R. Sharara-Chami, Z. Lakissian, Heba Al-Rayess, R. Boustany
Introduction: Tablets and smartphones have become ubiquitous in the lives of young children. Literature from developed countries has shown both positive and negative long-term effects of screen exposure and use on developmental milestones; however, no information is available for developing countries. This study assesses the prevalence of device use among children 2 years and younger and parent perception of the impact of these devices. Methods: Parents of healthy children (≤ 2 years) were approached at an out-patient pediatric clinic in an urban teaching hospital between May-July 2016. After consenting, parents were asked to interview with one of the investigators based on a 40-item questionnaire divided into 4 main sections: demographics, availability and accessibility of portable devices, use of devices and parents’ perception. Results: 71 questionnaires were analyzed. Most families lived in urban areas (73%) and at least one parent was university-educated (82%). All households had at least 1 media device; 65% of children were allowed to use devices before the age of 228% independently. Most children (62%) were allowed access for <1 hour/day:25% for entertainment, most commonly YouTube (54%). Majority of parents (80%) believed the use of portable media devices had a negative impact on their child, yet 60% perceived their children were calmer when using them and 44% got irritated when devices were taken away. Conclusion: Among well-educated urban families in a developing country, exposure of children to mobile media devices starts as early as infancy, despite parental perception of their potentially negative impact on the child. *Correspondence to: Rana Sharara-Chami, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, P.O. Box 11-0236 Riad El Solh 110 72020 Beirut, Lebanon, Tel: +961-1-350000 extension 5536; Fax +961-1-370781; E-mail: rsharara@aub.edu.lb
导读:平板电脑和智能手机在孩子们的生活中无处不在。来自发达国家的文献表明，屏幕暴露和使用对发育里程碑既有积极的长期影响，也有消极的长期影响;但是，没有关于发展中国家的资料。本研究评估了2岁及以下儿童使用电子设备的流行程度，以及家长对这些设备影响的看法。方法:对2016年5 - 7月在某城市教学医院儿科门诊就诊的健康儿童(≤2岁)家长进行接触。同意后，家长被要求与一名调查人员进行访谈。调查问卷共有40个项目，分为4个主要部分:人口统计、便携式设备的可用性和可及性、设备的使用和家长的看法。结果:共分析问卷71份。大多数家庭居住在城市地区(73%)，父母中至少有一人受过大学教育(82%)。所有家庭至少有一台媒体设备;65%的儿童在228%之前被允许独立使用电子设备。大多数儿童(62%)每天被允许访问的时间少于1小时:25%用于娱乐，最常见的是YouTube(54%)。大多数家长(80%)认为使用便携式媒体设备对孩子有负面影响，但60%的家长认为他们的孩子在使用它们时更平静，44%的家长认为当设备被拿走时他们会生气。结论:在发展中国家受过良好教育的城市家庭中，儿童早在婴儿期就开始接触移动媒体设备，尽管父母认为它们可能对孩子产生负面影响。*通讯:Rana Sharara-Chami，贝鲁特美国大学医学中心儿科和青少年医学系，黎巴嫩贝鲁特，Riad El Solh 110 72020，邮政信箱11-0236，电话:+961-1-35 50000分机5536;传真+ 961-1-370781;电子邮件:rsharara@aub.edu.lb
{"title":"A “Snap” of Portable Media Use Among Children Two Years and Younger in a Developing Country","authors":"R. Sharara-Chami, Z. Lakissian, Heba Al-Rayess, R. Boustany","doi":"10.15761/HPC.1000157","DOIUrl":"https://doi.org/10.15761/HPC.1000157","url":null,"abstract":"Introduction: Tablets and smartphones have become ubiquitous in the lives of young children. Literature from developed countries has shown both positive and negative long-term effects of screen exposure and use on developmental milestones; however, no information is available for developing countries. This study assesses the prevalence of device use among children 2 years and younger and parent perception of the impact of these devices. Methods: Parents of healthy children (≤ 2 years) were approached at an out-patient pediatric clinic in an urban teaching hospital between May-July 2016. After consenting, parents were asked to interview with one of the investigators based on a 40-item questionnaire divided into 4 main sections: demographics, availability and accessibility of portable devices, use of devices and parents’ perception. Results: 71 questionnaires were analyzed. Most families lived in urban areas (73%) and at least one parent was university-educated (82%). All households had at least 1 media device; 65% of children were allowed to use devices before the age of 228% independently. Most children (62%) were allowed access for <1 hour/day:25% for entertainment, most commonly YouTube (54%). Majority of parents (80%) believed the use of portable media devices had a negative impact on their child, yet 60% perceived their children were calmer when using them and 44% got irritated when devices were taken away. Conclusion: Among well-educated urban families in a developing country, exposure of children to mobile media devices starts as early as infancy, despite parental perception of their potentially negative impact on the child. *Correspondence to: Rana Sharara-Chami, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, P.O. Box 11-0236 Riad El Solh 110 72020 Beirut, Lebanon, Tel: +961-1-350000 extension 5536; Fax +961-1-370781; E-mail: rsharara@aub.edu.lb","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79094323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : The U.S. Preventive Services Task Forces (USPSTF) has recommended lung cancer screening with low-dose computed tomography (LDCT) in high- risk patients; however, the number of eligible patients receiving LDCT screening is still low. To understand current implementation and barriers to LDCT screening among primary care providers, a survey was conducted among members of the North Texas Primary Care Practice-Based Research Network (NorTex) between July and November 2018. The survey included questions regarding knowledge of lung cancer screening guidelines, perceptions, practice and barriers to LDCT screening. A total of 36 primary care providers completed the survey (response rate = 18%). Results: Overall, 69.4% of respondents indicated that lung cancer screening with LDCT was recommended by USPSTF. 