was to assess the knowledge and awareness among dental professionals towards COVID -19 and reduce the spread among patients and co-workers. A cross-sectional study was conducted in a sample of 100 dental students by means of a questionnaire, using google forms, results were tabulated and analysed using SPSS. 24.8% prefer and rely on the fact that fever has been the main symptoms of COVID -19 while 32.7% of the respondents prefer on the fact that cough has been the symptoms leading to COVID -19 64% of the dental students are aware on the fact that patients should be checked on their temperature before the consultation. 36.3% of the dental students prefer no checking of temperature before the consultation. The results of the survey showed that some knowledge gaps exist among dental students regarding this very deadly disease and hence is an urgent need for training and conduct complete awareness regarding this deadly disease and control it by essential precautionary methods.

The Role of Children and Adolescents in Decision Making About Life-Threatening Illness

2021 ◽  
pp. 104-117
Author(s):  
Victoria A. Miller ◽  
Melissa K. Cousino
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Control Treatment ◽  
Future Research ◽  
Care Providers ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
And Control

The concept of decision-making involvement (DMI) recognizes that children and adolescents can be involved in decision making in numerous ways and that parents and health care providers have an important role in supporting and guiding youth. Facilitating DMI may enhance youth decision-making skills, self-efficacy and control, treatment adherence, and satisfaction with care. Given the loss of control children and adolescents typically feel when diagnosed with a serious, life-threatening illness, DMI may be especially important. Parents and health care providers can facilitate child and adolescent involvement by seeking their opinions and concerns, soliciting questions, asking for information, and checking for understanding. Additional tools are available for facilitating youth involvement in decision making at the end of life. Future research is needed to develop and evaluate strategies to enhance different aspects of DMI in multiple settings and contexts across development.

Live Music Therapy as an Active Focus of Attention for Pain and Behavioral Symptoms of Distress During Pediatric Immunization

2015 ◽  
Vol 55 (8) ◽  
pp. 745-748 ◽  
Author(s):  
Sumathy Sundar ◽  
Bhuvaneswari Ramesh ◽  
Priyanka B. Dixit ◽  
Soma Venkatesh ◽  
Prarthana Das ◽  
...  
Keyword(s):  
Music Therapy ◽  
Health Care Providers ◽  
Pain Scale ◽  
Control Group ◽  
Care Providers ◽  
Live Music ◽  
Pediatric Immunization ◽  
Blood Pressures ◽  
Immunization Procedure ◽  
And Control

A total of 100 children coming for routine immunization to pediatric outpatient department were included and were divided into experiment (n = 50) and control (n = 50) groups. Experiment group received live music therapy during immunization procedure. Control group received no intervention. The Modified Behavior Pain Scale (MBPS), 10-point pain levels, and 10-point distress levels were documented by parents. Duration of crying was recorded by investigators. Pre- and postimmunization blood pressures and heart rates of parents holding the children were also measured and recorded by investigators. Independent and paired t tests were used for analysis. All 3 domains of the Modified Behavior Pain Scale and duration of crying showed significant improvement ( P < .05) in the experiment group. Pain and distress levels also showed statistically nonsignificant improvement in experiment group. Blood pressure and heart rate of parents showed no difference. Music therapy could be helpful to children, parents, and health care providers by reducing discomfort of the child during pediatric immunization.

Guidelines, Tramlines, and Faultlines

2007 ◽  
Vol 9 (3) ◽  
pp. 138-144
Author(s):  
David Healy ◽  
M. Savage ◽  
R. Tranter ◽  
R. Austin ◽  
Q. Ijaz ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Controlled Trial ◽  
Treatment Options ◽  
Clinical Excellence ◽  
Care Providers ◽  
Current State ◽  
Pediatric Depression ◽  
Recent Developments ◽  
Key Issues ◽  
And Control

It would be irrational to want our health care providers to practice in accordance with anything other than the best possible evidence. Given this, it seems entirely sensible to have expert panels regularly assess the current state of the controlled trial evidence for particular treatment options and codify these assessments in guidelines. If these panels are independent, this is surely a good mechanism to ensure that clinicians’ practice will be relatively independent of drug company blandishments. We might be able to depend on such a bolster against commercial pressure—if the clinical trials being conducted were genuine scientific exercises and were being reported transparently and honestly. However, recent developments in even independent guidelines raise the prospect that the pharmaceutical industry has captured the guideline process and is using it as a mechanism to gain and control markets. This article aims at bringing out the key issues by considering recent National Institute of Clinical Excellence (NICE) guidelines for pediatric depression and bipolar disorder, and the difficulties such guidelines can pose in certain settings.

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