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Evidence gathered here from a number of people who worked in an asylum 50 years ago suggests that there is considerable inheritance from the institutional times that reinforce current mental health policy and mode of provision.
Article
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This article analyzes how different configurations of the relationship between the state and social movements have produced different public policies on women’s health since the turn of the 21st century. Over the last four decades, various sectors of society have worked to develop and expand citizenship rights. Among these groups are the feminist m...
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This article analyzes how different configurations of the relationship between the state and social movements have produced different public policies on women’s health since the turn of the 21st century. Over the last four decades, various sectors of society have worked to develop and expand citizenship rights. Among these groups are the feminist m...
Article
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Health care price transparency aims to empower patients to make better-informed purchasing decisions. However, the prospective availability of patients’ out-of-pocket costs may lead to an increased rate of forgone care. The objective of this study was to examine whether obtaining a prospective out-of-pocket cost estimate is associated with the like...
Article
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Background Tobacco use deepens poverty. Egypt, a lower-middle income country, is one of the few countries worldwide where tobacco use is rising. However, no published study examined the adverse impacts of tobacco on the Egyptian household welfare, specifically after the first Egyptian Pound (EGP) devaluation by 80% in 2016. To address this gap and...
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In the context of the COVID-19 pandemic, Benin, like other regions in sub-Saharan Africa and around the world, has been grappling with a public health crisis since march 2020. The country responded to this crisis by implementing adaptive response measures. The STREESCO project is part of this dynamic effort, strengthening epidemiological surveillan...
Preprint
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Systemic racism, healthcare inequities, racial disparities in healthcare, medical discrimination, health policy reform, health equity, Indigenous healthcare, Black physicians in Canada, internationally trained physicians (ITPs), credentialing barriers, implicit bias in healthcare, hiring discrimination, underrepresentation in leadership, workplace...
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Objective This study aims to analyze hospitals' adoption and integration of electronic health record (EHR) metadata into their management processes. Design The study compares the rates of EHR metadata utilization across various hospitals over time. Hospitals' self‐reported use of EHR metadata is drawn from the AHA‐IT Supplements from 2018 to 2020....
Article
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The standard treatment for end‐stage organ failure is transplantation, but demand for organs has always vastly outstripped supply. Discussions are ongoing about the feasibility of addressing the organ shortage through measures like increasing organ donations, improving post‐transplant outcomes, and xenotransplantation. This paper examines the ratio...
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Mortality differentials across rural-urban gradients have long been of interest due to their implications for public health policies. Traditionally, rural areas were believed to have lower mortality thanks to healthier lifestyles and environmental factors. Recent trends suggest a narrowing gap, raising questions about the factors driving these disp...
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Background To date, no studies have assessed how the World Health Organization’s (WHO) work operationalizes health equity in practice. To fill the gap, this study investigates the WHO’s Urban Health Equity Assessment and Response Tool (Urban HEART) that focuses on assessing and responding to inequities within cities. This qualitative research answe...
Preprint
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This study investigates the development and translation process of a novel policy to integrate the case management of Neglected Tropical Diseases (NTDs) in Liberia's health system. The policy responded to inequitable access and resource fragmentation challenges in NTD care, as highlighted in Liberia’s 2016 national strategic plan for the integrated...
Article
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Objective: The general objective of the work was to analyze the situation of the Social Welfare State in an international context and its relationship with the current Brazilian situation regarding relations with the Mental Health Policy in the country. Theoretical Framework: The Welfare State or Social Welfare State was configured as an economic,...
Article
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Access to high-cost drugs for rare diseases poses global challenges, especially in low- and middle-income countries. Pompe Disease (PD) exemplifies these challenges as a case study to analyze Brazil’s approach to accessing high-cost therapies. This study aims to characterize access to high-cost drugs for rare diseases in Brazil using PD as a refere...
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Background: crucial for planning and managing blood bank inventories and ensuring safe blood transfusion practices. Despite such importance, there is no data in South Sudan on the di Rh-D blood groups in the population across the country. blood typing approach, we examined the prevalence of ABO and Rh distribution among different community members...
