The epidemiology of stroke In a developing country (Pakistan)

Ischemic stroke is a major cause of neurological morbidity and mortality. The objective of this review article is to summarize facts pertaining to acute ischemic stroke and its various aspects in a developing country like Pakistan, where resources are limited and the healthcare system is underdeveloped. No large-scale epidemiological studies are available to determine the true incidence of stroke in Pakistan. We conducted a study to determine the prevalence of several important stroke risk factors among Pakistani stroke patients, and to determine whether these risk factors differ among urban versus rural populations. We also used existing data from literature to compare overall stroke incidence in Pakistan to that in developed countries. In this study we found that for stroke besides hypertension, prolonged contraceptive use and pregnancy are additional risk factors in Pakistan. Which is more prevalent in urban populations than rural population? Developed countries except Germany have much lower stroke incidences than Pakistan

Implementation of patient-centered care in primary medical care reform in Ukraine 2018-2020: an exploratory study of stakeholder perceptions in Kiev and Ivano-Frankivsk

The Master’s Thesis is focused on the perceptions of patient-centered care by different stakeholders on the primary health care level in Ukrainian two cities, Kiev and Ivano-Frankivsk. To improve the quality of primary health care services in Ukraine, population health in general and make sure that the citizens are provided with equal access to health care services at all levels, the new health care reforms were implemented by the Ministry of Health in late 2017. An essential role in these reforms is the focus on the patient, the so called, patient-centered care (PCC), which should improve the quality of care, make the primary care level more reliable and leave satisfied patients and doctors. This is a comparatively new approach for Ukraine, as before there was a doctor-centered model where the patient’s point of view was not required, as the healthcare sector worked just as a system and for the system. There is evidence that doctors are not ready for this new approach as they were always considered as the center of the system and were in charge of the patient’s health. Therefore, the aim of the research is first of all to find out the main objectives of the PCC approach and understand the perception of PCC from different stakeholders' viewpoints, because the literature review demonstrated that there should be the same understanding of the certain element of the reform by all stakeholders in order to have a successful reform implementation. Last but not least, it is also important to find out how PCC contributes to the quality of care. It is also important to compare and contrast the findings from both cities and to see how the reform is implemented and whether there are different understandings of the PCC approach. The research contributes to the understanding of the PCC approach in health care not only in Ukraine but to the literature regarding PCC. The researcher also identified policy implications that can be introduced for improving the reform implementation process in Ukraine. Additionally, the research findings may have useful applications in other countries who still suffer from the doctor-centered or system-centered healthcare system and wish to implement another approach in health care. The framework may be also useful for conducting similar research.https://www.ester.ee/record=b5448151*es

Okra (Abelmoschus spp.) in West and Central Africa: Potential and progress on its improvement

Okra (Abelmoschus spp.) is a traditional vegetable crop with considerable area under cultivation in Africa and Asia with huge socio-economic potential in West and Central Africa. It has been called “a perfect villager’s vegetable” because of its robust nature, dietary fibers and distinct seed protein balanced in both lysine and tryptophan amino acids (unlike the proteins of cereals and pulses) it provides. However, okra has been considered a minor crop and no attention was paid to its improvement in the international research program in past. This review describes a general overview of okra’s nutritional and economic potential with special reference to its past and recent progress on germplasm regeneration, genetic studies and efforts on genetic improvement in West and Central Africa

Okra (Abelmoschus spp.) in West and Central Africa: Potential and progress on its improvement

Okra (Abelmoschus spp.) is a traditional vegetable crop with considerable area under cultivation in Africa and Asia with huge socio-economic potential in West and Central Africa. It has been called “a perfect villager’s vegetable” because of its robust nature, dietary fibers and distinct seed protein balanced in both lysine and tryptophan amino acids (unlike the proteins of cereals and pulses) it provides. However, okra has been considered a minor crop and no attention was paid to its improvement in the international research program in past. This review describes a general overview of okra’s nutritional and economic potential with special reference to its past and recent progress on germplasm regeneration, genetic studies and efforts on genetic improvement in West and Central Africa

A Compendium of Existing Mechanisms for Meeting Health Needs in the Philippines

health sector, health management, health service delivery