Sample records for acute health problems

  1. Acute pesticide poisoning--a global public health problem

    Konradsen, Flemming


    Acute pesticide poisoning has become a major public health problem worldwide, following the intensification of agriculture and the promotion of agro-chemicals in low and middle income countries, with more than 300,000 deaths each year. The easy availability of highly toxic pesticides in the homes...... of farming communities has made pesticides the preferred means of suicide with an extremely high case fatality. Similarly, the extensive use of pesticides exposes the community to both long-term and acute occupational health problems. A concerted effort is urgently needed to address the situation....

  2. Acute health problems in industrial production of swine and possible solutions

    Gagrčin Mladen; Simić Milijana; Došen Radoslav; Ivetić Vojin


    The main characteristic of swine herds in the territory of the Republic of Serbia is an unsatisfactory health status accompanied by increased incidence of contagious parasitic, genetic and other disorders. All this is a consequence of long-term unfavorable production conditions (maintenance of animals, diet, treatment, prevention, etc), which to a large extent altered the course and outcome of the mentioned diseases, and which had direct impact on the parameters which determine the health sta...

  3. Acute health problems in industrial production of swine and possible solutions

    Gagrčin Mladen


    Full Text Available The main characteristic of swine herds in the territory of the Republic of Serbia is an unsatisfactory health status accompanied by increased incidence of contagious parasitic, genetic and other disorders. All this is a consequence of long-term unfavorable production conditions (maintenance of animals, diet, treatment, prevention, etc, which to a large extent altered the course and outcome of the mentioned diseases, and which had direct impact on the parameters which determine the health status of animals in a population. The health status of swine populations in our country are mostly determined by the presence of swine plague, but also diseases of pluricausal character, such as coli in fections, actinobđcillosis, atrophic rhinitis dysentery, and others. One must also not forget the presence of diseases which can be maintained in herds for a long time as enzootic diseases (Aujeszkyi, leptospirosis, tuberculosis, etc. Among parasitic diseases trichinellosis deserves special attention since it endangers the health of humans more and more every day. Most of the mentioned diseases are exhibited in very different clinical forms, so that their timely detection is very difficult and their control complex. That is why swine production in our country is characterized by a low percentage of fertilization, small number of live and large number of still-born piglets, and a high level of mortality in all categories. A logical consequence of this is a small number of produced porkers per sow, mostly of poor quality. In conditions where there are many diseases of different etiology, their control is complex and consequences always connected to a reduction or complete annulment of the expected benefits from an animal of high genetic potential veterinary-medical protection must cede its place to health protection as a technology which is based on a policy of disease prevention. This implies the establishment and maintenance of a high health status in swine

  4. Environmental Health Problems.

    Environmental Health Service (DHEW/PHS), Rockville, MD.

    Aimed at a society which is forced to make decisions relative to their total environment, this pamphlet discusses a few of the problems associated with restoring and maintaining an environmental relationship conducive to the health and well-being of man. The topics covered include: air pollution, noise, solid waste, the urban environment, drinking…

  5. Health Problems at School

    ... of a lack of health-care providers, an absence of insurance, or transportation problems. The American Academy of Pediatrics believes that all children deserve a "medical home" and supports the implementation of school-based clinics, especially in areas where children do ...

  6. College Health: Health Services and Common Health Problems

    ... Conditions Nutrition & Fitness Emotional Health College Health: Health Services and Common Health Problems Posted under Health Guides . ... March 2015. +Related Content What are student health services? The student health services (sometimes called the student ...

  7. Association between health information, use of protective devices and occurrence of acute health problems in the Prestige oil spill clean-up in Asturias and Cantabria (Spain: a cross-sectional study

