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  Subjects -> HEALTH AND SAFETY (Total: 1278 journals)
    - CIVIL DEFENSE (18 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (509 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (379 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (99 journals)
    - WOMEN'S HEALTH (80 journals)

HEALTH AND SAFETY (509 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 19)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 4)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 2)
AJOB Primary Research     Partially Free   (Followers: 2)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 25)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Studies     Full-text available via subscription   (Followers: 8)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 21)
American Journal of Public Health     Full-text available via subscription   (Followers: 176)
American Journal of Public Health Research     Open Access   (Followers: 27)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2)
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 8)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 2)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 1)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 5)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 1)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 1)
Behavioral Healthcare     Full-text available via subscription   (Followers: 4)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 19)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 15)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 10)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 18)
Case Reports in Women's Health     Open Access   (Followers: 2)
Case Studies in Fire Safety     Open Access   (Followers: 11)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 13)
East African Journal of Public Health     Full-text available via subscription   (Followers: 2)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 3)
Education for Health     Open Access   (Followers: 4)
electronic Journal of Health Informatics     Open Access   (Followers: 4)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 4)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access  
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 3)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription  
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 1)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 8)
Evidence-based Medicine & Public Health     Open Access   (Followers: 4)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 3)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 10)
Frontiers in Public Health     Open Access   (Followers: 8)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 11)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 4)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Public Health     Open Access   (Followers: 9)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 14)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 46)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 11)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 10)
Health Issues     Full-text available via subscription   (Followers: 1)
Health Policy     Hybrid Journal   (Followers: 32)
Health Policy and Technology     Hybrid Journal  
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 20)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 47)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 39)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 9)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 10)
Health, Risk & Society     Hybrid Journal   (Followers: 9)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 9)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 2)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 6)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 4)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 32)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 7)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 19)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 13)
International Journal of Health & Allied Sciences     Open Access   (Followers: 1)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 7)
International Journal of Health Geographics     Open Access   (Followers: 6)
International Journal of Health Policy and Management     Open Access   (Followers: 2)
International Journal of Health Professions     Open Access   (Followers: 2)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 12)
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services     Full-text available via subscription   (Followers: 9)
International Journal of Health Studies     Open Access   (Followers: 3)
International Journal of Health System and Disaster Management     Open Access   (Followers: 2)
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)

        1 2 3 | Last

Journal Cover Bulletin of the World Health Organization
  [SJR: 2.819]   [H-I: 123]   [15 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0042-9686
   Published by SciELO Homepage  [724 journals]
  • In This Month's Bulletin

    •  
  • Learning from Ebola: readiness for outbreaks and emergencies

    •  
  • Climate change and health in Pacific island states

    •  
  • Public health round-up

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  • Europe gears up to attend to refugees' health

    • Abstract: Countries already squeezed by the financial crisis are struggling to respond to the health needs of large numbers of refugees and migrants. Andréia Azevedo Soares and Menelaos Tzafalias report.
       
  • WHO steps up its role in health emergencies

    • Abstract: The World Health Organization is on the brink of a major transformation into an agency that is fully mandated and equipped to respond to outbreaks and humanitarian emergencies. David Nabarro talks to Fiona Fleck.
       
