Effects of Covid-19 Pandemic on Cancer Screening, Diagnosis and Treatment in Brazil: A National Study DOI
Caroline Madalena Ribeiro, Adriana Tavares de Moraes Atty

Published: Jan. 1, 2023

Background Brazil was heavily impacted by the COVID-19 pandemic, resulting in over 700,000 deaths 2023. The country has experienced a collapse health services, and non-covid procedures were also affected, including cancer care. Delays diagnosis treatment are expected to result adverse oncologic outcomes. This study aimed quantify impact of pandemic provision Brazil.Methods conducted time series analysis using data from Brazil’s public information systems. A comparison made between monthly frequency cancer-related procedures, screening tests such as mammograms pap smears, diagnostic biopsies histological tests, well treatments excision transformation zone, conizations, surgeries, chemotherapy, radiotherapy, during pre-pandemic year 2019 period 2020-2022, taking into account number confirmed cases. Monthly percentage changes (MPC) 2022 estimated joinpoint analysis.Results findings reveal decrease all except Chemotherapy radiotherapy due pandemic. most visible falls documented April June 2020, closely aligning with Brazil's lockdown period, December 2021 February 2022, coincide spread Omicron variant country. Screening underwent significant declines initial wave COVID-19. largest decreases reported for smears (MPC = -44.7%) -45.79%).Conclusion quantitative indicates that care is gradually returning levels. However, it improbable cases postponed or misplaced have been accounted for, highlighting need schemes mitigate consequences probable delays treatment.

Language: Английский

Adherence to mask-wearing and its impact on the incidence and deaths of viral respiratory infectious diseases: a systematic review, meta-analysis and modelling study DOI Creative Commons
Can Chen,

Wenkai Zhou,

Jiaxing Qi

et al.

BMJ Global Health, Journal Year: 2025, Volume and Issue: 10(2), P. e017087 - e017087

Published: Feb. 1, 2025

Background This study systematically analysed global and regional adherence to mask-wearing its impact on the incidence deaths of viral respiratory infectious diseases (VRIDs). Methods Relevant studies were sourced from PubMed, Web Science, Embase Scopus. We included observational with available raw data (rates acceptability mask-wearing, in public settings correct mask-wearing) during VRID pandemics/epidemics. The COVID-19-related Global Burden Diseases 2021. quality each was assessed using Agency for Healthcare Research Quality Scale. Pooled rates effects calculated random models generalised linear models. Results 448 70 countries/regions. During pandemics/epidemics, pooled 65.27% (95% CI 60.34% 70.05%), 74.67% 69.17% 79.8%) 63.63% 59.28% 67.87%), respectively. In individuals chronic diseases/elderly/pregnant women, (42.54%) (60.56%) both low. Among general population, (68.2%) (57.45%) lowest. COVID-19 pandemic, countries a requirement exhibited higher rate (76.10% vs 58.32%), especially regions more stringent containment health measures (β=0.86, p=0.008). has been found significantly reduce (β=−265.26, p=0.004), (β=−2.04, p<0.001) other pandemic-related (β=−0.83, p<0.001). Conclusion relatively Implementing policies requiring pandemic could enhance rate, potentially leading significant reduction VRID-related deaths. Trial registration number CRD42024496464.

Language: Английский

Citations

1

Spatial Patterns and Determinants of Agricultural Resilience: Evidence From Senegal DOI Creative Commons
Mohammad Tirgariseraji, A. Pouyan Nejadhashemi, Ignacio A. Ciampitti

et al.

Food and Energy Security, Journal Year: 2025, Volume and Issue: 14(2)

Published: March 1, 2025

ABSTRACT The undesirable consequences of climate change on crop yields threaten the resiliency farmers' livelihoods in climate‐vulnerable regions. Assessing resilience agrifood systems to and non‐climate hazards helps identify solutions for ensuring sustainability farming households. literature review indicates that a knowledge gap remains interpreting outputs generated by procedures under various study‐specific conditions. A selected articles from 1547 documents among Senegalese farmers identified relevant indices representing nine studies, resulting 83 observations index control variables. This study utilized spatial meta‐data survival regression analysis examine effects regional interactions, shock types, factor selection measured through following phases: (1) Organizing meta‐data, (2) specifying eight meta‐regression models assess bias data variations interaction effect sample size, (3) converting analyze failure exposure time‐to‐event failure, (4) regressing types agroecological zone conditions outcomes phase three. results indicated “climate hazard” shock, “COVID‐19” “seed diversity effect” were primary contributors highest capacity. lag significantly affected magnitude. Accounting changed negative positive variables different types. For example, when accounting lag, impact “other sources” shifted compared indicating their influence capacity direction. shock‐type was significant, regardless whether sources remained constant or changed. findings emphasize need policy considerations regarding measurement procedures, factors, shock‐specific interventions avoid overestimation underestimation resilience. instance, should be improved distinguishing between permanent temporary shocks, as well considering vulnerability interacting regions comparison isolated Failure incorporate these factors may result an “non‐climate” shocks.

