Background
Chronic congestive heart failure is a common condition that, if untreated, markedly impairs the quality of life and is associated with a high risk of recurrent hospitalization and death.
Methods
This review is based on articles retrieved by a selective search in PubMed, as well as on r...elevant guidelines.
Results
Evidence-based treatment options are available only for congestive heart failure with a low ejection fraction. Pharmacotherapy is based on neurohumoral inhibition of the renin-angiotensin-aldosterone system and the adrenergic system. The prognosis of patients with this condition has been further improved recently through the introduction of combined angiotensin receptor antagonists and neprilysin inhibitors. Modern implantable devices are a further component of treatment. Implantable defibrillators and special pacemakers for cardiac resynchronization are well established; the utility of alternative devices (baroreflex modulation or cardiac contractility modulation) needs to be investigated in further studies. It was recently shown that the catheter-based treatment of secondary mitral regurgitation with a MitraClip improves the outcome of selected patients.
Conclusion
The treatment of chronic systolic heart failure as recommended in the relevant guidelines, with drugs and implanted devices if indicated, can significantly improve the clinical outcome.
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Since the discovery of insulin nearly 100 years ago, advances in diabetes treatments and therapies have transformed the lives of people
with diabetes (PwD), notably reducing the daily burden of its management.
Newer technologies, including those driven by artificial intelligence, have the potentia...l to further improve the quality of life of PwD and help
identify and diagnose people at risk of developing Type 2 diabetes and diabetes-related complications early. However, medical and technological advances alone are not enough to fix the diabetes challenge. It is also critical to acknowledge the complexity and the seriousness of diabetes, its impact on the quality of life and well-being of over 32 million PwD in the EU and the financial burden it represents for health systems and society at large.
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Lancet, Published:February 21, 2019DOI:https://doi.org/10.1016/S0140-6736(19)30424-6.
This article announce the establishment of Countdown Global Mental Health, an independent, multistakeholder monitoring and accountability collaboration for mental health, within an initial timeframe of the UN Sust...ainable Development Goals (SDGs). The scope of the Countdown will be global since mental health is an issue relevant to all countries. The unit of analysis will be countries or states or provinces within large federated countries. Given the huge disparities between and within countries, we expect the Countdown to be a strong instrument for accountability to decrease population-level disparities for mental health.
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The Emergency Access Initiative (EAI) has been activated in support of medical efforts related to the Ebola Outbreak in West Africa. The Emergency Access Initiative is a col-
laborative partnership between the U.S. National Library of Medicine and participating publishers to provide free access to ...full text articles from over 650 biomedical serial Titles and over 4,000 reference books and online databases to healthcare professionals and libraries affected by disasters. The free access period is now to December 12, 2014
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Lancet Infect Dis. 2019 Feb 21. pii: S1473-3099(18)30757-6. doi: 10.1016/S1473-3099(18)30757-6
This article is available free of charge.
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La santé de la reproduction des adolescent(e)s reste encore une préoccupation de
santé publique. Le but de cet article est de partager l’expérience d’un projet visant
l’intégration des services de santé de la reproduction en milieu scolaire au Sénégal et
d’exposer les leçons ...apprises de cette expérience.
Ce présent article relate les différentes actions menées dans le cadre de l’offre des services de SR en milieu scolaire et les leçons apprises d’une telle expérience.
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The WHO Ebola Response Team presents new data on Ebola symptoms, case fatality rate, and incubation period, and experts discuss actions needed to deal with the oubreak. Stay informed with Perspective and research articles, an interactive
map of confirmed and suspected cases, and links to the latest... updates on the Ebola Outbreak
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Act on the Residence, Economic Activity and Integration of Foreigners in the Federal Territory
Residence Act. Translation provided by the Language Service of the Federal Ministry of the Interior.
Version information: The translation includes the amendment(s) to the Act by Article 3 of the Act of 6....9.2013 (Federal Law Gazette I p. 3556).
Translations may not be updated at the same time as the German legal provisions displayed on this website. To compare with the current status of the German version, see http://www.gesetze-im-internet.de/aufenthg_2004/BJNR195010004.html.