91.7% of providers believed that the LDCT is effective in reducing lung cancer mortality for high-risk patients, while only 33.3% had referred most of high risk patients for LDCT screening in the past 12 months. Common perceived barriers to LDCT included concerns regarding insurance coverage, the cost of the test, and uncertainty of the benefits of the test. Conclusions: Approximately 70% of primary care providers are familiar with the USPSTF guidelines for lung cancer screening and a number of providers’ barriers to adherence to guideline are persistent. Further study of provider-based intervention is needed to improve screening implementation.
{"title":"Lung cancer screening practices among primary care providers in Northern Texas","authors":"M. Tao, Kimberly G. Fulda, L. Wong","doi":"10.15761/HPC.1000161","DOIUrl":"https://doi.org/10.15761/HPC.1000161","url":null,"abstract":"Background : The U.S. Preventive Services Task Forces (USPSTF) has recommended lung cancer screening with low-dose computed tomography (LDCT) in high- risk patients; however, the number of eligible patients receiving LDCT screening is still low. To understand current implementation and barriers to LDCT screening among primary care providers, a survey was conducted among members of the North Texas Primary Care Practice-Based Research Network (NorTex) between July and November 2018. The survey included questions regarding knowledge of lung cancer screening guidelines, perceptions, practice and barriers to LDCT screening. A total of 36 primary care providers completed the survey (response rate = 18%). Results: Overall, 69.4% of respondents indicated that lung cancer screening with LDCT was recommended by USPSTF. 91.7% of providers believed that the LDCT is effective in reducing lung cancer mortality for high-risk patients, while only 33.3% had referred most of high risk patients for LDCT screening in the past 12 months. Common perceived barriers to LDCT included concerns regarding insurance coverage, the cost of the test, and uncertainty of the benefits of the test. Conclusions: Approximately 70% of primary care providers are familiar with the USPSTF guidelines for lung cancer screening and a number of providers’ barriers to adherence to guideline are persistent. Further study of provider-based intervention is needed to improve screening implementation.","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"2 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84990510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The aim of this study was to systematically identify the impact of food provision on adherence to tuberculosis treatment. Methods: A systemic search of published studies was conducted using major widely used electronic databases using the search terms ‘food provision’, ‘adherence impact’ and ‘tuberculosis treatment’. Main results: From a total of 18,040 results, only 11 were included in the full review. The main determinate categories that were indentified in the review were (1) socio economic factors i.e. (lack food ....). (2) Patient related factors. (3) Condition related factors. (4) Health care team and health system factors. Conclusion: Adherence to the long course of TB treatment is a complex, dynamic phenomenon with a wide range of factors that impact treatment-taking behaviour. The main result identified in the review is that food incentive has a strong positive impact on adherence to tuberculosis treatment. *Correspondence to: Mousnad Mohamed Awad, Assistant Professor, Faculty of Pharmacy, International University of Africa (IUA), Khartoum, Sudan, Tel: +249-912325864; E-mail: m_abdalaziz@yahoo.com, mousnad@gmail.com
{"title":"Systematic review of the impact of food provision on adherence to the tuberculosis treatment","authors":"Abourof Rania Hassan, Mousnad Mohamed Awad","doi":"10.15761/HPC.1000166","DOIUrl":"https://doi.org/10.15761/HPC.1000166","url":null,"abstract":"Objective: The aim of this study was to systematically identify the impact of food provision on adherence to tuberculosis treatment. Methods: A systemic search of published studies was conducted using major widely used electronic databases using the search terms ‘food provision’, ‘adherence impact’ and ‘tuberculosis treatment’. Main results: From a total of 18,040 results, only 11 were included in the full review. The main determinate categories that were indentified in the review were (1) socio economic factors i.e. (lack food ....). (2) Patient related factors. (3) Condition related factors. (4) Health care team and health system factors. Conclusion: Adherence to the long course of TB treatment is a complex, dynamic phenomenon with a wide range of factors that impact treatment-taking behaviour. The main result identified in the review is that food incentive has a strong positive impact on adherence to tuberculosis treatment. *Correspondence to: Mousnad Mohamed Awad, Assistant Professor, Faculty of Pharmacy, International University of Africa (IUA), Khartoum, Sudan, Tel: +249-912325864; E-mail: m_abdalaziz@yahoo.com, mousnad@gmail.com","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"94 10 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91086015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Kontrimavičiūtė, Rūta Janulevičienė, G. Sakalauskaitė, Evaldas Kauzonas, G. Bukelytė