  • Tuberculosis-associated mortality in Shanghai, China: a longitudinal study

    • Abstract: Abstract Objective To determine excess mortality in a cohort of people with tuberculosis in Shanghai. Methods Participants were local residents in 4 (of 19) districts in Shanghai, registered in one of four tuberculosis clinics between January 1, 2004 and December 31, 2008. Baseline data were collected at the most recent diagnosis of tuberculosis and mortality was assessed between March and May of 2014. We calculated standardized mortality ratios (SMR) and case-fatality rates for all participants and for subgroups. Univariate and multivariate Cox regression models were used to quantify associations between co-morbidities and mortality from all causes and from tuberculosis. Findings We registered 4569 subjects in the cohort. Overall, the cohort had an SMR for deaths from all causes of 5.2 (95% confidence interval, CI: 4.8-5.6). Males had a higher SMR than females (6.1 versus 3.0). After adjustment for age and sex, hazard ratios (HR) for deaths from all causes were significantly greater in previously treated people (HR: 1.26; 95% CI: 1.08-1.49) and sputum smear-test positive people (HR: 1.55; 95% CI: 1.35-1.78). The risk of death from tuberculosis was also significantly greater for previously treated people (HR: 1.88; 95% CI: 1.24-2.86) and smear positive people (HR: 3.16; 95% CI: 2.06-4.87). Conclusion People with tuberculosis in Shanghai have an increased risk of mortality. Earlier diagnosis and more vigilant follow-up may help to reduce mortality in this group.Résumé Objectif Déterminer la surmortalité dans une cohorte de personnes atteintes de tuberculose à Shanghai. Méthodes Les participants étaient des habitants de 4 districts (sur 19) de Shanghai, enregistrés dans une des quatre cliniques de la tuberculose entre le 1er janvier 2004 et le 31 décembre 2008. Des données de référence ont été recueillies lors du diagnostic le plus récent de tuberculose et la mortalité a été évaluée entre mars et mai 2014. Nous avons calculé les rapports standardisés de mortalité (RSM) et les taux de létalité pour tous les participants ainsi que pour des sous-groupes. Des modèles de régression univariée et multivariée de Cox ont été utilisés pour quantifier les associations entre les comorbidités et la mortalité, toutes causes confondues et due à la tuberculose. Résultats Nous avons enregistré 4569 sujets dans la cohorte. Globalement, la cohorte avait un RSM pour les décès toutes causes confondues de 5,2 (intervalle de confiance (IC) de 95%: 4,8-5,6). Les hommes affichaient un RSM plus élevé que les femmes (6,1 contre 3,0). Après ajustement en fonction de l'âge et du sexe, les ratios de risque (RR) de décès toutes causes confondues étaient nettement plus élevés chez les personnes ayant précédemment reçu un traitement (RR: 1,26; IC 95%: 1,08-1,49) et les personnes à frottis d'expectoration positif (RR: 1,55; IC 95%: 1,35-1,78). Le risque de décès dû à la tuberculose était également beaucoup plus important pour les personnes ayant précédemment reçu un traitement (RR: 1,88; IC 95%: 1,24-2,86) et les personnes à frottis positif (RR: 3,16; IC 95%: 2,06-4,87). Conclusion Les personnes atteintes de tuberculose à Shanghai présentent un risque accru de mortalité. Un diagnostic plus précoce et un suivi plus attentif pourraient permettre de réduire la mortalité dans ce groupe.Resumen Objetivo Determinar el exceso de mortalidad en una cohorte de personas con tuberculosis en Shanghái. Métodos Los participantes eran residentes locales de 4 (de 19) distritos de Shanghái, registrados en uno de los cuatro consultorios antituberculosos entre el 1 de enero de 2004 y el 31 de diciembre de 2008. Se recogieron datos de referencia de los diagnósticos de tuberculosis más recientes y se evaluó la mortalidad entre marzo y mayo de 2014. Se calcularon las tasas de mortalidad estandarizadas (SMR) y la tasa de letalidad de todos los participantes y por subgrupos. Se utilizaron modelos de regresión de Cox univariables y multivariables para cuantificar las asociaciones entre la comorbilidad y la mortalidad de todas las causas de tuberculosis. Resultados Se registraron 4.569 sujetos en la cohorte. En general, la cohorte tenía una SMR para muertes de todas las causas de 5,2 (intervalo de confianza del 95%, IC: 4,8-5,6). Los hombres tenían una SMR mayor que las mujeres (6,1 frente a 3,0). Tras ajustarlos de acuerdo a edad y sexo, los cocientes de riesgo (HR) para las muertes de todas las causas eran significantemente mayores en personas tratadas con anterioridad (HR: 1,26 (IC del 95%: 1,08-1,49) y personas con pruebas de esputo positivas (HR: 1,55 (IC del 95%: 1,35-1,78). El riesgo de muerte por tuberculosis también era significativamente mayor en personas tratadas con anterioridad (HR: 1,88 (IC del 95%: 1,24-2,86) y personas con pruebas de esputo positivas (HR: 3,16 (IC del 95%: 2,06-4,87). Conclusión Las personas con tuberculosis en Shanghái tienen un mayor riesgo de mortalidad. Unos diagnósticos más tempranos y un seguimiento más atento podrían ayudar a reducir la mortalidad de este grupo.ملخص الغرض تحديد الزيادة في حالات الوفاة في مجموعة من المصابين بالسل في شانغهاي. الطريق...
       
  • Improving outcomes for caregivers through treatment of young people
           affected by war: a randomized controlled trial in Sierra Leone

