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2.
Rev Cardiovasc Med ; 21(2): 155-156, 2020 06 30.
Artículo en Inglés | MEDLINE | ID: mdl-32706204

RESUMEN

The COVID-19 pandemic has had an impact on economy and health care system of every nation. United States has been the hardest hit country both with incidence and absolute mortality from COVID-19. In some of its states the health care system have been stretched to their limits. This has led to a rapid change in the health care practice due to newly approved emergency legislative bills, new state government laws, measures taken by institutions and practices as well as the changing consumer behavior. Some of these adaptations - in particular, the transition of patient care to virtual visits are revolutionary. Increased vigilance by health care organization and workers to minimize the spread of infection to others as well for personal protection may result in lasting behavioral change that will prevent hospital acquired or transmitted infections and may lead to reduced morbidity and mortality from the regular "flu". The recycling of personal protective equipment and the emerging research showing it a safe practice will reduce health care expenditure. It is quite possible that this pandemic may be the silver lining that will save the US health care from its unsustainable consumption of US gross domestic product.


Asunto(s)
Control de Enfermedades Transmisibles/tendencias , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/terapia , Prestación de Atención de Salud/tendencias , Reforma de la Atención de Salud/tendencias , Política de Salud/tendencias , Neumonía Viral/epidemiología , Neumonía Viral/terapia , Salud Pública/tendencias , Betacoronavirus , Humanos , Incidencia , Pandemias , Estados Unidos/epidemiología
3.
Indian Heart J ; 72(2): 61-64, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32534691

RESUMEN

The huge impact of the COVID-19 pandemic on global healthcare systems has prompted search for novel tools to stem the tide. Attention has turned to the digital health community to provide possible health solutions in this time of unprecedented medical crisis to mitigate the impact of this pandemic. The paper shall focus on how digital solutions can impact healthcare during this pandemic.


Asunto(s)
Control de Enfermedades Transmisibles/organización & administración , Infecciones por Coronavirus/epidemiología , Evaluación de Resultado en la Atención de Salud , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología , Salud Pública/tendencias , Telemedicina/organización & administración , Infecciones por Coronavirus/prevención & control , Femenino , Humanos , Masculino , Pandemias/prevención & control , Neumonía Viral/prevención & control , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
6.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32358952

RESUMEN

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Asunto(s)
Antivirales/uso terapéutico , Betacoronavirus/patogenicidad , Infecciones por Coronavirus/epidemiología , Pandemias , Neumonía Viral/epidemiología , Medios de Comunicación Sociales/ética , Anticuerpos Monoclonales Humanizados/uso terapéutico , Antivirales/provisión & distribución , Azitromicina/provisión & distribución , Azitromicina/uso terapéutico , Betacoronavirus/efectos de los fármacos , Desórdenes Civiles , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/economía , Disentimientos y Disputas , República Dominicana/epidemiología , Reposicionamiento de Medicamentos , Humanos , Hidroxicloroquina/provisión & distribución , Hidroxicloroquina/uso terapéutico , Ivermectina/provisión & distribución , Ivermectina/uso terapéutico , Pandemias/economía , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/economía , Política , Salud Pública/economía , Salud Pública/tendencias , Confianza/psicología
7.
Aust J Prim Health ; 26(3): 207-211, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32454003

RESUMEN

The response to COVID-19 transformed primary care: new telehealth items were added to the Medicare Benefits Schedule, and their use quickly escalated, general practices and community health centres developed new ways of working and patients embraced the changes. As new coronavirus infections plummet and governments contemplate lifting spatial distancing restrictions, attention should turn to the transition out of pandemic mode. Some good things happened during the pandemic, including the rapid introduction of the new telehealth items. The post-pandemic health system should learn from the COVID-19 changes and create a new normal.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/terapia , Sistemas de Apoyo a Decisiones Clínicas/tendencias , Neumonía Viral/terapia , Atención Primaria de Salud/tendencias , Comunicación , Humanos , Pandemias , Salud Pública/tendencias , Telemedicina/tendencias , Estados Unidos
8.
J Med Microbiol ; 69(5): 653-656, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32320375

