Severe cases of COVID-19 are associated with rehabilitation needs related to the consequences of ventilatory support, and prolonged immobilization and bed rest. These may include: − Impaired lung function; − Physical deconditioning and muscle weakness; − Delirium and other cognitive impairment...s; − Impaired swallow and communication; and − Mental health disorders and psychosocial support needs. − Rehabilitation needs may be amplified by underlying health conditions and decrements in health associated with ageing, − Rehabilitation professionals play an important role in facilitating early discharge, which is especially critical in the context of hospital bed shortages. − Rehabilitation needs of people with severe COVID-19 exist during the acute, sub-acute and long-term phases of care; rehabilitation professionals should be positioned in ICUs, hospital wards, stepdown facilities and in the community. − Particularly in the acute phase, rehabilitation interventions for patients with severe COVID-19 requiring ventilatory support generally require a particular skill-set acquired through specialist training.
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During the 17 years since Surgical approaches to the urogenital manifestations of lymphatic filariasis was first published, there has been heightened awareness of the physical, economic and emotional burden of the genitourinary manifestations of filariasis. With the impetus to provide better guidanc...e for care of those suffering from LF, this update was both warranted and timely.
At the outset, the Committee noted that barriers continue to exist in care of patients affected by LF-associated morbidity. These barriers include lack of information for patients as well as for many healthcare providers, including general surgeons and others within health systems
This update offers a new consensus of the Committee regarding the staging of hydroceles caused by LF, also known as “filariceles”. It recommends integrating LF surgery with other efforts to strengthen surgical care by assessing health facilities for their surgical readiness using the WHO surgical assessment tool or “SAT”. It also recommends integratinghernia surgery with hydrocele surgery and integrating standards for prevention of surgical site infection (SSI).
The update revises recommendations for standard procedures and processes, offers an algorithm for diagnosis (including the use of ultrasound) and discusses postoperative care. It recommends collecting data using the staging and grading system described by Capuano and Capuano along with other metrics for public health management of LF.
A multifaceted approach has therefore been recommended to coordinate public health outreach with national surgical planning and local health systems to include supporting partners such as nongovernmental organizations. Surgical camps with mobile teams, as well as training of personnel at DCP3 “first level” or WHO Level II hospitals (depending on region and resources), have important roles for reducing LF morbidity.
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Cardiovascular diseases, principally ischemic heart disease (IHD), are the most important cause of death and disability in the majority of low- and lower-middle-income countries (LLMICs). In these countries, IHD mortality rates are significantly greater in individuals of a low socioeconomic status (...SES).
Three important focus areas for decreasing IHD mortality among those of low SES in LLMICs are (1) acute coronary care; (2) cardiac rehabilitation and secondary prevention; and (3) primary prevention. Greater mortality in low SES patients with acute coronary syndrome is due to lack of awareness of symptoms in patients and primary care physicians, delay in reaching healthcare facilities, non-availability of thrombolysis and coronary revascularization, and the non-affordability of expensive medicines (statins, dual anti-platelets, renin-angiotensin system blockers). Facilities for rapid diagnosis and accessible and affordable long-term care at secondary and tertiary care hospitals for IHD care are needed. A strong focus on the social determinants of health (low education, poverty, working and living conditions), greater healthcare financing, and efficient primary care is required. The quality of primary prevention needs to be improved with initiatives to eliminate tobacco and trans-fats and to reduce the consumption of alcohol, refined carbohydrates, and salt along with the promotion of healthy foods and physical activity. Efficient primary care with a focus on management of blood pressure, lipids and diabetes is needed. Task sharing with community health workers, electronic decision support systems, and use of fixed-dose combinations of blood pressure-lowering drugs and statins can substantially reduce risk factors and potentially lead to large reductions in IHD. Finally, training of physicians, nurses, and health workers in IHD prevention should be strengthened.
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Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns.
Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity.
Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy.
Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions.
Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system.
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3rd edition. In 2001, Uganda adapted the Integrated Disease Surveillance and Response (IDSR) developed by World Health Organization (WHO) for member states in African region. The Ministry of Health has been implementing the IDSR strategy since then with success across the country. This strategy prov...ides the opportunity for rational use of resources and maximises investments in health surveillance systems. The 3rd edition IDSR guidelines incorporates lessons learnt from previous
epidemics, new frameworks like the Global Health Security Agenda (GHSA), One Health, Disaster Risk Management (DRM), the WHO regional strategy for health security and emergencies, and the rising non-communicable diseases, and aims to strengthen implementation of IHR (2005) core surveillance and response capacities. These guidelines have been adapted to reflect national priorities, policies and public health structures; and shall be used in conjunction with other similar
guidelines/strategies or initiatives.