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The first WHO Priority Assistive Products List was launched in May 2016. The List includes hearing aids, wheelchairs, communication aids, spectacles, artificial limbs, pill organizers, memory aids and other essential items for many older people and people with disabilities to be able to live a healt...hy, productive and dignified life
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Nepal has performed exceptionally in improving reproductive, maternal and child health outcomes over the past two decades. In this article, we discuss these achievements and outline a vision for the future of maternal, newborn and child survival in Nepal after the era of the Millennium Development G...oals. On the pathway towards quality universal health care services for all, we propose strengthening of health information systems, gradual health system reforms, improvement of existing facility based services, development of integrated service delivery models, improved technical and managerial capacity at district and facility levels. Elimination of all preventable causes of maternal, newborn and child deaths in Nepal should be our collective aspirational goal.
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Cardiovascular disease (CVD) is a general term for conditions affecting the heart or blood vessels.
It's usually associated with a build-up of fatty deposits inside the arteries (atherosclerosis) and an increased risk of blood clots.
It can also be associated with damage to arteries in organs such... as the brain, heart, kidneys and eyes.
CVD is one of the main causes of death and disability in the UK, but it can often largely be prevented by leading a healthy lifestyle.
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The Lancet Volume 384, Issue 9960p2142-2152December 13, 2014
This article is available free of charge. Log in or register for free to read the full article.
2010/4 Vol. 22 | pages 425 à 435
ISSN 0995-3914
La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les
limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la
licence souscrite par votr...e établissement. Toute autre reproduction ou représentation, en tout ou partie,
sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de
l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage
dans une base de données est également interdit.
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The Myanmar National Framework seeks to achieve people-centered, inclusive, and sustainable socioeconomic development in the face of disasters triggered by natural hazards and climate change. The framework articulates a common understanding, proposes a coherent approach, and identifies potential opp...ortunities for strengthening the resilience of communities in Myanmar.
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Dengue is a mosquito-borne disease caused by a flavivirus. Dengue fever usually results in abrupt onset of high fever, headache, myalgias, arthralgias, and generalized lymphadenopathy, followed by a rash that appears with a recurrent fever after an afebrile period. Respiratory symptoms, such as coug...h, sore throat, and rhinorrhea, can occur.
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Chikungunya is a viral disease transmitted by Aedes mosquitoes to humans. The word ‘chikungunya’ means 'that which bends up', an allusion to the posture of the suffering patients. The most common clinical form associates fever, arthralgia and rash. Recovery is the usual outcome but chronic arthr...itis is not rare. Diagnostic tests are available but there is no antiviral treatment. The disease is notifiable at EU level.
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Chikungunya virus (CHIKV) has expanded its geographical reach in recent decades and is an emerging global health threat. CHIKV can cause significant morbidity and lead to chronic, debilitating arthritis/arthralgia in up to 40% of infected individuals. Prevention, early identification, and clinical m...anagement are key for improving outcomes. The aim of this review is to evaluate the quality, availability, inclusivity, and scope of evidence-based clinical management guidelines (CMG) for CHIKV globally.
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Prinzipiell werden Atemschutzmasken seit Jahren als Einwegprodukte in Verkehr gebracht und nach Benutzung nicht aufbereitet. Der im Rahmen der COVID-19-Pandemie auftretende Mangel an Atemschutzmasken zwingt gegenwärtig viele Gesundheitseinrichtungen, diese Artikel mehrfach zu verwenden.
Frequenz, Adhärenz und Testqualität sind entscheidende Faktoren für den Erfolg
Epidemiologisches Bulletin17 |29. April 2021 . Im vorliegenden Artikel wird erläutert, wie Antigen-Schnelltests zur Pandemiekontrolle beitragen können. Außerdem werden die Chancen und Herausforderungen einer wiede...rholten Testung zur Reduktion des allgemeinen Transmissionsgeschehens und der zu erwartende Einfluss eines freiwilligen Testangebots auf das allgemeine Infektionsgeschehen diskutiert
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Essential public health functions (EPHFs) have
been recognized as a core component of the
primary health care approach and are central to
an integrated, comprehensive, sustainable and
cost-effective approach to enhancing individual
and population health and reducing the burden of
disease, as a...rticulated in the Declaration of Astana
on Primary Health Care and in various World Health
Assembly and regional committee resolutions.
However, their application to meeting population
health needs has remained obscure. This document
presents a technical reference package to support
comprehensive operationalization of public health
using the EPHFs and describes a step-by-step
approach to their application, including a number of
case examples.
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