The pharmacological management of asthma has changed considerably in recent decades, as it has come to be understood that it is a complex, heterogeneous disease with different phenotypes and endotypes. It is now clear that the goal of asthma treatment should be to achieve and maintain control of the... disease, as well as to minimize the risks (of exacerbations, disease instability, accelerated loss of lung function, and adverse treatment effects). That requires an approach that is personalized in terms of the pharmacological treatment, patient education, written action plan, training in correct inhaler use, and review of the inhaler technique at each office visit. A panel of 22 pulmonologists was invited to perform a critical review of recent evidence of pharmacological treatment of asthma and to prepare this set of recommendations, a treatment guide tailored to use in Brazil. The topics or questions related to the most significant changes in concepts, and consequently in the management of asthma in clinical practice, were chosen by a panel of experts. To formulate these recommendations, we asked each expert to perform a critical review of a topic or to respond to a question, on the basis of evidence in the literature. In a second phase, three experts discussed and structured all texts submitted by the others. That was followed by a third phase, in which all of the experts reviewed and discussed each recommendation. These recommendations, which are intended for physicians involved in the treatment of asthma, apply to asthma patients of all ages.
more
The European Respiratory Society (ERS)/American Thoracic Society (ATS) Task Force on severe asthma includes an updated definition of severe asthma, a discussion of severe asthma phenotypes in relation to genetics, natural history, pathobiology and physiology, as well as sections on evaluation and tr...eatment of severe asthma where specific recommendations for practice are made. See the unabridged online version of the document for detailed discussion of the definition of severe asthma, phenotypes and recommendations for practice.
more
Guide et outils pour les professionnels de santé
Shoman et al. Globalization and Health (2017) 13:1 DOI 10.1186/s12992-016-0224-2
Pathak et al. (2016), PeerJ, DOI 10.7717/peerj.1738; 1-14
Enquête Mortalité, Morbidité et Utilisation des Services (EMMUS-V) Haïti 2012 - Fécondité et Planification Familale
Politique et plan stratégique intégré de lutte contre les maladies non transmissibles (PSIMNT) 2012-2015
Olashore et al.
Child Adolesc Psychiatry Ment Health (2017) 11:8 DOI 10.1186/s13034-017-0144-9
This study complements the growing amount of research on the psychosocial impact of war on chil-dren in Sierra Leone by examining local perceptions of child mental health, formal and informal care systems, help-seeking behaviour and stigma
Yoder et al. Int J Ment Health Syst (2016) 10:48 DOI 10.11...86/s13033-016-0080-8
more
Desta et al. Int J Ment Health Syst (2018) 12:38 https://doi.org/10.1186/s13033-018-0217-z
Djibuti et al. BMC Public Health (2015) 15:427 DOI 10.1186/s12889-015-1760-z
Agodokpessi et al. Journal of Pharmaceutical Policy and Practice (2015) 8:12DOI 10.1186/s40545-015-0033-7
Benin established a revolving drug fund (RDF) for essential asthma medicines in 2008. We evaluated
the operation of the RDF and assessed whether there was interruption of supply of asthma me...dicine from 2008 to
2013.
more
Yaya et al. BMC Pregnancy and Childbirth (2018) 18:194
Ensuring equitable access to maternal health care including antenatal, delivery, postnatal services
and fertility control methods, is one of the most critical challenges for public health sector. There are significant
disparities in materna...l health care indicators across many geographical locations, maternal, economic, sociodemographic
factors in many countries in sub-Sahara Africa. In this study, we comparatively explored the utilization
level of maternal health care, and examined disparities in the determinants of major maternal health outcomes
more
Ade et al. BMC Health Services Research (2016) 16:5
Background: In the “Centre National Hospitalier de Pneumo-Phtisiologie” of Cotonou, Benin, little is known about
the characteristics of patients who have not attended their scheduled appointment, the results of tracing and the
possible b...enefits on improving treatment outcomes. This study aimed to determine the contribution of tracing
activities for those who missed scheduled appointments towards a successful treatment outcome.
Methods: A retrospective cohort study was carried out among all smear-positive pulmonary tuberculosis patients
treated between January and September 2013. Data on demographic and diagnostic characteristics and treatment
outcomes were accessed from tuberculosis registers and treatment cards. Information on those who missed their
scheduled appointments was collected from the tracing tuberculosis register. A univariate analysis was performed
to explore factors associated with missing a scheduled appointment
more
Les soins de la mère kangourou sont une méthode de soins des enfants prématurés. Cette méthode consiste à porter les nourrissons, généralement par la mère, avec un contact peau à peau. Ce guide est destiné aux professionnels de la santé responsables des soins aux nourrissons de faible po...ids de naissance et aux prématurés. Conçu pour être adapté aux conditions locales, il fournit des conseils sur la manière d'organiser les services au niveau de la référence et sur ce qui est nécessaire pour fournir des soins efficaces à la mère kangourou. Le guide comprend des conseils pratiques sur le moment et la manière d'appliquer au mieux la méthode de soins par la mère kangourou.
more
Description illustrée des étapes et précautions nécessaires pour prélever la salive d'un patient décédé et suspecté d'être infecté par le virus Ebola: avant d'entrer dans la chambre du patient, les équipements de protection individuelle, la réalisation d'un écouvillonnage oral, la pré...paration du tube de collecte pour le transport, enlever les équipements de protection individuelle.
more
Informations sur l'emploi et le mode d'action de la pilule du lendemain. La brochure est disponible en: arabe, anglais, français, allemand, russe et turc. Les autres versions peuvent être accédées sous le lien suivant: http://www.bzga.de/infomaterialien/familienplanung/verhütung/die-pille-danac...h-faltblatt/
more
Les décideurs et les intervenants en première ligne trouveront ici les ressources sur la maladie à la peste. Ces ressources peuvent être utilisées en tant que rappels ou compléments de connaissances pour les travailleurs expérimentés ou en tant qu’introduction au sujet pour les autres. La ...plupart des ressources sont disponibles en anglais et en français et peuvent être téléchargées pour un usage sans connexion.
The English version of this course is available at: https://openwho.org/courses/knowledge-resources-plague
more
Haiti: Enquête Mortalité, Morbidité et Utilisation des Services (EMMUS-V) 2012 Aire Métropolitaine
Enquête Mortalité, Morbidité et Utilisation des Services (EMMUS-V) 2012