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  1. Article: A study is 21 times more likely to find unfavourable results about the nutrition label Nutri-Score if the authors declare a conflict of interest or the study is funded by the food industry.

    Besancon, Stephane / Beran, David / Batal, Malek

    BMJ global health

    2023  Volume 8, Issue 5

    MeSH term(s) Humans ; Conflict of Interest ; Food Labeling/methods ; Food Industry
    Language English
    Publishing date 2023-05-18
    Publishing country England
    Document type Journal Article
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2023-011720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prequalification of insulin: what is missing?

    Beran, David / Giachino, Marina / Perrin, Christophe / Macé, Cécile

    The lancet. Diabetes & endocrinology

    2022  Volume 10, Issue 12, Page(s) 842–843

    MeSH term(s) Humans ; Insulin/therapeutic use ; World Health Organization
    Chemical Substances Insulin
    Language English
    Publishing date 2022-11-04
    Publishing country England
    Document type Letter
    ISSN 2213-8595
    ISSN (online) 2213-8595
    DOI 10.1016/S2213-8587(22)00316-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The insulin market reaches 100.

    Beran, David / Gale, Edwin A M / Yudkin, John S

    Diabetologia

    2022  Volume 65, Issue 6, Page(s) 931–935

    MeSH term(s) Health Services Accessibility ; Insulin/therapeutic use
    Chemical Substances Insulin
    Language English
    Publishing date 2022-03-11
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1694-9
    ISSN 1432-0428 ; 0012-186X
    ISSN (online) 1432-0428
    ISSN 0012-186X
    DOI 10.1007/s00125-022-05680-y
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 279: Show issues Location:
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  4. Article ; Online: Clinical letter: Brand substitution with generics - A potential mine field.

    Manser, David / Beran, Roy G

    Seizure

    2020  Volume 83, Page(s) 232–233

    MeSH term(s) Drug Substitution ; Drugs, Generic ; Humans
    Chemical Substances Drugs, Generic
    Language English
    Publishing date 2020-10-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1137610-7
    ISSN 1532-2688 ; 1059-1311
    ISSN (online) 1532-2688
    ISSN 1059-1311
    DOI 10.1016/j.seizure.2020.10.011
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    Zs.A 3573: Show issues Location:
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  5. Article ; Online: Strategies to address non-communicable diseases in the Commonwealth of Independent States countries: a scoping review.

    Muratalieva, Elvira / Nendaz, Mathieu / Beran, David

    Primary health care research & development

    2022  Volume 23, Page(s) e73

    Abstract: Aim: The aim of this study is to review the literature in Commonwealth of Independent States (CIS) countries with regard to their response to non-communicable diseases (NCDs) and the implementation of the World Health Organization (WHO) Package of ... ...

    Abstract Aim: The aim of this study is to review the literature in Commonwealth of Independent States (CIS) countries with regard to their response to non-communicable diseases (NCDs) and the implementation of the World Health Organization (WHO) Package of Essential Non-communicable (PEN) disease interventions for primary health care.
    Background: NCDs are estimated to account from 62% to 92% of total deaths in CIS countries. Current management of NCDs in CIS countries is focused on specialists and hospital care versus primary health care (PHC) as recommended by the WHO.
    Methods: This paper uses a scoping review of published and grey literature focusing on diabetes and hypertension in CIS countries. These two conditions are chosen as they represent a large burden in CIS countries and are included in the responses proposed by the WHO PEN.
    Findings: A total of 96 documents were identified and analysed with the results presented using the WHO Health System Building Blocks. Most of the publications identified focused on the service delivery (41) and human resources (20) components, while few addressed information and research (17), and only one publication was related to medical products. As for their disease of focus, most studies focused on hypertension (14) and much less on diabetes (3). The most studies came from Russia (18), followed by Ukraine (21) and then Kazakhstan (12). Only two countries Moldova and Kyrgyzstan have piloted the WHO PEN. Overall, the studies identified highlight the importance of the PHC system to better control and manage NCDs in CIS countries. However, these present only strategies versus concrete interventions. One of the main challenges is that NCD care at PHC in CIS countries continues to be predominantly provided by specialists in addition to focusing on treatment versus preventative services.
    MeSH term(s) Humans ; Noncommunicable Diseases/therapy ; Primary Health Care ; Commonwealth of Independent States ; Diabetes Mellitus/therapy ; Hypertension/therapy
    Language English
    Publishing date 2022-11-15
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2027892-5
    ISSN 1477-1128 ; 1477-1128
    ISSN (online) 1477-1128
    ISSN 1477-1128
    DOI 10.1017/S1463423622000639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The impact of health systems on diabetes care in low and lower middle income countries.