Overall, the 3rd edition technical guidelines will incorporate the following:
• Strengthening Indicator Based Surveillance
• Strengthening Event Based Surveillance
• Improving community-based disease surveillance
• Improving Cross Border Surveillance and response
• Scaling up e-IDSR implementation
• Improving reporting and information sharing platforms
• Improved data sharing across sectors
• Tailoring IDSR to Emergency or Disaster contexts
The 3rd edition guidelines are intended for use as:
• A general reference for surveillance activities across all levels
• A set of definitions for thresholds that trigger some action for response
• A stand-alone reference for level-specific guidelines on surveillance and response
• A resource for developing training, supervision and evaluation of surveillance activities
• A guide for improving early detection and preparedness for outbreak response.
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Diabetic foot ulcers are a complication affecting approximately 15% of the total population with diabetes mellitus. There are three and half million diabetic patients in Saudi Arabia alone. Aim: to determine capacity building for nurses’ knowledge and practice regarding prevention of diabetic foot... complications. Research Questions: 1. Does the nurse’s knowledge prevent diabetic foot ulcer and other foot complications? 2. Does the high practice of the nurses during foot screening can prevent diabetic foot ulcer in primary health care centers in Saudi Arabia? Design: Descriptive, research designs have been utilized. Setting: Chronic disease clinic in primary health care centers in Jeddah city. Subjects: a purposive sample of 30 nurses and convenience sample of 30 patients. Tools: A. Diabetic foot ulcer Structured interview questionnaire to assess nurse’s knowledge regarding diabetes mellitus and diabetic foot. B. Health status assessment questionnaire to assess health history status of diabetic client. C. An observational checklist to assess the nurse practice once during diabetic foot screening. Results: Significant increase in nurse's knowledge had been observed, while the majority of them had poor practice in relation to foot screening. Whereas complicated diabetic patients represent 35.7% of diabetic patients have neuropathy. Moreover, only 7.1% have neuropathy and diabetic ketoacidosis. Also there was a significant moderate positive correlation between the overall score of nurse’s knowledge and the overall score of the practice regarding diabetic foot complications. Conclusions: Proper foot care, early recognition and management of risk factors prevent foot ulcer. Recommendations: Developing a structured training educational program for nurses dealing patients with diabetic foot disorders.
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On this homepage of the ATSDR you'll find learning material for webinars on chemical exposure assessment focused on the US, including:
- Webinar on ATSDR Assessment of Chemical Exposures (ACE) Program
-ATSDR National Toxic Substance Incidents Program (NTSIP) and the CDC Public Health Emergency Pre...paredness (PHEP) Program Capabilities Webinar
- State Partners Webinar - State Surveillance of Chemical Incidents
- ACE Webinar - NTSIP Assessment of Chemical Exposures (ACE) - Your Partner In Chemical Incident Response
- National Toxic Substance Incidents Database
accessed on 03.16.2018
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A health professional's guide to pregnancy and childbirth. Online learning programme
Dieser E-Learning-Kurs verschafft Ihnen durch informative Texte, anschauliche Fallbeispiele und nützliche Links einen umfassenden Überblick zu den aktuellen Herausforderungen der globalen Arbeit gegen HIV/Aids. Der Schwerpunkt liegt dabei auf dem globalen Süden. Praktische Hilfestellungen für Ih...re Arbeit runden das Angebot ab.
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A tutorial for trainers in healthcare settings
Version 2: 2 Dec 2014
"The document focuses on an extended set of PPE components, which includes goggles, respirators, gloves,
coveralls and footwear. Used properly, these PPE components can provide effective protection even from airborne
transmissi...on. The presented PPE components can be used in a variety of settings and also in different
combinations. At the same time, the tutorial shall encourage trainers and users to understand the rationales behind
the different approaches. "
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For Mental Health Service Delivery under National Mental Health Programme
In many humanitarian emergencies, there is a serious lack of access to even the most basic materials needed for managing the blood in addition to a lack of appropriate sanitation facilities (including water), which are critical for addressing menstrual hygiene. Privacy in emergencies is often scarc...e, and even if toilets are available they often lack locks, functioning doors, lighting and separation between genders. These barriers are often intensified by cultural beliefs and taboos surrounding menstruation which can restrict the movements and behaviors of girls and women
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This course introduces the basic actions that should be performed by eyewitnesses right at an emergency scene. The course consists of 5 blocks: a) first aid for heart arrest (Cardiopulmonary resuscitation) b) first aid for airway obstruction and drowning c) first aid for bleeding, injuries, trauma d...) first aid for physical factors exposure e) first aid for life-threatening conditions such as stroke, epilepsy, and heart attack Educational material includes pictures and videos made at the Simulation Center at Kazan Federal University to better understand the topics. After the course, you will be able to identify life-threatening conditions, explain the reasons lead to their development, and provide correct first aid.