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En este estudio se analiza la relación entre el presupuesto destinado a la Comisión Nacional de Cultura Física y Deporte (CONADE) y la tasa de obesidad en México durante el período 2000-2022, con el objetivo de evaluar si el incremento en el gasto público en deporte tiene un impacto significativo en la reducción de la obesidad. Para ello, se utiliz...
Article
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Background Attempting pregnancy as a conscious decision (pregnancy intention) can impact the likelihood that a future parent receives or seeks preconception health information, initiates discussions with health professionals, and ultimately optimises their health and behaviours in preparation for healthy pregnancy and child. Knowledge about the rel...
Article
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Introduction Research on the utilization of outpatient and inpatient medical and health services for residents and the factors influencing them is well established, however, there are fewer relevant studies analyzing the utilization of preventive health check-up services for middle-aged and older adult people in China. In this study, we hope to und...
Article
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Revising public health policy based on new data does not happen automatically. This is acutely relevant to the now undeniable evidence that many diseases develop differently between the sexes and may also be affected by gender. Current health and medical practices across the globe generally fail to cater for sex and gender effects in common disease...
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Cervical cancer (CaCx) remains a significant public health challenge in India, particularly in the rural regions of West Bengal. CaCx accounts for a substantial proportion of cancer cases among women, exacerbated by factors such as limited access to healthcare, socioeconomic disparities, and environmental risk factors. Persistent infection with hig...
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Background The scarcity of oncology specialists poses a significant challenge globally, particularly in regions with limited healthcare resources. This leads to delayed diagnoses and disparities in care. The shortage of oncology services disproportionately affects vulnerable populations, leading to delays in diagnosis, treatment, and poorer outcome...
Article
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Male cancers, which refers to cancers that occur exclusively in males, is a prevalent type of cancer worldwide, primarily including prostate cancer (PCa) and testicular cancer (TCa). These cancers are significant contributors to the global disease burden. We aim to study specific patterns and trends in male cancers from 1990 to 2021 to inform healt...
Article
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A nation's overall development depends critically on its people’s health. It becomes essential to maintain an efficient and comprehensive health policy and legislation that guarantee broad application and efficient remedies. Numerous issues hamper India’s healthcare system. To mention a few, increased expenses, lack of skilled employees, ineffectiv...
Article
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Background The evaluation of health services and care is an important tool to define health policies. This study aimed at assessing user satisfaction with healthcare services, provided by public and private health facilities in Cape Verde. It was also our objective to analyze the sensitivity of satisfaction scores in relation to the respondent’s se...
Article
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Background Improving bowel cancer screening programmes through the introduction of risk stratification has been discussed, but not widely implemented in many countries. This study aimed to gain an understanding of system and programmatic aspects that need to be addressed to enable a move towards implementation. Methods The Engineering Better Care...
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Hypertension and cardiovascular diseases (CVD) are rapidly emerging as significant public health concerns in Uganda, driven by urbanization, changing lifestyles, and limited healthcare infrastructure. This review explores the epidemiological trends of hypertension and CVD in Uganda, highlighting their prevalence, risk factors, and regional disparit...
Article
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This paper examines how a change in health policy uncertainty affects US industry returns using monthly data from January 1985 to September 2020. We employ in-sample and out-of-sample analyses, and we find evidence that 25 out of 49 considered industries are predictable during the health crisis periods, including severe acute respiratory syndrome a...
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Introduction Good health system governance is essential for reducing high mortality and morbidity after injury in low- and middle-income countries (LMICs). Unfortunately, the current state of governance for injury care is not known. This study evaluated governance for injury care in Ghana, Pakistan, Rwanda and South Africa, four LMICs with diverse...
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Introduction Following the 2016 legalization of medicinal cannabis (MC) in Australia, significant barriers have led patients to seek unregulated cannabis for therapeutic use. This study examines consumer (patient, carer and family) submissions to a senate inquiry on these barriers to understand how future policy might better reflect patient needs a...
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Empowering women in Saudi Arabia has become a critical agenda, reflecting the nation’s shifting societal and economic dynamics. This review highlighted recent policy initiatives, societal changes, and institutional reforms aimed at enhancing the role of women in the Saudi health sector. This scoping review explored academic literature and governmen...