{"title":"Comparison of preoxygenation efficiency with intersurgical economy and intersurgical quadralite anaesthetic face masks","authors":"E. Kontrimavičiūtė, Rūta Janulevičienė, G. Sakalauskaitė, Evaldas Kauzonas, G. Bukelytė","doi":"10.15761/hpc.1000158","DOIUrl":"https://doi.org/10.15761/hpc.1000158","url":null,"abstract":"","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81645717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rilva Lopes de Sousa Muñoz, Jandira Arlete Cunegundes de Freitas, Ligiane Medeiros Diógenes
Background: The insertion of residency in Family Health Stratey occurs at the core of the performance of the health care teams, where professionals in training learn to work in teams and with the team. This insertion also highlights the importance of real teaching-service integration, as the presence of resident physicians can lead to new forms of health work organization and enable changes in the qualification of care provided to the Community. Aims: The objectives of this study are to describe and analyze the insertion of the residence of Family and Community Medicine in Primare Care Units (PCU) from the view of the workers of these teams. Methods: The research model was descriptive, with qualitative approach. The participants were 27 professionals who are part of five teams enrolled in four PCU of the Mossoró municipality, Brazil. The interviews were carried out through the technique of the focal group, with audio recording, later transcription and content analysis proposed by Bardin, through the thematic analysis. Results: The categories emerged were “medical residency and their presence in the team”, “medical residency and the work process”, “medical residency and Community” and “medical residence and management”. Conclusion: The research allowed an analysis of several aspects related to the insertion and performance of the residence in the PCU, highlighting potentialities and weaknesses in this process.
{"title":"Impact of the insertion of medicine residency in units of primary health care: perception of family health strategy teams","authors":"Rilva Lopes de Sousa Muñoz, Jandira Arlete Cunegundes de Freitas, Ligiane Medeiros Diógenes","doi":"10.15761/hpc.1000168","DOIUrl":"https://doi.org/10.15761/hpc.1000168","url":null,"abstract":"Background: The insertion of residency in Family Health Stratey occurs at the core of the performance of the health care teams, where professionals in training learn to work in teams and with the team. This insertion also highlights the importance of real teaching-service integration, as the presence of resident physicians can lead to new forms of health work organization and enable changes in the qualification of care provided to the Community. Aims: The objectives of this study are to describe and analyze the insertion of the residence of Family and Community Medicine in Primare Care Units (PCU) from the view of the workers of these teams. Methods: The research model was descriptive, with qualitative approach. The participants were 27 professionals who are part of five teams enrolled in four PCU of the Mossoró municipality, Brazil. The interviews were carried out through the technique of the focal group, with audio recording, later transcription and content analysis proposed by Bardin, through the thematic analysis. Results: The categories emerged were “medical residency and their presence in the team”, “medical residency and the work process”, “medical residency and Community” and “medical residence and management”. Conclusion: The research allowed an analysis of several aspects related to the insertion and performance of the residence in the PCU, highlighting potentialities and weaknesses in this process.","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"13 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88028937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Khathaami, Danah Abo AlSamh, M. Jumah, Nasser Alotaibi, S. Kojan, A. Khan, T. Steiner
