Tag: Health Care

Public Health Governance | Impact of COVID-19 on Global Health

Article

March 10, 2022
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6 min
2 years
1,054 word

Tagged Covid, Global Health, Health Care, Keywords:- Governance, Pandemic

Public Health Governance | Impact of COVID-19 on Global Health

As the international politics of health become more challenging, a profoundly transformed setting means that global health governance faces increasing risks.

Keywords:- Governance, Politics, Global health, Health care, Pandemic

Author: Dr. Saumya Lal

Introduction

As the international politics of health become more challenging, a profoundly transformed setting means that global health governance faces increasing risks. Rival states are forced to view practically every problem through the warped lens of geopolitical competition. In the relentless process of strategic priority-setting that geopolitics generates across the international system. This dynamic affects the politics of health cooperation, but it also degrades health.

Global health is once again being subordinated to great power politics. The internet contributes to democracies’ political problems. Domestic factions and foreign states use the internet to propagate disinformation and commit other destructive activities both within and against democratic countries. Authoritarian governments have curtailed internet freedom and used it into a weapon against their own citizens and adversaries. These techniques have shown to be effective, ensuring that they will continue to play a role in local and international politics for years to come. These phenomena are not escaping health. Health experts are increasingly faced with disinformation produced by state and non-state actors on the Internet on vaccines, outbreaks and climate change.

Management and governance

Management and governance requires assuring the existence of strategic policy frameworks paired with effective supervision, coalition building, regulation, system design attention and accountability. The health system and its governance are determined by three primary kinds of actors who interact with one another:

State (governmental and sub-national organisations and agencies);
healthcare providers, (different public and private clinical, para medical and non-clinical healthcare providers; public and private services providers, trade union and nonprofit organisations;
care or service networks;
citizen (population officials, patient associations, CSOs/NGOs, public service providers)

As populations continue to experience demographic and epidemiological transitions, and as people begin to suffer from consequent ageing, longevity and higher life expectancies. Future clinical medicine could lead to increased cost without significantly improving health outcomes.

Thus, medicine aims to become data driven and less individualistic so that population health (compared with only individuals). It is efficiently managed and improved while the costs are being kept excessively high. On the other hand, but in a complementary way, public health will begin to benefit from individualisation and individualisation of community and population well-being initiatives and practises to keep up with pace Public health.

By taking our knowledge of health over and above the traditional disease correlates, genomics helps better improve public health in the population and in population subgroups that are more predisposed to certain conditions and illnesses, which are now more easily stratified into a more detailed genetic risk and predisposition to common or rare diseases. Because some Countries have quite uniform populations, a more accurate public health method can tailor population-level interventions to specific groups whose conditions might have been lost in less customised and traditional public health interventions.

Population Health Management

Population Health Management is another aspect of the public health future that can make similar contributions in the field of genomics. But more focused on the sharing of interoperable, accurate and safe data. Big data can help authorities, regulators, and providers implement tailored actions as well as community promotion, prevention and campaigns, particularly for risky and vulnerable groups. So as to improve the health of the whole population. To predict and analyse trends and health decisions of individuals, lifestyle and environment more precisely.

Public health

These in-depth public health analyses require an approach that is very focused to prevent common diseases that are likely to spread or get endemic in a communal environment, to encourage certain lifestyle practises applicable to parts of the community, to improve care outcomes, to reduce costs and to reach a larger proportion of the population. By knowing the health drivers in a population, issues that can arise are easier to predict and therefore decide on strategies that are most useful for the improvement of health and well-being.

The Covid-19 pandemic was a clear example of role of each member of society as part of health care workforce. And the role of everyone in fostering effective outcomes for public health. Country responses were most successful with strong public health and health systems in governments that used a government-wide approach.

A cross-sector approach to health care, beyond key health stakeholders; one where academic institutes, workplaces, religious leaders, social institutions, civil society and law enforcement can provide the right culture to sustain change, is still essential to obtain effective public health interventions. Public health is to be successful by continuously educating and increasing awareness of individuals about their important participation. Along with their key role in improving public health, combined with digital enabling people to connect and understand their health data.

Future Public Health

The public health future will make more data available – at personal and system level – than ever before. Will thus have to address the challenge and ethical dilemma of the collection and analysis of data, particularly in genomics. The progress of which depends and was supported by advances in data sciences; computer technologies and the development of new and more advanced telecommunicators. As countries and public health systems sequence larger portions of their population. The huge amount of data produced by the next-generation sequence will require data stored and possibly protected beyond the capabilities available.

What we are sure of is that it is uncertain about the future of public health. Globalisation, increased interconnections, social media and easier education open our eyes to wellness lifestyles. Which enables communities not only to enhance their lifetime, but also to enhance their quality of life. The public health future paves the way for everyone who is informed and knows more about health. It is at the centre of our own health as ultimate decision-makers.

COVID-19 has revealed major global (health) administration weaknesses. Particularly the World Health Organisation (WHO) has been struck by the defence it shows towards China. As well as its initial response to it. The pandemic also revealed the validity of many criticisms. Although countries were unwilling to invest in strong global governance systems, but expected to respond quickly in an emergency. In fact, COVID-19 in many ways does not only present a breakdown of global health governance. But also, in particular, a failure to recognise health as a global inherent problem. That is closely linked to other transnational challenges.