    Rodríguez-Artalejo Fernando


    Full Text Available Abstract Background This paper examines the association between use of protective devices, frequency of acute health problems and health-protection information received by participants engaged in the Prestige oil spill clean-up in Asturias and Cantabria, Spain. Methods We studied 133 seamen, 135 bird cleaners, 266 volunteers and 265 paid workers selected by random sampling, stratified by type of worker and number of working days. Information was collected by telephone interview conducted in June 2003. The association of interest was summarized, using odds ratios (OR obtained from logistic regression. Results Health-protection briefing was associated with use of protective devices and clothing. Uninformed subjects registered a significant excess risk of itchy eyes (OR:2.89; 95%CI:1.21–6.90, nausea/vomiting/dizziness (OR:2.25; 95%CI:1.17–4.32 and throat and respiratory problems (OR:2.30; 95%CI:1.15–4.61. There was a noteworthy significant excess risk of headaches (OR:3.86: 95%CI:1.74–8.54 and respiratory problems (OR:2.43; 95%CI:1.02–5.79 among uninformed paid workers. Seamen, the group most exposed to the fuel-oil, were the worst informed and registered the highest frequency of toxicological problems. Conclusion Proper health-protection briefing was associated with greater use of protective devices and lower frequency of health problems. Among seamen, however, the results indicate poorer dissemination of information and the need of specific guidelines for removing fuel-oil at sea.

  8. Dental Health and Orthodontic Problems

    ... Text Size Email Print Share Dental Health and Orthodontic Problems Page Content Article Body Dental Health Twin ... color can be tinted to match the teeth. Orthodontic Problems Crooked teeth, overbites and underbites are best ...

  9. Health Problems in Pregnancy

    Every pregnancy has some risk of problems. The causes can be conditions you already have or conditions you develop. ... pregnant with more than one baby, previous problem pregnancies, or being over age 35. They can affect ...

  10. COPD and other health problems

    ... this page: // COPD and other health problems To use the sharing ... diabetes, and high blood pressure. Staying Healthy With COPD Work closely with your doctor to keep COPD ...

  11. Mental health problems in health professionals

    Koinis Ar.


    Full Text Available Introduction: For the vast majority of nurses and doctors, the choice of their profession, represents a successful career, even though this isn’t a fact for everyone. For some of them reflects a journey into despair. A significant number of doctors and nurses, suffers from serious mental illness.Materials and Methods: It is conducted literature review of published journals from scientific databases such as Medline, Pub Med, Scholar Google, for the period 1985-2010, using keywords and combination of them: "health professionals", "psychiatric morbidity", "effects of stress on mental health "," mental disorders " Literature Review: There are researches in population health professionals, more often to doctors and nurses / only three, referred to mental illnesses mainly burnout, depression, anxiety disorders, alcoholism, and suicide and the effect thereof on the quality of life. Total of 215 studies were found and 48 of the were reviewed for this study.Conclusions: It is obvious from the literature, that mental health problems of the health professionals are not treated promptly or with the appropriate efficiency. The reasons associated with the stigma of mental illness by illness, the subsequent denial, the misconceived professional solidarity, culture of " medical omnipotence " for physicians. Τhe timeless trend of occupational health and diagnoses to self treated their health problems , even if the knowledge on specific issues are almost non-existent.

  12. [Ethical problems in health surveillance].

    Toffoletto, F; Briatico Vangosa, G; Panizza, C


    Surveillance of workers' health in the field of occupational medicine poses substantial ethical problems in view of occupational medicine's complex responsibilities towards workers and employers, preventive and protection services, workers' representatives, public healthcare and preventive medicine facilities, controlling agencies and judicial authorities. Potentially conflicting rights and duties often come into play in this sector. In the last few years various international and national bodies have drawn up codes of ethics or guidelines for the conduct of physicians in occupational medicine, three of which are of particular importance: 1) The International Ethical Code of the International Commission on Occupational Health (ICOH, 1992); 2) The Code of Conduct of the National Association of Company Doctors (ANMA, 1997); 3) The Technical and Ethical Guidelines for workers' health (ILO, 1998). The chief purpose of all these documents is to safeguard the health of workers and to guarantee the safety of the workplace by defining programmes of health supervision to match specific risks. The methods should be non-invasive and should allow for a check or efficiency. The physician is expected to have a high degree of professionalism and up-to-date skills; to be independent and impartial; to be reserved and capable of inter-disciplinary co-operation. On the basis of the above documents, a number of problematic aspects may be appraised concerning the relationship between the occupational health physician responsible for the surveillance activities of the local health authority and the relative company physician. The documents stress the importance of keeping up to date and of quality, fields in which the dominant role played by Scientific Societies is underlined. Finally it is recommended that health supervision be arranged in such a manner as to foster the professionalism and responsibility of the physician in charge rather than the formal implementation of health

  13. Children's Health Problems and Maternal Work Status.

    Salkever, David S.


