Subjects -> HEALTH AND SAFETY (Total: 1478 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (700 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (700 journals)            First | 1 2 3 4     

Showing 201 - 203 of 203 Journals sorted alphabetically
Health Policy OPEN     Open Access  
Health Promotion International     Hybrid Journal   (Followers: 23)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 7)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access  
Health Psychology     Full-text available via subscription   (Followers: 58)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 21)
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Research Policy and Systems     Open Access   (Followers: 15)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Security     Hybrid Journal   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 6)
Health Systems & Reform     Open Access   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Health, Safety and Environment     Open Access   (Followers: 34)
Healthcare     Open Access   (Followers: 2)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription   (Followers: 1)
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access   (Followers: 1)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Horizonte Medico     Open Access  
Horizonte Sanitario     Open Access  
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Human Nutrition & Metabolism     Open Access   (Followers: 1)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
IJS Global Health     Open Access  
Implementation Science     Open Access   (Followers: 20)
Implementation Science Communications     Open Access   (Followers: 4)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Youth and Adolescent Health     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Equity in Health     Open Access   (Followers: 10)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 40)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 1)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Child Development and Mental Health     Open Access   (Followers: 2)
International Journal of Circumpolar Health     Open Access   (Followers: 2)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 3)
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: 22)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 20)
International Journal of Growth and Development     Open Access   (Followers: 1)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 14)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 10)
International Journal of Health Geographics     Open Access   (Followers: 7)
International Journal of Health Policy and Management     Open Access   (Followers: 11)
International Journal of Health Professions     Open Access   (Followers: 3)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 11)
International Journal of Health Research     Open Access   (Followers: 4)
International Journal of Health Sciences     Open Access  
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services     Full-text available via subscription   (Followers: 7)
International Journal of Health System and Disaster Management     Open Access   (Followers: 4)
International Journal of Healthcare     Open Access  
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)
International Journal of Healthcare Information Systems and Informatics     Hybrid Journal   (Followers: 6)
International Journal of Healthcare Management     Hybrid Journal   (Followers: 14)
International Journal of Healthcare Policy     Hybrid Journal   (Followers: 1)
International Journal of Hygiene and Environmental Health     Hybrid Journal   (Followers: 7)
International Journal of Indigenous Health     Open Access   (Followers: 4)
International Journal of Kinesiology in Higher Education     Hybrid Journal  
International Journal of MCH and AIDS     Open Access  
International Journal of Medicine and Health Development     Open Access   (Followers: 3)
International Journal of Mens Social and Community Health     Open Access  
International Journal of Mental Health     Full-text available via subscription   (Followers: 24)
International Journal of Practice-based Learning in Health and Social Care     Open Access   (Followers: 1)
International Journal of Prevention and Treatment     Open Access   (Followers: 1)
International Journal of Public Health Research and Management     Hybrid Journal   (Followers: 5)
International Journal of Public Health Science     Open Access   (Followers: 6)
International Journal of Scientific Reports     Open Access   (Followers: 3)
International Journal of Sexual Health     Hybrid Journal   (Followers: 3)
International Journal of Social Welfare     Hybrid Journal   (Followers: 18)
International Journal of Spa and Wellness     Hybrid Journal  
International Journal of Telerehabilitation     Open Access   (Followers: 1)
International Journal of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
International Research in Children's Literature     Hybrid Journal   (Followers: 4)
Internationale Revue Fur Soziale Sicherheit     Hybrid Journal   (Followers: 1)
InterScientia     Open Access  
Investigaciones Andina     Open Access  
Iranian Journal of Health and Environment     Open Access  
Iranian Journal of Public Health     Open Access  
Israel Journal of Health Policy Research     Open Access  
İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
JAMA Health Forum     Open Access  
JBI Evidence Implementation     Full-text available via subscription   (Followers: 3)
JBI Evidence Synthesis     Hybrid Journal   (Followers: 5)
Jeugd en Co     Hybrid Journal  
JGZ Tijdschrift voor jeugdgezondheidszorg     Hybrid Journal   (Followers: 2)
JMIR Human Factors     Open Access   (Followers: 3)
JMIR Public Health and Surveillance     Open Access  
JMIR Serious Games     Open Access   (Followers: 8)
