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Publication Years
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Type 2 diabetes mellitus (T2DM) is a chronic condition characterized by insulin resistance and an inability to properly regulate blood sugar levels. The two most important risk factors for T2DM are a family history of diabetes and obesity, though age, race, diet, and exercise level also impact risk.
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Common symptoms include frequent urination, nerve damage, and dark skin patches. Treatment involves lifestyle changes like diet and exercise as well as medications like metformin, which improves insulin sensitivity and decreases glucose production in the liver. Patients are counseled on managing diabetes-related risks and provided support through organizations and groups.
more
Community Health Worker Training Curriculum - Facilitator's Guide
Baylor Tingathe Community Outreach Programme
Baylor College of Medicine Children’s Foundation Malawi
(2016)
CC
This curriculum was designed to train newly recruited health care workers (HCW) in the basic knowledge and skills needed to improve different HIV services within the health facility including identification, linkage, retention and support. In addition to HIV basics, the training has supplementary un
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its focused on PMTCT, psychosocial support, opportunistic infections, tuberculosis and HIV, nutrition and family planning in order to give a more well-rounded and comprehensive training of related topics.
more
Background
The core clinical symptoms of addiction include an enhanced incentive for drug taking (craving), impaired self-control (impulsivity and compulsivity), emotional dysregulation (negative mood) and increased stress reactivity. Symptoms related to impaired self-control involve reduced activi
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ty in anterior cingulate cortex (ACC), adjacent prefrontal cortex (mPFC) and other brain areas. Behavioral training such as mindfulness meditation can increase the function of control networks including those leading to improved emotion regulation and thus may be a promising approach for the treatment of addiction.
Methods
In a series of randomized controlled trials (RCTs), we tested whether increased ACC/mPFC activity is related to better self-control abilities in executive functions, emotion regulation and stress response in healthy and addicted populations. After a brief mindfulness training (Integrative Body-Mind Training, IBMT), we used the Positive and Negative Affect Schedule (PANAS) and Profile of Mood States (POMS) to measure emotion regulation, salivary cortisol for the stress response and fMRI for brain functional and DTI structural changes. Relaxation training was used to serve as an active control.
Results
In both smokers and nonsmokers, improved self-control abilities in emotion regulation and stress reduction were found after training and these changes were related to increased ACC/mPFC activity following training. Compared with nonsmokers, smokers showed reduced ACC/mPFC activity in the self-control network before training, and these deficits were ameliorated after training.
Conclusions
These results indicate that promoting emotion regulation and improving ACC/mPFC brain activity can help for addiction prevention and treatment.
more
The webpage discusses workforce nutrition programs and their potential to improve health, nutrition, and business outcomes. It highlights interventions such as access to healthy foods, nutrition education, health checks, and breastfeeding support, emphasizing their role in addressing malnutrition an
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d promoting employee well-being. The focus is on leveraging workplaces to enhance public health and productivity while identifying evidence gaps for further research and policy development.
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The documents focus on promoting healthier nutrition by addressing issues like sugar, salt, and fat intake, emphasizing their role in non-communicable diseases such as obesity, diabetes, and heart diseases. They include educational tools for children and adults to support balanced diets and public h
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ealth strategies to reform food systems and improve dietary habits globally.
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Diabetes in pregnancy
National Institute for Health and Care Excellence (NICE)
National Institute for Health and Care Excellence (NICE)
(2016)
CC2
The document "Diabetes in Pregnancy" by NICE (National Institute for Health and Care Excellence) outlines quality standards for managing diabetes in women during pregnancy, with a focus on five key areas. First, it emphasizes the importance of preconception planning for women of childbearing age wit
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h diabetes. These women should receive guidance on optimizing their health before pregnancy, including achieving target HbA1c levels and taking high-dose folic acid to minimize risks. Second, joint diabetes and antenatal care is recommended for pregnant women with pre-existing diabetes, who should be seen early in pregnancy (ideally by 10 weeks gestation) by a combined diabetes and antenatal team to ensure optimal care throughout their pregnancy.
The third focus area is continuous glucose monitoring (CGM), which should be offered to pregnant women with type 1 diabetes. This includes either real-time CGM or flash monitoring to help improve blood glucose control and reduce complications during pregnancy. Fourth, postnatal testing and referral are essential for women diagnosed with gestational diabetes, who should receive glucose testing after birth to detect any persistent diabetes. Those eligible are referred to the National Diabetes Prevention Programme to lower their risk of developing type 2 diabetes. Lastly, the document recommends annual HbA1c testing for women with a history of gestational diabetes to monitor for type 2 diabetes development.
These standards aim to improve pregnancy outcomes for women with diabetes by providing individualized, accessible, and culturally appropriate care.
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The document "Diabetes and Ramadan: Practical Guidelines 2021," published by Elsevier, provides updated guidance for managing diabetes during Ramadan fasting. Developed by the International Diabetes Federation (IDF) and the Diabetes and Ramadan (DAR) International Alliance, the guidelines address ke
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y aspects for individuals with diabetes who choose to fast, including risk assessment, blood glucose monitoring, insulin and medication adjustments, and the management of special populations (such as pregnant women, the elderly, and those with chronic conditions). Emphasis is placed on individualized patient education before Ramadan to ensure safe fasting practices and minimize risks like hypoglycemia and hyperglycemia.