    Beran, David

    Current diabetes reports

    2015  Volume 15, Issue 4, Page(s) 20

    Abstract: This review will highlight the current challenges and barriers to diabetes management in low and lower middle income countries using the World Health Organization's 6 Building Blocks for Health Systems (service delivery; healthcare workforce; information; ...

    Abstract This review will highlight the current challenges and barriers to diabetes management in low and lower middle income countries using the World Health Organization's 6 Building Blocks for Health Systems (service delivery; healthcare workforce; information; medical products, vaccines and technologies; financing; and leadership and governance). Low and lower middle income countries are characterized by low levels of income and insufficient health expenditure. These countries face a shift in disease burden from communicable to non-communicable diseases including diabetes. Many argue that health systems in these countries do not have the capacity to meet the needs of people with chronic conditions such as diabetes. A variety of barriers exist in terms of organization of health systems and care, human resources, sufficient information for decision-making, availability and affordability of medicines, policies, and alleviating the financial burden of care. These health system barriers need to be addressed, taking into account the need to have diabetes included in the global development agenda and also tailoring the response to local contexts including the needs of people with diabetes.
    MeSH term(s) Cost of Illness ; Delivery of Health Care/economics ; Developing Countries/economics ; Diabetes Mellitus/economics ; Diabetes Mellitus/therapy ; Humans ; Income
    Language English
    Publishing date 2015-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2065167-3
    ISSN 1539-0829 ; 1534-4827
    ISSN (online) 1539-0829
    ISSN 1534-4827
    DOI 10.1007/s11892-015-0591-8
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5628: Show issues Location:
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  7. Article ; Online: Insulin products and patents in the USA in 2004, 2014, and 2020: a cross-sectional study.

    Van de Wiele, Victor L / Kesselheim, Aaron S / Beran, David / Darrow, Jonathan J

    The lancet. Diabetes & endocrinology

    2023  Volume 11, Issue 2, Page(s) 73–75

    MeSH term(s) Humans ; Cross-Sectional Studies ; Insulin/therapeutic use
    Chemical Substances Insulin
    Language English
    Publishing date 2023-01-23
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ISSN 2213-8595
    ISSN (online) 2213-8595
    DOI 10.1016/S2213-8587(22)00354-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: ¿Cómo la investigación influencia las políticas en salud?

    Miranda, J Jaime / Beran, David / Diez-Canseco, Francisco / Buse, Kent / Mendoza, Walter / Peiris, David

    Gaceta sanitaria

    2022  Volume 36, Issue 3, Page(s) 201–203

    Title translation How does research influence health policies?
    MeSH term(s) Health Policy ; Humans
    Language Spanish
    Publishing date 2022-01-05
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1038713-4
    ISSN 1578-1283 ; 0213-9111
    ISSN (online) 1578-1283
    ISSN 0213-9111
    DOI 10.1016/j.gaceta.2021.11.005
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    Zs.A 2715: Show issues Location:
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  9. Article ; Online: Human resources challenges in the management of diabetes and hypertension in Mozambique.

    Madede, Tavares / Mavume Mangunyane, Elzier / Munguambe, Khátia / Govo, Valério / Beran, David / Levitt, Naomi / Damasceno, Albertino

    PloS one

    2024  Volume 19, Issue 3, Page(s) e0297676

    Abstract: Background: The major burden of non-communicable diseases (NCDs) globally occurs in low-and middle-income countries, where this trend is expected to increase dramatically over the coming years. The resultant change in demand for health care will imply ... ...

