Stream 1 researches ways to decrease the chance of influenza emerging, Stream 2 restricts its spread, Stream 3 lessens its influence, Stream 4 refines treatment methods, and Stream 5 boosts public health resources and technologies focused on influenza. SEAR's evidence generation, however, has consistently been somewhat inadequate and requires careful scrutiny for proper alignment with the established priorities. The aim of this study was to perform a bibliometric analysis of influenza medical literature published in the past 21 years, in order to pinpoint gaps in research, identify key areas requiring further investigation, and offer recommendations to member states and the SEAR office for prioritizing future research avenues.
Our database searches, encompassing Scopus, PubMed, Embase, and Cochrane, were undertaken in August 2021. We have cataloged studies concerning influenza, published within the period of January 1, 2000, to December 31, 2021, for the 11 countries falling under the WHO South-East Asia Region. ANA-12 Influenza data was meticulously tagged and analyzed, taking into account WHO priority streams, member state involvement, study design characteristics, and the type of research conducted. Employing Vosviewer, a bibliometric analysis was performed.
Our collection encompassed 1641 articles (Stream 1).
Stream 2; sentence 2; =307; The intricate tapestry of happenings, marked by a distinct sequence, unfolded before our very eyes, =307.
Stream 3; calculation result: 516.
Stream 4, quantified as the number 470.
Stream 5 correlates with the numerical value of 309.
This JSON schema returns a list of sentences. The most prolific output of publications was seen in Stream 2, dedicated to stemming pandemic, zoonotic, and seasonal influenza outbreaks. The studies explored virus transmission at both global and local levels, and public health interventions to curtail transmission. The publication output from India was the highest.
524 leads to Thailand in the order.
The Indonesian islands, each with their own story to tell, create a mesmerizing spectacle of cultural heritage and natural beauty.
Considering Bangladesh in conjunction with the number 214.
The JSON schema returns a list containing sentences. Nestled amidst the Himalayas, Bhutan's unique culture and traditions are deeply rooted in its history.
Atop the gentle waves of the Indian Ocean, the Maldives unfurl their mesmerizing beauty.
Democratic People's Republic of Korea, a nation often referred to as North Korea, is situated on the Korean peninsula.
Subsequently, Timor-Leste merits attention,
Influenza research saw relatively little input from =3). At the pinnacle of the journal rankings was PloS One, which contained the greatest quantity of articles concerning influenza.
Ninety-four publications originating from Southeast Asian nations have been disseminated. Research findings with implications for implementation and intervention, i.e., actionable evidence, were less prevalent. The level of research on pharmaceutical interventions and on innovative approaches was low. The research output of member states in SEAR was inconsistent across the five priority research streams, demanding a more substantial commitment to collaborative research. Declining trends in basic science research necessitate a re-evaluation of research priorities.
A global research agenda for influenza, set forth and reviewed by the WHO Global Influenza Program in 2009, 2011, and 2016-2017, has not included a specifically tailored approach for the generation of actionable research within the Southeast Asian area. Given the Global Influenza Strategy 2019-2030 and the COVID-19 pandemic's impact, harmonizing research initiatives in the Southeast Asia Region (SEAR) could significantly improve pandemic influenza preparedness strategies. It is imperative to prioritize research themes that are contextually relevant within priority streams. Evidence of regional and global value necessitates a culture of collaboration, both within and between member states.
The WHO Global Influenza Program, while establishing a priority research agenda for influenza globally since 2009, and revisiting it in 2011 and again in 2016-2017, has lacked a structured, regionally-focused approach to generate actionable evidence in the Southeast Asian region. Considering the implications of the Global Influenza Strategy 2019-2030 and the COVID-19 pandemic, re-evaluating research priorities in Southeast Asia could enhance pandemic influenza preparedness planning. The prioritization of contextually relevant research themes is essential within priority streams. To create evidence with global and regional impact, member states must instill a culture of cooperation among and between their own countries.
Part of the important Research Topic 'Health Systems Recovery in the Context of COVID-19 and Protracted Conflict,' is this article.