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Similar to other parts of the world, the prevalence of type 2 diabetes mellitus (T2DM) in the Asia-Pacific Region has rapidly increased during the last few decades. The purposes of this pilot study were to determine the feasibility and the effects of a capacity building program for Village Health Vo
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lunteers (VHVs) to support self-management in a T2DM high risk population from a rural subdistrict in Northeast Thailand. Both quantitative and qualitative data were collected using surveys, focus group discussions, and in-depth interviews. Data were analyzed and used to develop a 12-week capacity building program for VHVs. This program was then implemented on 60 subjects at high risk of T2DM in the selected community. According to the paired t-test and Wilcoxon-signed rank test, VHVs had higher scores on knowledge and self-efficacy of T2DM prevention after a 12 week intervention (p =.03 and p =.02, respectively). Study participants at risk for T2DM also had a significant increase in T2DM knowledge and self-management (p <.001). Implementation of the capacity building program for VHVs in Northeast Thailand was feasible. The key successes were strong community bonding, community empowerment, and support from family and public health nurses. Effects of the program should be examined with those in other Asia-Pacific countries.
more
There is no safe level of secondhand smoke exposure
Secondhand smoke can travel within multiunit housing and common areas through doorways, cracks in walls, electrical lines, ventilation systems and plumbing.
Opening windows and using fans does not completely remove secondhand smoke.
Heating, air
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conditioning and ventilation systems cannot eliminate exposure to secondhand smoke.
more
Secondhand smoke can infiltrate into other units through hallways and stairwells. Don’t be shy when it comes to your health. Talk to your building manager about making your apartment smokefree.
A poster advertising oral rehydration salts (ORS) and zinc, part of the SHOPS mass media campaign in Ghana, was distributed widely to pharmacies and over‐the‐counter medicine sellers to improve caregivers’ and providers’ awareness of the new diarrhea treatment protocols for children under 5.
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УТРАЧЕННЫЕ СВЯЗИ Психосоциальная поддержка людей, утративших связь с членами своей семьи
recommended
Сломанные ссылки Психосоциальная поддержка людей, разлученных с членами семьи: руководство на местах. В 40-страничном руководстве описаны возможные причины разлук
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и, рассматриваются психосоциальные последствия разлуки, например, то, как мы переживаем потерю, и даются рекомендации по оказанию поддержки тем, кто был разлучен с членами семьи, включая передачу тяжелых новостей близким, основные навыки оказания помощи, проведение интервью, постоянную поддержку и направление к специалистам, а также воссоединение. В книге также есть глава о самопомощи для персонала и волонтеров. Представленные здесь материалы необходимо адаптировать к местным условиям. Цель данного руководства - укрепить уверенность и навыки реагирования на катастрофы и кризисные ситуации, а также повысить осведомленность о более широких целях работы Движения по поддержке семей, разлученных со своими близкими.
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Туберкулёз у больных ВИЧ-инфекцией
Мохрякова Т. Е., Синицын М. В
Московский городской научно- практический центр борьбы с туберкулёзом Департамента здравоохранения города Москвы
(2013)
C1
Вы держите в руках брошюру, которую подготовили для вас специалисты МНПЦ борьбы с туберкулёзом.Она поможет вам узнать:
•о ВИЧ-инфекции и вирусе иммунодефицита чел
...
овека (ВИЧ);
•о туберкулёзе и микобактерии туберкулёза (МБТ);
•о сочетании ВИЧ-инфекции и туберкулёза.
Вы познакомитесь с методами:
•диагностики ВИЧ-инфекции и туберкулёза;
•профилактики туберкулёза у ВИЧ-инфицированных пациентов.
more
туберкулёз –актуальная тема и у нас
Врачебный центр качества медицинского обслуживания (ÄZQ)
Врачебный центр качества медицинского обслуживания (ÄZQ)
(2019)
C2
Информационная брошюра о туберкулезе
Ключевые показатели наркопотребления за последние годы почти не изменились, но такая стабиль-ность скрывает серьезные перемены на рынках наркотиков. Помимо давно
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существующих нарко-тиков, таких как героин и кокаин, расширяется потребление НПВ, а также употребление в немеди-цинских целях рецептурных препаратов (которые появляются либо в результате утечки с законного рынка, либо производятся незаконно). Также растет потребление веществ неясного происхождения, поставляемых через незаконные каналы. Такие вещества продаются под видом лекарств, но пред-назначаются для немедицинского употребления. Спектр доступных потребителям веществ и их комбинаций сейчас беспрецедентно широк.
more
Данное руководство описывает вмешательство низкой интенсивности под названием «Управление проблемами плюс» (УП+) – для взрослого населения в состоянии дистресса
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, вызванного неблагоприятной ситуацией в общине. Определенные элементы КПТ были изменены для применения в общинах с ограниченным количеством специалистов. С целью максимально эффективного использования вмешательство разработано таким образом, чтобы оно могло помогать лицам, страдающим от депрессии, тревоги и стресса, независимо от того, были ли данные проблемы вызваны неблагоприятной ситуацией или нет. Вмешательство можно применять для улучшения систем охраны психического здоровья и психосоциального благополучия независимо от степени тяжести проблем.
more
Сборник примеров передовой практики здравоохранения в сфере противодействия ВИЧ-инфекции в Европейском регионе ВОЗ
Д-р M. Dara; Г-н Z. T. Gavry; Г-жа M. Mansfeld
Всемирная организация здравоохранения (Европейское)
(2018)
C_WHO
Cholera Key Facts 30 March 2022