    • Abstract: Abstract Objective To measure the benefits to household caregivers of a psychotherapeutic intervention for adolescents and young adults living in a war-affected area. Methods Between July 2012 and July 2013, we carried out a randomized controlled trial of the Youth Readiness Intervention - a cognitive-behavioural intervention for war-affected young people who exhibit depressive and anxiety symptoms and conduct problems - in Freetown, Sierra Leone. Overall, 436 participants aged 15-24 years were randomized to receive the intervention (n = 222) or care as usual ( n = 214). Household caregivers for the participants in the intervention arm (n = 101) or control arm ( n = 103) were interviewed during a baseline survey and again, if available (n = 155), 12 weeks later in a follow-up survey. We used a burden assessment scale to evaluate the burden of care placed on caregivers in terms of emotional distress and functional impairment. The caregivers' mental health - i.e. internalizing, externalizing and prosocial behaviour - was evaluated using the Oxford Measure of Psychosocial Adjustment. Difference-in-differences multiple regression analyses were used, within an intention-to-treat framework, to estimate the treatment effects. Findings Compared with the caregivers of participants of the control group, the caregivers of participants of the intervention group reported greater reductions in emotional distress (scale difference: 0.252; 95% confidence interval, CI: 0.026-0.4782) and greater improvements in prosocial behaviour (scale difference: 0.249; 95% CI: 0.012-0.486) between the two surveys. Conclusion A psychotherapeutic intervention for war-affected young people can improve the mental health of their caregivers.Résumé Objectif Mesurer les avantages pour les aidants familiaux d'une intervention psychothérapeutique destinée aux adolescents et aux jeunes adultes qui vivent dans une région touchée par la guerre. Méthodes Entre juillet 2012 et juillet 2013, nous avons réalisé à Freetown, en Sierra Leone, un essai contrôlé randomisé de la Youth Readiness Intervention - une intervention cognitivo-comportementale destinée aux jeunes touchés par la guerre qui présentent des symptômes de dépression et d'anxiété ainsi que des troubles du comportement. Au total, 436 participants âgés de 15 à 24 ans ont été sélectionnés de manière aléatoire pour bénéficier soit de l'intervention ( n = 222), soit d'une prise en charge standard (n = 214). Les aidants familiaux des participants du groupe expérimental ( n = 101) ou du groupe de contrôle (n = 103) ont été interrogés à l'occasion d'une étude de base, puis ceux qui étaient disponibles ( n = 155) l'ont de nouveau été 12 semaines plus tard dans le cadre d'une étude de suivi. Nous avons utilisé une échelle d'évaluation pour estimer la charge qui pèse sur les aidants familiaux en matière de soins liés à la détresse psychique et à la déficience fonctionnelle. La santé mentale - c'est-à-dire l'intériorisation, l'extériorisation et le comportement prosocial - des aidants familiaux a été évaluée à l'aide de la Oxford Measure of Psychosocial Adjustment. Des analyses par régression multiple de l'écart des différences ont été utilisées, dans le cadre d'une intention de traiter, afin d'estimer les effets du traitement. Résultats Comparés aux aidants familiaux des participants du groupe de contrôle, les aidants familiaux des participants du groupe expérimental ont fait part d'une réduction plus importante de la détresse psychique (différence d'échelle: 0,252; intervalle de confiance, IC, à 95%: 0,026-0,4782) et d'améliorations plus significatives en matière de comportement prosocial (différence d'échelle: 0,249; IC à 95%: 0.012-0.486) entre les deux études. Conclusion Les interventions psychothérapeutiques destinées aux jeunes touchés par la guerre peuvent améliorer la santé mentale des aidants familiaux.Resumen Objetivo Medir los beneficios para los cuidadores del hogar de una intervención psicoterapéutica para adolescentes y adultos jóvenes que viven en una zona afectada por la guerra. Métodos Entre julio de 2012 y julio de 2013, se llevaron a cabo ensayos controlados aleatorizados de la Youth Readiness Intervention (una intervención cognitivo-conductual para jóvenes afectados por la guerra que presentan síntomas de depresión y ansiedad y problemas de conducta) en Freetown, Sierra Leona. En términos generales, 436 participantes de 15 a 24 años fueron aleatorizados para recibir la intervención ( n = 222) o los cuidados habituales ( n = 214). Se entrevistó a los cuidadores del hogar de los participantes en el grupo de intervención (n = 101) o el grupo de control ( n = 103) durante un estudio de referencia y de nuevo, si estaban disponibles (n = 155), 12 semanas después en un estudio de seguimiento. Se utilizó una escala de valoración de la carga para así evaluar la carga de los cuidados de los cuidadores en términos de angustia emocional y discapacidad funcional. Se evaluó la salud mental de los cuidadores, es decir, el comportamiento de internalización, externalización y prosocial, mediante el uso de la medida de ajuste psicosocial de Oxford. Los análisis de diferencias en diferencias basados en regresiones múltiples se utilizaron, dentro de un marco de intención de tratar, para estimar los efectos del tratamiento. Resultados En comparación con los cuidadores de los participantes del grupo de control, los...
       