Jornal Brasileiro de TeleSSaúde     Open Access  
Jornal de Ciências da Saúde do Hospital Universitário da Universidade Federal do Piauí     Open Access   (Followers: 3)
Journal Health NPEPS     Open Access  
Journal of Advances in Environmental Health Research     Open Access   (Followers: 2)
Journal Of Allied Health     Full-text available via subscription   (Followers: 7)
Journal of Behavior, Health & Social Issues     Open Access   (Followers: 8)
Journal of Behavioral Addictions     Open Access   (Followers: 5)
Journal of Behavioral Health Services & Research     Hybrid Journal   (Followers: 15)
Journal of Biology, Agriculture and Healthcare     Open Access   (Followers: 2)
Journal of Charoenkrung Pracharak Hospital     Open Access  
Journal of Child Sexual Abuse     Hybrid Journal   (Followers: 61)
Journal of Communication in Healthcare     Hybrid Journal   (Followers: 3)
Journal of Community Health     Hybrid Journal   (Followers: 9)
Journal of Community Medicine and Primary Health Care     Open Access   (Followers: 4)
Journal of Consumer Health on the Internet     Hybrid Journal   (Followers: 4)
Journal of Creativity in Mental Health     Hybrid Journal   (Followers: 13)
Journal of Developing Areas     Full-text available via subscription   (Followers: 5)
Journal of Development Effectiveness     Hybrid Journal   (Followers: 5)
Journal of Dr. NTR University of Health Sciences     Open Access  
Journal of Earth, Environment and Health Sciences     Open Access   (Followers: 2)
Journal of Eating Disorders     Open Access   (Followers: 13)
Journal of Education and Health Promotion     Open Access   (Followers: 4)
Journal of Environment Pollution and Human Health     Open Access   (Followers: 3)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 64)
Journal of Epidemiology and Public Health     Open Access   (Followers: 4)
Journal of Ergonomics     Open Access   (Followers: 8)
Journal of Evolution and Health : An Ancestral Health Society Publication     Open Access  
Journal of Exercise & Organ Cross Talk     Open Access   (Followers: 3)
Journal of Exercise Science & Fitness     Open Access   (Followers: 24)
Journal of Family & Consumer Sciences     Full-text available via subscription  
Journal of Family Medicine and Primary Care     Open Access   (Followers: 11)
Journal of Family Social Work     Hybrid Journal   (Followers: 12)
Journal of Family Strengths     Open Access   (Followers: 3)
Journal of Fasting and Health     Open Access   (Followers: 1)
Journal of Global Health     Open Access   (Followers: 2)
Journal of Health and Social Behavior     Hybrid Journal   (Followers: 27)
Journal of Health Care Chaplaincy     Hybrid Journal   (Followers: 3)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Disparities Research and Practice     Open Access   (Followers: 2)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 1)
Journal of Health Policy and Management     Open Access   (Followers: 2)
Journal of Health Promotion     Open Access   (Followers: 1)
Journal of Health Psychology     Hybrid Journal   (Followers: 56)
Journal of Health Research     Open Access  
Journal of Health Research and Reviews     Open Access  
Journal of Health Science     Open Access   (Followers: 3)
Journal of Health Science and Alternative Medicine     Open Access   (Followers: 1)
Journal of Health Science and Community Public Health     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science and Prevention     Open Access  
Journal of Health Science Research     Open Access  
Journal of health sciences     Open Access  
Journal of Health Sciences     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Service Psychology     Full-text available via subscription   (Followers: 1)
Journal of Health Services and Education     Open Access  
Journal of Health, Population and Nutrition     Open Access   (Followers: 12)
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 2)
Journal of Healthcare Risk Management     Hybrid Journal   (Followers: 10)
Journal of Human Health     Open Access   (Followers: 1)
Journal of Human Trafficking     Open Access   (Followers: 29)
Journal of Ideas in Health     Open Access   (Followers: 1)
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 8)
Journal of Industrial Safety Engineering     Full-text available via subscription   (Followers: 6)
Journal of Infection and Public Health     Open Access   (Followers: 4)
Journal of Integrated Care     Hybrid Journal   (Followers: 18)
Journal of Integrated Health Sciences     Open Access   (Followers: 4)
Journal of Interprofessional Education & Practice     Full-text available via subscription   (Followers: 4)
Journal of Law and Health     Open Access   (Followers: 7)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access  
Journal of Medical and Health Studies     Open Access   (Followers: 2)
Journal of Mental Health Counseling     Full-text available via subscription   (Followers: 8)
Journal of Multidisciplinary Healthcare     Open Access   (Followers: 5)
Journal of Multidisciplinary Research in Healthcare     Open Access   (Followers: 2)
Journal of Muslim Mental Health     Open Access   (Followers: 6)
Journal of Nanotheranostics     Open Access  
Journal of Nursing & Interprofessional Leadership in Quality & Safety     Open Access   (Followers: 5)
Journal of Occupational Health     Open Access   (Followers: 1)
Journal of Occupational Health Psychology     Full-text available via subscription   (Followers: 39)
Journal of Occupational Science     Hybrid Journal   (Followers: 27)
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Prevention and Health Promotion     Full-text available via subscription  
Journal of Preventive Medicine and Public Health     Open Access   (Followers: 1)
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Psychosexual Health     Open Access  
Journal of Public Child Welfare     Hybrid Journal   (Followers: 8)

