Following Clinical Practical Guidelines in Patients with Acute Myocardial Infarction with St Segment Elevation and its Relation with Clinical and Demographic Variables by Francisco de Jesús Valladares Carvajal, Yordano Carlos Ravelo Coma, Lázaro de la Cruz Avilés, Mario Isaac González

“…<strong>Foundation:</strong> acute myocardial infarction with elevation of the ST segment demands a great challenge from health systems. It is vital to rely on clinical practical guidelines. …”
Get full text

Barriers to and facilitators of access to mental health services among pregnant adolescents and young mothers in Belize by Olusola Oladeji, Joanna Lai, Natalia R. Velazquez, Mohammed I. Bammai, Ghanshyam Kandel, Andria Spyridou, Natalia L. Beer, Angella E. Baitwabusa, Juliet Simmons, Fidel L. Cuellar, Iveth Quintanilla, Jeffan Augustine

“…The second theme was health systems and highlighted a lack of trust and confidence in health care providers, as well as limited access to mental health services due to insufficient human resources, long waiting times, and transportation costs. …”
Get full text

COVID-19 and Pulmonary Tuberculosis Coinfection in a Moroccan Patient with Pulmonary Embolism: A Case Report and Literature Review by Imane Zouaki, Zakaria Chahbi, Mohamed Raiteb, Mohamed Zyani

“…Emerging cases of coinfection of coronavirus disease 2019 (COVID-19) and tuberculosis (TB), although rare, have attracted the attention of health systems around the world and have arisen many concerns about the diagnosis, treatment, and prognosis of this coinfection especially in high TB burden countries. …”
Get full text

University management for institutional self-assessment with a formative nature of medical universities by Tamara Chaos Correa, Jorge García Batán, Jesús de Farit Rubio Méndez

“…<br /><strong>Methods:</strong> a case study was carried out in Research in Health Systems and Services, with emphasis on university management processes, modeled from the structural-functional systemic method. …”
Get full text

Savings from the introduction of BPaL and BPaLM regimens at the country level by C. Auer, A. Gupta, C. Malbacius, A. Ghafoor, Y. Kock, O. Medvedieva, P. Hanlon, P. Steinmann, S. Juneja

“…CONCLUSION: Through BPaL/BPaLM regimens, drug-resistant TB treatment has become more effective, shorter, less burdensome for patients, cheaper for both health systems and patients, and saves more lives.…”
Get full text

The pioneers of Vietnam’s epidemiological transition: an ethnographic study of pregnant women’s experiences of gestational diabetes by Tine M. Gammeltoft, Thi Ai Nguyen, Thi Kim Dung Vu, Ngoc-Anh Thi Dang, Thi Minh Phuong Nguyen, Van Tien Nguyen, Ib C. Bygbjerg

“…This article calls for appreciation of pregnant women’s pioneering roles and for health systems action to involve women and families in the development of GDM policies and programmes at a time of sweeping global health changes.…”
Get full text

From deadly to life-saving effects: antimicrobial and antibiofilm effects of tarantula cubensis extract on bacterial and fungal pathogens by Elif AYDIN

“…Antibiotic resistance not only affects medical practices, but also causes a huge economic burden on health systems. In this study, Tarantula cubensis spider venom was investigated to produce new antimicrobial agents effective against Gram (+) and Gram (-) bacteria and Candida species. …”
Get full text

Knowledge translation initiatives at the Transitional Pain Service: insights from healthcare provider outreach and patient education by Anna M. Lomanowska, Rabia Tahir, Christina Choo, Sabrina Zhu, Dora Y. Wang, P. Maxwell Slepian, Joel Katz, Hance Clarke

“…Implementing this approach within health systems relies on its acceptance by both healthcare providers and patients. …”
Get full text

Efficacy of Lockdowns in Africa by Daglous Makumbe

“…The catastrophic implications of the pandemic have pushed states on the brink forcing most of them to institute country lockdowns in a bid to flatten the curve of infections, avoid new ones and ensuring that the health systems are not overwhelmed at any one point in time. …”
Get full text

Revolutionizing Diabetic Retinopathy Screening: Integrating AI-Based Retinal Imaging in Primary Care by Dean Beals, Lesley Simon, Faith Rogers, Stan Pogroszewski

“…We describe a quality improvement and continuing medical education programme, starting in 2020, which has so far deployed 198 AI-equipped cameras in 5 health systems, covering approximately 151,000 patients with diabetes. …”
Get full text

Description of global innovative methods in developing the WHO Community Engagement Package by Jackeline Alger, Don Mathanga, Semeeh Akinwale Omoleke, Noel Juban, Meredith Labarda, Obinna Ikechukwu Ekwunife, Obioma Nwaorgu, Allan Ulitin, Jana Deborah Mier-Alpaño, María Isabel Echavarría, Yolanda Vargas Bayugo, Jose Rene Bagani Cruz, Pauline Marie Padilla Tiangco, Ukam Ebe Oyene, Alberto Ong Jr, Marvinson See Fajardo, Barwani Khaura Msiska, Lorena Abella Lizcano, Natalia Gomez Quenguan, Claudia Ivette Nieto Anderson, Briana Yasmin Beltran, Elsy Denia Carcamo Rodriguez, Eduardo Salomón Núñez, Vera Nkosi-Kholimeliwa, Glory Mwafulirwa-Kabaghe