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Aims This study aimed to explore the direct and indirect effects of secondary traumatic stress (STS) on nurses' perceived work ability and the effect of these two variables on job satisfaction, organisational turnover intention and intention to leave the nursing profession. Design A cross‐sectional study was conducted from June to November 2023....
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This study aimed to assess the burden of caregiving and identify factors predicting caregiver burden among family caregivers of community‐dwelling older adults. Family caregivers of older adults face significant challenges in their caregiving responsibilities. Although some studies have examined factors related to caregiver burden among these careg...
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Background/Objectives: Access to health services is a fundamental element of social welfare and individual quality of life. This study aimed to fill gaps in the Turkish literature regarding the assessment and perception of access to health services and to introduce a valid and reliable measurement tool for this purpose. Methods: This methodological...
Article
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Background: Mothers' survival and well-being are crucial for addressing major economic, societal, and child development issues. They are also significant in and of themselves. The current mother and child health situation in India is a complex topic with both hurdles and improvement. The Government of India has the foresight to reduce maternal mort...
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Patient visitor restrictions were implemented in unprecedented ways during the COVID-19 pandemic and included bans on any visitors to dying patients and bans separating mothers from infants. These were implemented without high quality evidence they would be beneficial and the harms to patients, families and medical personnel were often immediately...
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Neglected Tropical Diseases (NTDs) comprise a group of twenty pathogens which primarily affect the global poor. Despite their significant public health impact and relative ease of prevention, NTDs frequently receive limited attention and funding compared to other diseases. In this paper, I first identify the relevant context and issues that NTDs ca...
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La política pública de salud mental en Guatemala se publicó en el año 2008. En pleno año 2024, la atención a la salud mental guatemalteca presenta aún más desafíos, ya que a los problemas preexistentes de depresión, ansiedad y consumo de sustancias, se agregan los suicidios en población infantojuvenil. En este ensayo se analiza la política pública...
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Finland’s New Children’s Hospital (NCH) opened in 2018 after a high-profile charity campaign. Through an analysis of the campaign, we illustrate how debates about children’s hospitals and charities are simultaneously shaped by universal debates over the ownership and funding of healthcare services, and by the particularities of historical context a...
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Background This study investigates the long-term cardiac effects of trastuzumab-based chemotherapy in early breast cancer (EBC) survivors. We extend the original MANTICORE trial which showed that angiotensin-converting enzyme inhibitors (ACEI) and beta-blockers (BB) could mitigate the decline in left ventricular (LV) ejection fraction (EF) during t...
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Objective This study aims to analyze the trends in incidence, prevalence, mortality, and disability-adjusted life years (DALYs) of thyroid cancer across gender and age groups in China and globally from 1990 to 2021, using data from the Global Burden of Disease (GBD) database. Additionally, it projects the trends in thyroid cancer burden for the nex...
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Background Influenza vaccination uptake among United States adults aged 65 years or older remains suboptimal and stagnant. This study aims to evaluate the prevalence of influenza vaccination and examine sociodemographic disparities within a nationally representative sample. Methods This study is a cross-sectional study. We used the data from the B...
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According to the literature, primary health care plays a major role in the dissemination and operation of the principle of health equity. The study investigated how health equity is connected with primary care and public health policies in the national and international literature. Searches were made in the SCOPUS, CINAHL, BVS, PubMed, and Scielo d...
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Health equity—defined by the Centers for Disease Control and Prevention as " the state in which everyone has a fair and just opportunity to attain their highest level of health—” represents one of the most critical issues facing modern societies. While seemingly an increasing focus of policymakers in recent years, this concept is hardly a novel one...
Chapter
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Mental health is not just an absence of disease, but it is a condition of complete well-being which helps a person to manage with the normal life stresses and contribute to his or her society. World Mental Health is observed on 10th October of each year. Mental health is indicated by emotional, psychological and social wellbeing. Mental health is a...
