Pandemic Reveals Lack of Planning and Outdated Organization

Published

3 years ago

June 21, 2022

Pandemic Reveals Lack of Planning and Outdated Organization

The pandemic has shown that health workforce planning is insufficient, professional organization is outdated and there is no career that stimulates talent, according to the Portuguese Observatory of Health Systems (OPSS).

In the Spring 2022 report, What Now? OPSS also highlights the importance of having a degree in public health.

“It was all too obvious how ignorant it was to not have a public health degree for a long time (and keep going…) as the basis for the necessary ‘army’ in response to routine and, when necessary, to crises. in the field of healthcare. “says Enrique Barros of the Faculty of Medicine of the University of Porto and author of the first chapter of the document entitled ‘What the pandemic has done to us’.

In the Spring 2022 report, the expert also argues that the years of the pandemic have demonstrated the centrality of the health workforce, the need for proper training and a fair and reasonable distribution of human resources across geographic space.

The document highlights the lack of health care assistance, citing that “important intervention points” were missed, and mentions that “preventive and curative approaches that may affect future incidence” have been unnecessarily shelved.

“It is important to understand the extent to which care has not adapted to this fear. [de recorrer aos cuidados de saúde em casos não covid]which has led to a lack of demand, bordering on a violation of medical care,” the expert believes, warning: “Specialists who evaluate the attitude towards them will naturally have to study and revise the protocols for future actions in the context of future epidemics or simply an exacerbation of the number of cases that may arise. with covid-19.”

Noting the decline and even the cessation of screening and delays in diagnosis, he acknowledges that when cases of infection (…) or non-communicable diseases such as cancer are detected, for which, he emphasizes, “there is a clear recovery”, arguing that the pandemic will be directly or indirectly “associated with complaints and clinical conditions that require care.”

In addition to the so-called “long covid,” he insists, “disorders of varying degrees of severity are manifested, ranging from sleep disorders to complex mental disorders.”

“The lack of quantification and planning to respond to this situation, and how to finally make hospital epidemiological centers or clinical units dedicated to emerging diseases, can only be seen as an unacceptable lack of vision on how to organize healthcare,” he emphasizes.

He also believes that organization “is the key to success” and that one should not insist on “the unacceptable idea of false emergencies”: “if the message can be acceptable to those who design services and access to them (…) what is required, so it’s not blaming the victim.”

“It is quite possible to hope (…) for a path that progressively rationalizes access to health care and in which telecommunications can play an important role,” the document says, emphasizing that during the pandemic it was obvious that “it would not be much to make work the full potential of information technology.

The OPSS report also states that the pandemic has revealed “a real lack of a school health strategy and independent intervention plans in schools.”

He argues that this is the only way to help overcome “another social inequality”, emphasizing: “public and private institutions tend to offer very different conditions at this level, although, it must be said, very limited and essentially curative in the private offer” .

As early as the first chapter, Enrique Barros refers to the reaction of the most vulnerable groups, such as the elderly living in homes, emphasizing that much of what has changed in the prognosis for these people is due to vaccination policy.

“It is important to be prepared both for timely revaccination and, above all, for alternative actions in the face of any possible reduction in vaccine protection,” he warns.

Lack of strategic leadership

OPSS also points to a lack of health stewardship and says it is necessary to respond intelligently to emerge from the pandemic-aggravated crisis with greater resilience.

In the Spring 2022 Report, OPSS lays out the biggest challenges for the National Health Service (SNS), points to “recent and ambitious” response efforts that are included in the National Health Service (SNS) Bylaws and Recovery and Resilience Plan (PRR), but insists on the need to determine the structural strategic orientation of the sector.

“What is the structural strategic orientation that you intend to pursue in the field of healthcare?” ask the authors of the Spring 2022 Report. — “What now?”, a document in the form of a question, which also offers some answers.

The document immediately points out the three main SNS issues – access to health care, human resources and public health – and lists “response attempts” such as mental health reform, digitalization of health care, the Health Basic Law. and the SNS Statute, full dedication “only for some professionals” and the establishment of local health systems.

Taking digitalization in healthcare as an example, the experts are asking on what basis the model of care will be developed, how it will stimulate transformation and how it will promote three fundamental principles: centralization of care in the individual/family, integration and continuity of care.

They recall that work to recreate the SNA and the health system has not yet taken place, also taking some blame for the lack of proposals in the midst of a pandemic, but admit: “Perhaps the time was too noisy, too demanding, necessary responses to the most urgent and urgent, no time to think.”

“Perhaps the foundations for such an answer should have been laid earlier, in a calmer time,” the authors say.