RESUMEN

Much has happened here since the local news media trumpeted the first Australian COVID-19 fatality, and stirred up a medieval fear of contagion. We now need to take a step back to examine the logic underlying the use of our limited COVID-19 countermeasures. Emerging infectious diseases by their nature, pose new challenges to the diagnostic-treatment-control nexus, and push our concepts of causality beyond the limits of the conventional Koch-Henle approach to aetiology. We need to use contemporary methods of assessing causality to ensure that clinical, laboratory and public health measures draw on a rational, evidence-based approach to argumentation. The purpose of any aetiological hypothesis is to derive actionable insights into this latest emerging infectious disease. This review is an introduction to a conversation with medical microbiologists, which will be supported by a moderated blog.


Asunto(s)
Betacoronavirus/patogenicidad , Enfermedades Transmisibles Emergentes/epidemiología , Contención de Riesgos Biológicos/métodos , Infecciones por Coronavirus/epidemiología , Higiene/educación , Neumonía Viral/epidemiología , Sustitución de Aminoácidos , Betacoronavirus/genética , Betacoronavirus/crecimiento & desarrollo , Causalidad , China , Enfermedades Transmisibles Emergentes/diagnóstico , Enfermedades Transmisibles Emergentes/inmunología , Enfermedades Transmisibles Emergentes/terapia , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/inmunología , Infecciones por Coronavirus/terapia , Diagnóstico por Imagen/métodos , Europa (Continente) , Humanos , Pandemias , Neumonía Viral/diagnóstico , Neumonía Viral/inmunología , Neumonía Viral/terapia , Salud Pública/tendencias , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Vacunas Virales/biosíntesis , Vacunas Virales/inmunología
10.
PLoS Comput Biol ; 16(3): e1007633, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32163409

RESUMEN

In recent years, many studies have drawn attention to the important role of collective awareness and human behaviour during epidemic outbreaks. A number of modelling efforts have investigated the interaction between the disease transmission dynamics and human behaviour change mediated by news coverage and by information spreading in the population. Yet, given the scarcity of data on public awareness during an epidemic, few studies have relied on empirical data. Here, we use fine-grained, geo-referenced data from three online sources-Wikipedia, the GDELT Project and the Internet Archive-to quantify population-scale information seeking about the 2016 Zika virus epidemic in the U.S., explicitly linking such behavioural signal to epidemiological data. Geo-localized Wikipedia pageview data reveal that visiting patterns of Zika-related pages in Wikipedia were highly synchronized across the United States and largely explained by exposure to national television broadcast. Contrary to the assumption of some theoretical epidemic models, news volume and Wikipedia visiting patterns were not significantly correlated with the magnitude or the extent of the epidemic. Attention to Zika, in terms of Zika-related Wikipedia pageviews, was high at the beginning of the outbreak, when public health agencies raised an international alert and triggered media coverage, but subsequently exhibited an activity profile that suggests nonlinear dependencies and memory effects in the relation between information seeking, media pressure, and disease dynamics. This calls for a new and more general modelling framework to describe the interaction between media exposure, public awareness and disease dynamics during epidemic outbreaks.


Asunto(s)
Salud Pública/tendencias , Infección por el Virus Zika/epidemiología , Infección por el Virus Zika/psicología , Atención , Brotes de Enfermedades , Epidemias , Humanos , Conducta en la Búsqueda de Información , Modelos Teóricos , Estados Unidos , Virus Zika
14.
Artículo en Inglés | MEDLINE | ID: mdl-31936252

RESUMEN

INTRODUCTION: The use of heat-not-burn tobacco products (HnB) is being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Substantial controversy has accompanied their marketing and use in the public health context. In this study, we aimed to consider the probable impacts of HnB tobacco products use on public health. METHODS: In May 2019, we conducted a systematic review of 15 studies concerning awareness and use of IQOS (abbrv. I Quit Ordinary Smoking) selected from three databases: Cochrane, PubMed, and Embase regarding public health. RESULTS: All key outcomes varied by smoking status: more young adults who were currently smoking reported being aware of, interested in trying, and prone to trying heat-not-burn tobacco products. Interest in trying HnB products was also present among non-smokers, which raises concerns regarding new smokers. Interestingly, susceptibility to trying IQOS (25.1%) was higher than for traditional cigarettes (19.3%), but lower than for e-cigarettes (29.1%). CONCLUSIONS: Present studies suggest that HnB tobacco products have the potential to be a reduced risk product for public health compared to conventional cigarettes, considering indirectly the potential effects on the chronic diseases which are traditionally linked to traditional cigarette use as well as second hand exposure, but further studies are needed to determine whether this potential is likely to be realized. The process of HnB tobacco products becoming increasingly popular is of a global scale. Only small differences between countries on different continents regarding popularity and use of HnB tobacco products have been reported.