    This paper estimates the influence on working mothers' employment status of children's health problems. Effects are estimated for several different types of families, various groups of health problems, and differing degrees of problem severity. (CT)

  14. Insomnia: an ignored health problem.

    Hamblin, Joan E


    Insomnia is common in all age groups and impairs quality of life. Untreated insomnia can lead to, or cause worsening of, other health problems. Effective treatment is available. Behavioral approaches should be tried first with chronic insomnia, because they are effective with few adverse effects. A number of medicines are effective for insomnia, but providers need to be cautious with their use because they are expensive, have a number of adverse side effects, and their long-term use has not been studied. PMID:17868765

  15. Copeptin for risk stratification in acute illness: beyond cardiological problems

    Roberto Cemin


    Full Text Available Copeptin (Cop has been recently proposed as a reliable marker for the diagnosis of acute coronary syndrome, altough its concentration was found to increase in a variety of other severe clinical conditions. The aim of the present study was to assess the utility of Cop to identify high-risk patients in the emergency room (ER. Eighty-five patients admitted to ER of the San Maurizio Regional Hospital of Bolzano between February to March 2010 with epigastric or chest pain and/or discomfort were included in the study. Blood was drawn at admission and sampled for Cop in standard laboratory tests. Cop levels were significantly higher in patients who died at the hospital or shortly afterwards as compared with survivors (median 61 vs 40.6 pmol/L; P=0.014. Cop levels were also higher in patients with severe health problems (62.9 vs 28.3 pmol/L; P<0.0001. The area under the receiver-operating characteristic curve of Cop was 0.70 for in-hospital death [95% confidence interval (CI 0.53-0.86], 0.74 for acute and subacute death (95% CI 0.61-0.87 and 0.90 for prediction of severe acute illness (95% CI 0.84-0.97. Accordingly, a Cop level >33.1 pmol/L correctly identified in-hospital death with 71% sensitivity and 74% specificity. A Cop level >13.6 pmol/L was instead associated with 89% sensitivity and 80% specificity for identifying patients with acute and severe conditions. The results of our analysis would suggest that the use of Cop may be a valuable aid in the ER for identifying patients with life-threatening conditions.

  16. Acute and chronic lumbosacral pain: Topical problems

    Ekaterina Vladimirovna Podchufarova


    Full Text Available The paper gives an account of approaches to treating patients with acute and chronic back pain in the context of evidence-based medicine and current clinical guidelines. In the vast majority, acute back pain is a benign self-limiting condition (nonspecific musculoskeletal pain and most patients need additional instrumental examinations. An active approach to treatment is considered to be optimal. It is expedient to apply a more differential approach involving the refinement of mechanisms for development of the pain syndrome and the elaboration of treatment strategy in relation to the leading pathophysiological mechanism when examining the patients with chronic back pain.

  17. Health problems in Turner syndrome

    Mehdi Salek


    Full Text Available

    BACKGROUND: Although cardiovascular malformations are well-recognized congenital anomalies in Turner syndrome (TS, other clinical features and a great variety of dysmorphic signs can also be observed. There are few studies about different medical problems in pre-selected groups of patients with Turner syndrome. Therefore, in this study we aimed to assess the prevalence of some medical problems in Turner syndrome.

    METHODS: This was a case series from April to October 2005. We studied 40 patients with TS who attended the Endocrine and Metabolic Research Center. Audiometry, echocardiography, ultrasonography of kidneys and urinary tracts, thyroid function tests, fasting blood sugar, lipid profile as well as anthropometric and blood pressure measurements were assessed in all patients and collected data were analyzed by SPSS version 10.

    RESULTS: Of the 40 subjects 62.5% (n = 25 had cardiac anomalies, 20% (n = 8 had high blood pressure, about 60% (n = 24 suffered from hearing loss and 15% (n = 6 suffered from duplication or dilatation of urinary collecting system. The relative frequency of hypothyroidism, hypercholesterolemia and hypertriglyceridemia was 25% (n = 10, 30% (n = 12 and 32.5% (n = 13, respectively.

    CONCLUSIONS: Medical problems are common in TS patients and the routine screening of their health conditions should be performed at the time of diagnosis and at

  18. Emergency management of acute alcohol problems. Part 1: Uncomplicated withdrawal.

    Etherington, J. M.


