LNH-Journals
Not a member yet
521 research outputs found
Sort by
From Policy to Practice: Unraveling the Landscape of Healthcare Challenges in Pakistan
Full text linkA healthcare system's principal responsibility is to ensure timely, acceptable, cost-effective, and easy access to the best medical facilities available. However, to function optimally, adequate infrastructure and funding are necessary for a healthcare system. The healthcare system of Pakistan is largely beset with difficulties, with a severe shortage of hospitals, physicians, nurses, and paramedical personnel impacting the delivery of healthcare services. Most importantly, there is a lack of confidence in the healthcare system due to poor quality of services, accessibility issues, financial barriers and communications gaps, which contribute to the growing prevalence of quack medicine. Pakistan's healthcare system consists of two parallel systems, which are public and private hospitals. The former lacks even basic medical facilities, while the latter is too expensive for the general population to afford. Over the years, many assessments have been conducted on Pakistan's healthcare system, revealing many shortcomings. Policies must now be created and actions must be taken by the policymakers, healthcare professionals and international organizations to minimize and address these deficiencies. Hence, the authors present several policy recommendations for redeeming the faltering and compromised healthcare system of Pakistan
Discrepancies between Perception and Reality of Tobacco Use in Bangladesh: Psychological Disorders, Mental Illness, and Suicidal Risks
Full text linkTobacco consumption, in both smoking and smokeless forms, remains a significant public health concern in Bangladesh. However, there is a striking discrepancy between public perception and the actual impact of tobacco use, particularly regarding its psychological consequences. This study employs a mixed-methods approach, combining survey data from 5,000 respondents across urban and rural Bangladesh with a comparative analysis of global tobacco-related health outcomes. The results indicate that 42.6% of Bangladeshis use tobacco, with 20.6% consuming smoking tobacco (e.g., cigarettes, bidis) and 22% using smokeless tobacco (e.g., jarda, gul, sada pata). Despite widespread awareness of tobacco’s physical health risks—such as lung cancer and cardiovascular diseases—only 38% of respondents recognize its significant impact on mental health, particularly depression, anxiety, and suicidal ideation. Statistical analysis reveals that smokeless tobacco users in Bangladesh exhibit a 3.2 times higher risk of developing psychological disorders compared to non-users. Unlike smoking, smokeless tobacco contains unregulated levels of carcinogenic nitrosamines and heavy metals, leading to an increased risk of oral cancer, neurotoxicity, and heightened dependency. Cross-national comparisons show that while countries like Sweden and the U.S. have successfully reduced smokeless tobacco consumption through stringent regulations and awareness programs, South Asian nations—including Bangladesh, India, and Pakistan—report alarmingly high prevalence rates, with over 25% of adults using these products. The economic burden of smokeless tobacco-related health issues in Bangladesh is estimated at $1.85 billion annually, further exacerbating public health challenges. This study underscores the urgent need for integrated tobacco control policies that extend beyond physical health to encompass psychological well-being. The stigma surrounding mental health in Bangladesh often leads individuals to use smokeless tobacco as a coping mechanism rather than seeking professional help. Therefore, a multi-sectoral approach—combining stricter regulation, targeted awareness campaigns, and mental health interventions—is imperative to combat both tobacco addiction and its psychological repercussions
Understanding Obesity: History, Epidemiology, Causes, Consequences and Comprehensive Solutions
Full text linkThe purpose of this study is to provide an overview of obesity disease including its definition, prevalence, causes, complications, and management. Obesity is a global epidemic that contributes significantly to chronic diseases worldwide. Obesity was recognized by Hippocrates as a medical condition capable of causing health problems. Obesity is classified into several types based on factors such as body mass index (BMI), body fat distribution, waist-to-height ratio, causes, and potential health risks. Adipose tissue produces adipokines and activates inflammatory signaling pathways, accelerating the onset and progression of obesity-related illnesses. Obesity is the result of a complex interaction between community and individual factors. These categories include physical activity, food consumption and production, personal psychology, and social psychology, additionally, obesity studies have highlighted the importance of genetic factors. Being overweight and obesity can be avoided by increasing the intake of whole grains, polyphenolic-rich legumes, nuts, vegetables, and fruits, selecting probiotic strains completely restriction the intakes of simple sugars and soluble starch and soda beverages; replacing saturated fats with unsaturated fats and increasing physical activity levels. Although lifestyle management is still the primary treatment for this condition, both medication and bariatric surgery result in greater and more sustained weight loss
Frequency of Nonalcoholic Fatty Liver Disease in Type 2 Diabetes Mellitus Patients
Full text linkNot Availabl
An Expert Opinion on Diabetic Care for Lower-Income Patient Groups in India: In Relation to the Availability and Affordability of Diabetic Medication
Full text linkThe increasing burden of diabetes in India is imposing significant economic strain, particularly on lower socioeconomic groups. Therefore, the E-Tulip program aimed to improve healthcare outcomes for these patient groups with diabetes in India. Six nationwide continuing medical education sessions, each led by an expert healthcare professional (HCP) and attended by regional HCPs, focused on various aspects of 'Democracy in Diabetes Care'. Discussions from all the sessions were compiled to prepare this expert opinion. The recommendations provided tailored approaches for managing type 2 diabetes mellitus (T2DM) across different patient scenarios. Economic strategies emphasized affordability and adherence, advocating for metformin as a cost-effective first-line option and rationalizing dual (metformin + glipizide) and triple (glimepiride + metformin + pioglitazone) therapy choices based on glycemic control needs. Metformin was also endorsed for prediabetes to delay T2DM onset. The discussion on the availability and affordability of drugs will improve the knowledge of the HCPs, improving the care of lower-income diabetic patients through comprehensive management
Association of Serum Glutathione with Bone Mineral Density in Females with Osteopenia and Osteoporosis
Full text linkNot Availabl
Screening of Chronic Kidney Diseases in Patients Hospitalized for Surgery at the National Hospital of Zinder in Niger
Full text linkNot Availabl
Frequency of Underweight and its Risk Factors in Children Aged 6 to 59 Months
Full text linkNot Availabl
Dyke Davidoff Masson Syndrome with Hypothyroidism Complicated with Respiratory and Urinary Tract Infections: A Case Report
Full text linkThe Dyke-Davidoff-Masson Syndrome (DDMS) is a rare neurological disorder characterised by unilateral cerebral atrophy. Clinical features may include seizures, hemi paresis, facial asymmetry, and intellectual disability. The causative factors include an insult to the brain in utero or early infancy, e.g., CNS infections, hypoxic-ischemic encephalopathy, intracranial haemorrhage, trauma, inherited vascular malformations, but in some cases, no risk factors are found. Here, we present the case of a known epileptic patient with a history of stroke who presented with fever, abdominal pain with distention, and facial swelling. The diagnosis was established after clinical history, examination, and MRI findings