This article describes experiences in implementing a community mental health and development project in a rural district in southern India, including the position of persons with mental illness when the project was initiated, the challenges faced and the strategies that were developed to overcome th...ese challenges. The authors conclude that when services are locally available, persons with mental illness can be treated and rehabilitated within their own community. They can live with dignity and their rights are respected. There is a great need for inclusion of persons with mental illness in the existing developmental activities and in disabled persons’ organisations.
more
Background: COVID-19 is a global public health crisis that affects all sectors; studying the impact of this pandemic on the delivery of cardiology services in Africa is crucial as COVID-19-related cardiovascular complications may worsen the CVD burden in this already highly affected and resource-lim...ited continent
Methods: This was a cross-sectional e-survey study conducted amongst cardiologists in African countries. The primary outcome was the change in service delivery in African cardiology units during the on-going COVID-19 pandemic. The secondary outcomes were the satisfaction of cardiologists with regards to the workload and factors associated with this satisfaction.
Results: There was a significant reduction in working time and the number of patients consulted by week during this pandemic (p<0.001). In general, there was a decrease in the overall activities in cardiovascular care delivery. The majority of cardiology services (76.5%) and consulting programs (85%) were adjusted to the pandemic. Only half of the participants were satisfied with their workload. Reconfiguration of the consultation schedule was associated with a reduced satisfaction of participants (p=0.02).
Conclusions: COVID-19 is associated with an overall reduction in cardiology services rendered in Africa. Since the cardiovascular burdens continue to increase in this part of the World and the risk of cardiovascular complications linked to SARS COV2 remains unchanged cardiology, departments in Africa should anticipate a significant surge of cardiology services demanded by patients after the COVID-19 pandemic.
more
DHS Working Papers No. 119
Koleksi Istimewa ini termasuk Ulasan Cochrane mengenai topik berikut: ubat-ubatan; sokongan tingkah laku; dan berhenti secara beransur-ansur. Intervensi yang meniru tindakan merokok, terutamanya e-rokok, telah dikecualikan daripada koleksi ini kerana risiko yang berkaitan dengan penggunaannya berhub...ung dengan pandemik semasa tidak jelas. Ketergantungan Tembakau Cochrane sedang berusaha untuk terus kemaskini pada semua maklumat yang berkaitan, untuk memberikan sokongan kepada orang yang cuba berhenti merokok dalam masa yang sukar ini.
more
Cette collection spéciale comprend des revues Cochrane sur les sujets suivants : les médicaments, le soutien comportemental et le sevrage tabagique progressif. Les interventions qui imitent l'acte de fumer, notamment les cigarettes électroniques, ont été exclues de cette collection car les risq...ues associés à leur utilisation en relation avec la pandémie actuelle ne sont pas clairs. Le Groupe Cochrane sur le Tabagisme travaille pour rester à jour sur toutes les informations pertinentes, afin d'apporter un soutien aux personnes qui tentent d'arrêter de fumer pendant cette période difficile.
more
این مجموعه ویژه شامل مرورهای کاکرین در موضوعات زیر است: دارو، پشتیبانی رفتاری، و ترک تدریجی. مداخلاتی که عمل سیگار کشیدن را تقلید میکنند، بهویژه سیگارهای الکترون...یکی، بهعلت اینکه خطر مرتبط با استفاده از آنها در همهگیری اخیر واضح نیست؛ از این مجموعه خارج شدهاند. گروه اعتیاد به دخانیات کاکرین در حال کار هستند تا همه اطلاعات مرتبط را به منظور ارائه پشتیبانی به افرادی که در این زمان سخت در تلاش برای ترک سیگار هستند؛ بهروز نگهدارند.
more
This manual is a resource for Health Counselors working in Family Physician Clinics (FPC) as part of the MANAS program. This program is for common mental disorders like depression and anxiety seen in primary health care facilitieslike the FPC; since depression is the common...est disorder within this group of stress related mental health problems, in the manual we refer to these problems simply as ‘Depression’. The aim of the MANAS program is to integrate the recognition and treatment of Depression into routine primary health care.In the MANAS program, a range of effective treatments will be provided for patients with Depression. These treatments are matched to the individual requirements of patients to both improve the effectiveness of the treatments and to use the limited resources efficiently.
