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Miscommunication in the healthcare sector can be life-threatening. The rising number of migrant patients and foreign-trained staff means that communication errors between a healthcare practitioner and patient when one or both are speaking a second language are increasingly likely. However, there is limited research that addresses this issue systematically. This protocol outlines a hospital-based study examining interactions between healthcare practitioners and their patients who either share or do not share a first language. Of particular interest are the nature and efficacy of communication in language-discordant conversations, and the degree to which risk is communicated. Our aim is to understand language barriers and miscommunication that may occur in healthcare settings between patients and healthcare practitioners, especially where at least one of the speakers is using a second (weaker) language.

from Australia http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566365/

eurodisney 037Rome, June 27 (Reuters) – Eight out of ten foreign prisoners do not know, basically, their rights to health in prison. But the Italians have some difficulty, considering that the entire prison population has information on the reform of prison health only in 60% of cases. While less than a third of the operators of the prison knows the content of the news on the subject of health care in prison. Are some findings, presented this morning in Rome, the project ‘Health without barriers’, made by the National Institute for Health and Migration Poverty and the Ministry of Health on a proposal from the Ministry of Interior. Own initiative created to promote awareness among foreign prisoners of the right to protection of health and the knowledge of the functioning of health services in prison.

The project – started May 30, 2012 and closing June 29 – involved 12 Italian prisons in North, Central and South and also involved health professionals and social health, the prison officers and the leadership with different types of intervention: from information seminars for courses distance learning to a search. “The project – told Adnkronos Salute Gianfranco Costanzo NIHMP, project coordinator – has allowed us to check the status of implementation of health care reform the prisons and give information to the prisoners, training of health workers and involve the directors of prisons and the commanders of the prison. E ‘was also possible to carry out a research on the perception of the reform on the part of the various components of prison life. ”

The results showed “a low perception of their rights on the part of foreign prisoners,” says Costanzo. “I emerged the need to better coordinate the health care world that is in charge of the health of prisoners (and which today is in ASL, in the implementation of the reform which transferred responsibility from the Dap NHS) with the needs that are specific to the system detention, and therefore the security of society and people. serves to match together with the safety requirement of the protection of health, a goal to which we are not yet arrived. “

maputo

The burden of stroke is increasing in developing countries that struggle to manage it efficiently. A gorup od Portuguese doctors  identified determinants of early case-fatality among stroke patients in Maputo, Mozambique, to assess the impact of in-hospital complications. Paper published on Int J of Stroke official journal of the WSO. On the same issue a paper on low cost lysis perspective with streptokinase.

air pollution from mumbai to nairobi, a study confirms that air pollution peaks may contribute to increase the risk of hospitalization for stroke and particulate matter seems to be a significant risk factor, especially for lacunar stroke

strokefocus

 

 

 

 

 

 

 

Seems more and more evident that  levels of air pollution considered safe by health care authorities such as WHO can contribute to higher rates of cognitive decline, stroke, and heart attack, according to many paper recently published.

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Gharib Fawi Mohamed1, Taher Abd El-Raheem1, Nayel Abd El-Hamed Zaky2, Mohammed Abdal Abbas1, Islam Gad Elrap Ahmed1,

1Department of neuropsychiatry, Sohag University, Sohag, Egypt 2Department of internal medicine, Sohag University, Sohag, Egypt

Abstract
Background: peripheral Neuropathy (PN) is a well-known complication of chronic renal failure (CRF). The frequency of PN in patients with CRF has declined owing to improvement in the modalities and techniques of dialysis and uremic neuropathy can be considered as an indicator of inadequate treatment by dialysis Aim of the work: is to quantitively determine the electrophysiological changes in both peripheral and central nervous system in CRF and to determine the differences between CRF patients on dialysis and
those who don’t start dialysis yet regarding neuropathy and cognitive impairment.
Materials and Methodology: we studied two groups of patients from the dialysis unit in Sohag faculty medicine, in addition to a control group. Group I is patients with CRF, who recently diagnosed and where the decision of dialysis was taken (10 pts). Group II is on dialysis for more than one year (10 pts). All
patients were subjected to full clinical assessment relevant to the peripheral neuropathy, laboratory evaluation, abdominal ultrasonography, nerve conduction studies, electromyography, mini-mental state examination and P30
Result
Neuropathy is found in 75% of patients. NCS show that both motor and sensory fibers were affected and both axonal degeneration and demyelination were present. Neurophysiological abnormalities and cognitive impairment in group Ι were more than at group II
Conclusion
This study clearly demonstrated that neuropathy is very common in CRF patients and neurophysiological abnormalities in group Ι were more common than in group ΙΙ. This show the importance of hemodialysis in reduction of uremic neuropathy and its sensory symptoms

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