  • Effect of a mobile phone-based intervention on post-abortion
           contraception: a randomized controlled trial in Cambodia

    • Abstract: Abstract Objective To assess the effect of a mobile phone-based intervention (mHealth) on post-abortion contraception use by women in Cambodia. Methods The Mobile Technology for Improved Family Planning (MOTIF) study involved women who sought safe abortion services at four Marie Stopes International clinics in Cambodia. We randomly allocated 249 women to a mobile phone-based intervention, which comprised six automated, interactive voice messages with counsellor phone support, as required, whereas 251 women were allocated to a control group receiving standard care. The primary outcome was the self-reported use of an effective contraceptive method, 4 and 12 months after an abortion. Findings Data on effective contraceptive use were available for 431 (86%) participants at 4 months and 328 (66%) at 12 months. Significantly more women in the intervention than the control group reported effective contraception use at 4 months (64% versus 46%, respectively; relative risk, RR: 1.39; 95% confidence interval, CI: 1.17-1.66) but not at 12 months (50% versus 43%, respectively; RR: 1.16; 95% CI: 0.92-1.47). However, significantly more women in the intervention group reported using a long-acting contraceptive method at both follow-up times. There was no significant difference between the groups in repeat pregnancies or abortions at 4 or 12 months. Conclusion Adding a mobile phone-based intervention to abortion care services in Cambodia had a short-term effect on the overall use of any effective contraception, while the use of long-acting contraceptive methods lasted throughout the study period.Résumé Objectif Évaluer l'effet d'une intervention par téléphone portable (santé sur mobile) sur l'utilisation de méthodes contraceptives après un avortement par les femmes au Cambodge. Méthodes L'étude MOTIF (Mobile Technology for Improved Family Planning - Technologie mobile pour une meilleure planification familiale) a mobilisé des femmes ayant eu recours à des services d'avortement médicalisé dans quatre cliniques Marie Stopes International du Cambodge. Nous avons aléatoirement affecté 249 femmes au groupe bénéficiant d'une intervention par téléphone portable, laquelle comprenait six messages vocaux automatisés et interactifs et, au besoin, l'assistance téléphonique d'un conseiller, et 251 femmes au groupe de contrôle recevant une prise en charge standard. Le critère d'évaluation principal était l'utilisation autodéclarée d'une méthode contraceptive efficace, 4 et 12 mois après un avortement. Résultats Les données relatives à l'utilisation de contraceptifs efficaces étaient disponibles pour 431 (86%) participantes à 4 mois et pour 328 (66%) à 12 mois. Les femmes appartenant au groupe ayant bénéficié de l'intervention sont beaucoup plus nombreuses que les femmes du groupe de contrôle à avoir mentionné l'utilisation de contraceptifs efficaces à 4 mois (64% pour les premières contre 46% pour les secondes; risque relatif, RR: 1,39; intervalle de confiance, IC, à 95%: 1,17-1,66), ce qui n'est pas le cas à 12 mois (50% contre 43%; RR: 1,16; IC à 95%: 0,92-1,47). Cependant, un nombre beaucoup plus élevé de femmes ayant bénéficié de l'intervention a indiqué avoir utilisé une méthode contraceptive à long terme sur ces deux périodes de suivi. Aucune différence notable n'a été constatée entre les deux groupes concernant des grossesses ou des avortements répétés à 4 ou 12 mois. Conclusion L'adjonction d'une intervention par téléphone portable aux services de soins après avortement au Cambodge a produit un effet à court terme sur l'utilisation générale de contraceptifs efficaces, tandis que l'utilisation de méthodes contraceptives à long terme s'est poursuivie tout au long de la période d'étude.Resumen Objetivo Evaluar el efecto de una intervención basada en la telefonía móvil (mHealth) en el uso de métodos anticonceptivos postaborto entre las mujeres de Camboya. Métodos El estudio Mobile Technology for Improved Family Planning (MOTIF) involucró a mujeres que recurrieron a servicios de aborto seguros en cuatro clínicas Marie Stopes International de Camboya. Se asignaron de forma aleatoria 249 mujeres a una intervención basada en la telefonía móvil que consistía en seis mensajes de voz interactivos y automatizados y el apoyo de un asesor a través del teléfono, cuando fuera necesario, y 251 mujeres a un grupo de control que recibía atención estándar. El resultado principal fue el uso autodeclarado de un método anticonceptivo efectivo 4 y 12 meses después de sufrir un aborto. Resultados Los datos sobre el uso efectivo de los métodos anticonceptivos estuvieron disponibles al cabo de 4 meses en el caso de 431 (86%) de las participantes y al cabo de 12 meses en el caso de 328 (66%). Significativamente más mujeres del grupo de la intervención que del grupo de control informaron de un uso efectivo de los métodos anticonceptivos al cabo de 4 meses (64% frente a 46% respectivamente; riesgo relativo, RR: 1,39; intervalo de confianza (IC) del 95%: 1,17-1,66) pero no al cabo de 12 meses (50% frente a 43% respectivamente; RR: 1,16 (IC del 95%: 0,92-1,47). Sin embargo, más mujeres del grupo de la intervención informaron sobre el uso de métodos anticonceptivos de larga duración en los dos momentos del seguimiento. No hubo una diferencia importante entre los grupos en cuanto a embarazos futuros o abortos al cabo de 4 o 12 meses. Conclusión Añadir una intervención basada en la telefonía móvil...
       
