Unnecessary antibiotic prescribing contributes to antimicrobial resistance. In this trial, the aimed to reduce unnecessary prescriptions of antibiotics by general practitioners (GPs) in England.

Original Source

The issue of regulation of doctors and private hospitals is one that is increasingly becoming important for the citizen. The attempts by professional medical associations to scuttle the Clinical Establishments (Registration and Regulation) Act of 2010 is the context for this essay on the issues that afflict the provision of private healthcare. After a critical discussion of all the major issues, the essay outlines what needs to be done to prevent and address the malpractices and abuses that are widely prevalent in the country.

A novel H1N1 influenza A virus caused the first pandemic of the 21st century in 2009. Hospitals had an increased demand of health consultations, that made it difficult to estimate the incidence of infection in hospital personnel due to asymptomatic presentations and the under notification of cases. To estimate and compare the rate of exposure of high versus low risk health personnel to 2009 pandemic H1N1 (H1N1pdm2009) influenza A virus in a University Hospital in Chile, we performed a comparative and prospective study.

In remote areas, an absence of doctors and nurses leads to poor health outcomes for local populations. To increase access to health-care workers, the World Health Organization recommends interventions in four areas – education, regulatory, financial and professional/personal. To support retention, WHO and other organizations have called for bundled programmes that take into account health workers’ expectations. Retention programmes that enhance workers’ competence, responsiveness and productivity have also been recommended.

The draft National Health Policy 2015 is an improvement over its predecessors--the policies of 1984 and 2002. However, it also reveals several gaps, inconsistencies and blind spots which tend to dilute otherwise constructive proposals. The purpose of this article is to open up the draft to further public debate and comment.

The World Health Organization recommends that malaria be confirmed by parasitological diagnosis before treatment using Artemisinin-based Combination Therapy (ACT). Despite this, many health workers in malaria endemic countries continue to diagnose malaria based on symptoms alone. This study evaluates interventions to help bridge this gap between guidelines and provider practice.

Original Source

Although a few international health-care workers who have assisted in the current Ebola outbreak in west Africa have been medically evacuated for treatment of Ebola virus disease, more commonly they were evacuated after potential accidental exposure to Ebola virus. An urgent need exists for a consensus about the risk assessment of Ebola virus transmission after accidental exposure, and to investigate the use of post-exposure prophylaxis (PEP). Experimental vaccines have occasionally been used for Ebola PEP, but newly developed experimental antiviral agents have potential advantages.

Few population-based studies quantify mortality from surgical conditions and relate mortality to access to surgical care in low-income and middle-income countries.

Original Source

Worldwide, nearly 1 in 10 people have a mental health disorder, but only 1% of the global health workforce is working in mental health. This means, for example, that nearly half of the world’s population lives in a country where there is less than one psychiatrist per 100 000 people.

Globally, sodium intake far exceeds the level recommended by the World Health Organization. Assessing health literacy related to salt consumption among older adults could guide the development of interventions that target their knowledge gaps, misconceptions, or poor dietary practices. This study aimed to develop and validate the Chinese Health Literacy Scale for Low Salt Consumption - Hong Kong population (CHLSalt-HK).