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Endodontic in the Pandemics : Clinical Tips and Considerations

Medical

July 9, 2021
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6 min
2 years
1,082 word

Tagged Clinical, Dental, Doctor, Endodontics, Health Care

Endodontic in the Pandemics : Clinical Tips and Considerations

During a pandemic, providing endodontic care should include measures that limit the potential of virus transmission among patients, employees, and clinicians. This entails using tele-dentistry to reduce needless patient visits, being prepared to give same-day treatment, shortening treatment durations, and minimising the creation of contaminated aerosols and air droplets.

AUTHOR : DR. SAUMYA LAL

The ongoing pandemic is one of the biggest issues in the healthcare industry. The COVID-19 clinical features are yet not fully established. In terms of oral problems, dental treatment and emergency care, the dental management of these individuals might occasionally be problematic. The examination and care of these individuals is one of the problems facing dental experts today. It is crucial to remember while treating patients during a pandemic, as patients must limit their time spent outside their homes.

Prepare to treat a patient who has merely come in for a consultation in order to decrease the number of patient visits. This planning should begin well in advance of the appointment.
Patients should be educated on why restricting their excursions outside of their “safe” residences and receiving same-day treatment, if necessary, is beneficial to their safety during a pandemic. As a result, whether it’s decided that a patient needs emergency or non-emergency therapy, you and your team should be ready to act quickly.
Immediate action involves front-desk personnel rearranging the schedule to accommodate the unexpected treatment, as well as phoning and shifting the next scheduled patients a “few minutes” later, as you may be running late due to the unscheduled emergency. It also entails putting in place logistical clinical processes that allow for quick treatment. Patients’ and staff’s safety, as well as the practice’s efficiency and output, would all benefit from a reduction in patient visits.

The increased risk of coronaviral transmission and usage of valuable costly and perhaps restricted PPE supplies may be increased by the addition of patient visits.
When contacting your office with a tooth discomfort, you should try to remotely and virtually telemedicine and triage people.
Consider excluding non-ended symptoms such dentin hypersensitivity (i.e., brushing or sweating brief acute pain) and parafunction (i.e. non-localized pressure tenderness waking patients up at night or present upon waking up in the mornings).
Encourage your patients to use smartphones to deliver intraoral and extraoral photographs.
More extraoral imaging, such as CBCT or panorex, should be used to diagnose patients whenever possible. This reduces the need for intra-oral radiography, which are associated with a higher risk of patients coughing or choking, resulting in contaminated droplets.
A CBCT scan can frequently substitute the requirement for invasive exploratory endodontic access and/or surgery, both of which entail contact with contaminated saliva and/or blood.
Keep in mind the necessity of conclusive therapies while organising your therapy. Explain to patients that heroic endodontics are not appropriate during a pandemic. Due to postoperative problems or failures, treatments with a poor prognosis are more likely to have follow-up visits. For example, when compared to extraction and implant replacement, retreatment of a complicated molar case with questionable restorability may have a bad prognosis.
When endodontic treatment is judged to be essential, bear the few points in mind. Reduce the virus’s airborne transmission by employing rubber dam isolation to reduce, if not eliminate, the generation of infected aerosols and droplets.
Rubber dam isolation is an unmistakable standard of care and it must be used for all non-surgical root canal procedures. The removal of contact with contaminated saliva during drilling and file handling, as well as the avoidance of air droplets in the event that patients cough during the process, is a COVID-related advantage of its use.
Not only do we have to employ rubber dam isolation, but it’s also possible that it makes non-surgical endodontic therapy one of the least probable methods to create contaminated aerosols and air droplets. Oral washing with an antiviral solution, as well as rinsing the isolated tooth’s crown with an antiviral solution, are recommended before endodontic access preparation.
Reduce the time spent in the chair for the patients by using the following procedures and armamentaria to complete the process as quickly as feasible.
To detect canals, particularly calcified and MB2 canals, use increased magnification and light. High-powered loupes, an overhead light, and/or a dental microscope are used to do this. Face shields may be required depending on the regulations in your jurisdiction. When using dental loupes, it may be simpler to wear a face protection than when using a dental microscope. Incorporating shields into your practise may need a little innovation.
To determine working lengths, use a good electronic apex finder. This will minimise the number of intra-oral radiographs required, which will expose you and your assistant to contaminated saliva, as well as the danger of the patient coughing while taking x-rays, and will make the process more efficient overall.
Use endodontic NiTi filing systems instead of conventional NiTi filing systems, which need fewer files and processes. As a result, the operation will be more efficient, and you will be able to handle endodontic emergencies and same-day procedures.
For teeth with necrotic pulps, multi-visit root canal procedures were once frequent. However, as previously said, root canal procedures should be completed in one visit whenever feasible. This may be accomplished by more effectively conducting root canals and using certain techniques. When specific protocols are used, studies demonstrate that there is no difference in the result of single and multi-visit root canals. Improved intracanal medicament and activation are some of them. Single-visit root canal treatments have also been proven to have no higher risk of postoperative discomfort compared to multi-visit root canal treatments.
In the same appointment, try to repair the endodontically treated tooth permanently. Especially while the rubber dam is still in place and right after root canal treatment. By decreasing coronal bacterial microleakage, this improves the result. While the tooth is not completely repaired, it also helps to minimise the chance of tooth and/or temporary restoration fracture.

Endodontic care was as critical as ever during the COVID-19 epidemic. But because of this constant epidemic, we must adapt our practise with the adoption of particular procedures, as we encounter never before seen clinical problems. We should focus on the fast and successful endodontic treatment and a decrease in viral dental hazards is to be adapted to COVID-related issues.

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