Background: The Headache Under-Response to Treatment (HURT) questionnaire is a self-administered outcome measure designed to assess and promote effectiveness of headache management in primary care. It links responses indicative of suboptimal treatment to specific clinical actions to improve outcomes. We aimed in this study to test whether integrating HURT into assessment and follow-up in primary care in Saudi Arabia improved headache management. Methods: With IRB approval, primary-care physicians (PCPs) were recruited from two health-care centres in Riyadh. After basic training in headache care, they were randomly assigned to either of two groups: one, with further instruction on its use, incorporating HURT into their management of patients with headache (intervention group), the other applying standard care without HURT (control group). Patients were randomised on presentation to a PCP in one or other group, thereby randomly receiving care directed by HURT or not. The primary outcome measures, estimated using the Headache-Attributed Lost Time (HALT) index, were reductions in lost productivity from paid work and household chores after 3 and 5 months’ follow-up. Results: A total of 28 PCPs participated. The study was stopped early, because of slow recruitment, after enrolment of 171 patients (84 control, 87 intervention) of 420 planned. Baseline characteristics were well matched between the groups. Patients in both groups benefited from the care they received, with no significant difference in the primary endpoint between groups after 5 months (5.2 versus 5.7 days lost; p=0.4). Patients’ understanding of their diagnosis reportedly improved in the intervention group during follow-up. Conclusion: The study failed in its purpose but delivered useful lessons for future study design in a difficult field of enquiry. First, the training we gave all PCPs, in order to balance the treatment groups, may have rendered HURT largely redundant as a management aid intended for non-experts. Second, the study demonstrates again the difficulty of conducting experiments of this sort in primary care, where interest in headache and motivation to conduct headache research are largely lacking. The second is the more intractable problem. *Correspondence to: TJ Steiner, Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway, E-mail: t.steiner@imperial.ac.uk
{"title":"Does primary-care use of the HURT questionnaire aid the reduction of headache burden? Lessons for study design from an evaluation in primary care of the Arabic version","authors":"A. Khathaami, Danah Abo AlSamh, M. Jumah, Nasser Alotaibi, S. Kojan, A. Khan, T. Steiner","doi":"10.15761/hpc.1000177","DOIUrl":"https://doi.org/10.15761/hpc.1000177","url":null,"abstract":"Background: The Headache Under-Response to Treatment (HURT) questionnaire is a self-administered outcome measure designed to assess and promote effectiveness of headache management in primary care. It links responses indicative of suboptimal treatment to specific clinical actions to improve outcomes. We aimed in this study to test whether integrating HURT into assessment and follow-up in primary care in Saudi Arabia improved headache management. Methods: With IRB approval, primary-care physicians (PCPs) were recruited from two health-care centres in Riyadh. After basic training in headache care, they were randomly assigned to either of two groups: one, with further instruction on its use, incorporating HURT into their management of patients with headache (intervention group), the other applying standard care without HURT (control group). Patients were randomised on presentation to a PCP in one or other group, thereby randomly receiving care directed by HURT or not. The primary outcome measures, estimated using the Headache-Attributed Lost Time (HALT) index, were reductions in lost productivity from paid work and household chores after 3 and 5 months’ follow-up. Results: A total of 28 PCPs participated. The study was stopped early, because of slow recruitment, after enrolment of 171 patients (84 control, 87 intervention) of 420 planned. Baseline characteristics were well matched between the groups. Patients in both groups benefited from the care they received, with no significant difference in the primary endpoint between groups after 5 months (5.2 versus 5.7 days lost; p=0.4). Patients’ understanding of their diagnosis reportedly improved in the intervention group during follow-up. Conclusion: The study failed in its purpose but delivered useful lessons for future study design in a difficult field of enquiry. First, the training we gave all PCPs, in order to balance the treatment groups, may have rendered HURT largely redundant as a management aid intended for non-experts. Second, the study demonstrates again the difficulty of conducting experiments of this sort in primary care, where interest in headache and motivation to conduct headache research are largely lacking. The second is the more intractable problem. *Correspondence to: TJ Steiner, Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway, E-mail: t.steiner@imperial.ac.uk","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"19 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80912732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elisa Naeme Saleme-Cruz, L. D. L. S. D. L. Vega, José Luis Kramis-Cerezo
