Congenital heart disease (CHD) is now estimated to be the second most prevalent chronic illness may have effects that pervasive consequence for family life. Recently, focused on resiliency variables, especially support and coping strategy, regulating the impact of stress. In the resiliency model of family stress, adjustment and adaptation, social support is viewed as one of the primary mediators between stress and well-being.
There are six important vital structures in the neck providing aerodigestive, nervous, endocrine, and circulatory functions and they are minimally protected by the skeletal system unlike other areas of the body. This lack of protection in the neck not only contributes to physician angst during treatment, but also to the high mortality and complication rate when injury occurs. Airway compromise and exsanguination are both very high priorities and the time required to deal with one can be to the detriment of the other. Rapidly controlling hemorrhage provides the time required to establish a definitive airway without further blood loss of an already depleted intravascular volume.
Delays in establishing definitive control of the airway can make the task of subsequent airway control difficult or impossible because of hematoma formation or injury/resuscitation induced edema leading to subsequent catastrophic airway obstruction. The Western Trauma Association (WTA) Critical Decisions in Trauma recommends direct manual pressure (DMP) be used as a first line response to penetrating neck injury. However, this approach has been associated with a low efficacy rate due to re-bleeding and exsanguination prior to reaching definitive operative care.
Intestinal evacuation is a complex sequence of events resulting from the integration of the autonomic and somatic nervous systems and culminating in the elimination of fecal matter contained in the descending colon and rectum. In turn, intestinal habitus is a personal characteristic varying considerably among individuals due to factors such as quality and quantity of ingested food and drink, convenience and a satisfied feeling of well-being, with no discomfort and without the sensation that evacuation was not sufficient.
One of the most common causes of death worldwide is sudden cardiac arrest. Including Europe, United States and Canada, each year 350,000-700,000 people are affected. In US, approximately 350,000 people annually experience an out-of-hospital cardiac arrest, with mortality 92% and according to American Heart Association, 88% of them occur at home. It is well known that expeditious application of cardiopulmonary resuscitation is of major importance. Every time-delay after that has been accused for survival rates fall, with decrease 8-10% for every minute to pass. As a matter of fact, these situations strongly create the need for trained layman rescuers and a coordinated community response.
School must contribute to the health and well-being of its students. In recent decades, a lot of research has been devoted to this question, identifying the programs that are based on a holistic dimension as the most effective ones. One of the most proven strategies to promote health and well-being of young people is education and the promotion of Health Education in school context. In this regard it should be noted that the promotion of Health Education integrates several areas, namely Nutrition, Physical activity, Sexuality, STIs, HIV, Substance use, Violence at school, and mental health, from which Sexuality, STIs and HIV have been prioritized. In addition, the Ministry of Education established measures and specific guidelines regarding both the promotion of Health Education and Sexuality Education in a school context.
These include the inclusion of Health Education in the School’s Educational Project,the appointment of a coordinating teacher,the existence of mechanisms of evaluation,a minimum of six hours a year of Sexuality Education in the elementary school (first six years of school) and a minimum of twelve hours a year in the other school levels.Sexuality Education should be provided in a non-disciplinary curriculum area as well as cross-sectionally in all the school subjects contemplating Sexuality Education topics.In addition schools should create an office (the Health Office) to provide support to students, at an individual level, thus guaranteeing that their individual needs such as the clarification of doubts and the referral to structures such as the local Health Centre are made whenever necessary; and compete for budget allocation to the promotion of Health Education.
Globally, twelve percent of all deaths among adults aged 30 years and over are attributable to tobacco use. The harm from smokeless tobacco use, both at the level of individuals and society at large has posed a complex and widespread challenge to public health which has so far received limited attention from researchers and policy makers.
Nepal is considered as one of the climate change reclined country in the world. Its geophysical and socioeconomic conditions have encoded exposure of the country to drought, earthquake, epidemic, fire, flood, forest fire, landslide and other climate related events that affects human and animal health, injuries and quality of life.However, the relationship between climate change and health of Nepal allowed discussing about the main routes of potential impact and certain health problems in Nepal.
Climate change is one of the biggest global health challenges of the 21st century and a growing public health threat. Human beings are exposed to climate change directly through changing weather patterns (more intense and frequent extreme events) and indirectly through changes in quality of water, air, food quality and quantity, ecosystems, agriculture, livelihoods and infrastructure. However, the effects of climate change differs on the basis of health vulnerability assessments that focus on understanding population sensitivity to the effects of specific exposures, measuring the ability to respond to and recover from these effects of climate.