  • The environmental profile of a community's health: a cross-sectional study
           on tobacco marketing in 16 countries

    • Abstract: Abstract Objective To examine and compare tobacco marketing in 16 countries while the Framework Convention on Tobacco Control requires parties to implement a comprehensive ban on such marketing. Methods Between 2009 and 2012, a kilometre-long walk was completed by trained investigators in 462 communities across 16 countries to collect data on tobacco marketing. We interviewed community members about their exposure to traditional and non-traditional marketing in the previous six months. To examine differences in marketing between urban and rural communities and between high-, middle- and low-income countries, we used multilevel regression models controlling for potential confounders. Findings Compared with high-income countries, the number of tobacco advertisements observed was 81 times higher in low-income countries (incidence rate ratio, IRR: 80.98; 95% confidence interval, CI: 4.15-1578.42) and the number of tobacco outlets was 2.5 times higher in both low- and lower-middle-income countries (IRR: 2.58; 95% CI: 1.17-5.67 and IRR: 2.52; CI: 1.23-5.17, respectively). Of the 11 842 interviewees, 1184 (10%) reported seeing at least five types of tobacco marketing. Self-reported exposure to at least one type of traditional marketing was 10 times higher in low-income countries than in high-income countries (odds ratio, OR: 9.77; 95% CI: 1.24-76.77). For almost all measures, marketing exposure was significantly lower in the rural communities than in the urban communities. Conclusion Despite global legislation to limit tobacco marketing, it appears ubiquitous. The frequency and type of tobacco marketing varies on the national level by income group and by community type, appearing to be greatest in low-income countries and urban communities.résumé est disponible dans le documentresumen está disponible en el texto completoملخص الغرض دراسة تسويق التبغ ومقارنته في 16 دولة في الوقت الذي تتطلب فيه الاتفاقية الإطارية بشأن مكافحة التبغ وجود أطراف تعمل على تطبيق حظر شامل لتسويق هذا النوع من المنتجات. الطريقة أكمل الباحثون المدربون في الفترة بين عامي 2009 و2012 مسيرة تبلغ كيلومترًا على الأقدام في 462 من المجتمعات المحلية في 16 دولة لجمع البيانات عن تسويق التبغ. وأجرينا مقابلات مع أعضاء هذه المجتمعات تناولت مدى تعرضهم للطرق التقليدية وغير التقليدية لهذا التسويق خلال الستة أشهر الماضية. وقد استخدمنا نماذج التحوّف متعددة المستويات مع التحكم في العوامل المحيّرة المحتملة لدراسة الاختلافات في التسويق بين المجتمعات الريفية والحضرية، والفروق بين الدول مرتفعة الدخل ومتوسطة الدخل ومنخفضة الدخل. النتائج زاد عدد الإعلانات التجاž...
       