In this manuscript, we show that the design and implementation of a hospital response protocol for emergencies and disasters is essential to offer an effective health response attached to international programs aimed at risk reduction, which allow the identification of personnel and the actions to be taken during a critical event. Our purpose was to evaluate their previous knowledge and actions in similar situations, as well as to detect the strengths and areas of opportunity of each organization. This brief article describes the perceptions of the staff of a private hospital in Mexico City about their individual and institutional actions in emergencies and disasters, collected through questionnaires and semi-structured interviews. *Correspondence to: Luz Angélica de la Sierra de la Vega, Professor and researcher, Center for Population Health Research. National Institute of Public Health Cuernavaca, Mexico, Tel: (52) 7773293000 Ext. 3301; E-mail: luz. delasierra@insp.mx Received: September 24, 2019; Accepted: November 12, 2019; Published: November 21, 2019 Introduction Mexico has been the subject of many social and natural events that have tested its capacity for health response, especially in matters of infrastructure and Resources [1]. The second and third level hospital units are an axis of central response and reference in this type of events, so guaranteeing their integral response, organized and with a decisive vision, promotes a strategy of prevention and mitigation of risk in emergencies and disasters [2]. The frequency of climate-related disasters is increasing, since in the last twenty years an annual average of 30,000 lives has been claimed and caused more than 4,000 million injured. According to the UN, 90% of natural disasters are related to the climate, while the remaining 10% are of geophysical origin (earthquakes, volcanic eruptions and landslides). In the first group, the deadliest and most serious effects are floods and droughts, causing 80% of the victims and which are predominantly poor countries [3]. Mexico and in particular Mexico City present special challenges, such as overpopulation and poor access to sanitation services. The most destructive event with greater repercussions, has been the earthquake that occurred in 1985, with approximately 6000 deaths, generating an approximate cost of $ 4.1 billion, which showed the inability of the system to face events of similar magnitude [4]. This situation was faced based on the national and international solidarity social response. There were no trained personnel in the areas of critical response for the reception of the injured, rescue, much less with organizational principles to provide an effective health response. Recovering the evidence and statistics of the repercussions of these events, the Pan American Health Organization (PAHO) promoted a resolution (CD 45.R8) demanding that member states adopt a policy on risk reduction the initiative of “Safe Hospital against disasters
{"title":"Integral hospital response to emergencies and disasters in a private hospital in Mexico","authors":"Elisa Naeme Saleme-Cruz, L. D. L. S. D. L. Vega, José Luis Kramis-Cerezo","doi":"10.15761/hpc.1000175","DOIUrl":"https://doi.org/10.15761/hpc.1000175","url":null,"abstract":"In this manuscript, we show that the design and implementation of a hospital response protocol for emergencies and disasters is essential to offer an effective health response attached to international programs aimed at risk reduction, which allow the identification of personnel and the actions to be taken during a critical event. Our purpose was to evaluate their previous knowledge and actions in similar situations, as well as to detect the strengths and areas of opportunity of each organization. This brief article describes the perceptions of the staff of a private hospital in Mexico City about their individual and institutional actions in emergencies and disasters, collected through questionnaires and semi-structured interviews. *Correspondence to: Luz Angélica de la Sierra de la Vega, Professor and researcher, Center for Population Health Research. National Institute of Public Health Cuernavaca, Mexico, Tel: (52) 7773293000 Ext. 3301; E-mail: luz. delasierra@insp.mx Received: September 24, 2019; Accepted: November 12, 2019; Published: November 21, 2019 Introduction Mexico has been the subject of many social and natural events that have tested its capacity for health response, especially in matters of infrastructure and Resources [1]. The second and third level hospital units are an axis of central response and reference in this type of events, so guaranteeing their integral response, organized and with a decisive vision, promotes a strategy of prevention and mitigation of risk in emergencies and disasters [2]. The frequency of climate-related disasters is increasing, since in the last twenty years an annual average of 30,000 lives has been claimed and caused more than 4,000 million injured. According to the UN, 90% of natural disasters are related to the climate, while the remaining 10% are of geophysical origin (earthquakes, volcanic eruptions and landslides). In the first group, the deadliest and most serious effects are floods and droughts, causing 80% of the victims and which are predominantly poor countries [3]. Mexico and in particular Mexico City present special challenges, such as overpopulation and poor