  First | 1 2 3 4     

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Healthcare in Low-resource Settings
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2281-7824 - ISSN (Online) 2281-7824
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  • The magnitude of perinatal mortality rate and associated risk factors
           among deliveries at Dilla University Referral Hospital, Southern Ethiopia:
           A case-control study

    • Authors: Kefale Lelamo Legu, Alemu Tamiso Debiso, Kaleb Mayisso Rodamo
      Abstract: The perinatal mortality rate is the sum of stillbirths and early neonatal deaths divided by the number of pregnancies of seven or more months’ duration. In Ethiopia, the death rate was 33 deaths/1000 total births in 2016. We aimed to identify the perinatal mortality rate and associated risk factors among deliveries in Dilla University Referral Hospital; January, 2016 - December, 2018. A hospital based retrospective case-control study was conducted using subgroup binary logistic regression analysis including 138 cases and 296 control group. The proportion of hospital perinatal deaths was 30% with 90% of the deaths were occurred as a result of stillbirths and antepartum hemorrhage. Adjusted odds ratios revealed that history of still birth, very low birth weight, short interval and nonuse of partograph found to be independent predictors of both stillbirths and early neonatal deaths besides to pregnancy induced hypertension and antepartum hemorrhage. The risk of perinatal mortality may be increased by not treating chronic illnesses, obstetrics complications and risk factors causing low birth weight as well as short birth intervals and not using partograph during labour.
      PubDate: 2022-01-04
      DOI: 10.4081/hls.2021.9960
      Issue No: Vol. 9, No. 1 (2022)
       
  • The extrinsic factors affecting patient access, referral and treatment of
           lung cancer in selected oncology public health facilities in KwaZulu-Natal
           

    • Authors: Sinenhlanhla Zondo N., Ginindza Themba G., Hlongwana Khumbulani W.
      Abstract: Patients’ insights into the factors affecting access, referral and treatment of lung cancer in public healthcare facilities, are key to the fight against this disease. On the other hand, the lack of epidemiological information on the actual burden of lung cancer, makes it difficult for public healthcare facilities to be adequately equipped to deal with foreseeable challenges in the oncology units. In order to inform patientcentred interventions and lung cancer control programmes, this study explored extrinsic factors that affect lung cancer patients throughout the cancer care continuum in KwaZulu-Natal. Nineteen patients receiving care in the three public healthcare facilities providing oncology services in KwaZulu-Natal, were interviewed using an interview guide. Following data saturation, thematic analysis was used to develop the themes relating to the extrinsic factors affecting the provision of cancer care. Five themes emerged from the analysis, namely: geographical dynamics affecting patient access to a healthcare facility, lung cancer suspicion index in the diagnostic trail within the different levels of care, decision-making trail for the referral system, equipmentinduced delays and healthcare-patient communication. A number of lung cancer patients utilising oncology services in public healthcare facilities in KwaZulu-Natal, are often met with various extrinsic factors affecting their progression through different stages of cancer care continuum. Therefore, the results of the extrinsic factors explored in this paper through the lung cancer patients’ lenses may be used for designing mitigation plans to reduce delays in lung cancer care in KwaZulu-Natal.
      PubDate: 2022-01-20
      DOI: 10.4081/hls.2022.10170
      Issue No: Vol. 10, No. 1 (2022)
       
  • Comparative efficacy of interferential therapy, bronchodilators, and body
           positioning on asthma control and quality of life of patients with
           bronchial asthma: A study protocol