    Abstract Background: The major burden of non-communicable diseases (NCDs) globally occurs in low-and middle-income countries, where this trend is expected to increase dramatically over the coming years. The resultant change in demand for health care will imply significant adaptation in how NCD services are provided. This study aimed to explore self-reported training and competencies of healthcare providers, and the barriers they face in NCD services provision.
    Methods: A qualitative design was used to conduct this study. Data was collected through semi-structured interviews with government officials within the Mozambican Ministry of Health, district health authorities, health facility managers, and health providers at urban and rural health facilities of Maputo, in Mozambique. The data was then analyzed under three domains: provider´s capacity building, health system structuring, and policy.
    Results: A total of 24 interviews of the 26 planed with managers and healthcare providers at national, district, and health facility levels were completed. The domains analyzed enabled the identification and description of three themes. First, the majority of health training courses in Mozambique are oriented towards infectious diseases. Therefore, healthcare workers perceive that they need to consolidate and broaden their NCD-related knowledge or else have access to NCD-related in-service training to improve their capacity to manage patients with NCDs. Second, poor availability of diagnostic equipment, tools, supplies, and related medicines were identified as barriers to appropriate NCD care and management. Finally, insufficient NCD financing reflects the low level of prioritization felt by managers and healthcare providers.
    Conclusion: There is a gap in human, financial, and material resources to respond to the country's health needs, which is more significant for NCDs as they currently compete against major infectious disease programming, which is better funded by external partners. Healthcare workers at the primary health care level of Mozambique's health system are inadequately skilled to provide NCD care and they lack the diagnostic equipment and tools to adequately provide such care. Any increase in global and national responses to the NCD challenge must include investments in human resources and appropriate equipment.
    MeSH term(s) Humans ; Mozambique/epidemiology ; Noncommunicable Diseases/epidemiology ; Noncommunicable Diseases/therapy ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus/therapy ; Workforce ; Hypertension/epidemiology ; Hypertension/therapy
    Language English
    Publishing date 2024-03-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0297676
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  10. Article ; Online: Outcomes measured in studies assessing health systems interventions for type 1 diabetes management: A scoping review.

    Zafra-Tanaka, Jessica Hanae / Del Valle, Adela / Bernabé-Ortiz, Antonio / Miranda, J Jaime / Beran, David

    Diabetic medicine : a journal of the British Diabetic Association

    2023  Volume 41, Issue 2, Page(s) e15223

    Abstract: Aims: Describe the outcomes reported in research on health systems interventions for type 1 diabetes management in comparison to the outcomes proposed by a core outcome set (COS) for this condition, an essential list of outcomes that studies should ... ...

    Abstract Aims: Describe the outcomes reported in research on health systems interventions for type 1 diabetes management in comparison to the outcomes proposed by a core outcome set (COS) for this condition, an essential list of outcomes that studies should measure.
    Methods: Systematic search of studies published between 2010 and 2021 reporting health systems interventions directed to improve the management of type 1 diabetes using PubMed, EMBASE and CENTRAL. Information on the outcomes was extracted and classified according to a COS: self-management, level of clinical engagement, perceived control over diabetes, diabetes-related quality of life, diabetes burden, diabetes ketoacidosis, severe hypoglycemia, and glycated hemoglobin (HbA1C).
    Results: 187 studies were included. Most of the studies included either children (n = 82/187) or adults (n = 82/187) living with type 1 diabetes. The most common outcome measured was HbA1C (n = 149/187), followed by self-management (n = 105/187). While the least measured ones were diabetes ketoacidosis (n = 15/187), and clinical engagement (n = 0/187). None of the studies measured all the outcomes recommended in the COS. Additionally, different tools were found to be used in measuring the same outcome.
    Conclusions: This study provides a description of what researchers are measuring when assessing health systems interventions to improve type 1 diabetes management. In contrast to a COS, it was found that there is a predominance of clinical-based outcomes over patient-reported outcome measures.
    MeSH term(s) Adult ; Child ; Humans ; Diabetes Mellitus, Type 1/therapy ; Quality of Life ; Glycated Hemoglobin ; Hypoglycemia ; Diabetic Ketoacidosis/prevention & control
    Chemical Substances Glycated Hemoglobin
    Language English
    Publishing date 2023-09-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 605769-x
    ISSN 1464-5491 ; 0742-3071 ; 1466-5468
    ISSN (online) 1464-5491
    ISSN 0742-3071 ; 1466-5468
    DOI 10.1111/dme.15223
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