Publications
349 results found
GBD 2021 Carbon Monoxide Poisoning Collaborators, 2023, Global, regional, and national mortality due to unintentional carbon monoxide poisoning, 2000-2021: results from the Global Burden of Disease Study 2021, The Lancet Public Health, Vol: 8, Pages: e839-e849, ISSN: 2468-2667
BACKGROUND: Unintentional carbon monoxide poisoning is a largely preventable cause of death that has received insufficient attention. We aimed to conduct a comprehensive global analysis of the demographic, temporal, and geographical patterns of fatal unintentional carbon monoxide poisoning from 2000 to 2021. METHODS: As part of the latest Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), unintentional carbon monoxide poisoning mortality was quantified using the GBD cause of death ensemble modelling strategy. Vital registration data and covariates with an epidemiological link to unintentional carbon monoxide poisoning informed the estimates of death counts and mortality rates for all locations, sexes, ages, and years included in the GBD. Years of life lost (YLLs) were estimated by multiplying deaths by remaining standard life expectancy at age of death. Population attributable fractions (PAFs) for unintentional carbon monoxide poisoning deaths due to occupational injuries and high alcohol use were estimated. FINDINGS: In 2021, the global mortality rate due to unintentional carbon monoxide poisoning was 0·366 per 100 000 (95% uncertainty interval 0·276-0·415), with 28 900 deaths (21 700-32 800) and 1·18 million YLLs (0·886-1·35) across all ages. Nearly 70% of deaths occurred in males (20 100 [15 800-24 000]), and the 50-54-year age group had the largest number of deaths (2210 [1660-2590]). The highest mortality rate was in those aged 85 years or older with 1·96 deaths (1·38-2·32) per 100 000. Eastern Europe had the highest age-standardised mortality rate at 2·12 deaths (1·98-2·30) per 100 000. Globally, there was a 53·5% (46·2-63·7) decrease in the age-standardised mortality rate from 2000 to 2021, although this decline was not uniform across regions. The overall PAFs for occupational i
Leyns C, Williems S, Powell R, et al., 2023, From disease- to people-centred pandemic management: health equity through community organization, health information systems & community oriented primary care, International Journal for Equity in Health, Vol: 22, ISSN: 1475-9276
Background:The COVID-19 pandemic exposed the health equity gap between and within countries. Western countries were the first to receive vaccines and mortality was higher among socially deprived, minority and indigenous populations. Surprisingly, many sub-Saharan countries reported low excess mortalities. These countries share experiences with community organization and participation in health. The aim of this article was to analyse if and how this central role of people can promote a successful pandemic response.Methods:This analysis was partly based on local and national experiences shared during an international and Latin American conference on person-and people-centred care in 2021. Additionally, excess mortality data and pandemic control-relevant data, as well as literature on the pandemic response of countries with an unexpected low excess mortality were consulted.Results:Togo, Mongolia, Thailand and Kenya had a seven times lower mean excess mortality for 2020 and 2021 than the United States of America. More successful pandemic responses were observed in settings with experience in managing epidemics like Ebola and HIV, well-established community networks, a national philosophy of mutual aid, financial government assistance, more human resources for primary care and paid community health workers.Discussion:Since trust in authorities and health needs vary greatly, local strategies are needed to complement national and international pandemic responses. Three key levers were identified to promote locally-tailored pandemic management: well-organized communities, community-oriented primary care, and health information systems. An organized community structure stems from a shared ethical understanding of humanity as being interconnected with each other and the environment. This structure facilitates mutual aid and participation in decision making. Community-oriented primary care includes attention for collective community health and ways to improve health from its r
Tabche C, Raheem M, Alolaqi A, et al., 2023, Effect of electronic health records on doctor-patient relationship in Arabian gulf countries: a systematic review, Frontiers in Digital Health, Vol: 5, ISSN: 2673-253X