  • Rapid diagnostic tests for malaria

    • Abstract: Maintaining quality, competitiveness and innovation in global health technology is a constant challenge for manufacturers, while affordability, access and equity are challenges for governments and international agencies. In this paper we discuss these issues with reference to rapid diagnostic tests for malaria. Strategies to control and eliminate malaria depend on early and accurate diagnosis. Rapid diagnostic tests for malaria require little training and equipment and can be performed by non-specialists in remote settings. Use of these tests has expanded significantly over the last few years, following recommendations to test all suspected malaria cases before treatment and the implementation of an evaluation programme to assess the performance of the malaria rapid diagnostic tests. Despite these gains, challenges exist that, if not addressed, could jeopardize the progress made to date. We discuss recent developments in rapid diagnostic tests for malaria, highlight some of the challenges and provide suggestions to address them.Le maintien de la qualité, de la compétitivité et de l'innovation dans les technologies de la santé au niveau mondial représente un défi constant pour les fabricants, tandis que l'accessibilité économique, l'accès et l'équité constituent un défi pour les gouvernements et les organismes internationaux. Nous abordons ces questions dans le présent rapport en ce qui concerne les tests de diagnostic rapide du paludisme. Les stratégies visant à enrayer et à éradiquer le paludisme reposent sur un diagnostic précoce et précis. Les tests de diagnostic rapide du paludisme nécessitent peu de formation et de matériel et peuvent être réalisés par des non-spécialistes dans des endroits isolés. L'utilisation de ces tests s'est considérablement répandue au cours des dernières années suite aux recommandations préconisant d'examiner tous les cas présumés de paludisme avant la mise en route d'un traitement et de mettre en œuvre un programme d'évaluation pour mesurer les performances des tests de diagnostic rapide du paludisme. Il demeure, malgré ces avancées, des défis, qui, s'ils ne sont pas surmontés, risquent de compromettre les progrès accomplis jusqu'à présent. Le présent rapport fait état des améliorations récemment apportées aux tests de diagnostic rapide du paludisme, souligne un certain nombre de défis et propose des solutions pour les surmonter.Mantener la calidad, competitividad e innovación en la tecnología de salud mundial es un desafío constante para los fabricantes, mientras que la asequibilidad, el acceso y la equidad son desafíos para los gobiernos y las agencias internacionales. En este artículo se debaten estas cuestiones con relación a las pruebas de diagnóstico rápido del paludismo. Las estrategias para controlar y eliminar el paludismo dependen de un diagnóstico temprano y preciso. Las pruebas de diagnóstico rápido del paludismo requieren muy poco entrenamiento y equipo y pueden ser llevadas a cabo por no especialistas en lugares apartados. La utilización de estas pruebas se ha expandido significantemente durante los últimos años, tras las recomendaciones de hacer una prueba en todos los casos de posible paludismo antes del tratamiento y la implementación de un programa de evaluación para examinar el rendimiento de las pruebas de diagnóstico rápido del paludismo. A pesar de estos avances, todavía existen desafíos que, si no se abordan, podrían poner en peligro el progreso hecho hasta la fecha. Se debaten los recientes desarrollos de las pruebas de diagnóstico rápido del paludismo, se destacan algunos de los desafíos y se proporcionan sugerencias para tratarlos.يمثل الحفاظ على مستوى الجودة، والقدرة التنافسية، والابتكار في مجال الصحة العالمية تحديًا أمام الجهات المصنعة، بينما تواجه الحكومات والوكالات الدولية تحديات أخرى تتمثل في الإنصاف، ومعقولية الأسعار، وإمكانية الحصول على الخدمات. ونناقش في هذا التقرير هذه القضايا فيما يتعلق بشأن الاختبارات السريعة لتشخيص الملاريا. تعتمد استر...
       
  • Strategies for achieving global collective action on antimicrobial
           resistance

    • Abstract: Global governance and market failures mean that it is not possible to ensure access to antimicrobial medicines of sustainable effectiveness. Many people work to overcome these failures, but their institutions and initiatives are insufficiently coordinated, led and financed. Options for promoting global collective action on antimicrobial access and effectiveness include building institutions, crafting incentives and mobilizing interests. No single option is sufficient to tackle all the challenges associated with antimicrobial resistance. Promising institutional options include monitored milestones and an inter-agency task force. A global pooled fund could be used to craft incentives and a special representative nominated as an interest mobilizer. There are three policy components to the problem of antimicrobials - ensuring access, conservation and innovation. To address all three components, the right mix of options needs to be matched with an effective forum and may need to be supported by an international legal framework.Les dysfonctionnements de la gouvernance et du marché à l'échelle mondiale se traduisent par une impossibilité de garantir l'accès à des médicaments antimicrobiens durablement efficaces. De nombreuses personnes s'emploient à pallier ces dysfonctionnements, mais leurs institutions et leurs initiatives manquent de coordination, de direction et de moyens financiers. La création d'institutions, l'élaboration de mesures d'incitation et la mobilisation des parties intéressées font partie des options possibles pour promouvoir une action collective mondiale sur l'accès aux antimicrobiens et sur leur efficacité. Aucune option isolée ne suffira à venir à bout de tous les problèmes associés à la résistance aux antimicrobiens. Parmi les options institutionnelles prometteuses, il convient de mentionner le suivi des étapes importantes et une équipe spéciale interorganisations. Des fonds mis en commun à l'échelle mondiale pourraient être utilisés pour élaborer des mesures d'incitation et un représentant spécial pourrait être chargé de mobiliser les parties intéressées. Le problème des antimicrobiens comporte trois aspects stratégiques: garantir l'accès, la conservation et l'innovation. Pour agir à l'égard de ces trois aspects, il est nécessaire d'associer les options, harmonieusement combinées, à une structure efficace et, peut-être, de les inscrire dans un cadre juridique international.Los fracasos de gobernanza mundial y de los mercados significan que no es posible garantizar el acceso a medicamentos antimicrobianos de efectividad sostenible. Muchas personas trabajan para solucionar estos problemas, pero sus instituciones e iniciativas no están lo suficientemente coordinadas, guiadas y financiadas. Las opciones para promocionar una acción colectiva global en cuanto al acceso a los antimicrobianos y la efectividad incluyen la creación de instituciones, la elaboración de incentivos y la movilización de intereses. Ninguna opción por sí sola es suficiente para afrontar todos los desafíos asociados con la resistencia a los antimicrobianos. Las opciones institucionales prometedoras incluyen hitos supervisados y un grupo de acción interinstitucional. Se podría utilizar un fondo combinado global para elaborar incentivos y nominar un representante especial como un movilizador de intereses. El problema de los antimicrobianos tiene tres componentes de las políticas: asegurar el acceso, la conservación y la innovación. Para abordar los tres componentes se necesita que la mezcla correcta de opciones se una a un foro efectivo, y podría necesitar el apoyo de un marco legal internacional.يؤدي فرض الرقابة العالمية ووقوع أوجه قصور في الأسواق إلى عدم إمكانية ضمان تيسير سبل الحصول على الأدوية المضادة للميكروبات ذات الفعالية المستدامة. وهناك جهود تبذلها جهات عدّة للتغلب على هذه الأوجه من القصور، إلا أن المؤسسات والمبادرات التي تمثلها تلك الجهات تعاني من عدم كفاية التنسيق وقصور القيادة ونقص التمويل. ومن بين الخيارات المتوفرة لتشج...
       
