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Fragmented Ambulance Services in Sri Lanka Evolve into A Modern System

Fragmented ambulance services evolve into a modern system Situated in the Indian Ocean, separated from India by the Palk Strait, Sri Lanka is the 25th largest island in the world (See Figure 1). Its complex geographical features-peaks, plateaus, valleys, rivers and tropical forests-are subject to a variety of natural hazards, including floods, landslides, cyclones and tsunamis.1 With ancient cultural roots going back to the 6th century B.C., Sri Lanka's modern colonial history began with Portuguese, Dutch and British settlements in the 16th century. By 1815, Britain was the sole colonial power. In 1948, Sri Lanka became an independent country within the British Commonwealth, and in 1972 it became a republic. From a public health perspective, trauma in Sri Lanka has become a significant factor. On average, road injuries kill one person every 4.5 hours.2 With an aging population and an average life expectancy at 74.9 years, Sri Lanka is seeing an increase in the prevalence of noncommunicable diseases such as heart disease, diabetes, cancers and asthma. With coronary heart disease and stroke as the top two causes of death, the country faces escalating health costs and a need for timely emergency care.3 First Efforts &Setbacks Modern initiatives to begin a comprehensive EMS system date back to 2003, when a consortium of government agencies, the National Hospital of Sri Lanka and SweRoad, a privately-owned company of the Swedish National Road Administration under the Ministry ...
Source: JEMS Operations - Category: Emergency Medicine Authors: Tags: International Operations Source Type: news

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Source: BMJ Comments - Category: General Medicine Source Type: forums
Authors: Wang S, Ma J, Yu MK, Zheng F, Huang EW, Han J, Peng J, Ideker T Abstract Analysis of patient genomes and transcriptomes routinely recognizes new gene sets associated with human disease. Here we present an integrative natural language processing system which infers common functions for a gene set through automatic mining of the scientific literature with biological networks. This system links genes with associated literature phrases and combines these links with protein interactions in a single heterogeneous network. Multiscale functional annotations are inferred based on network distances between phrases a...
Source: Pacific Symposium on Biocomputing - Category: Bioinformatics Tags: Pac Symp Biocomput Source Type: research
This study examined provider communications regarding cigarette and non-cigarette tobacco products among adults with chronic conditions.DesignCross-sectional study drawn from two waves (2013 –2014) of the National Survey on Drug Use and Health (NSDUH).ParticipantsAdults ( ≥ 18 years) who used tobacco in the past year.Main MeasuresPrevalence of tobacco use included past-year use of cigarettes, cigars, or smokeless tobacco among those with and without chronic conditions. Chronic conditions included asthma, anxiety, coronary heart disease, depression, diabetes, hepatitis, HIV, hypertension, lung cancer, stroke, ...
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
This report examines health care access and utilization among adults with MCC compared with those with one or no diagnosed chronic conditions. PMID: 28282022 [PubMed - in process]
Source: NCHS data brief - Category: American Health Tags: NCHS Data Brief Source Type: research
Conclusions: Adverse childhood experiences are prevalent among US Hispanics/Latinos and are involved in disease in adulthood. The apparent higher prevalence of ACEs in US Hispanics/Latinos did not correspond with stronger associations with disease. Further studies are needed to identify factors that may moderate the associations of ACE with adult disease.
Source: Psychosomatic Medicine - Category: Psychiatry & Psychology Tags: Original Articles Source Type: research
Conclusions Future studies should test tailored interventions to address the specific needs of population subgroups in order to improve their health.
Source: American Journal of Preventive Medicine - Category: Global & Universal Source Type: research
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more. This content is...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Asian-Americans fare better than the general population on five different measures of health, according to a new national study.  But though it may appear that the "model minority" myth about the 15 million Asians in America extends even to physical and mental health, experts say this finding obscures the truth about vast disparities between Asian subgroups -- and that the study's methodology may have prevented the elderly, immigrants and people who don't speak English from contributing to a more nuanced picture of the health status of Asians in America.  The report, published by the U.S....
Source: Science - The Huffington Post - Category: Science Source Type: news
This report presents results for all 50 states, the District of Columbia, participating U.S. territories that include the Commonwealth of Puerto Rico (Puerto Rico) and Guam, 187 Metropolitan/Micropolitan Statistical Areas (MMSAs), and 210 counties (n = 475,687 survey respondents) for the year 2012. RESULTS: In 2012, the estimated prevalence of health-risk behaviors, chronic diseases or conditions, access to health care, and use of preventive health services substantially varied by state and territory, MMSA, and county. The following portion of the abstract lists a summary of results by selected BRFSS measures. Each se...
Source: MMWR Surveill Summ - Category: Epidemiology Authors: Tags: MMWR Surveill Summ Source Type: research
Conclusion Cyclone, flood and storm related disasters impact on treatment management and overall care for people with NCDs. This results in an increased risk of exacerbation of illness or even death. The interruption may be caused by a range of factors, such as damaged transport routes, reduced health services, loss of power and evacuations. The health impact varies according to the NCD. For people with chronic respiratory diseases, a disaster increases the risk of acute exacerbation. Meanwhile, for people with cancer, cardiovascular diseases and diabetes there is an increased risk of their illness exacerbating, which can ...
Source: PLOS Currents Disasters - Category: Global & Universal Authors: Source Type: research
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