The World Health Organization's declaration of COVID-19 as a pandemic by July 2021, was accompanied by a global caseload surpassing 184 million and a death toll exceeding 4 million. Death tolls resulting from healthcare disruptions are likely underreported, with a failure to differentiate between direct and indirect fatalities arising from these disruptions. District-level maternal and child healthcare service delivery in Mozambique during the initial COVID-19 period of 2020 and early 2021 was assessed using routine health information system data, and excess maternal and child mortality was estimated.
Using Mozambique's routine health information system (SISMA, Sistema de Informacao em Saude para Monitoria e Avaliacao), a time-series analysis measured shifts in nine selected indicators signifying the maternal and child healthcare continuum across 159 districts. The dataset represents service counts, collected from January 2017 through March 2021. In order to compare districts, descriptive statistics were used, and individual district time-series plots were developed. The magnitude of loss in service provision was measured by comparing observed data to modeled predictions, utilizing absolute differences or ratios. Mortality assessments were conducted with the assistance of the Lives Saved Tool (LiST).
Service delivery indicators related to maternal and child health, which we assessed, demonstrated considerable disruptions, with all metrics falling below 10% of projected values. Most prominently affected was the number of new users accessing family planning and Coartem treatment for malaria, particularly concerning children under five. April 2020 showed immediate decreases in all metrics monitored, excluding the treatment of malaria with Coartem. In 2020, an estimated 11,337 (128%) children under five, 5,705 (113%) neonates, and 387 (76%) mothers lost their lives due to disrupted healthcare services.
Our study's findings align with previous research, highlighting the detrimental effect of COVID-19 on maternal and child healthcare access in sub-Saharan Africa. ANA-12 Subnational and granular service loss estimations are offered by this study, aiding in the development of health system recovery plans. From our perspective, this is the first study to document the early effects of COVID-19 on maternal and child healthcare service use in a Portuguese-speaking African country.
Previous studies on COVID-19's impact are echoed in our research, which indicates a negative trend in the use of maternal and child health services in sub-Saharan Africa. This study's findings on subnational and granular service loss can assist in the strategic planning for health system recovery. From what we have gathered, this represents the pioneering investigation into the early effects of COVID-19 on maternal and child healthcare service utilization in a Portuguese-speaking African country.
Between 2009 and 2021, the Tongji Center for Medicolegal Expertise in Hubei (TCMEH) performed a retrospective examination of autopsies from fatal intoxication cases, aiming to update information on intoxication cases. The objective encompassed illustrating critical data points about the progression of intoxication patterns, reinforcing public safety policies, and equipping forensic examiners and law enforcement with more effective strategies for addressing such cases. The 217 intoxication cases recorded at TCMEH served as a sample for an analysis focusing on the variables of sex, age, topical exposure, toxic agents, and cause of death. The conclusions were put into context by contrasting them with prior reports produced by this institution from 1999 to 2008. ANA-12 Deaths resulting from intoxicants affected males at a greater rate than females, with the 30-39 age group being the most vulnerable. Oral ingestion proved to be the most frequent route of exposure. Compared to the data of the preceding decade, the causative agents behind lethal intoxications have shifted. Whereas amphetamine overdose fatalities are incrementally more frequent, fatalities caused by carbon monoxide and rodenticide exposure have seen a substantial reduction. Pesticides remained the primary cause of intoxication in 72 instances. In a startling statistic, 604% of the deaths were a consequence of accidental exposure. While male fatalities from accidents exceeded those of women, female suicide attempts were more frequent. In the investigation of homicides, particular emphasis should be placed on the use of succinylcholine, cyanide, and paraquat.
Public spaces witness the devastating effects of community violence, which is defined as unsanctioned conflict between unrelated individuals, resulting in profound physical, psychological, and emotional repercussions for individuals, families, and the broader community. Immense efforts to invest in policing and incarceration in the United States have produced neither a decrease in community violence nor a positive impact on those affected, sometimes actually increasing harm. In contrast, the underlying rationale for policing and incarceration as suitable or preventative responses to community violence is deeply rooted in public discourse, limiting our ability to consider and implement alternative solutions. This perspective stems from interviews with leading voices in outreach-based community violence intervention and prevention, prompting a consideration of alternative approaches to community violence.