“…The package comprises four modules organised by major themes such as mobilising communities, strengthening health systems, CE in health emergencies and CE as a driver for health equity.Conclusion After pilot implementation, tools and resources were made available for training and continuous collection of novel CE lessons and experiences from diverse socio-geographical contexts.…”
Get full text

Perspectives and experiences regarding pre-exposure prophylaxis (PrEP) in a community sample of Veterans with unhealthy alcohol use: overall and across sexual orientation and gende... by Olivia V. Fletcher, Kristine Beaver, Elizabeth J. Austin, Jenna van Draanen, E. Jennifer Edelman, Emily C. Williams

Get full text

Displacement MMG-based estimation of dynamic muscle viscoelasticity in the quadriceps during passive pedaling by Shinichi Fukuhara, Hisao Oka

Get full text

Stiff Substrates Enhance Endothelial Oxidative Stress in Response to Protein Kinase C Activation by Rebecca Lownes Urbano, Swathi Swaminathan, Alisa Morss Clyne

Get full text

The revised colorectal cancer screening guideline and screening burden at community health centers by Adjoa Anyane-Yeboa, Helen Bermudez, Michelle Fredericks, Nathan Yoguez, Lynn Ibekwe-Agunanna, James Daly, Emily Hildebrant, Madhur Kuckreja, Rachel Hindin, Leslie Pelton-Cairns, Leslie Salas Karnes, Gina R. Kruse, Daniel A. Gundersen, Karen M. Emmons

“…The revised USPSTF CRC screening recommendations increased CRC screening needs across health systems, which may create particular challenges for community health centers (CHCs) given their resource constraints. …”
Get full text

Cognitive-Behavioral Therapists’ Experience on Relevance of Sleep and Sleep Disorders in Training and Clinical Practice: A Survey Study from Italy by Chiara Baglioni, Andrea Galbiati, Debora Meneo, Greta Cavadini, Francesca Gelfo, Francesco Mancini, Carlo Buonanno

“…Adding information on different countries is important, as national health systems differ significantly, and distinct evidence-based pathways for change may be proposed. …”
Get full text

Protocol to assess bottlenecks inhibiting the scaling up of evidence-based family planning practices in low-income and middle-income countries using mixed methods by James Kiarie, Moazzam Ali, Rita Kabra, Komal Preet Allagh, Kathryn Church, Abdulmumin Saad, Petrus Steyn

“…To gain a better understanding of the factors that may be hindering the sustained scale-up of these interventions, WHO has developed an assessment protocol to systematically identify the health systems’ ‘bottlenecks’ to implementation and to then identify solutions and develop strategies to address them.Methods and analysis A mixed method approach that includes document review, secondary data analysis (from surveys, service delivery data and case studies) and key informant interviews with policymakers, programme managers, health providers and community groups will be used to identify bottlenecks. …”
Get full text

Relationship of Serum Uric Acid Level with Demographic Features, Risk Factors, Severity, Prognosis, Serum Levels of Vitamin D, Calcium, and Magnesium in Stroke by Payam Saadat, Alijan Ahmadi Ahangar, Mansor Babaei, Mandana Kalantar, Mohammad Ali Bayani, Hiva Barzegar, Hemmat Gholinia, Farbod Zahedi Tajrishi, Sekineh Faraji, Fatemeh Frajzadeh

“…A large financial burden is imposed on the families and health systems of countries in addition to the problems related to the disabilities caused by the disease for the patients. …”
Get full text

COVID-19 and Decision-Making for Pregnant Women: Taking or Relinquishing Control in Response to a Pandemic by Elizabeth Kaselitz, Chelsea Finkbeiner, Sarah Javaid, Sarah Barringer, Sarah D. Compton, Maria Muzik, Cheryl A. Moyer

“…These findings indicate that the changes and uncertainty surrounding COVID-19 are causing significant challenges for pregnant women, and absent more clarity and more provider-driven support, women seeking to cope are considering changes to their birth plans. Health systems and providers should heed this warning and work to provide pregnant women and their families with more information, support, and collaborative planning to ensure a positive, healthy birth experience, even during a pandemic.…”
Get full text

Implementing Patient Health Questionnaire Depression Screening in Inflammatory Arthritis Clinic: Insights From a Quality Improvement Project at a Tertiary Rheumatology Center by Jeong Min Yu, Susan Goodman, Ann Marie Rakowicz, Julius Bugante, Jennifer Inhae Lee

“…Additional support at the health systems level that prioritizes depression screening may need to take place. …”
Get full text