Asunto(s)
Calor , Salud Pública/estadística & datos numéricos , Salud Pública/tendencias , Productos de Tabaco , Fumar Tabaco/tendencias , Sistemas Electrónicos de Liberación de Nicotina , Femenino , Humanos , Masculino , Probabilidad , PubMed , Conducta de Reducción del Riesgo , Encuestas y Cuestionarios , Fumar Tabaco/efectos adversos , Adulto Joven
15.
Curr Diabetes Rev ; 16(3): 204-210, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31146665

RESUMEN

From last few years, the pervasiveness of diabetes mellitus (DM), in Saudi Arabia, is growing at a frightening rate. Overall, one-fourth of the adult population is affected by DM, which is further predicted to rise to more than double by the year 2030. The most alarming is possibly the escalation propensity of diabetes, in recent years, where a nearly ten-fold increase has been witnessed over the past thirty years in Saudi Arabia. However, the number of research arbitrations on the prevalence and incidence of DM is woefully inadequate, as compared to developed countries. Apart from this, most of the existing research data carried out in Saudi Arabia is cross-sectional, with small sample sizes, which most often involve only certain parts of the country. Consequently, the present scenario demands more multidimensional and multisectoral research to strengthen the evidence base and to accumulate greater knowledge as a basis for measures and programmes to confront diabetes and its complications. Thus, the present report makes an attempt to depict the current trend of diabetes as well as intends to put forward essential measures for controlling diabetes in Saudi Arabia.


Asunto(s)
Diabetes Mellitus/epidemiología , Complicaciones de la Diabetes/epidemiología , Complicaciones de la Diabetes/prevención & control , Complicaciones de la Diabetes/terapia , Diabetes Mellitus/prevención & control , Diabetes Mellitus/terapia , Promoción de la Salud , Humanos , Incidencia , Prevalencia , Salud Pública/tendencias , Arabia Saudita/epidemiología
16.
Am J Phys Med Rehabil ; 99(1): 71-80, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31393270

RESUMEN

Nocebo effects refer to new or worsening symptoms that develop in response to negative health-related information, beliefs, and/or experiences. In recent years, research on concussion pathophysiology has significantly advanced. Through health campaigns and media coverage, emerging knowledge on the risks of this injury has been quickly disseminated to the public, and nowadays, the public perceives concussions as more hazardous to health than ever before. Although advancements in concussion-related research and care are of great importance and value, we ask in this article whether the increasing negative publicity regarding concussion also carries any latent costs. Are additional nocebo effects being fostered? To do so, we will review the literature on the psychological and neurobiological processes underlying nocebo effects, present a series of clinical studies demonstrating the ways in which nocebos may impact concussion outcomes both clinically and societally, then speculate on further potential mechanisms for nocebo effects in concussion. We conclude with an outline of the specific efforts one may take to minimize nocebo effects in concussion-related care.


Asunto(s)
Conmoción Encefálica/psicología , Conocimientos, Actitudes y Práctica en Salud , Promoción de la Salud/tendencias , Efecto Nocebo , Salud Pública/tendencias , Humanos
17.
Health Promot Chronic Dis Prev Can ; 39(12): 333-336, 2019 Dec.
Artículo en Inglés, Francés | MEDLINE | ID: mdl-31825786

RESUMEN

Canada is facing a national opioid overdose epidemic, with deaths due to opioid overdoses continuing to rise dramatically. To that end, the opioid experiences of the Kingston, Frontenac, and Lennox and Addington communities, the regional hub for southeastern Ontario and the home of Queen's University, may provide meaningful insights. This article provides a description of recent activities to address the local opioid crisis, a rationale for their adoption and the context in which they are being undertaken.