more
Lancet Planet Health 2017 Published Online November 6, 2017 http://dx.doi.org/10.1016/S2542-5196(17)30141-9
Эта Специальная Коллекция включает Кокрейновские обзоры по следующим темам: лекарственное лечение, поведенческая поддержка и постепенный отказ от курения. Вмеша...ельства, имитирующие акт курения, в частности, электронные сигареты, были исключены из этой коллекции, поскольку риски, связанные с их использованием в связи с текущей пандемией, не ясны. Кокрейновская группа по табачной зависимости работает над тем, чтобы вся соответствующая информация была актуальна (обновлена), чтобы обеспечить поддержку людям, пытающимся бросить курить в это трудное время.
more
Chagas disease caused by Trypanosoma cruzi is a public health issue in Latin America. This highly diverse parasite is divided into at least seven discrete typing units (DTUs) TcI-TcVI and Tcbat. Some DTUs have been associated with geographical distribution in epidemiological scenarios and clinical m...anifestations, but these aspects remain poorly understood. Many studies have focused on studying the parasite and its vectors/hosts, using a wide variety of genetic markers and methods. Here, we performed a systematic review of the literature for the last 20 years to present an update of DTUs distribution in the Americas, collecting ecoepidemiological information. We found that the DTUs are widespread across the continent and that there is a whole gamma of genetic markers used for the identification and genotyping of the parasite. The data obtained in this descriptor could improve the molecular epidemiology studies of Chagas disease in endemic regions.
more
The current global crises, including climate, COVID-19, and environmental change, requires global collective action at all scales. These broad socio-ecological challenges require the engagement of diverse perspectives and ways of knowing and the meaningful engagement of all generations and stages of... personal and professional development. The combination of systems thinking, change management, quality improvement approaches and models, appreciative/strength-based approaches, narratives, storytelling and the strengths of Indigenous knowledges, offer synergies and potential that can set the stage for transformative, strengths-based education for sustainable healthcare (ESH).
more
Geographical Paper No. 177
Accessed on: 18.06.2020
The COVID-19 pandemic has brought the need for well-functioning primary health care (PHC) into sharp focus. PHC is the best platform for providing basic health interventions (including effective management of non-communicable diseases) and essential public health functions. PHC is widely recognised ...as a key component of all high-performing health systems and is an essential foundation of universal health coverage
more
In 2018, approximately 60,000 Ugandans were estimated to be suffering from cancer. It was also reported that only 5% of cancer patients access cancer care and 77% present with late-stage cancer coupled with low level of cancer health literacy in the population despite a wide coverage of primary heal...thcare facilities in Uganda. We aimed to contribute to reducing the unmet needs of cancer prevention and early detection services in Uganda through capacity building.
more
Further analysis of the 2011 Nepal Demographic and Health Survey
Climate Change 2021: The Physical Science Basis. Contribution of Working Group I to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change
Evidenced-based multidisciplinary collaborative strategies are required to improve global mental health and avert possible catastrophic effects of the COVID-19 pandemic through the effects of economic recessions and social disruptions on already fragile populations with little or no social protectio...n. A concerted global partnership is needed to stabilise the struggling health-care systems of many low-income and middle-income countries
more
This Special Collection includes Cochrane Reviews on the following topics: medication; behavioural support; and gradual quitting. Interventions that mimic the act of smoking, notably e-cigarettes, have been excluded from this collection as the risks associated with their use in relation to the curre...nt pandemic are not clear. Cochrane Tobacco Addiction are working to remain up to date on all the relevant information, to provide support to people attempting to stop smoking during this difficult time.
more
Asbestos, the most frequent cause of occupational cancer, continues to be consumed ona massive scale, with millions of people exposed on a daily basis. This review explains why we havefailed in curtailing the silent epidemic of asbestos-related disease and why the numbers of asbestosvictims are like...ly to remain high. Emerging and developed countries have to be reminded that asbestosexposure has yet to become a problem of the past. The worldwide spread of asbestos, followed by thesurge of asbestos-related cancers, resembles the lung cancer epidemic caused by smoking andstimulated by manufacturers.
more