Background: The electronic health record (EHR) has been widely implemented internationally as a tool to improve health and healthcare delivery. However, EHR implementation has been comparatively slow amongst hospitals in the Arabian Gulf countries. This gradual uptake may be linked to prevailing opinions amongst medical practitioners. Until now, no systematic review has been conducted to identify the impact of EHRs on doctor-patient relationships and attitudes in the Arabian Gulf countries.Objective: To understand the impact of EHR use on patient-doctor relationships and communication in the Arabian Gulf countries.Design: A systematic review of English language publications was performed using PRISMA chart guidelines between 1990 and 2023.Methods: Electronic database search (Ovid MEDLINE, Global Health, HMIC, EMRIM, and PsycINFO) and reference searching restricted to the six Arabian Gulf countries only. MeSH terms and keywords related to electronic health records, doctor-patient communication, and relationship were used. Newcastle-Ottawa Scale (NOS) quality assessment was performed.Results: 18 studies fulfilled the criteria to be included in the systematic review. They were published between 1992 and 2023. Overall, a positive impact of EHR uptake was reported within the Gulf countries studied. This included improvement in the quality and performance of physicians, as well as improved accuracy in monitoring patient health. On the other hand, a notable negative impact was a general perception of physician attention shifted away from the patients themselves and towards data entry tasks (e.g., details of the patients and their education at the time of the consultation).Conclusion: The implementation of EHR systems is beneficial for effective care delivery by doctors in Gulf countries despite some patients' perception of decreased attention. The use of EHR assists doctors with recording patient details, including medication and treatment procedures, as well as their outc
Yousif MG, Al-Amran FG, Rawaf S, et al., 2023, Effect of Vitamin D3 Levels on Varicella-Zoster Virus Infection and IFN-Gamma Expression in Children: A Cross-Sectional Study in Iraq, Advancements in Life Sciences, Vol: 10, Pages: 35-40
Background: This study aimed to explore the correlation between Vitamin D3 levels and IFN-Gamma expression in children residing in the southern and central provinces of Iraq. Vitamin D3 plays a pivotal role in immune function, and IFN-Gamma is a crucial cytokine involved in antiviral defense. Investigating the connection between Vitamin D3 and IFN-Gamma offers valuable insights into immune responses and potential implications for infectious diseases. Methods: A case-control study was conducted, involving children from various schools and kindergartens in the southern and central provinces of Iraq. The study assessed Vitamin D3 levels and measured IFN-Gamma expression. Statistical analyses were performed to determine the relationship between these variables. Results: The outcomes revealed a significant positive correlation between Vitamin D3 levels and IFN-Gamma expression within the study population (p < 0.05). Children with higher Vitamin D3 levels exhibited elevated IFN-Gamma expression, suggesting a possible immunomodulatory impact of Vitamin D3 on IFN-Gamma production. Conclusion: These findings underscore the importance of maintaining adequate Vitamin D3 levels to support immune function, particularly in relation to IFN-Gamma expression. Improving Vitamin D3 status could potentially bolster antiviral defense mechanisms and reduce susceptibility to viral infections among children in the southern and central provinces of Iraq. Further investigation is warranted to delve into the underlying mechanisms and potential clinical ramifications of this significant association. Additionally, exploring the long-term effects of maintaining optimal Vitamin D3 levels on immune function and the outcomes of infectious diseases in this population would offer valuable insights for preventive and therapeutic strategies.
Yousif MG, Zeiny LS, Al-Amran FG, et al., 2023, Demographics, Risk Factors, and Post-COVID-19 Syndrome Among Patients in the Middle Euphrates Region of Iraq, Advancements in Life Sciences, Vol: 10, Pages: 41-45
B ackground: The COVID-19 pandemic has had a significant impact on global health, requiring a comprehensive understanding of its regional dynamics for effective management and response strategies. This study aimed to explore the demographics, risk factors, and post-COVID-19 syndrome among patients in the Middle Euphrates region of Iraq. Methods: A total of 410 patients were included in the study, with 180 females and 230 males. Demographic characteristics, risk factors (such as smoking, and comorbidities), and post-COVID-19 syndrome manifestations were analyzed. Statistical and machine learning analyses were conducted to predict outcomes. Results: The findings revealed a diverse age range (38-83 years) of COVID-19 patients in the Middle Euphrates region. Smoking was prevalent among 93 patients, while comorbidities such as diabetes, hypertension, and obesity were observed in significant numbers. Post-COVID-19 syndrome symptoms included generalized muscle fatigue, impaired concentration and memory, joint pain, hair loss, and respiratory problems. The prevalence of these symptoms varied across different age groups. Conclusion: This study provides valuable insights into the demographics, risk factors, and post-COVID-19 syndrome among patients in the Middle Euphrates region of Iraq. The high prevalence of smoking and comorbidities highlights the importance of tailored interventions for high-risk individuals. The range of persistent symptoms emphasizes the need for comprehensive healthcare support. These findings contribute to the existing knowledge on the impact of COVID-19 in the region and can inform targeted interventions and resource allocation.
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