These WHO guidelines which were updated in 2018, are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.
The 2018 edition of the guidelines includes the re...vision of the recommendation regarding the use of 80% fraction of inspired oxygen (high FiO2) in surgical patients under general anaesthesia with tracheal intubation and the update of the section on implementation. Between 2017 and 2018, WHO re-assessed the evidence on the use of high FiO2 by updating the systematic review related to the effectiveness of this intervention to reduce SSI and commissioning an independent systematic review on adverse events potentially associated with it. Based on the updated evidence, the GDG decided to revise the strength of the recommendation from strong to conditional.
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Rund drei Viertel der in Deutschland lebenden Flüchtlinge aus Syrien, dem Irak und Afghanistan sind nach Gewalterlebnissen traumatisiert.
Die befragten Jugendämter und Fachverbände schildern laut des Berichts einerseits einen guten Ablauf des Verteilverfahrens. Zugleich dokumentiert der Bericht, dass junge Menschen sich der Verteilung noch immer entziehen, untertauchen und sich eigenständig zu Freunden und Verwandten oder in städt...ische Ballungsgebiete begeben. Angaben zur steigenden alltagsrelevanten psychischen Belastung aufgrund von traumatischen Erfahrungen im Herkunftsland und während der Flucht bestätigen auch die Ergebnisse der Online-Befragung durch den Bundesfachverband vom Herbst 2017.
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Diese Broschüre möchte dazu beitragen, dass möglichst viele Menschen die Ergebnisse öffentlich finanzierter Forschung nutzen können.
Liebe Lehrende,
das Recht auf Gesundheit ist ein weltweites Menschenrecht. Dennoch gestalten sich die vielen ge-sundheitlichen Facetten in jedem Land der Erde ganz unterschiedlich. So kann dieses Menschen-recht in vielen Ländern leider oftmals nicht vollständig oder sogar überhaupt nicht eingeha...lten werden und viele Menschen leiden bis heute unter gesundheitlichen Problemen, denen sie hilflos ausgeliefert sind.Die DAHW Deutsche Lepra- und Tuberkulosehilfe e.V. hat sich daher bereits vor über 60 Jahren zum Ziel gesetzt, dieser Ungerechtigkeit entgegenzuwirken. Da Gesundheit vor allem in den ärmeren Ländern der Erde nicht rechtmäßig gewährleistet werden kann, liegt der Fokus der Organisation auf der Bekämpfung der Krankheiten der Armut und ihren Folgen. So besteht die Vision der DAHW da-rin, mit ihrer Tätigkeit dazu beizutragen, eine Welt zu schaffen, in der kein Mensch unter Lepra, Tuberkulose und anderen Krankheiten der Armut und ihren Folgen wie Behinderung und Ausgren-zung leidet. Dafür ist sie in 19 Ländern der Erde tätig.Der Einsatz für weltweite Gerechtigkeit und Gesundheit kann jedoch nur gelingen, wenn jeder Mensch dafür seine Verantwortung und Handlungsmöglichkeiten erkennt. So möchten wir mit die-sem Arbeitsheft Ihnen und Ihrer Lerngruppe Material zur Hand geben, das sich intensiver mit dem Thema „Gesundheit weltweit“ auseinandersetzt. Durch unterschiedliche Arbeitsaufträge soll damit das persönliche Bewusstsein über die Facetten der Gesundheitsthematik gefördert, zum eigenen Urteilen über Ungerechtigkeiten angeregt und zum selbstständigen Handeln für eine bessere Ein-haltung des Menschenrechtes motiviert werden.
Wir wünschen viel Spaß dabei!
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Antibiotic resistant bacteria are spreading at an alarming rate and some bacterial infections may once again be untreatable. Antibiotic resistance (ABR), conservatively calculated, causes more than 500 000 deaths every year. This number is projected to rise dramatically if radical actions are not ta...ken. Lack of effective antibiotics, diagnostics and vaccines threatens the health of millions and hampers fulfilment of several of the Sustainable Devel- opment Goals. Access to effective antibiotics should be part of every adult and child’s right to health.
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Scientists have known for more than half a century that patients could develop resistance to the drugs used to treat them. Alexander Fleming, who is credited with creating the first antibiotic, penicillin, in 1928, cautioned of the impending crisis while accepting his Nobel prize in 1945: “There ...is the danger that the ignorant man may easily underdose himself and by exposing his microbes to non-lethal quantities of the drug make them resistant.” Since then antibiotics have proved one of the most effective interventions in human medicine. Sadly, the overuse and misuse of this precious resource have brought us to a global crisis of antimicrobial resistance (AMR). To address this crisis nearly seven decades after Fleming’s lecture the first UN general assembly meeting on drug resistance bacteria was convened in September 2017.
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As a public good, antimicrobial medicines require rational use if their effectiveness is to be preserved. However, up to 50% of antibiotic use is inappropriate, adding considerable costs to patient care, and increasing morbidity and mortality. In addition, there is compelling evidence that antimicro...bial resistance is driven by the volume of antimicrobial agents used. High rates of antimicrobial resistance to common treatments are currently reported all over the world, both in health care settings and in the community. For over two decades, the Region of the Americas has been a pioneer in confronting antimicrobial resistance from a public health perspective. However, those efforts need to be stepped up if we are to have an impact on antimicrobial resistance and want to quantify said impact.
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This working paper was conceived to offer practical tips and suggestions on how to establish and sustain the multisectoral coordination needed to develop and implement National Action Plans on AMR (NAPs). It is intended for anyone with responsibility for addressing AMR at country level. Drawing on b...oth the published literature and the operational experience of four ‘focal countries’ (Ethiopia, Kenya, Philippines and Thailand), it summarizes lessons learned and the latest thinking on multisectoral working to achieve effective AMR action. The experience in focal countries points to a number of tools and tactics that can be used to help establish and enhance sustainable multisectoral collaboration for AMR action. These can be grouped into four categories: political commitment, resources, governance mechanisms, and practical management.
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The objectives of NAP are aligned with the global action plan based on national needs and priorities. The emphasis is on One Health approach with all sectors especially human health, animal health and environment contributing towards minimizing the emergence and impact of AMR in Jordan.
Spread of resistance to antimicrobial agents (AMR) does not know national borders and has reached dimensions, which require immediate actions at the national, regional and global levels.
Antibiotic resistance is a natural biological response to improper use of antimicrobial agents (AMA); increasing... number of essential drugs, which become ineffective, contributing to selection, survival and replication of resistant strains of microorganisms. When chosen antimicrobials prove to be ineffective, the second- or third-line drugs need to be used although
in the majority of cases these drugs are more expensive, less safe and not always available.
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This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delivery, and timely postnatal care (PNC).This s...tudy uses data from the 2014 Kenya Demographic and Health Survey (KDHS) conducted among women age 15-49 with a live birth in the five years preceding the survey. It includes data from all 47 counties of Kenya, grouped contiguously into 12regions.We apply Andersen’s Behavioral Model of Health Services Use to examine socio-demographic predictors of health service use.We estimate logistic regression models for adequate use of ANC (defined as attending at least four ANC visits, starting in the first three months of pregnancy), delivery in a health facility, and PNC within 48 hours of delivery.
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Studien der Sachverständigengruppe „Weltwirtschaft und Sozialethik“ Nr. 21
Eine sozialethische Analyse und Bewertung von Postwachstumsstrategien