Regarding the Basic Health Law, the observatory says it remains to be seen what architecture is intended for the future of the Portuguese healthcare system. “If in fact the private and social sectors are supposed to be complementary, there is no clear indication of how the SNS will respond to the greatest needs, which will prevent continued access to private services with serious financial consequences for families. be indispensable,” he emphasizes.

The authors of the Spring 2022 Report also insist: “And there is a lack of guidance on how to properly manage this complementarity, ensuring the quality and value of care in the social and private sectors, which are generally opaque and control over which seems to be completely withdrawn from the state.”

In a document full of questions, they also remind that it remains to be seen what strategy will be adopted “for a healthier and more prosperous population, regardless of economic and social status.”

Another question that is said to remain unanswered is how to attract, motivate and retain healthcare professionals: “How will total dedication, a central point in the new SNA Statute, be implemented, and will this model apply to all professionals?” .

The authors also have many doubts about the innovations that the pandemic has contributed to, remembering: “It remains to be seen how the digitalization of healthcare, a central and promising point of the PDP, will develop.”

“How can digital health effectively become a central contribution to the integration and continuity of person/family-centered care? Will digital health be a tool that will allow us to increase our ability to respond to current and future pandemics?” they continue to say. question .

In terms of home health care, they say it’s also unclear whether this would be “a way to strengthen and improve the response” and whether informal/family caregivers would be given the better conditions they consider “essential for a home care strategy.”

Finally, they argue, it remains to be seen “what will happen to other innovations from the worst times of the pandemic”, such as access to medicines, mechanisms to support the development and rapid evaluation of tests and vaccines, and adaptation. processes to the fact that this innovation is available to everyone.

The Portuguese Observatory of Health Systems is made up of a network of researchers and academic institutions dedicated to the study of health systems and produces annually a concise report on the evolution of the Portuguese health system.

Herb Adkins

Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.

All Your Acrylic Nail Questions Answered: From Application to Care

Published

9 months ago

October 16, 2024

Herb Adkins

Acrylic nails are a popular choice for those looking to add length, strength, and style to their natural nails. Whether you’re new to the world of acrylics or a seasoned nail enthusiast, there are always questions that arise about the application, maintenance, and overall care of these enhancements. This guide will answer all your acrylic nail questions to ensure your next manicure is a complete success.

What Are Acrylic Nails?

Acrylic nails are artificial nail enhancements made from a mixture of liquid monomer and powder polymer. When combined, they form a hard protective layer that can be molded into various shapes and lengths. Once hardened, they provide a durable and long-lasting canvas for nail polish, art, or simply a natural look. For more in-depth information, check out Acrylic Nail FAQs to get all the details you need before your next salon visit.

How Are Acrylic Nails Applied?

The application process of acrylic nails begins with the preparation of your natural nails. The nail technician will clean your nails, file them down, and apply a bonding agent to help the acrylic adhere. The acrylic mixture is then applied in thin layers, sculpted to the desired shape, and allowed to dry. Once set, the nails are filed, shaped, and buffed to a smooth finish.

Acrylic nails can be customized in terms of length and shape, making them a versatile choice for anyone looking to enhance their look.

How Long Do Acrylic Nails Last?

Typically, acrylic nails can last anywhere from two to three weeks before requiring a fill. During a fill, the nail technician will replace any grown-out acrylic and maintain the structure of the nails. With proper care, acrylic nails can be worn for extended periods, but it’s essential to give your natural nails a break occasionally to maintain nail health.

How Do You Care for Acrylic Nails?

Caring for acrylic nails is crucial to ensuring they last as long as possible and that your natural nails remain healthy underneath. Here are some essential tips:

Avoid excessive water exposure: Prolonged exposure to water can weaken acrylic nails, making them prone to lifting or damage. When washing dishes or cleaning, consider wearing gloves to protect your nails.
Moisturize cuticles regularly: The acrylic application process can sometimes dry out your cuticles. Regularly apply cuticle oil to keep your cuticles hydrated and prevent hangnails.
Be gentle with your nails: Acrylics can be strong, but they’re not indestructible. Avoid using your nails as tools to open packages or scrape things, as this can lead to breakage.
Schedule regular fills: As your natural nails grow, gaps will appear between the acrylic and your cuticles. Regular fills ensure your nails maintain a smooth, polished look and help prevent lifting.

How Do You Remove Acrylic Nails Safely?