Asunto(s)
Sobredosis de Droga , Epidemia de Opioides , Factores de Edad , Analgésicos Opioides/farmacología , Canadá/epidemiología , Prestación de Atención de Salud/métodos , Sobredosis de Droga/etiología , Sobredosis de Droga/mortalidad , Servicio de Urgencia en Hospital/estadística & datos numéricos , Humanos , Epidemia de Opioides/prevención & control , Epidemia de Opioides/estadística & datos numéricos , Salud Pública/métodos , Salud Pública/tendencias , Factores Sexuales
18.
Arch Osteoporos ; 15(1): 2, 2019 12 06.
Artículo en Inglés | MEDLINE | ID: mdl-31811461

RESUMEN

We performed a systematic analysis of the standardized prevalence of osteoporosis in mainland China from 1990 to 2050. INTRODUCTION: Osteoporosis is the most common bone disease. We aimed to investigate the standardized prevalence of osteoporosis in mainland China at the national and regional levels, with projections until 2050. METHODS: A comprehensive literature search was performed in PubMed, EMBASE, Cochrane Library, CNKI, Wanfang, and CBM-SinoMed. We constructed resample sets to calculate the standardized prevalence in each study. Multilevel mixed-effects logistic regression was used to estimate the age-specific and sex-specific prevalence. The United Nations Population Division (UNPD) data and regional population data from the fifth and sixth censuses in mainland China were used to estimate and project the national and regional prevalence of osteoporosis. RESULTS: The standardized prevalence of osteoporosis ranged from 5.04% (2.12~11.34%) to 7.46% (3.13~16.32%) in males aged ≥ 50 years and from 26.28% (15.38~40.40%) to 39.19% (25.74~53.95%) in females aged ≥ 50 years from 1990 to 2050. Moreover, we did not find a significant difference in the standardized prevalence among three geographic regions (Central China, West China, and East China). CONCLUSION: We found that osteoporosis is a serious public health challenge in mainland China. The findings in our study add insight into the epidemiology of osteoporosis and would be beneficial for the prevention and treatment of osteoporosis in mainland China.


Asunto(s)
Predicción , Osteoporosis/epidemiología , Salud Pública/tendencias , Adulto , Anciano , China/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Prevalencia
19.
Presse Med ; 48(12): 1536-1550, 2019 Dec.
Artículo en Francés | MEDLINE | ID: mdl-31784255

RESUMEN

Africa along side with south-east Asia are the epicentres of emerging and epidemic prone-infectious diseases and megacity biosecurity threat scenarios. Massive mobility and reluctance in the populations exposed to epidemic and emerging prone-infectious diseases coupled by a weak health system made disease alert and control measures difficult to implement. The investigation of virus detection and persistence in semen across a range of emerging viruses is useful for clinical and public health reasons, in particular for viruses that lead to high mortality or morbidity rates or to epidemics. Innovating built facility to safely treat patients with highly pathogenic infectious diseases is urgently need, not only to prevent the spread of infection from patients to healthcare workers but also to offer provision of relatively invasive organ support, whenever considered appropriate, without posing additional risk to staff. Despite multiple challenges, the need to conduct research during epidemics is inevitable, and candidate products must continue undergoing rigorous trials. Preparedness including management of complex humanitarian crises with community distrust is a cornerstone in response to high consequence emerging infectious disease outbreaks and imposes strengthening of the public health response infrastructure and emergency outbreak systems in high-risk regions.


Asunto(s)
Enfermedades Transmisibles Emergentes/epidemiología , Epidemias , Control de Infecciones , Enfermedades Transmisibles Emergentes/prevención & control , Brotes de Enfermedades/prevención & control , Epidemias/prevención & control , Epidemias/estadística & datos numéricos , Salud Global/normas , Salud Global/tendencias , Humanos , Control de Infecciones/métodos , Control de Infecciones/organización & administración , Control de Infecciones/tendencias , Salud Pública/normas , Salud Pública/tendencias , Administración en Salud Pública/métodos , Administración en Salud Pública/tendencias
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