JOIN THE COURSE FOR FREE, YOU ONLY HAVE TO REGISTER WITH AN E-MAIL ADRESS.
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The Clinical Management of Patients with COVID-19 course series is developed for healthcare workers during the COVID-19 pandemic. The course provides crucial knowledge necessary to provide safe, effective quality patient care. Presentations address all aspects of clinical management, including facil...ity preparation and surge planning; health worker infection prevention and control; interfacility transfer; clinical management of mild, moderate, and severely ill patients with COVID-19; special considerations for geriatric, pregnant, and pediatric patients with COVID-19; rehabilitation; and ethics and palliative care.
The course series consists of 6 courses, which include video lectures and downloadable presentations that have been updated with the latest guidance and evidence. Each module contains 5-8 lectures, and each lecture includes a quiz to evaluate knowledge acquisition.
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Il vise à permettre aux participants de
d'en savoir plus sur les réactions des enfants à la détresse
de savoir ce que sont les premiers secours psychologiques pour les enfants et ce qu'ils ne sont pas
de comprendre les trois principes d'action "Regarder, Écouter et Relier" en r...elation avec les enfants
se sont exercés à fournir les premiers secours psychologiques à un enfant et à une personne qui s'en occupe en situation de détresse
avoir pris en compte les réactions et les situations complexes
be aware of the importance of self-care when helping others.
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In dem Planspiel schlüpfen die Seminarteilnehmer*innen in die Rolle von Fluchthelfer*innen, Beamten und Geflüchteten, die aus unterschiedlichen Gründen nach Europa fliehen. Die Teilnehmer*innen müssen sich dabei aktiv einbringen und auch selbst entscheiden, beispielsweise, welche Habseligkeiten ...sie mitnehmen, und wie sie die Flucht über das Mittelmeer bewältigen. Nach der „Ankunft“ in Deutschland werden den Teilnehmer*innen Sprachbarrieren, die Bedeutung des Wartens während des Asylverfahrens und weitere Hürden aufgezeigt
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Weiterbildungsmöglichkeit zum psychosozialen Beratern um Geflüchtete zu beraten.
ie Malteser Werke und die Ipso gGmbH (International Psychosocial Organisation) freuen sich, mit einem neuen Kooperationsprojekt ab November 2018 gemeinsam die psychosoziale Versorgung von Geflüchteten und MigrantInn...en in Mecklenburg-Vorpommern auszuweiten.
Hierbei sind Geflüchtete und MigrantInnen nicht nur Zielgruppe, sondern auch aktive Mitgestalter*Innen der Dienste – die Beratung findet von und für MigrantInnen in deren Muttersprache statt.
In einer 12-monatigen praxisorientierten Schulung am Standort Rostock werden motivierte und geeignete Menschen mit Migrationshintergrund durch Ipso zu psychosozialen Counselorn qualifiziert. Im Anschluss werden diese u.a. die Migrationsarbeit der Malteser Werke mit einem mehrsprachigen psychosozialen Beratungsangebot ergänzen. Eine fortlaufende fachliche Supervision durch psychologische Ipso-Fachkräfte sichert hierbei die Qualität der Arbeit.
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Connecting Frontline Health Workers to resources and each other to expand their knowledge, organize content into courses, and share their learning with the community.
ORB offers frontline health workers and trainers access to quality assured openly licensed content that can be used on mobile device...s and shared virally amongst communities.ORB has three unique features:
Brings into one space quality-assured, multimedia materials from multiple content developers, with a focus on maternal and child health.
Adaptation of existing content: ORB aims to reduce the practice of new content being developed unnecessarily.
A global collaborative network of organizations to share and review content, integrate content into programs and share user-experience.
By improving access to health content and mobile learning, ORB helps health workers access the vital content they need to do their work effectively and confidently.
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