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Understanding the clustering patterns of non-communicable disease risk factors is important to address chronic diseases effectively, thus minimizing their onset and enhancing overall health. This study aimed to assess the feasibility and efficacy of a three-year workplace intervention in decreasing clustering of non-communicable disease risk factor...
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This essay considers how the fact that some morally innocent person is nevertheless a threat to others can bear on the permissibility of health policies that harm some to protect others. Two types of innocent threats are distinguished. In the case of abortion, it is argued that even if the embryo/fetus were a person, abortion could be permissible t...
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Background/Objectives: The Brazilian Constitution defines health as a universal right and a State responsibility, with the Unified Public Health System (SUS) ensuring free access to comprehensive care, including renal replacement therapies (RRTs) such as dialysis and kidney transplantation. This study aimed to analyze trends in peritoneal dialysis...
Article
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In clinical trials involving experimental subjects who are also patients, what is supposed to become of the imperative to focus on the patient’s best interest? A second set of policy questions concerns patients who want to die. Are there limits to the imperative to let patients choose for themselves? Is commodification a threat to autonomy? When, i...
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Vaccine hesitancy presents a significant challenge to public health, particularly in culturally diverse regions, such as South Tyrol, Italy. This article examines the interplay between political influences, conspiracy theories, and vaccine hesitancy in South Tyrol, an autonomous province characterised by its linguistic diversity and historical scep...
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There has been an increase in the number of Level I and II trauma centers across the United States in the past few decades. However, data suggest that access to trauma care remains poor in rural areas of the country, while in many urban areas, trauma center density may be too high. Excessive trauma center proliferation in urban areas has the potent...
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In January 2020, the WHO declared COVID-19 a global pandemic, underscoring the importance of safeguarding measures and mental health support for medical professionals due to its serious impact and widespread reach. This study aimed to assess knowledge gaps in safety guidelines and the use of personal protective equipment (PPE) among staff in medica...
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Background Traumatic Brain Injury (TBI) is a critical public health issue in the United States, contributing significantly to morbidity, mortality, and healthcare costs. Accounting for a substantial proportion of injury-related deaths and disabilities, TBI impacts a wide demographic, with particularly high incidence rates among young and elderly po...
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Background Brucellosis remains a persistent public health challenge in Iran, particularly in rural regions such as Lorestan province, due to systemic, economic, and cultural barriers. Effective disease control requires multisectoral collaboration among stakeholders. This study aimed to map the stakeholder network involved in brucellosis prevention...
Article
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Influenza D virus (IDV) is an emerging pathogen associated with respiratory diseases in cattle, contributing to significant economic losses in the livestock industry. Despite its global spread, the epidemiology of IDV in Senegal remains largely unexplored. This study aims to assess the seroprevalence of IDV and identify key factors associated with...
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Background and Objective: Respiratory diseases are a major health problem for Indonesian Hajj pilgrims in Mecca, triggered by extreme environmental factors such as high temperatures (39-43°C), crowding, and air pollution. Changes in physical activity and dust exposure also play a role, especially in the elderly and those with comorbidities. Data fr...
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Background The introduction of screening tests for Sars‐CoV‐2 has been an extraordinary prevention and control tool during the COVID‐19 pandemic. However, pandemic control interventions, including screening and vaccine mandates, induced refusal reactions in many people. To date, little information is available on the levels of acceptance of screeni...
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Objective To determine factors leading to interhospital care fragmentation (ICF); evaluate how ICF affects rehospitalization costs, length of stays (LOS), and delayed discharge; and analyze ICF disparity among equity-seeking groups. Materials and methods We used a 13-year retrospective cohort of older adults (65+) in Ontario, Canada. Utilizing mul...
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Agriculture is an important contributor to air pollution and its health impacts, with ramifications for environmental and health inequity. A substantial fraction of these effects can be attributable to dietary changes, but the extent of such impacts remains unclear. Here we show that the PM2.5-related mortality attributable specifically to dietary...
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Background and aim Nurse staffing levels are associated with patient mortality, but little is known regarding the association between nurse turnover rate and patient mortality. This study investigated the combined effect of the bed-to-nurse ratio and the nurse turnover rate on in-hospital mortality in patients admitted to Korean acute care hospital...
