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Climate Change and Public Health
Orchestrating and coordinating contributions from more than 75 selected public health specialists and environmental scientists, the editors have developed a concise and comprehensive book that represents a core curriculum on climate change and public health, including key strategies for adaptation and mitigation. Written primarily for students and mid-career professionals in public health and environmental sciences, the book clearly describes concepts and their application to the health impacts of climate change. Chapters are supplemented with case studies, graphs, tables and photographs. The book's organization in 15 chapters makes it an ideal textbook for graduate and undergraduate courses in public health, environmental sciences, public policy, and other fields.
eBook
Increasing access to health workers in remote and rural areas through improved retention : global policy recommendations
Half the world's people currently live in rural and remote areas. The problem is that most health workers live and work in cities. This imbalance is common to almost all countries and poses a major challenge to the nationwide provision of health services. Its impact, however, is most severe in low income countries. There are two reasons for this. One is that many of these countries already suffer from acute shortages of health workers - in all areas. The other is that the proportion of the population living in rural regions tends to be greater in poorer countries than in rich ones. The World Health Organization (WHO) has therefore drawn up a comprehensive set of strategies to help countries encourage health workers to live and work in remote and rural areas. These include refining the ways students are selected and educated, as well as creating better working and living conditions. The first step has been to establish what works, through a year-long process that has involved a wide range of experts from all regions of the world. The second is to share the results with those who need them, via the guidelines contained in this document. The third will be to implement them, and to monitor and evaluate progress, and - critically - to act on the findings of that monitoring and evaluation. The guidelines are a practical tool that all countries can use. As such, they complement the WHO Global Code of Practice on the International Recruitment of Health Personnel, adopted by the Sixty-third World Health Assembly in May 2010. The Code offers a framework to manage international migration over the medium to longer term. The guidelines are a tool that can be used straight away to address one of the first triggers to internal and international migration - dissatisfaction with living and working conditions in rural areas. Together, the code of practice and
these new guidelines provide countries with instruments to improve workforce distribution and enhance health services. Doing so will address a long-standing problem, contribute to more equitable access to health care, and boost prospects for improving maternal and child health and combating diseases such as AIDS, tuberculosis and malaria.
eBook
Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview
Healthcare-associated infections (HCAIs) are a major source of morbidity and mortality and are the second most prevalent cause of death. Furthermore, it has been reported that for every one-hundred patients admitted to hospital, seven patients in high-income economies and ten in emerging and low-income economies acquire at least one type of HCAI. Currently, almost all pathogenic microorganisms have developed antimicrobial resistance, and few new antimicrobials are being developed and brought to market. The literature search for this narrative review was performed by searching bibliographic databases (including Google Scholar and PubMed) using the search terms: \"Strategies,\" \"Prevention,\" and \"Healthcare-Associated Infections,\" followed by snowballing references cited by critical articles. We found that although hand hygiene is a centuries-old concept, it is still the primary strategy used around the world to prevent HCAIs. It forms one of a bundle of approaches used to clean and maintain a safe hospital environment and to stop the transmission of contagious and infectious microorganisms, including multidrug-resistant microbes. Finally, antibiotic stewardship also has a crucial role in reducing the impact of HCAIs through conserving currently available antimicrobials.
Journal Article
Noise and Military Service
The Institute of Medicine carried out a study mandated by Congress and sponsored
by the Department of Veterans Affairs to provide an assessment of several issues
related to noise-induced hearing loss and tinnitus associated with service in the
Armed Forces since World War II.
The resulting book, Noise and Military Service: Implications for Hearing Loss and
Tinnitus , presents findings on the presence of hazardous noise in military settings,
levels of noise exposure necessary to cause hearing loss or tinnitus, risk factors for
noise-induced hearing loss and tinnitus, the timing of the effects of noise exposure
on hearing, and the adequacy of military hearing conservation programs and audiometric
testing. The book stresses the importance of conducting hearing tests (audiograms)
at the beginning and end of military service for all military personnel and
recommends several steps aimed at improving the military services' prevention of
and surveillance for hearing loss and tinnitus. The book also identifies research
needs, emphasizing topics specifically related to military service.
eBook
Courageous Well-Being for Nurses
Provides nurses with the tools, practices, and strategies to enhance their well-being and protect against burnout.Exhausting schedules and a tumultuous work environment have left many nurses feeling burned out. The COVID-19 pandemic only compounded problems that have been plaguing nurses for decades. How can you take care of others when you don't have the time or energy to take care of yourself? In Courageous Well-Being for Nurses, Advanced Practice Psychiatric-Mental Health Nurse, psychotherapist, and educator Donna Gaffney and National Board-certified health and wellness coach Nicole Foster provide essential strategies and resources. Learn about the research underpinning the science of well-being and discover practices that can reduce stress, rejuvenate your capacity for caring, and improve the quality of your own life. Informed by inspirational stories and real-life guidance from nurses around the world, this book provides you with the steps to thrive personally and professionally. Gaffney and Foster research and describe• How to cope with stress, burnout, grief, and empathic distress• The power of self-compassion and mindfulness• Current findings on eating, sleeping, and exercising well• Science-based practices for alleviating stress through nature • The benefits of professional mental health support• The profoundly healing effects of advocacy and activism • How to use the arts and creativity as sources of respite and joyHundreds of suggested resources, including recommended books, websites, podcasts, videos, and webinars, round out this essential guide. Courageous Well-Being for Nurses is the ultimate journey to well-being: one that is essential, inclusive, deep-rooted, individual, and above all, courageous.