    • Authors: Eniola Awolola Oladejo, Sonill Maharaj Sooknunan
      Abstract: Interferential Therapy (IFT) is the application of two medium frequency currents to the skin to stimulate and activate different systems in the body using specific frequencies and frequency ranges. The aim in applying IFT is to reduce myalgia in the chest and upper back, reduce muscular fatigue, and induce mucus expectoration. This study is designed to test the efficacy of IFT in reducing the symptoms frequently experienced by patients with bronchial asthma. Forty-eight (48) patients aged 18 and above with bronchial asthma attending the respiratory clinic at the Lagos State University Teaching Hospital, Ikeja (LASUTH) will be assessed for eligibility. The study design will be a double-blinded, randomized control trial with four intervention groups and four parallel placebo control groups. IFT will be administered as an intervention to patients on short and longacting bronchodilators in an assigned fundamental body position for 20 minutes. Six continuous outcome variables at different points will be utilized as outcome measures. A baseline Pulmonary Function Test (PFT) will be conducted on entry into the study while quality of life and asthma control will be evaluated every two (2) weeks during the study. Data obtained will be analyzed using descriptive and inferential statistics of repeated ANOVA; P<0.05. The study outcome will compare the efficacy of IFT on bronchial asthma, identify its effect in different body positions, and compare the relationship between its application and the bronchodilator medication frequently used by the patients.
      PubDate: 2022-01-20
      DOI: 10.4081/hls.2022.10251
      Issue No: Vol. 10, No. 1 (2022)
       
  • Attitude of the first year medical students towards medicine as career:
           Motivations and apprehensions of being a doctor

    • Authors: Saurabh Sharma, Pawan Parashar, Chandra Mohan, Alka Singh, Sartaj Ahmad
      Abstract: The choice of a career as a doctor is a complex personal decision influenced by a multitude of factors. These include family background, role models, media, and personal experiences. The present study was done with the objectives to know the reasons for first-year medical students for joining MBBS and their apprehensions. A cross-sectional study carried out among first-year students of batch 2018, 2019, and 2020 of a Medical College of North India. The data was collected within 10 days of admission in MBBS. A total of 278 students were given pre-designed and pre-validated questionnaire after informed consent. Out of multiple reasons for being doctor respect in society was the largest, i.e. 83%, while 72% joined because of high earning by the doctor. More than 80% had a professional image of the doctor as a calm, helping and well-groomed person, while 60% thought doctors don’t listen properly, and 57% had a perception that doctors are not much concerned about the problems of patient. Sixtyeight percent (68%) thought media doesn’t portray a good image of doctors. According to students outrage in the community and lack of trust for doctors were the major reasons for violence against doctors. Munnabhai MBBS, Anand and Patch Adams, Sanjeevani and House MD were the movies and series motivated most students to be a doctor. Respect in society was the prime motivator to be a doctor among students still they feel media doesn’t justify the image of doctors. Movies and television series can be used to keep the students high in morale and excitement.
      PubDate: 2021-12-07
      DOI: 10.4081/hls.2021.9710
      Issue No: Vol. 9, No. 1 (2021)
       
  • Computed tomography severity scoring of COVID 19 infected young patients:
           Is the second wave affecting the young lungs more than the first wave in
           India'

    • Authors: Omair Shah, Shadab Maqsood, Tahleel Shera, Mudasir Bhat, Naseer Choh, Aamir Shah, Feroze Shaheen, Tariq Gojwari
      Abstract: We evaluated the High Resolution Computed Tomography (HRCT) findings in young patients (< 40 years) infected with the COVID 19 virus and tried to find out any difference in the severity of lung involvement between the first and second wave of the pandemic and whether the notion of young population being more severely affected by the second wave holds true.Two-hundred (200) young patients (<40 years) with RT PCR documented COVID infections undergoing HRCT chest at our institute were included. Group A included young patients infected in the first wave (up to 28 February 2021) while Group B included patients beyond this date. Demographic and clinical data was obtained from the medical records department. HRCT scans were retrieved from the archive and were assessed by two radiologists or CT severity scoring. The mean severity scores were calculated and any statistical difference between Group A and B was sought. CT scans of four fully vaccinated patients were also evaluated.The age and gender distribution among the two groups was comparable. A greater number of patients in group B required hospital admission compared to group A (74% VS 53%). In group A, the mean severity score was 10.1±2.1 with 34 patients (34%) in mild category, 46 patients (46%) in moderate group and 20 patients (20%) in the severe group. In group B, the mean CT severity score was 12.6±2.3 with 20 patients (20%) in mild category, 42 patients (42%) in moderate group and 38 patients (38%) in the severe group.Lung involvement in young patients in the second wave is more severe requiring more hospital admissions. Vaccinated population may well have a milder form of the disease.
      PubDate: 2021-12-06
      DOI: 10.4081/hls.2021.10056
      Issue No: Vol. 9, No. 1 (2021)
       