    Alcohol-related problems are common among patients in emergency departments. Primary care physicians must recognize and treat a variety of alcohol-related and alcohol-induced problems: alcohol withdrawal, alcohol-related seizures, delirium tremens, malnutrition, concomitant illness, poisoning, trauma, and lack of social support. This paper focuses an recognizing and managing acute alcohol withdrawal.

  19. Acute coronary syndromes: an old age problem

    Alexander D Simms; Philip D Batin; John Kurian; Nigel Durham; Christopher P Gale


    The increasing population in older age will lead to greater numbers of them presenting with acute coronary syndromes (ACS). This has implications on global healthcare resources and necessitates better management and selection for evidenced-based therapies. The elderly are a high risk group with more significant treatment benefits than younger ACS. Nevertheless, age related inequalities in ACS care are recognised and persist. This discrepancy in care, to some extent, is explained by the higher frequency of atypical and delayed presentations in the elderly, and less diagnostic electrocardiograms at presentation, potentiating a delay in ACS diagnosis. Under estimation of mortality risk in the elderly due to limited consideration for physiological frailty, co-morbidity, cognitive/psychological impairment and physical disability, less input by cardiology specialists and lack of randomised, controlled trials data to guide management in the elderly may further confound the inequality of care. While these inequalities exist, there remains a substantial opportunity to improve age related ACS outcomes. The selection of elderly patients for specific therapies and medication regimens are unanswered. There is a growing need for randomised, controlled trial data to be more representative of the population and enroll those of advanced age with co-morbidity. A lack of reporting of adverse events, such as renal impairment post coronary angiography, in the elderly further limit risk benefit decisions. Substantial improvements in care of elderly ACS patients are required and should be advocated. Ultimately, these improvements are likely to lead to better outcomes post ACS. However, the improvement in outcome is not infinite and will be limited by non-modifiable factors of age-related risk.

  20. Oral Health and Swallowing Problems

    Furuta, Michiko; Yamashita, Yoshihisa


    Oral health impacts systemic health. Therefore, oral care is an important consideration in maintaining quality of life (QOL). Previously, maintenance and improvement of oral hygiene was considered essential for achieving oral health. In addition to oral hygiene, oral care in terms of oral function is now considered to maintain QOL. Ingestion of exogenous nutrients via the oral cavity is fundamental to the function of all higher animals, not only human beings. Chewing and swallowing processes ...

  1. Feeding health: problems, opportunities, goals.

    Guberti, E


    Food security is when all people at all times have access to sufficient, safe, nutritious food to maintain a healthy and active life. On the one hand, the European Union Commission proposes new laws to achieve the highest possible levels of protection for human health and consumer interests in relation to food, plants and biodiversity. On the other hand, International Agencies (WHO, FAO, EU) pay attention to malnutrition and its consequences for health; poor people are usually the ones that suffer the consequences of underfeeding or dietary excess. In Italy, the mission of Food and Nutrition Services (Public Health National Service) is to promote food safety and good nutrition for the population; furthermore, they must pay attention to social equity. Suppressing or reducing their activity would be detrimental for public health and the national economy. PMID:24763443

  2. Leptospirosis: an emerging global public health problem

    P Vijayachari; A P Sugunan; A N Shriram


    Leptospirosis has been recognized as an emerging global public health problem because of its increasing incidence in both developing and developed countries. A number of leptospirosis outbreaks have occurred in the past few years in various places such as Nicaragua, Brazil and India. Some of these resulted due to natural calamities such as cyclone and floods. It is a direct zoonotic disease caused by spirochetes belonging to different pathogenic species of the genus Leptospira. Large number of animals acts as carriers or vectors. Human infection results from accidental contact with carrier animals or environment contaminated with leptospires. The primary source of leptospires is the excretor animal, from whose renal tubules leptospires are excreted into the environment with the animal urine. Majority of leptospiral infections are either sub clinical or result in very mild illness and recover without any complications. However, a small proportion develops various complications due to involvement of multiple organ systems. In such patients, the clinical presentation depends upon the predominant organs involved and the case fatality ratio could be about 40% or more. Febrile illness with icterus, splenomegaly and nephritis (known as Weil’s disease), acute febrile illness with severe muscle pain, febrile illness with pulmonary haemorrhages in the form of haemoptysis, jaundice with pulmonary haemorrhages, jaundice with heamaturea, meningitis with haemorrhages including sub conjunctival haemorrhage or febrile illness with cardiac arrhythmias with or without haemorrhages are some of the syndromes. Because of the protean manifestations of leptospirosis it is often misdiagnosed and under-reported. Although the basic principles of prevention such as source reduction, environmental sanitation, more hygienic work-related and personal practices etc., are same everywhere, there is no universal control method applicable to all epidemiological settings. Comprehensive