Language: Английский

Citations

1

Stewarding COVID-19 health systems response in Pakistan: what more can be done for a primary health care approach to future pandemics? DOI Creative Commons
Shehla Zaidi, Raza Zaidi, Shujaat Hussain

et al.

BMJ Global Health, Journal Year: 2025, Volume and Issue: 10(Suppl 2), P. e016149 - e016149

Published: Jan. 1, 2025

We apply a primary healthcare (PHC) perspective to gauge Pakistan's health systems response COVID-19, identify stewardship lessons for integrating the PHC pandemic response. Analysis of against Astana framework shows that imperative national survival helped mobilise an agile across fragmented security context. The findings show effective multisector governance in responding and social aspects pandemic, as well rapid roll-out several public functions emergency care. However, we found weak maintenance essential services ad hoc, short-lived efforts community engagement.Critical enablers steward complex power-sharing arrangements included solidarity society, collaborative data-driven decision-making, leveraging siloed domestic resources private sector coordination. At same time, more PHC-centric was constrained by political prioritisation services, uneven direction civil society volunteerism engagement regulation contribution.We conclude mindset shift is required from short-term tactical measures long-term investment PHC-oriented transformative stewardship. Future preparedness must build attention service package emergencies, mobilisation both care providers, vision societal actors market regulation, within framework.

Language: Английский

Citations

0

Strengthening Primary Health Care for Epidemic and Pandemic Response: A Scoping Review DOI Open Access

Fatemeh Homayounifar,

Zahra Abdollahi,

Ghazal Davar

et al.

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 22, 2025

ABSTRACT Aims Epidemics strain healthcare systems and reduce care quality, making primary a crucial frontline component in combating pandemics. The aim of this paper was to explore the experiences countries strengthening health address epidemics pandemics infectious diseases. Design It scoping review conducted 2024. research qualitative nature. Methods Multiple databases were searched including PubMed, Scopus, ProQuest. Upon screening references, Boyatzis approach thematic analysis utilised analyse categorise acquired data based on fundamental building blocks as presented by World Health Organisation (WHO). Results Sixty‐seven studies included study, reporting widespread strategies interventions implemented around globe. majority these within context service delivery, leadership/governance, workforce. Conclusion worldwide during pandemic crisis are extensive varied. Further is required provide comprehensive understanding potential impacts such interventions. Implications for Profession and/or Patient Care There numerous reported literature epidemic response, which policymakers managers can utilise improve patient times crisis. Impact study examined challenges crises, identified various aimed at addressing challenges, primarily workforce management. Healthcare leverage findings enhance crises. Reporting Method PRISMA 2020 guideline studies. or Public Contribution No Contribution.

Language: Английский

Citations

0

Efeitos da Covid-19 na Atenção ao Câncer no Brasil: Impactos do Rastreamento ao Tratamento DOI Creative Commons
Caroline Madalena Ribeiro, Adriana Tavares de Moraes Atty

Revista Brasileira de Cancerologia, Journal Year: 2025, Volume and Issue: 71(1)

Published: Feb. 3, 2025

Introdução: A pandemia de covid-19 teve impacto significativo no Brasil, resultando em mais 700 mil mortes. Todo sistema saúde foi impactado, inclusive o atendimento oncológico. Objetivo: Quantificar da na oferta procedimentos linha cuidado do câncer Brasil. Método: Estudo série temporal com dados secundários dos Sistemas Informação Sistema Único Saúde. Frequências mensais casos confirmados e rastreamento cânceres mama colo útero, diagnóstico tratamento todos os tipos foram calculadas para ano pré-pandêmico (2019) período pandêmico (2020-2022). Variações percentuais (VPM) registro pelo método Joinpoint. Resultados: Houve redução durante a pandemia, exceto quimioterapia radioterapia. Maiores declínios ocorreram entre abril junho 2020, lockdown dezembro 2021 fevereiro 2022, coincidindo disseminação variante Ômicron. Durante primeira onda covid-19, exames afetados, 44,90% (IC95% -49,21 -35,71) nos Papanicolaou 45,79% -44,88% -28,85) nas mamografias. Posteriormente, oscilaram acordo aumento retornando aos patamares pré-pandêmicos somente 2022. Conclusão: retomada gradual realização procedimentos, retomando níveis Espera-se uma ampliação desses mitigar as consequências prováveis atrasos câncer.