eBook
Teledentistry for improving access to, and quality of oral health care: A protocol for an overview of systematic reviews and meta-analyses
Digital technologies are becoming essential to address and optimize the suboptimal performance of healthcare systems. Teledentistry involves the use of information and communication technology to improve access to oral health care and the quality of oral health care delivery. Several systematic reviews (SRs) have been conducted to synthesize evidence on the effectiveness of teledentistry but with conflicting results. The aim of this review is to comprehensively summarize available SRs and provide evidence on the impact of teledentistry on access to oral care, patients’ and oral healthcare providers’ outcomes, quality of oral health care and costs. This protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO CRD42022373964). Six electronic databases including MEDLINE (Ovid), Embase ( Embase.com ), CINAHL (EBSCO), Web of Science, Cochrane Library and Epistemonikos will be searched for SRs of quantitative, qualitative, and mixed reviews evaluating teledentistry modalities involving both patients and/or oral health care providers (OHCPs). We will include studies published in English or French. The outcomes will include patients’ outcomes (e.g., access to oral health care, patient-reported outcomes, and patient-reported experiences); patient indicators (e.g., clinical outcomes, adherence to treatment, adverse outcomes and costs); and OHCP indicators (e.g., diagnostic accuracy, barriers and enablers costs and equity). Two independent reviewers will perform data screening, data extraction and will assess the quality of included studies using AMSTAR 2 and ROBIS tools. Data will be synthesized narratively and presented by tables and graphs. We will report any overlap of primary studies in the SRs. A statement on the strength of evidence for each outcome will be provided if possible. This review will inform decision-makers, patients, OHCPs, and researchers on the potential effectiveness, benefits, and challenges of teledentistry and support them in making recommendations for its use. Results will be disseminated through peer-reviewed publications, presentations at conferences, and on social media.
Journal Article
Applications of teledentistry in a French inmate population: A one-year observational study
Teledentistry oral examination protocol was evaluated for one year at the Villeneuve-lès-Maguelone Correctional Facility. The aim of the study was to simplify the obligatory dental consultation protocol at the entrance visit for new detainees. 1051 detainees were enrolled and 651 of them (58.9%) accepted an oral examination by teledentistry throughout the entire year of 2018. Only 1 inmate did not need treatment and 88.06% of those who have been examined had at least one untreated cavitated carious lesion. Forty-four percent of people who received a teledentistry check-up were referred to a dentist with a dental emergency. The use of teledentistry at the entry visit in a detention facility may facilitate the oral health screening without wasting the dentist’s time, and may allow an optimization of the inmate’s oral healthcare.
Journal Article
Oral-Hygiene-Related Mobile Apps in the French App Stores: Assessment of Functionality and Quality
Mobile health apps can contribute to increased quality of individual oral hygiene behaviors. This study provides an overview and an evaluation of quality of oral-hygiene-related mobile apps currently available in Google Play Store and the French Apple App. A shortlist of nine apps was assessed by 10 oral health professionals using the Mobile App Rating Scale. Intraclass correlation was used to evaluate interrater agreement. Best quality scores were obtained by Oral-B (3.4 ± 0.97), Colgate Connect (3.20 ± 0.63), and Preventeeth (3.10 ± 1.1) and worst ones by Mimizaur se brosse les dents (1.80 ± 0.79) and Kolibree (2.30 ± 0.82). The subjective quality scores ranged from 2.62 ± 0.61 (Oral-B) to 1.5 ± 0.61 (MSD). Specificity of the content ranged from 3.46 ± 0.84 (Preventeeth) to 1.78 ± 0.47 (Mimizaur se brosse les dents). Thus, even if oral health professionals positively evaluated the quality of oral-hygiene-related mobile apps, they are less assertive concerning their impact on the user’s knowledge, attitudes, and intentions to change, as well as the likelihood of actual change in the oral hygiene behavior. Further investigations are needed to assess whether information from these apps is consistent with oral hygiene recommendations and to determine the long-term impacts of these apps.
Journal Article
New Approaches to Prevent Healthcare-Associated Infection
Healthcare-associated infection (HCAI) in hospitals mainly results from unsolved but well-identified causes such as hand hygiene, overuse of catheters, and to a lesser extent, the airborne transmission of infectious agents caused by the misuse of respiratory precautions. The aims of the Institut Hospitalo-Universitaire Méditerranée Infection are to develop new approaches to fight HCAIs. Among them, new technologies that allow for the traceability of care and good practices reminders have been developed concomitantly to an anthropological approach, facilitating acceptability by healthcare workers. While the automated continuous monitoring system is validated and commercially available, some other technologies are still under clinical evaluation or in the early development phase. Quorum sensing–based biotechnologies are developed with the aims to fight against wound colonization.
Journal Article