  3. Cannabis Use and Mental Health Problems


    This paper investigates whether cannabis use leads to worse mental health. To do so, we account for common unobserved factors affecting mental health and cannabis consumption by modeling mental health jointly with the dynamics of cannabis use. Our main finding is that using cannabis increases the likelihood of mental health problems, with current use having a larger effect than past use. The estimates suggest a dose response relationship between the frequency of recent cannabis use and the pr...

  4. Cannabis Use and Mental Health Problems

    Jan C. van Ours & Jenny Williams


    This paper investigates whether cannabis use leads to worse mental health. To do so, we account for common unobserved factors a ecting mental health and cannabis consumption by modeling mental health jointly with the dynamics of cannabis use. Our main nding is that using cannabis increases the likelihood of mental health problems, with current use having a larger e ect than past use. The estimates suggest a dose response relationship between the frequency of recent cannabis use and the probab...

  5. Health problems of domestic pigeons

    Pilėnaitė, Ginvilė


    In this scientific work the most important problems and advice under the maintenance of pigeons are described. The chapter 1 – introduction. In it it is described the past and the future pigeon breeding in the world and in Lithuania. In 2 chapter biological features of house pigeons are described. In 3 chapter cultivation and duplication of house pigeons is described. In chapter 4 it is described about care of house pigeons, preparation of their nursery and the technical equipment. There desi...

  6. Health problems in Turner syndrome

    Mehdi Salek; Ahmad Reza Okhovvat; Masoumeh Sadeghi; Hamid Reza Roohafza; Roya Kelishadi; Pooneh Memar Ardestani; Masoumeh Raoufei; Mohammad Hossein Moaddab; Hossein Nejadnik


    BACKGROUND: Although cardiovascular malformations are well-recognized congenital anomalies in Turner syndrome (TS), other clinical features and a great variety of dysmorphic signs can also be observed. There are few studies about different medical problems in pre-selected groups of patients with Turner syndrome

  7. Occupational Health and Safety Problems in Health Workers

    Meral Saygun


    There are many health and safety risks in occupational environment. These are causing occupational diseases and accidents that can directly affect individual’s health. One of the hazardous occupational places is health service area. Health workers are experienced with biological, chemical, physical, ergonomic and psycho-social risks in health service areas, especially in hospitals. Many researches from our country inform that these problems reached serious levels in last years and cause...

  8. Health Problems in Radiation Accidents

    The authors define a radiation accident as a situation which has led or could have led to the unexpected irradiation of persons or contamination of the environment over and above the levels accepted as safe. Several categories of accidents are distinguished as a function of the consequences to be expected. The suggested system of classifying accidents makes it possible to plan post-accident measures within a single system of 'concentric circles', taking into account at the same time whether it will be possible to carry out the post-accident measures unaided or whether it will be necessary to bring in additional manpower and resources from outside. The authors consider the possibility of countering the effects of accidents as a function of their nature, with reference to the biological, economic and psychological aspects. They evaluate the part played by the health service in planning and carrying out accident prevention measures, and consider the function of radiological units attached to epidemiological health stations ; these units are essentially centres providing for precautionary measures to avert accidents and action to counter their effects. (author)

  9. Health Problems of Mentally Disabled Individuals

    Hatice Yildirim Sari


    Full Text Available Mentally disabled individuals are at risk of health problems. In fact, health problems are more frequent in mentally disabled individuals than in the general population and mentally disabled individuals less frequently use health care facilities. It has been shown that mentally disabled individuals frequently have nutritional problems. They may suffer from low weight, malnutrition, high weight, pica, iron and zinc deficiencies and absorption and eating disorders. Activities can be limited due to motor disability and restricted movements. Depending on insufficient liquid intake and dietary fiber, constipation can be frequent. Another problem is sleep disorders such as irregular sleep hours, short sleep, waking up at night and daytime sleepiness. Visual-hearing losses, epilepsy, motor disability, hepatitis A infection and poor oral hygiene are more frequent in mentally disabled children than in the general population. The mentally disabled have limited health care facilities, poorer health status than the general population and difficulties in demanding for health care and expressing health problems. Therefore, they should be provided with more health promotion services. [TAF Prev Med Bull 2010; 9(2.000: 145-150

