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Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja, N.W.; Nakagaayi, D.; Aliku, T. et al. Frontiers in Cardiovascular Medicine (2022) CC

In 2015, the United Nations set important targets to reduce premature cardiovascular disease (CVD) deaths by 33% by 2030. Africa disproportionately bears the brunt of CVD burden and has one of the highest risks of dying from non-communicable diseases (NCDs) worldwide. There is currently an epide...miological transition on the continent, where NCDs is projected to outpace communicable diseases within the current decade. Unchecked increases in CVD risk factors have contributed to the growing burden of three major CVDs—hypertension, cardiomyopathies, and atherosclerotic diseasesleading to devastating rates of stroke and heart failure. The highest age standardized disability-adjusted life years (DALYs) due to hypertensive heart disease (HHD) were recorded in Africa. The contributory causes of heart failure are changing—whilst HHD and cardiomyopathies still dominate, ischemic heart disease is rapidly becoming a significant contributor, whilst rheumatic heart disease (RHD) has shown a gradual decline. In a continent where health systems are traditionally geared toward addressing communicable diseases, several gaps exist to adequately meet the growing demand imposed by CVDs. Among these, high-quality research to inform interventions, underfunded health systems with high out-of-pocket costs, limited accessibility and affordability of essential medicines, CVD preventive services, and skill shortages. Overall, the African continent progress toward a third reduction in premature mortality come 2030 is lagging behind. More can be done in the arena of effective policy implementation for risk factor reduction and CVD prevention, increasing health financing and focusing on strengthening primary health care services for prevention and treatment of CVDs, whilst ensuring availability and affordability of quality medicines. Further, investing in systematic country data collection and research outputs will improve the accuracy of the burden of disease data and inform policy adoption on interventions. This review summarizes the current CVD burden, important gaps in cardiovascular medicine in Africa, and further highlights priority areas where efforts could be intensified in the next decade with potential to improve the current rate of progress toward achieving a 33% reduction in CVD mortality. more

Interim Guidlines for the clinical management of diabetes in Jamaica

Ministry of Health and Wellness (2020) CC2

Diabetes mellitus, also called diabetes, is a chronic metabolic condition in which the hormone insulin is not produced by the pancreas in sufficient quantities or is not utilized effectively by the body to control blood glucose levels. As a result, blood glucose levels are abnormally high (hypergl... more

Monitoring asthma in children

Pijnenburg, M.W.; Baraldi, E.; Brand, P.L. et al. European Respiratory Journal (2015) CC

The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist i... more

Orientacoes sobre a otimizacao do uso de oxgenio e suporte ventilatorio em pacientes graves com COVID-19 (Atualizado em 11-06-2021)

Marini Ísola, A.; A. Pereira, B. do Valle Pinheiro et al. Ministerio da Saude Brasilia (2021) CC

Guidelines on optimising oxygen use and ventilatory support in critically ill patients with COVID-19 (updated on 11/06/2021)

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Lineamientos para el diagnóstico, abordaje en el período agudo y seguimiento post COVID-19 de niños, niñas y adolescentes

Ministerio de Salud Lineamientos para el diagnóstico, abordaje en el período agudo y seguimiento post COVID-19 de niños, niñas y adolescentes Programa Nacional de Salud Escolar (PROSANE) y Sociedad Argentina de Pediatría (SAP) Ministerio de Salud Argentina (2021) CC

Guidelines for diagnosis, acute care and post-COVID-19 follow-up for children and adolescents

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Situación de la Tuberculosis en el Área programática de Buenos Aires, 2017-2019

Barrios, R.N.; Pereira A.M. , Aranda M. J. et al. (2021) CC

Covid-19 in Brazil in 2020: impact on deaths from cancer and cardiovascular diseases

Cordeiro Jardim, B.; et al. (2022) CC

Rev Saude Publica. 2022; 56: 22. Published online 2022 Apr 11. doi: 10.11606/s1518-8787.2022056004040

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Les soins infirmiers périopératoires

Ordre des infirmieres et infirmiers du Quebec (2014) CC

Le document Lignes directrices pour les activités des infirmières en salle d’opération fait suite à ces engagements. Le rôle de l’infirmière, qui y est présenté, couvre l’ensemble du continuum de soins périopératoires. Il comprend la fonction de coordination clinique qui vise à ass... more

International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma

Chung, K. F.; Wenzel, S. E.; Brozek, J. L.; et al. (2022) CC2

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... more

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Critical Care in Neurology

Kitchener – Hashem – Wahba – Khalaf – Zarif – Mansoor Flying Publisher (2012)

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National Formulary of India

Ministry of Health and Social Welfare, India (2011) C1

External Link

Hospital safety Index Guide for Evaluators. Forms

World Health Organization World Health Organization and Pan American Health Organization (2015)

Cost of exclusion from healthcare - The case of migrants in an irregular situation

European Union Agency for Fundamental Rights (2015) C1

This report aims to estimate the economic cost of providing regular access to healthcare for migrants in an irregular situation, compared with the cost of providing treatment in emergency cases only. Two specific medical conditions – hypertension and prenatal care – were selected as examples, an... more

Pedoman Tatalaksana Dislipidemia

Erwinanto, A. Santoso, J. N. E. Putranto, et al., Indonesian Heart Association (2013) C1

Guidelines for Management and Treatment of Dyslipidemia in Indonesia

Pedoman Tatalaksana Gagal Jantung

Siswanto, B.B., N. Hersunarti, Erwinanto, et al., Indonesian Heart Association (2015) C1

Guidelines for Treatment and Management of Heart Failure in Indonesia

Pedoman Tatalaksana Pencegahan Penyakit Kardiovaskular pada Perempuan

Lukito, A.A., A.U. Rahajoe, L.I. Rilantono, et al., Indonesian Heart Association (2015) C1

Guidelines for the Prevention of Cardiovascular Disease in Women in Indonesia

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WHO Global Surveillance and Monitoring System for substandard and falsified medical products

World Health Organization WHO (2017) C_WHO

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Prototype for Adult Medical Orders During a Radiation Incident

REMM, RITN (2017) C1

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Dietary Guidelines for Indians

National Instiute for Nutrition, Indian Council for Medical Research (2011) C1

A Manual

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Treat as One. Bridging the gap between mental and physical healthcare in general hospitals

National Confidential Enquiry into Patient Outcome and Death (2017) C1

This NCEPOD report highlights the quality of mental health and physical health care for patients aged 18 years or older with a significant mental disorder who are admitted to a general hospital. The report takes a critical look at areas where the care of patients might have been improved. Remediable... more