Suchergebnisse

Abstract: Why might the same dish—a sandwich, a slice of pizza, a plate of dumplings—cost three or four times more in one restaurant than in another restaurant a block or two away, and the cheaper version tastes much better?

L'histoire de « Occupy Wall Street » presque au jour le jour est confrontée au contexte socio-politique contemporain, en insistant sur la prise de conscience des inégalités économiques, et l'irruption d'un vocabulaire de classe. Cet article met en lumière la descendance du mouvement, diverse et riche : les associations qui en découlent ont généré un ensemble de revendications sociales qui ont permis tout à la fois d'unir les travailleurs et la campagne électorale de Bernie Sanders.

Globally, nearly 20 million children under five suffer from Severe Acute Malnutrition (SAM), a condition which contributes to one million child deaths annually. In India 48% of children under five years of age are stunted and 43 percent are underweight; almost 8 million suffer from SAM. Malnutrition is not a new problem in India, nor is SAM. Several hospitals and non-government organizations are engaged in community-based management of malnutrition using locally produced/procured and locally processed foods along with intensive nutrition education. These programs enable parents to meet the nutritional requirements of their children with foods that are available at low cost. The Supreme Court of India has also directed the government to universalize the Integrated Child Development Scheme and provide one hot cooked meal to children under six years of age to supplement their nutrition. The blame for the increasing number of severely malnourish children can be laid at the door of policies that have destroyed poor people's access to food. Nonetheless, there is urgent need to ensure that these children do not die; that they recover and maintain a healthy nutritional status. The current thinking – that a centrally produced and processed Ready-to-Use Therapeutic Food (RUTF) should supplant the locally prepared indigenous foods in treatment of SAM – ignores the multiple causes of malnutrition and destroys the diversity of potential solutions based on locally available foods. This position paper has been drafted by Dr. Vandana Prasad, Radha Holla and Dr. Arun Gupta, members of the Working Group for Children Under Six – a joint effort of Jan Swasthya Abhiyan (People's Health Movement – India) and the Right to Food Campaign which been advocating for the last three years with the Indian government for decentralized and community-based strategies to combat and prevent malnutrition in children.

System analysis is examination of various elements of a system with a view to ascertain whether the proposed solution to a problem will fit the system and in turn effect an overall improvement in the system. The National Medical Commission (NMC) which was constituted by the act of the Parliament, has brought out minimum requirements for annual MBBS admissions regulations, 2020, which replace minimum requirements published by erstwhile Medical Council of India. The NMC also published new competency-based medical education syllabus for MBBS students with an aim to focus on practical skills. This study brings out the scope of the community medicine (CM) in the present context and as envisaged by the NMC. It also analyzes the infrastructure and workforce required in the department of CM and gives recommendations to improve the system.