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1.
Gesundheitswesen ; 79(11): 906-909, 2017 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-29172218

RESUMO

Demographic and social transformation occur due to changes in the structure of the population and employment especially of women, increasing cultural diversity, unequal educational opportunities for children and adolescents, and regional variation in the provision of services. Meeting the challenges requires flexible, responsive and integrated social and health care systems that allow participation of individuals and groups concerned and recognition of their views and perspectives. Health monitoring and knowledge management is adjusted to the needs of the population and transfers high quality, evidence-based knowledge into all policy areas (health in all policies strategy).


Assuntos
Demografia/estatística & dados numéricos , Demografia/tendências , Programas Nacionais de Saúde/estatística & dados numéricos , Programas Nacionais de Saúde/tendências , Saúde Pública/estatística & dados numéricos , Saúde Pública/tendências , Fatores Sociológicos , Berlim , Previsões , Alemanha , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos
2.
Gesundheitswesen ; 79(11): 929-931, 2017 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-29172221

RESUMO

The need for a qualified public health workforce can only be met by appropriate provision of a wide spectrum of basic, advanced and continuing education and training programs on public health that meet international standards. At the same time, efforts must be made to offer young academics attractive career opportunities. Training in public health competences must also be provided for allied professionals in health care and for professions with influence on the determinants of health such as urban planning or agricultural science. This report from a working group meeting at the 'Public Health Zukunftsforum 2016' in Berlin presents ideas for the further development of training in public health in Germany.


Assuntos
Programas Nacionais de Saúde/tendências , Saúde Pública/educação , Tecnologia Biomédica/tendências , Redes de Comunicação de Computadores/tendências , Computadores/tendências , Previsões , Alemanha , Humanos , Comunicação Interdisciplinar , Internacionalidade , Colaboração Intersetorial , Medicina de Precisão/tendências , Saúde Pública/tendências
3.
J Dtsch Dermatol Ges ; 14(11): 1155-1167, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27879074

RESUMO

The goals of this German guideline are the improvement of diagnosis and therapy of scabies, the implementation of a coordinated action in outbreaks of scabies, and the control of this infestation in large migration or refugee flows.Sarcoptes scabiei var. hominis is transmitted by direct skin-to-skin contact of sufficient duration. The infectivity of female mites when removed from patients does not exceed 48 hours at room temperature (21°C) and relative humidity of 40-80%. The risk of infection rises proportionally to the number of mites on the skin and is particularly high in crusted scabies. As elderly persons tend to develop crusted scabies due to disease- or medication-related immunosuppression, there is an increased risk for outbreaks of scabies at nursing homes and extended-care facilities. The guideline contains detailed recommendations for management of such outbreaks. In refugees the prevalence of scabies is higher than in the general population in Germany, but the risk for outbreaks is not high. Scabies infestation should be considered when a recent onset of itching is associated with eczema and presence of burrows or comma-like papules at predilection sites. It is confirmed by dermatoscopic detection of mites or by microscopic identification of mites, mite eggs or fecal matter (scybala) from skin scrapings.The treatment of choice for common scabies is topical permethrin 5% cream applied for 8-12 hours. Permethrin can be considered for off-label use also in infants of less than 3 months of age and pregnant women. For this group crotamiton is another option, which, besides benzyl benzoate, presents a good second line therapy for the other indications. Indications for oral ivermectin, which has just been licensed in Germany, include patients with immunosuppression, severe dermatitis, and low adherence.Crusted scabies is preferentially treated by a combination of topical permethrin and oral ivermectin. Affected patients should be isolated, and all contact persons should be treated. The guideline contains lists for additional measures, including possible treatment of contact persons, clothes, linen and other possibly infested articles.


Assuntos
Inseticidas/administração & dosagem , Guias de Prática Clínica como Assunto , Prurido/diagnóstico , Prurido/prevenção & controle , Escabiose/diagnóstico , Escabiose/terapia , Administração Oral , Administração Tópica , Dermoscopia/normas , Diagnóstico Diferencial , Esquema de Medicação , Alemanha , Humanos , Ivermectina/administração & dosagem , Permetrina/administração & dosagem , Prurido/parasitologia , Escabiose/parasitologia , Pele/parasitologia , Pele/patologia , Toluidinas/administração & dosagem , Resultado do Tratamento
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