  • The environmental and health impacts of tobacco agriculture, cigarette
           manufacture and consumption

    • Abstract: The health consequences of tobacco use are well known, but less recognized are the significant environmental impacts of tobacco production and use. The environmental impacts of tobacco include tobacco growing and curing; product manufacturing and distribution; product consumption; and post-consumption waste. The World Health Organization's Framework Convention on Tobacco Control addresses environmental concerns in Articles 17 and 18, which primarily apply to tobacco agriculture. Article 5.3 calls for protection from policy interference by the tobacco industry regarding the environmental harms of tobacco production and use. We detail the environmental impacts of the tobacco life-cycle and suggest policy responses.Les conséquences du tabagisme sur la santé sont notoires. En revanche, les impacts environnementaux considérables de la production et de la consommation de tabac sont moins connus. Ces impacts environnementaux sont liés à la culture et au séchage du tabac, à la fabrication des produits du tabac et à leur distribution, au tabagisme et aux déchets générés après consommation. La Convention-cadre de l'OMS pour la lutte antitabac évoque ces problèmes environnementaux dans ses Articles 17 et 18, qui s'appliquent avant tout à la culture du tabac. L'Article 5.3 préconise de ne pas laisser l'industrie du tabac influencer les mesures politiques en ce qui concerne les effets négatifs de la production et de la consommation du tabac sur l'environnement. Nous détaillons dans ce dossier les impacts environnementaux sur tout le cycle de vie du tabac et formulons plusieurs suggestions en termes de réponse politique.Las consecuencias sanitarias del consumo de tabaco son bien conocidas, pero no tanto los significativos efectos que el cultivo y consumo de tabaco tienen en el medio ambiente. Los efectos medioambientales del tabaco incluyen el crecimiento y la cura del tabaco, la producción y distribución del producto, el consumo del producto y los residuos resultantes de su consumo. El Convenio Marco de la OMS para el Control del Tabaco aborda las preocupaciones medioambientales en los Artículos 17 y 18, los cuales se aplican principalmente en el cultivo del tabaco. El Artículo 5.3 exige medidas cautelares respecto a las políticas de interferencia de la industria del tabaco en lo que se refiere a los daños medioambientales del cultivo y el consumo de tabaco. Se enumeran los efectos medioambientales del ciclo de vida del tabaco y se sugieren respuestas políticas.إن الآثار الصحية لاستخدام التبغ معروفة جيدًا، ولكن المعرفة بالتأثيرات البيئية الكبرى لإنتاج التبغ واستخدامه ليست بذات القدر من الانتشار. وتشتمل الآثار البيئية للتبغ على زراعة التبغ ومعالجته؛ وصناعة المنتجات وتوزيعها واستهلاكها؛ والنفايات الناتجة بعد الاستهلاك. وتتناول الاتفاقية الإطارية لمنظمة الصحة العالمية المعنية بمكافحة التبغ المخاوف البيئية في المادتين 17 و18، واللتين تنطبقان بشكل أساسي على زراعة التبغ. وتدعو المادة 5-3 للحماية من التدخل في السياسات من جانب قطاع صناعة التبغ فيما يتعلق بالأضرار البيئية لإنتاج التبغ واستخدامه. ونحن نتناول بالتفصيل ا...
       
