The World Health Organization estimates a deficit of approximately 2.4 million physicians, nurses, and midwives along with a need for an additional 2 million pharmacists and paramedical professionals. Compounding this crisis for the most vulnerable communities is the phenomenon healthcare worker migration. Both developed and developing nations are struggling to mitigate the immense challenges resulting from the existing shortage combined with increasing demands and diminishing supplies of healthcare providers. WHO established a Global Code of Practice with the aim of addressing the growing healthcare worker crisis. United Nations General Assembly passed a resolution calling on the international community to work together towards the creation of 40 million healthcare and social workers with particular focus on the expected 18-million-person deficit in healthcare workers by 2030. The WHO’s Global Code of Practice on the International Recruitment of Health Personnel has provided clear benefits in mitigating this growing problem most evident with the creation of 117 national authorities and being used to establish 65 bilateral agreements with respect to health worker development and migration. The healthcare workforce shortage is an ongoing crisis with global ramifications effecting developed and developing nations alike.
{"title":"Global Healthcare Workers Migration: A Human Resource Management Concern","authors":"S. Bidaisee","doi":"10.31038/imroj.2018335","DOIUrl":"https://doi.org/10.31038/imroj.2018335","url":null,"abstract":"The World Health Organization estimates a deficit of approximately 2.4 million physicians, nurses, and midwives along with a need for an additional 2 million pharmacists and paramedical professionals. Compounding this crisis for the most vulnerable communities is the phenomenon healthcare worker migration. Both developed and developing nations are struggling to mitigate the immense challenges resulting from the existing shortage combined with increasing demands and diminishing supplies of healthcare providers. WHO established a Global Code of Practice with the aim of addressing the growing healthcare worker crisis. United Nations General Assembly passed a resolution calling on the international community to work together towards the creation of 40 million healthcare and social workers with particular focus on the expected 18-million-person deficit in healthcare workers by 2030. The WHO’s Global Code of Practice on the International Recruitment of Health Personnel has provided clear benefits in mitigating this growing problem most evident with the creation of 117 national authorities and being used to establish 65 bilateral agreements with respect to health worker development and migration. The healthcare workforce shortage is an ongoing crisis with global ramifications effecting developed and developing nations alike.","PeriodicalId":158740,"journal":{"name":"Internal Medicine Research Open Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117287706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Roever, E. Resende, A. Diniz, N. Penha-Silva, J. Lucas, O’Connell, Fernanda Rodrigues Souza, Poliana Rodrigues Alves Duarte, P. F. Gomes, Américo José Caixeta Neto, Lívia Maria Ambrósio da Silva, R. D. Felice, Anaisa, Silva Roerver-Borges, F. Veloso, T. Fidale, A. Casella-Filho, Paulo Magno, Martins Dourado, A. Chagas, Sadeq Ali-Hasan-Al-Saegh, Paulo Eduardo Ocke, Reis, R. Pinto, Gustavo B. F. Oliveira, Á. Avezum, M. Neto, A. Durães, R. Silva, A. J. Grande, CeliseDenardi, R. Lopes, NiteshNerlekar, S. Alizadeh, A. Hernandez, M. I. Rosa, G. Tse, Tong Liu, G. Biondi‐Zoccai
HDL-C is believed to retard the formation of atherosclerotic lesions by removing excess cholesterol from cells and preventing endothelial dysfunction. However, there are no systematic analyses or well-conducted meta-analyses to evaluate the relationship between very low HDL-C and endothelial dysfunction [1]. The of this study is to examine this association of very low HDL-C with endothelial dysfunction in different ages and This systematic review and meta-analysis will offer better understanding regarding the association between metabolic syndrome and endothelial dysfunction. The findings from this study will be useful for assessing of very low HDL-C and the risk factors in endothelial dysfunction, and determining approaches for prevention of endothelial dysfunction in the future. An improved understanding of this relationship may help to inform public health endothelial dysfunction prevention strategies. Included studies may have substantially different methodologies, which could limit our ability to draw reliable conclusions from the existing evidence base. Depending on the results, confounding factors that were not adjusted for the selected studies and low generalizability situations can be limitations. To minimize these limitations we will evaluate the heterogeneity between the studies, perform sensitivity analysis and meta-regression. : CIs Confidence HDL = high-density LDL = RR = risk
{"title":"Low levels of HDL-cholesterol and endothelial dysfunction: a systematic review and meta-analysis","authors":"L. Roever, E. Resende, A. Diniz, N. Penha-Silva, J. Lucas, O’Connell, Fernanda Rodrigues Souza, Poliana Rodrigues Alves Duarte, P. F. Gomes, Américo José Caixeta Neto, Lívia Maria Ambrósio da Silva, R. D. Felice, Anaisa, Silva Roerver-Borges, F. Veloso, T. Fidale, A. Casella-Filho, Paulo Magno, Martins Dourado, A. Chagas, Sadeq Ali-Hasan-Al-Saegh, Paulo Eduardo Ocke, Reis, R. Pinto, Gustavo B. F. Oliveira, Á. Avezum, M. Neto, A. Durães, R. Silva, A. J. Grande, CeliseDenardi, R. Lopes, NiteshNerlekar, S. Alizadeh, A. Hernandez, M. I. Rosa, G. Tse, Tong Liu, G. Biondi‐Zoccai","doi":"10.31038/imroj.2018333","DOIUrl":"https://doi.org/10.31038/imroj.2018333","url":null,"abstract":"HDL-C is believed to retard the formation of atherosclerotic lesions by removing excess cholesterol from cells and preventing endothelial dysfunction. However, there are no systematic analyses or well-conducted meta-analyses to evaluate the relationship between very low HDL-C and endothelial dysfunction [1]. The of this study is to examine this association of very low HDL-C with endothelial dysfunction in different ages and This systematic review and meta-analysis will offer better understanding regarding the association between metabolic syndrome and endothelial dysfunction. The findings from this study will be useful for assessing of very low HDL-C and the risk factors in endothelial dysfunction, and determining approaches for prevention of endothelial dysfunction in the future. An improved understanding of this relationship may help to inform public health endothelial dysfunction prevention strategies. Included studies may have substantially different methodologies, which could limit our ability to draw reliable conclusions from the existing evidence base. Depending on the results, confounding factors that were not adjusted for the selected studies and low generalizability situations can be limitations. To minimize these limitations we will evaluate the heterogeneity between the studies, perform sensitivity analysis and meta-regression. : CIs Confidence HDL = high-density LDL = RR = risk","PeriodicalId":158740,"journal":{"name":"Internal Medicine Research Open Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128320921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}