  10. Pesticide poisoning: a major health problem in Sri Lanka

    Hoek, Wim van der; Konradsen, F; Athukorala, K;


    pesticides is the most important reason for this high number of poisoning cases. The frequent application of highly hazardous pesticides in high concentrations was often irrational and posed serious health and financial risks to the farmers. Sales promotion activities and credit facilities promoted this......Acute pesticide poisoning is a major public health problem in Sri Lanka. In several agricultural districts, it precedes all other causes of death in government hospitals. Most of the acute poisoning cases are intentional (suicide) and occur among young adults, mainly males. Poisoning due to...... occupational exposure is also common, but less well documented. In an irrigation area in Sri Lanka a very high incidence of serious pesticide poisoning was observed, with 68% due to intentional ingestion of liquid pesticides. It is argued that the easy availability and widespread use of highly hazardous...

  11. Acute Kidney Injury:Global Health Alert

    Philip Kam TaoLi; Emmanuel A Burdmann; Ravindra L Mehta


    Acute kidney injury (AKI) is increasingly prevalent in developing and developed countries and is associated with severe morbidity and mortality.Most etiologies of AKI can be prevented by interventions at the individual,community,regional and in-hospital levels.Effective measures must include community-wide efforts to increase an awareness of the devastating effects of AKI and provide guidance on preventive strategies,as well as early recognition and management.Efforts should be focused on minimizing causes of AKI,increasing awareness of the importance of serial measurements of serum creatinine in high risk patients,and documenting urine volume in acutely ill people to achieve early diagnosis; there is as yet no definitive role for alternative biomarkers.Protocols need to be developed to systematically manage prerenal conditions and specific infections.More accurate data about the true incidence and clinical impact of AKI will help to raise the importance of the disease in the community,increase awareness of AKI by governments,the public,general and family physicians and other health care professionals to help prevent the disease.Prevention is the key to avoid the heavy burden of mortality and morbidity associated with AKI.

  12. Low frequency electromagnetic fields and health problems

    experimental animals are exposed to electromagnetic irradiation while others have shown that irradiation promote tumour development but only in presence of chemical carcinogen [Carstensen E.L., IEEE Eng. in Med.and Bio., 14, 362-369, 1995]. A report published [Gilles Theriault, IEEE Spectrum, Special report on environment. 16-23, Dec.1994] showing increase in risk for acute leukemia and brain cancer among the utility workers. Furthermore a connection has recently been found between miscarriages and field exposure. Several other studies on the other hand have found no correlation between miscarriage and the number of hours worked at the computer terminals. Little as yet is certain about such a field exposure related health problems and also it is unclear that what aspects of electromagnetic fields might cause these problems. The authors are reviewing the relevant literature on these issues and wish to find, on scientific basis, answer for the question whether the exposure to magnetic fields lead to any general or specific adverse health effects in humans or animals

  13. Health Impacts from Acute Radiation Exposure

    Strom, Daniel J.


    Absorbed doses above1-2 Gy (100-200 rads) received over a period of a day or less lead to one or another of the acute radiation syndromes. These are the hematopoietic syndrome, the gastrointestinal (GI) syndrome, the cerebrovascular (CV) syndrome, the pulmonary syndrome, or the cutaneous syndrome. The dose that will kill about 50% of the exposed people within 60 days with minimal medical care, LD50-60, is around 4.5 Gy (450 rads) of low-LET radiation measured free in air. The GI syndrome may not be fatal with supportive medical care and growth factors below about 10 Gy (1000 rads), but above this is likely to be fatal. Pulmonary and cutaneous syndromes may or may not be fatal, depending on many factors. The CV syndrome is invariably fatal. Lower acute doses, or protracted doses delivered over days or weeks, may lead to many other health outcomes than death. These include loss of pregnancy, cataract, impaired fertility or temporary or permanent sterility, hair loss, skin ulceration, local tissue necrosis, developmental abnormalities including mental and growth retardation in persons irradiated as children or fetuses, radiation dermatitis, and other symptoms listed in Table 2 on page 12. Children of parents irradiated prior to conception may experience heritable ill-health, that is, genetic changes from their parents. These effects are less strongly expressed than previously thought. Populations irradiated to high doses at high dose rates have increased risk of cancer incidence and mortality, taken as about 10-20% incidence and perhaps 5-10% mortality per sievert of effective dose of any radiation or per gray of whole-body absorbed dose low-LET radiation. Cancer risks for non-uniform irradiation will be less.

