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Steady undermining of the UK National Health Service underlies industrial action by doctors and other staff.
Indian J Med Ethics
August 2024
Co-chair, Keep Our NHS Public, retired consultant paediatrician, Leeds Teaching Hospitals Trust, Leeds, West Yorkshire, UK.
Erosion of standard of healthcare in the United Kingdom underlies the industrial action taken recently by staff in the publicly provided National Health Service. Underfunding and understaffing, largely as a consequence of neoliberal government "austerity" policies implemented following the 2007-08 banking crisis, together with lack of long-term planning and a drive towards outsourcing, have led to a deterioration in the quality of services. Reduction in bed numbers and neglect of community and social support have compounded problems by making it more difficult both to admit and to discharge patients in a timely fashion.
View Article and Find Full Text PDFCommunity-led approaches to making naloxone available in public settings: Implementation experiences in the HEALing communities study.
Int J Drug Policy
June 2024
Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Ave, New York, NY 10027, United States.
Background: Expanding public naloxone access is a key strategy to reduce opioid overdose fatalities. We describe tailored community-engaged, data-driven approaches to install and maintain naloxone housing units (naloxone boxes) in New York State and estimate the cost of these approaches.
Methods: Guided by the Consolidated Framework for Implementation Research, we collected data from administrative records and key informant interviews that documented the unique processes employed by four counties enrolled in the HEALing Communities Study to install and maintain naloxone housing units.
Key issues in Japan's public health centers to prepare for future pandemics: a text mining study using a topic model.
BMC Health Serv Res
May 2024
Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka Yahatanishi-Ku, Kitakyushu-Shi, Fukuoka-Ken, 807-8555, Japan.
Background: In Japan, over 450 public health centers played a central role in the operation of the local public health system in response to the COVID-19 pandemic. This study aimed to identify key issues for improving the system for public health centers for future pandemics.
Methods: We conducted a cross-sectional study using an online questionnaire.
Refractory hypoxia and saturation gap in a COVID-19 patient.
Pract Lab Med
May 2024
Department of Pathology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Malaysia.
Article Synopsis
- Acquired methemoglobinemia occurs when iron in hemoglobin is oxidized, which can lead to symptoms like anemia, cyanosis, and tissue hypoxia, especially after exposure to certain medications.
- A case study highlights a 60-year-old man with multiple health issues who developed methemoglobinemia after taking prescribed supplements during his COVID-19 treatment, presenting with symptoms like difficulty breathing and a chocolate-brown discoloration in his blood.
- The report discusses why elderly patients with COVID-19 are more at risk for methemoglobinemia, the importance of recognizing its clinical and biochemical signs even without specific testing methods, and explores various laboratory methods for assessing oxygen saturation.
Mobilisation towards formal employment in the healthcare system: A qualitative study of community health workers in South Africa.
PLOS Glob Public Health
March 2024
Centre for Health Policy, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
In low and middle-income countries, community health workers (CHWs) play a critical role in delivering primary healthcare (PHC) services. However, they often receive low stipends, function without resources and have little bargaining power with which to demand better working conditions. Using a qualitative case study methodology, we studied CHWs' conditions of employment, their struggle for recognition as health workers, and their activities to establish labour representation in South Africa.
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