Citations

0

Global, Regional, and National Burden of Ischemic Heart Disease from 1990 to 2050:The Long-Term Trends and Risk Factors DOI

Yuqing Mi,

Wei Li, Yuzhuo Liu

et al.

Published: Jan. 1, 2025

Language: Английский

Citations

0

The future of pandemic modeling in support of decision making: lessons learned from COVID-19 DOI Creative Commons
Kelly R. Moran,

Tammie Lopez,

Sara Y. Del Valle

et al.

BMC Global and Public Health, Journal Year: 2025, Volume and Issue: 3(1)

Published: March 25, 2025

The devastating global impacts of the COVID-19 pandemic are a stark reminder need for proactive and effective response. Disease modeling forecasting key in this response, as they enable forward-looking assessment strategic planning. Via 85 interviews spanning 14 countries with disease modelers those support, conducted amid we offer qualitative overview challenges faced, lessons learned, readiness future pandemics. interviewees highlighted several considerations forecasting, particularly emphasizing complications introduced by human behavior various data-related issues (including data availability, quality, standardization). They underscored importance communication among who create models, make decisions based on these general public. Additionally, pointed out necessity addressing equity, debated merits centralized versus decentralized responses to crises, stressed establishing measures sustainable preparedness. Their verdicts were mixed, only 43% respondents saying better prepared pandemic. We conclude providing our vision how can should look context successful light insights gleaned via interview process. These their synthesis crucial perspectives shape preparedness health crises.

Language: Английский

Citations

0

Innovative Non-Pharmacological Therapies for SARS-CoV-2 Infections: Advances, Challenges and Future Directions DOI Open Access
G. Srikanth, Santoshachandra Rao Karanam, Bhabani Sankar Satapathy

et al.

Asian Journal of Chemistry, Journal Year: 2025, Volume and Issue: 37(5), P. 1006 - 1016

Published: April 30, 2025

The COVID-19 pandemic has necessitated diverse therapeutic approaches, including drug-free therapies to complement pharmaceutical interventions. This review examines the current landscape, challenges and future perspectives of non-drug for COVID-19. Critical approaches include oxygen therapy, mechanical ventilation, prone positioning, physical nutritional support, psychological hydration management alternative such as acupuncture phototherapy. Despite their potential, these face significant challenges, disease variability, resource limitations, patient-specific factors, infection control issues need robust clinical evidence. Future highlight technological advancements telehealth, wearable devices artificial intelligence; improved respiratory support systems; integrated multidisciplinary care; extensive public health initiatives; stringent trials; personalized medicine; global equity; mental integration; lifestyle modifications preparedness pandemics. Addressing leveraging will enhance effectiveness accessibility therapies, improving patient outcomes bolstering healthcare resilience against

Language: Английский

Citations

0

Strategies and challenges for maintaining the continuity of essential health services during a pandemic: a scoping review DOI Creative Commons

Najibeh Khoshmaram,

Kamal Gholipour‎, Mostafa Farahbakhsh

et al.

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 14, 2025

The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on health systems worldwide, resulting in disruptions to essential service delivery, such as routine immunizations, maternal and child health, treatment for communicable noncommunicable diseases. These services have been disrupted due the diversion of resources towards COVID-19 response. Therefore, objective this scoping review was identify strategies challenges associated with maintaining continuity during pandemic. This study conducted 2023 using proposed Arksey O'Malley framework. We searches PubMed, Scopus, ProQuest, Web Science relevant keywords. Additionally, we searched Google Scholar, hand-searched reference lists included studies, reviewed organizational reports, websites, other sources information. Content analysis employed summarize themes from selected articles. Our search major databases yielded 3,732 results. After screening process, 47 articles were review. extracted interventions classified into six groups based building blocks World Health Organization system: leadership governance, access medicines, financing, workforce, information systems. implementation effective can help ensure provision include leveraging technology remote care, ensuring safety healthcare workers patients, strengthening supply chains, establishing flexible adaptive

Language: Английский

Citations

0

Factors influencing healthcare workers’ intention to leave during COVID-19: A systematic review in middle- and low-income countries DOI
Ehsan Zarei, Adeleh Nikkhah, Pouria Farrokhi

et al.

International Journal of Healthcare Management, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 12

Published: Feb. 16, 2024

Background Intention to leave (ITL) of health workers is a challenging issue for organizations. This systematic review was conducted identify the factors influencing worker ITL during COVID-19 in middle- and low-income countries.

Language: Английский

Citations

3