  14. Diversity in sexual health: problems and dilemmas.

    Rademakers, J.; Mouthaan, I.; Neef, M. de


    The increase in migrant populations in western Europe has led to specific problems and dilemmas in the area of sexual and reproductive health and service provision. In general, these problems and dilemmas can be divided into four categories: (1) epidemiology of diseases and risk factors; (2) psychos

  15. Diversity in sexual health: Problems and dilemmas

    Rademakers, J.; Mouthaan, I.; Neef, M. de


    The increase in migrant populations in western Europe has led to specific problems and dilemmas in the area of sexual and reproductive health and service provision. In general, these problems and dilemmas can be divided into four categories: (1) epidemiology of diseases and risk factors; (2) psychos

  16. Problem behaviour in primary health care

    Lamberts, H


    Primary health care can be regarded as the boundary between society as a whole and the medical system. Many of the problems patients bring to doctors in primary care are concerned with their personalities and life situation, and can be considered together as problems of human behaviour. On being questioned in a waiting room, 15 per cent of patients considered their problem “psychosocial only”, and an additional 13 to 14 per cent “both somatic and psychosocial”.

  17. Undocumented migrants have diverse health problems

    Ehmsen, Boje Kvorning; Biswas, Dan; Jensen, Natasja Koitszch;


    average (16+ weeks). CONCLUSION: Undocumented migrants presented with diverse health problems. Some patients presented with critical disease, and an alarming number of pregnant women did not seek medical care until a late stage, and they did not return for infant care after giving birth. FUNDING: The......INTRODUCTION: In 2008, 1.9-3.8 million undocumented migrants lived in Europe. We aimed to strengthen the evidence base on undocumented migrants' health problems by describing characteristics of undocumented migrant patients in a Danish non-governmental organisation (NGO) health clinic. MATERIAL AND...

  18. Violence against women: an emerging health problem.

    Jewkes, R


    As well as being a violation of human rights, violence against women can be regarded as an 'emerging health problem' of the late twentieth century not because it is new, but because its prevalence and role in the aetiology of ill health has only recently been widely recognized. In this paper we discuss the epidemiology and health impact of violence against women, drawing particularly on data from research in South Africa. Here the prevalence of abuse is between 20% and 30%, which is in keeping with estimates for other countries and research has shown that 1% of women are raped each year. Gender-based violence is an appreciable cause of mortality from homicide and suicide. It is also associated with a range of other health problems, particularly injuries, HIV and sexually transmitted diseases, pregnancy complications and mental health problems. Available estimates suggest that it is associated with considerable costs to the health sector. Roles for the health sector in breaking cycles of abuse are increasingly being recognized and there is a need for appropriate interventions, based on screening, homicide and suicide risk assessment, documentation, information giving and referral to be implemented more widely in health facilities. PMID:11195267

  19. [Health-related problems in adopted children].

    Laubjerg, Merete; Petersson, Birgit H


    International research shows that the standard of health among children adopted from abroad, especially those adopted by single parents, is not as good as that of other children. Danish studies indicate similar problems. The causes could be several, such as poor development in the embryonic and fetal stages, low birth weight, starvation, neglect, infections, and the lack of the natural bonds between mother and child. Surveys indicate that many adoptive parents, single parents in particular, receive children with health problems. There is no Danish research available, but it is important to be aware of these issues in order for both adoptees and adoptants to receive the most support. PMID:17059801