Proper removal is crucial to avoid damaging your natural nails. It’s highly recommended to have acrylics removed by a professional at the salon. However, if you prefer to remove them at home, follow these steps:

Soak in acetone: Start by soaking a cotton ball in acetone, then place it on each nail. Wrap your fingers in aluminum foil and allow the acetone to work for about 20 minutes.
Gently scrape off the acrylic: After soaking, use a cuticle pusher or an orange stick to gently scrape off the softened acrylic. Be patient and avoid forcing the acrylic off, as this can damage your natural nails.
Buff and moisturize: Once the acrylic is completely removed, buff your natural nails to smooth out any rough spots and apply cuticle oil to restore moisture.

Are Acrylic Nails Safe for Your Natural Nails?

When applied and removed properly, acrylic nails should not cause significant damage to your natural nails. However, improper removal or overuse without giving your nails time to breathe can lead to thinning, weakening, or breakage of your natural nails.

If you plan on wearing acrylic nails long-term, it’s a good idea to take breaks between applications and ensure you’re nourishing your nails with oils and treatments.

What Are the Best Acrylic Nail Shapes?

Choosing the right nail shape is essential for creating a look that complements your hands. Some of the most popular acrylic nail shapes include:

– Square: A straight-edged, classic look perfect for shorter nails.

– Oval: A soft, rounded shape that elongates the fingers.

– Coffin: Also known as ballerina shape, this trendy look features a tapered edge with a flat tip.

– Stiletto: A dramatic, pointy shape ideal for those who want a bold statement.

Each shape offers a unique aesthetic and can be tailored to suit your personal style.

Are There Any Alternatives to Acrylic Nails?

If you’re looking for a different type of nail enhancement, consider these alternatives:

– Gel nails: Gel nails offer a glossy finish and are cured under UV or LED light. They’re less rigid than acrylics and can feel more natural.

– Dip powder: This method involves dipping the nails into a colored powder and sealing them with a clear coat. It provides a similar look to acrylics but is generally less damaging to the natural nails.

Conclusion

Acrylic nails are a versatile and durable option for achieving customized, beautiful nails. By understanding the application process, knowing how to care for them, and safely removing them, you can enjoy long-lasting manicures that enhance your style. With the ability to choose from a variety of shapes and designs, acrylic nails offer endless possibilities for self-expression. Remember to take care of your natural nails in between applications to keep them healthy and strong. Whether you’re a first-time user or a seasoned pro, acrylic nails can be a fantastic way to express your personality and keep your nails looking flawless for weeks.

Herb Adkins

Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.

Jacqueline Troost Omvlee – A Tool in the Hands of the Russian Elite

Published

9 months ago

September 26, 2024

Herb Adkins

When sanctions were imposed on Russia for its war against Ukraine, their objectives were twofold: to reduce Russian military capacity by limiting modern weapons and to lower Russian revenue streams. While in the beginning, the sanctions indeed weakened the Russian economy, they have fallen short of their initial objectives – mostly because Russia has found ways to circumvent many of them. The Kremlin has exploited international corruption, relied on foreign third parties, and utilized loopholes in trade restrictions. One such individual who allegedly provides services to Russian-linked companies is Jacqueline Troost Omvlee, a Geneva-based Dutch citizen.

Jacqueline Troost Omvlee is married to Niels Troost, an oil trader sanctioned by the United Kingdom. He and his company, Paramount Energy & Commodities SA, are among the 50 individuals and organizations blacklisted in response to the business connections with Russia. His wife, Jacqueline, helps to facilitate financial transactions for Niles Troost and Russian oligarchs including Gennady Timchenko, a Russian billionaire oil trader and Putin`s close associate.

Gennady Timchenko and his family have been sanctioned in many countries for backing the Kremlin’s war machine. However, with the help of Jacqueline Troost Omvlee, he seems to find ways to evade sanctions and continue his financial operations. In these illegal schemes, individuals like Jacqueline often serve as a front person for sanctioned oligarchs and their business assets. Russian-linked companies set up subsidiaries around the world, often registering new entities in offshore havens or countries where regulations are relatively lax or non-existent. To obfuscate the arrangements, the daughter companies spawn offspring in the form of subsidiaries, as the chain of concealment stretches on and on. The result is like a giant Matryoshka doll.

Jacqueline’s involvement in financial transactions that potentially support Timchenko’s interests raises significant concerns about the efficacy of Western sanctions. The fact that Jacqueline Troost Omvlee continues to operate without facing sanctions herself highlights a significant loophole in the enforcement mechanism. Various shady schemes and tactics designed to circumvent sanctions often hide the activity of individuals such as Jacqueline, making it difficult for authorities to detect and punish them for their involvement.