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Background Initial Canadian federal regulations for the abortion pill, mifepristone, had the potential to impede safe and equitable access to this medication. To catalyze evidence-based regulatory change, we engaged health policy, health system, and health services decision makers, and health professional organizations in integrated knowledge trans...
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Paid sick leave is an active health policy consideration. Publicly and privately funded datasets have been used to evaluate paid sick leave in relation to business, employment, and health outcomes. These findings have informed 40 states and localities that have passed legislation since 2006 that requires paid sick leave to be available to certain e...
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Increasing age with migration status might have a double risk of vulnerability to poor health outcomes. There is a lack of population-based studies on health-related quality of life (HRQoL) of older migrants in India. This study compares the HRQoL between older migrants and non-migrant populations in India and examines the role of migration-related...
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The integration of predictive analytics into health trend analysis has the potential to revolutionize public health monitoring, especially in underserved areas. This research explores the use of ethnomathematical patterns and geotagged data to predict health trends within rural Tharu communities. Ethnomathematics, the study of cultural and traditio...
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Chronic Energy Deficiency (CED) in pregnant women is a global health issue affecting maternal and fetal health. Supplemental feeding (SF) is an intervention to address CED, but its success depends on maternal satisfaction with the program. This study analyzed the relationship between maternal satisfaction, weight gain, and reduction in CED incidenc...
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Background In the World Health Organization (WHO) geographical region of South-East Asia, the mental health burden of adolescents appears high. Addressing this burden requires development of mental health policies consistent with international standards to assist governance, resource allocation and delivery of mental healthcare effectively. The aim...
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Objective: To map how social, commercial, political and digital determinants of health have changed or emerged during the recent digital transformation of the society and to identify priority areas for policy action. Methods: We systematically searched MEDLINE, Embase and Web of Science on 24 September 2023, to identify eligible reviews published 2...
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Background Medical assistance in dying (MAiD) was legalized in Canada following the Carter v. Canada ruling of 2015. In spite of legalization, the ethics of MAiD remain contentious. The bioethical literature has attempted to differentiate MAiD from withdrawing life-sustaining treatment (WLT) in an effort to examine the nature of the moral differenc...
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Purpose Inadequate reporting of nutrition data can hinder the success of nutrition health policies. CONSORT provides guidance for reporting of randomised controlled trials (RCTs) and is required by most journals today, yet reporting of nutrition interventions may benefit from a more tailored approach. A Federation of European Nutrition Societies wo...
Chapter
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The rapid urbanization and industrialization in China cast a significant impact on the risk profile of cardiovascular disease. The striking increase in the cardiovascular disease epidemiology imposes great challenges to the population health, ever-escalating healthcare cost and system burden. Knowing the great diversities in the socioeconomic, geog...
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Introduction Essential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care practices by providers in higher-level public health facilities in 25 high priority districts (HPDs) of Uttar Pradesh (UP...
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La salud mental refiere el equilibrio de diferentes áreas de la vida que implican elementos cognitivos, de conducta, biopsicosociales que impactan en la calidad de vida y las relaciones de los individuos. Si bien los problemas de salud mental están presentes en todos los grupos sociales y etarios, es la adolescencia en donde se concentran las princ...
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Objective To investigate the impact of the introduction of Integrated Maternal‐Fetal Intensive Care Unit (MFICU) reimbursement rates for high‐risk newborns in South Korea. Method The present study used data from the Population Dynamics data released annually by Statistics Korea, which contain information on all births in the country from October 1...
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The Next-Gen Global Health 6.0 initiative offers an integrative model employing genomics, nano-immunotherapies, and artificial intelligence (AI) to address the escalating complexity of global health issues, particularly the convergence of infectious and chronic diseases. This framework advances precision medicine by integrating real-time genomic su...
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There is limited research at the national level in Mozambique that examines the prevalence and correlates of depression and anxiety. Therefore our study examined the prevalence and correlates of probable depression and anxiety symptoms among women and men in the country. We used the 2022–23 Mozambique Demographic and Health Survey, specifically dra...