  • A telemedicine network for remote paediatric cardiology services in
           north-east Brazil

    • Abstract: Abstract Problem Providing health care for children with congenital heart diseases remains a major challenge in low- and middle-income countries. Approach In October 2011, the Government of Paraíba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Círculo do Coração. A cardiology team supervised all network activities, using the Internet to keep in contact with remote health facilities. The network developed protocols for screening heart defects. Echocardiograms were performed by physicians under direct online supervision of a cardiologist; alternatively, a video recording of the examination was subsequently reviewed by a cardiologist. Cardiovascular surgeons came to a paediatric hospital in the state capital once a week to perform heart surgeries. Local setting Until 2011, the State of Paraíba had no structured programme to care for children with heart disease. This often resulted in missed or late diagnosis, with adverse health consequences for the children. Relevant changes From 2012 to 2014, 73 751 babies were screened for heart defects and 857 abnormalities were identified. Detection of congenital heart diseases increased from 4.09 to 11.62 per 1000 live births ( P< 0.001). Over 6000 consultations and echocardiograms were supervised via the Internet. Time to diagnosis, transfers and hospital stays were greatly reduced. A total of 330 operations were carried out with 6.7% (22/330) mortality. Lessons learnt Access to an echocardiography machine with remote supervision by a cardiologist improves the detection of congenital heart disease by neonatologists; virtual outpatient clinics facilitate clinical management; the use of Internet technology with simple screening techniques allows resources to be allocated more efficiently.résumé est disponible dans le documentresumen está disponible en el texto completoملخص المشكلة يظل تقديم الرعاية الصحية للأطفال الذين يعانون من أمراض القلب الخلقية يمثل تحديًا رئيسيًا في البلدان منخفضة ومتوسطة الدخل. الأسلوب أنشأت حكومة بارايبا، في البرازيل شبكة لعلاج أمراض القلب لدى الأطفال بالشراكة مع المنظمة غير الحكومية Círculo do Coração في أكتوبر/تشرين الأول 2011. وأشرف فريق أمراض القلب على جميع الأنشطة التي تجريها هذه الشبكة، مع الاستعانة بالإنترنت لاستمرار الاتصال بالمنشآت الصحية النائية. وقد وضعت الشبكة بروتوكولات لفحص عيوب القلب. وتم إجراء عمليات رسم القلب بالموجات فوق الصوتية على يد بعض الأطباء تحت الإشراف المباشر لمختص بأمراض القلب عبر الإنترنت؛ وبديلًا عن ذلك تم اللجوء لمراجعة الفحص بعد تسجيله بالفيديو في وقت لاحق على يد طبيب مختص بأمراض القلب. وقد حض...
       
  • Including migrant populations in health impact assessments

    • Abstract: Abstract Problem Providing health care for children with congenital heart diseases remains a major challenge in low- and middle-income countries. Approach In October 2011, the Government of Paraíba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Círculo do Coração. A cardiology team supervised all network activities, using the Internet to keep in contact with remote health facilities. The network developed protocols for screening heart defects. Echocardiograms were performed by physicians under direct online supervision of a cardiologist; alternatively, a video recording of the examination was subsequently reviewed by a cardiologist. Cardiovascular surgeons came to a paediatric hospital in the state capital once a week to perform heart surgeries. Local setting Until 2011, the State of Paraíba had no structured programme to care for children with heart disease. This often resulted in missed or late diagnosis, with adverse health consequences for the children. Relevant changes From 2012 to 2014, 73 751 babies were screened for heart defects and 857 abnormalities were identified. Detection of congenital heart diseases increased from 4.09 to 11.62 per 1000 live births ( P< 0.001). Over 6000 consultations and echocardiograms were supervised via the Internet. Time to diagnosis, transfers and hospital stays were greatly reduced. A total of 330 operations were carried out with 6.7% (22/330) mortality. Lessons learnt Access to an echocardiography machine with remote supervision by a cardiologist improves the detection of congenital heart disease by neonatologists; virtual outpatient clinics facilitate clinical management; the use of Internet technology with simple screening techniques allows resources to be allocated more efficiently.résumé est disponible dans le documentresumen está disponible en el texto completoملخص المشكلة يظل تقديم الرعاية الصحية للأطفال الذين يعانون من أمراض القلب الخلقية يمثل تحديًا رئيسيًا في البلدان منخفضة ومتوسطة الدخل. الأسلوب أنشأت حكومة بارايبا، في البرازيل شبكة لعلاج أمراض القلب لدى الأطفال بالشراكة مع المنظمة غير الحكومية Círculo do Coração في أكتوبر/تشرين الأول 2011. وأشرف فريق أمراض القلب على جميع الأنشطة التي تجريها هذه الشبكة، مع الاستعانة بالإنترنت لاستمرار الاتصال بالمنشآت الصحية النائية. وقد وضعت الشبكة بروتوكولات لفحص عيوب القلب. وتم إجراء عمليات رسم القلب بالموجات فوق الصوتية على يد بعض الأطباء تحت الإشراف المباشر لمختص بأمراض القلب عبر الإنترنت؛ وبديلًا عن ذلك تم اللجوء لمراجعة الفحص بعد تسجيله بالفيديو في وقت لاحق على يد طبيب مختص بأمراض القلب. وقد حض...
       
 
 
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