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What Now? Questions to ask after a terminal diagnosis

Following research with more than 600 people living with a terminal illness or caring for someone at the end of life, Compassion in Dying has published an innovative new booklet: What now? Questions to ask after a terminal diagnosis. 'What now? is designed to help people ask questions and find the information they need, so that they can make informed decisions about their treatment and care – helping them to live well in the time they have left. 'What now?

Global project to map drug resistance and tackle “superbugs” is launched

The Global Burden of Disease AMR project is a collaboration between the UK government, the UK health research charity the Wellcome Trust, the Bill and Melinda Gates Foundation, the University of Oxford, and the Institute for Health Metrics and Evaluation, an independent research centre at the University of Washington, Seattle.

Over the next four years the project will gather and publish data on the spread and effects of antimicrobial resistance around the world.

Can e-learning help you to connect compassionately? Commentary on a palliative care e-learning resource for India

e-learning resources need to be customised to the audience and learners to make them culturally relevant. The ‘Palliative care e-learning resource for health care professionals in Indiahas been developed by the Karunashraya Hospice, Bengaluru in collaboration with the Cardiff Palliative Care Education Team, Wales to address the training needs of professionals in India.

Barriers and facilitators to health information exchange in low- and middle-income country settings: a systematic review

The exchange and use of health information can help healthcare professionals and policymakers make informed decisions on ways of improving patient and population health. Many low- and middle-income countries (LMICs) have however failed to embrace the approaches and technologies to facilitate health information exchange (HIE). We sought to understand the barriers and facilitators to the implementation and adoption of HIE in LMICs.

BMJ: Too Much Medicine (3)

Thus, it's a multifactoral issue involving several areas from upbringing (social-cultural) factors; in most African societies like where I come from people have been sensitized that the more drugs you get the better and also that 1st line drugs are no good e.g. paracetamol, secondly people /clients prefer to spend money at a private clinic/hospital because it is assumed they will get better drugs as compared to government/public hospitals.

Global surgery and the neglected tropical diseases

At the sunset of the Millennium Development Goals there was a global awakening that hundreds of millions of people living in resource-poor countries lacked safe and equitable access to even basic surgeries. In response, a Lancet Commission on Global Surgery was launched... highlighting that an astonishing 5 billion people lack accessible surgical care and that investing in scaling up surgical services until 2030 is necessary and cost effective.

Large-Scale Evaluation of Quality of Care in 6 Countries of Eastern Europe and Central Asia Using Clinical Performance and Value Vignettes

Background:

A significant determinant of population health outcomes is the quality of care provided for noncommunicable diseases, obstetric, and pediatric care. We present results on clinical practice quality in these areas as measured among nearly 4,000 providers working at more than 1,000 facilities in 6 Eastern European and Central Asian countries.

Methods:

Open Access Scholarly Journal Publishing in Chinese

'The research literature on open access (OA) publishing has mainly dealt with journals publishing in English, and studies focusing on OA journals in other languages are less common. This article addresses this gap via a case study focusing on Chinese-language OA journals. It starts with the identification of the major characteristics of this market, followed by eight semi-structured interviews to explore the key motivations behind Chinese-language OA publishing and perceived barriers.

Effective, polyvalent, affordable antivenom needed to treat snakebite in Nepal

'Many Nepalese depend on traditional healers and or do not seek hospital treatment because they consider themselves to be too poor to pay for treatment, or think there will be no benefit. If the numbers of out-of-hospital deaths caused by snakebite are to be reduced in Nepal, there needs to be improvements in the public awareness of the benefits of snakebite treatment in hospital and in the pre-hospital care of snakebite – as seen, for example, in Sri Lanka.

BMJ: Too much medicine (7)

1. Health providers (doctor, clinical officer,nurse etc) should have adequate time with each consumer (client/patient) of health services. At least 20-30 minutes if possible. This will assist to get the complaints, assess, investigate (laboratory, radiology) and make a diagnosis/provisional diagnosis which will be a basis for prescribing

2. Health providers need to concentrate on what the consumer is saying (listen, observe, feel, ask) and not to rush in prescribing drugs even before the consumer has finished explaining as we see/observe happening in our many public facilities

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