access to sanitation services. The most destructive event with greater repercussions, has been the earthquake that occurred in 1985, with approximately 6000 deaths, generating an approximate cost of $ 4.1 billion, which showed the inability of the system to face events of similar magnitude [4]. This situation was faced based on the national and international solidarity social response. There were no trained personnel in the areas of critical response for the reception of the injured, rescue, much less with organizational principles to provide an effective health response. Recovering the evidence and statistics of the repercussions of these events, the Pan American Health Organization (PAHO) promoted a resolution (CD 45.R8) demanding that member states adopt a policy on risk reduction the initiative of “Safe Hospital against disasters ","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"9 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83462188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In human and mouse models mutations of desmoglein-2 produce a form of arrhythmogenic cardiomyopathy with massive necrosis and right ventricular myocyte hypertrophy. In a cohort of 434 patients with typical arrhythmogenic cardiomyopathy it was searched for signs of right ventricular hypertrophy in standard ECG. In 12 cases manifest or subtle signs of right ventricular hypertrophy were present (3%) beyond minor or major ECG criteria of arrhythmogenic cardiomyopathy. Although desmoglein-2 mutations have a frequency of 5 – 15% in arrhythmogenic cardiomyopathy additional signs of right ventricular hypertrophy are a hint of massive necrosis in arrhythmogenic cardiomyopathy thus producing right ventricular myocyte hypertrophy. *Correspondence to: Stefan Peters, Cardiology, St.Elisabeth Hospital Salzgitter, Liebenhaller Str. 20, 38259 Salzgitter, Germany, Tel: +39 5341 824 679; E-Mail: H.u.S.Peters@t-online.de
{"title":"Signs of right ventricular myocyte hypertrophy in arrhythmogenic cardiomyopathy","authors":"S. Peters","doi":"10.15761/hpc.1000160","DOIUrl":"https://doi.org/10.15761/hpc.1000160","url":null,"abstract":"In human and mouse models mutations of desmoglein-2 produce a form of arrhythmogenic cardiomyopathy with massive necrosis and right ventricular myocyte hypertrophy. In a cohort of 434 patients with typical arrhythmogenic cardiomyopathy it was searched for signs of right ventricular hypertrophy in standard ECG. In 12 cases manifest or subtle signs of right ventricular hypertrophy were present (3%) beyond minor or major ECG criteria of arrhythmogenic cardiomyopathy. Although desmoglein-2 mutations have a frequency of 5 – 15% in arrhythmogenic cardiomyopathy additional signs of right ventricular hypertrophy are a hint of massive necrosis in arrhythmogenic cardiomyopathy thus producing right ventricular myocyte hypertrophy. *Correspondence to: Stefan Peters, Cardiology, St.Elisabeth Hospital Salzgitter, Liebenhaller Str. 20, 38259 Salzgitter, Germany, Tel: +39 5341 824 679; E-Mail: H.u.S.Peters@t-online.de","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"29 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73289758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Roncero, C. Perpiñá, M. Segura, J. Oltra-Cucarella, L. Blasco, Sonia Ciscar, M. Portillo, Amparo Malea, R. Espert
{"title":"Analysis of the Effectiveness of Cognitive Remediation and Emotional Skills Training in a Group format. Preliminary results in patients with eating disorders","authors":"María Roncero, C. Perpiñá, M. Segura, J. Oltra-Cucarella, L. Blasco, Sonia Ciscar, M. Portillo, Amparo Malea, R. Espert","doi":"10.15761/HPC.1000155","DOIUrl":"https://doi.org/10.15761/HPC.1000155","url":null,"abstract":"","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"32 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73079880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The modern breeding has so far aimed to reduce the cost of food of animal origin to allow consumption even by the poor. The concept of quality did not take into account the sui generis taste but the longest possible shelf life, a fundamental requirement for large retailers. Even "fresh" cheeses can have a commercial life of up to 30 days when "freshness" is a distant memory.
{"title":"Can the current products of animal origin win the challenge with the offer of new foods?","authors":"L. Zicarelli","doi":"10.15761/HPC.1000165","DOIUrl":"https://doi.org/10.15761/HPC.1000165","url":null,"abstract":"The modern breeding has so far aimed to reduce the cost of food of animal origin to allow consumption even by the poor. The concept of quality did not take into account the sui generis taste but the longest possible shelf life, a fundamental requirement for large retailers. Even \"fresh\" cheeses can have a commercial life of up to 30 days when \"freshness\" is a distant memory.","PeriodicalId":48703,"journal":{"name":"Primary Health Care Research and Development","volume":"8 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90887016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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