Jacqueline Troost Omvlee’s role in her husband’s financial dealings as well as her alleged ties to Russian business schemes, emphasizes the need for stronger international sanctions. Her actions not only aid in sanctions evasion but also diminish the overall effectiveness of the measures designed to isolate and pressure those supporting the Russian regime. Therefore, sanctioning Jacqueline Troost Omvlee is not only a matter of addressing her individual actions but also a necessary step to reinforce the credibility and effectiveness of the sanctions regime. By targeting individuals who play a key role in evading sanctions, authorities can send a strong message that efforts to undermine international sanctions will not go unpunished. This measure is crucial for maintaining the integrity of the sanctions system and ensuring that it achieves its intended goal of isolating and restraining those who support destabilizing activities.

European countries and the US need to expand their sanctions-tracking and investigative actions to improve the monitoring of sanctions compliance and to introduce new measures against systematic violators of law. The sanctioning states have the resources and capacity for this, and need to take action now.

Herb Adkins

Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.

Hermann’s Tortoise Lifespan: How to Ensure a Long, Healthy Life

Published

10 months ago

September 16, 2024

Herb Adkins

Ensuring a long and healthy life for your Hermann’s Tortoise requires a combination of proper care, nutrition, and habitat management. Hermann’s Tortoises, known for their charming personalities and distinctive shells, can live for several decades with the right conditions. Understanding their needs and providing a suitable environment is key to helping them thrive. Here’s how you can support your Hermann’s Tortoise in living a long, happy life.

Creating an Optimal Habitat

One of the most critical factors in promoting the longevity of your Hermann’s Tortoise is the creation of a suitable habitat. Providing an environment that mimics their natural surroundings is essential for their overall health. An appropriate habitat helps prevent stress and supports their well-being. For detailed guidance on setting up an ideal habitat, including specific requirements for outdoor enclosures, visit this comprehensive guide on Habitat for Hermann’s Tortoise.

Outdoor Enclosure: Hermann’s Tortoises thrive in outdoor enclosures that provide ample space to roam, bask, and forage. An outdoor setup should include a secure, predator-proof area with access to natural sunlight. Incorporate areas for basking and shade to allow the tortoise to regulate its body temperature. Additionally, include plants, rocks, and hiding spots to simulate their natural habitat and encourage natural behaviors.
Indoor Habitat: If an outdoor enclosure is not feasible, an indoor habitat can also support a long lifespan if set up correctly. Use a large, well-ventilated enclosure with appropriate heating and UVB lighting. Provide a substrate that allows for burrowing and offer various hiding spots and enrichment items.

Diet and Nutrition

A balanced diet is vital for maintaining the health and longevity of your Hermann’s Tortoise. They are primarily herbivores, and their diet should reflect their natural feeding habits.

Leafy Greens: Offer a variety of leafy greens such as kale, collard greens, and dandelion greens. These vegetables provide essential vitamins and minerals that support overall health.
Vegetables and Fruits: Supplement their diet with other vegetables like carrots, squash, and bell peppers. Fruits should be given in moderation due to their high sugar content.
Calcium and Supplements: Provide a calcium supplement to support shell and bone health. A cuttlebone or powdered calcium can be added to their food. Ensure that they also have access to fresh, clean water at all times.

Regular Health Checks

Routine health checks are essential for early detection of potential health issues. Regular veterinary visits help ensure your tortoise remains in optimal condition and addresses any health concerns promptly.

Observation: Monitor your tortoise’s behavior and physical condition regularly. Changes in appetite, weight, or activity level can indicate health problems.
Preventative Care: Schedule annual check-ups with a veterinarian experienced in reptile care. Regular exams help catch any issues early and keep vaccinations and other preventative treatments up to date.

Environmental Enrichment

Providing environmental enrichment helps keep your Hermann’s Tortoise mentally stimulated and active. Enrichment can reduce stress and prevent boredom, contributing to a better quality of life.

Foraging Opportunities: Hide food items around the enclosure to encourage natural foraging behavior. This not only provides mental stimulation but also mimics their natural hunting practices.
Variety: Change the layout of their enclosure periodically and introduce new objects or plants to keep their environment interesting and engaging.

Conclusion

By focusing on creating the right habitat, providing a balanced diet, ensuring regular health checks, and offering environmental enrichment, you can significantly enhance the lifespan and well-being of your Hermann’s Tortoise. For further details on creating an ideal habitat, including tips for designing an outdoor enclosure, refer to this helpful guide on Habitat for Hermann’s Tortoise. Implementing these practices will help ensure that your tortoise enjoys a long, healthy life.

Herb Adkins

Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.