  • Health service delivery for type 1 diabetes during the lockdown in Uganda
           following the coronavirus disease 2019 pandemic

    • Authors: Silver Bahendeka, Thereza Piloya, Jasper Onono, Ronald Wesonga, Gerald Mutungi, Wenceslaus Sseguya, Denis Mubangizi
      Abstract: Lockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. The digitized tool (UT1D-HIMAS) maintained electronic health records, monitored clinic supplies, patient clinic visits and admissions, and sent automated SMS messages. Delivery of supplies was by motor vehicles, motorcycles, bicycles or patients/caregivers walking to clinics. Metabolic control was assessed by glycated haemoglobin (HbA1c). Monitoring of clinic supplies including emergency restocking, patient clinic visits and admissions, and sending automated SMS by UT1D-HIMAS were successfully achieved. A fall in clinic visits, reaching a nadir (67.9%) in May 2020 was observed. HbA1c (mean ± SD mmol/mol) significantly (p= 0.040) worsened from 79.1 ± 26.8 to 94.9 ± 39.2 and (p=0.002) from 67.1 ± 22.7 to 84.8 ± 39.4 in the rural and urban clinic respectively. The digitized health information system exhibited high practicability in tracking stocks, clinic visits and hospitalisation but failed to improve metabolic control.
      PubDate: 2021-11-23
      DOI: 10.4081/hls.2021.9799
      Issue No: Vol. 9, No. 1 (2021)
       
  • COVID-19 pandemic and management on hospital length of stay: A review

    • Authors: Fatemeh Abdollahi, Seilan Ghanyan, Farkhondeh Asadi
      Abstract: COVID-19 virus is a serious threat to public health everywhere on the planet. The World Health Organization (WHO) declared the disease epidemic in December 2019 because of its rapid prevalence around the world. The disease is transferred by inhalation or contact with contaminated droplets, and the incubation period varies from 2 to 14 days. COVID-19 has led to unprecedented pressures as demand for healthcare in hospitals and intensive care units around the world increases. As the epidemic intensifies, determining the resulting needs for health care resources (beds, staff, equipment) has become a priority for many countries. Predicting future demand requires estimating how long COVID-19 patients must have access to different levels of hospital care. The length of hospitalization for these patients is one of the management priorities. It is possible to pass through the crisis only with careful planning and comprehensive cooperation.
      PubDate: 2021-11-04
      DOI: 10.4081/hls.2021.10057
      Issue No: Vol. 9, No. 1 (2021)
       
  • Barriers to dietary modifications for people living with type 2 diabetes
           in a rural indigenous Guatemalan community

    • Authors: Julia Wilson, James Svenson, Sean Duffy, Jessica Schmidt
      Abstract: In Guatemala, the prevalence of diabetes continues to increase with a disproportionate burden falling on indigenous rural communities. In this study, we assessed barriers to making dietary modifications for people living with type 2 diabetes in a rural indigenous Guatemalan population. Structed interviews (n=32) were conducted with participants selected from a convenience sample of adults with type 2 diabetes living in villages in and around San Lucas Tolimán, Guatemala. Frequencies were calculated for closed-ended questions and content analysis was used to evaluate open-ended questions. Most participants (81%) were women with low-levels of formal education and average daily food expenditure of just over $1 USD. The majority of participants were able to identify foods important in a diabetic diet, however, with significant barriers to making dietary modifications. Commonly cited perceived barriers included high costs of food due to travel and storage, inadequate local access to fresh fruits and vegetables and incompatibility with traditional diet. Several structural and cultural barriers exist to prevent dietary modifications for people living with type 2 diabetes in this rural indigenous population.
      PubDate: 2021-09-16
      DOI: 10.4081/hls.2021.10002
      Issue No: Vol. 9, No. 1 (2021)
       
  • Menisco-ligamentous injuries of knee joint: Can ultrasonography serve as
           an effective screening modality'

    • Authors: Farooq Mir, Zahoor Raina, Omair Shah, Tariq Gojwari, Irfan Robbani, Tahleel Shera
      Abstract: The aim is to calculate sensitivity, specificity and diagnostic accuracy of Ultrasonography (USG) as a screening modality in evaluation of Menisco- Ligamentous injuries of knee joint with Magnetic Resonance Imaging (MRI)as gold standard for comparison.Patients with clinically suspected Menisco-Ligamentous injurieswere evaluated by USG initially followed by MRI on the same day. A total of 60 patients (50 males, 10 females) underwent USG and MRI. USG was done using high frequency probe (9-14 Hz) and all the injuries noted. USG of the normal knee was done for comparison. MRI with trauma protocol sequences was done on the same day. The accuracy of USG and MRI in diagnosis of menisco-ligamentous injuries was compared. Majority of the patients (50%) belonged to age group of 21-40 years. Most common injuries seen were medial meniscal tear followed by medial collateral ligament injury. The strength of agreement between USG and MRI was good with Diagnostic accuracy of USG ranging from 83.3% to 95% for different meniscal/ligamentous injuries.USG is an effective imaging modality with high accuracy in diagnosing menisco-ligamentous injuries. USG can act as an effective screening modality in closed knee trauma for evaluation of menisco- ligamentous injuries especially in resource constrained regions owing to its easy availability, portability and lower cost. MRI can be reserved for patients with suspicious USG and clinical findings.
      PubDate: 2021-07-29
      DOI: 10.4081/hls.2021.9731
      Issue No: Vol. 9, No. 1 (2021)
       
  • Patient perceived quality of nursing care in hemodialysis: A
           meta-synthesis

    • Authors: Abbas Balouchi, Abbas Ebadi, Soroor Parvizy, Hamid Sharif Nia
      Abstract: This study was done with the purpose of clarifying the concept of patient perceived quality of nursing care in hemodialysis. In this meta-synthesis study, qualitative studies was searched in the four interntional databases from January 1st, 2000 to December 30th, 2019. The keywords used were: nursing care quality, and hemodialysis. Studies which had been done with the purpose of understanding the patient perceived quality of nursing care concept aomg hemodialysis patients were included. Two researchers were evaluate the quality of included studies separately using JBI tool, required information were extracted using the designed table. The main themes in the structure dimension include Sufficient Human resource, quality of equipment, financial support from patient and quality of the patient care environment. Process dimension consisted of continuous monitoring of the syndromes, effective patient education, efficient care, effective therapeutic relationship, and patient’s empowerment and participation in the process, and in the outcome dimension included high dialysis adequecy, patient burnout reduction, and increased patient satisfaction from services. The results of the study indicated a comprehensive, deep and interactive dimensions about the concept of nursing quality of care.
      PubDate: 2021-04-12
      DOI: 10.4081/hls.2021.9320
      Issue No: Vol. 9, No. 1 (2021)
       
  • Economic contestation over user fees in low-resourced healthcare systems:
           A literature review

    • Authors: Vincent Pagiwa
      Abstract: This paper reviewed the literature on economic theory and assumptions that provide the rationale for using a price system to finance health care services in developing countries. The primary case in favor of a system of user fees for financing healthcare in these countries lies in allocative efficiency results to be achieved through a price system. The assumption being that, the price system signals to consumers what they must pay for health care services hence giving them an incentive to utilize those services well. However, this assumes perfect markets, where prices reflect the true marginal benefits of consuming healthcare goods and the marginal cost of their production. All equity concerns being addressed through price discrimination, a system of user fees can then allocate health care resources efficiently. Although the application of user fees in the health sector is justified by the perfect markets, there are concerns that a perfect market is less likely to be the case in health sector. Therefore, it will not be a viable way to rely on the price system to allocate resources to the population when markets of any healthcare goods and services are not available or are imperfect. Information asymmetry and uncertainty are the major obstacles to a proper function of a price system in healthcare service provision. Due to the inelastic nature of the demand for healthcare, charging fees for healthcare services can pose hard financial catastrophes to poor and lead into poverty. This suggests the need to establish healthfinancing policies that would facilitate the creation of new markets or which can improve the performance of existing ones in developing countries.
      PubDate: 2021-03-01
      DOI: 10.4081/hls.2021.9307
      Issue No: Vol. 9, No. 1 (2021)
       
 
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