  20. Basic Health Physics: Problems and Solutions

    Bevelacqua, Joseph John


    Radiation litigation, the cleanup and decommissioning of nuclear facilities, radon exposure, nuclear medicine, food irradiation, stricter regulatory climate--these are some of the reasons health physics and radiation protection professionals are increasingly called upon to upgrade their skills. Designed to prepare candidates for the American Board of Health Physics Comprehensive examination (Part I) and other certification examinations, Basic Health Physics: Problems and Solutions introduces professionals in the field to radiation protection principles and their practical application in routine and emergency situations. It features more than 650 worked examples illustrating concepts under discussion along with an in-depth coverage of sources of radiation, standards and regulations, biological effects of ionizing radiation, instrumentation, external and internal dosimetry, counting statistics, monitoring and interpretations, operational health physics, transportation and waste, nuclear emergencies, and more. Reflecting for the first time the true scope of health physics at an introductory level, Basic Health Physics: Problems and Solutions gives readers the tools to properly evaluate challenging situations in all areas of radiation protection, including the medical, university, power reactor, fuel cycle, research reactor, environmental, non-ionizing radiation, and accelerator health physics.


    Olga Anatolievna Bortnyuk


    Full Text Available Relevance of the topic is determined by the social need for the care about social health as integral part modern public lives. Locate in article prerequisites strengthening and preservations of social health of the modern person.Purpose. Consider approaches to research of a phenomenon of health in system social and humanitarian knowledge.Results. The article synthesis of theoretical provisions and proposes reorganization of forms and methods of social work on health protection and to prevention of risk of diseases the younger generation.Practical implications. The results of the study can be used to the problems of social health of today’s youth, as well as in the educational process as a whole.

  2. Undocumented migrants have diverse health problems

    Ehmsen, Boje Kvorning; Biswas, Dan Klausholt; Jensen, Natasja Koitszch;


    on average (16+ weeks). CONCLUSION: Undocumented migrants presented with diverse health problems. Some patients presented with critical disease, and an alarming number of pregnant women did not seek medical care until a late stage, and they did not return for infant care after giving birth. FUNDING...

  3. Occupational Health Problem Network : the Exposome

    Faisandier, Laurie; De Gaudemaris, Régis; Bicout, Dominique J


    We present a thinking on the concept of relational networks applied to the french national occupational disease surveillance and prevention network (R\\'eseau National de Vigilance et de Pr\\'evention des Pathologies Professionnelles, RNV3P). This approach consists in searching common exposures to occupational health problems.

  4. Adjustment and mental health problem in prisoners

    Sudhinta Sinha


    Full Text Available Background : "Crime" is increasing day by day in our society not only in India but also all over the world. In turn, the number of prisoners is also increasing at the same rate. They remain imprisoned for a long duration or in some cases for the whole life. Living in a prison for long time becomes difficult for all inmates. So they often face adjustment and mental health problems. Recent findings suggest that mental illness rate in prison is three times higher than in the general population. Objective: The aim of the present study was to investigate the adjustment and the mental health problem and its relation in the prisoners. Materials and Methods : In the present study, 37 male prisoners of district jail of Dhanbad District of Jharkhand were selected on purposive sampling basis. Each prisoner was given specially designed Performa - Personal Data Sheet, General Health Questionnaire-12 and Bell Adjustment Inventory. Appropriate statistical tools were used to analyze the data. Results: The results obtained showed poor adjustment in social and emotional areas on the adjustment scale. The study also revealed a significant association between adjustment and mental health problem in the prisoners. Conclusion: The prisoners were found to have poor social and emotional adjustment which has strong association with their mental health.

  5. Radon: A health problem and a communication problem

    The US Environmental Protection Agency (USEPA) is making great efforts to alert the American public to the potential health risks of radon in homes. The news media have widely publicized radon as a problem; state and local governments are responding to public alarms; and hundreds of radon open-quotes expertsclose quotes are now offering radon detection and mitigation services. Apparently, USEPA's communication program is working, and the public is becoming increasingly concerned with radon. But are they concerned with radon as a open-quotes healthclose quotes problem in the way USEPA intended? The answer is yes, partly. More and more, however, the concerns are about home resale values. Many homebuyers are now deciding whether to buy on the basis of a single radon screening measurement, comparing it with USEPA's action guide of 4 pCi L-1. They often conclude that 3.9 is OK, but 4.1 is not. Here is where the communication problems begin. The public largely misunderstands the significance of USEPA's guidelines and the meaning of screening measurements. Seldom does anyone inquire about the quality of the measurements, or the results of USEPA performance testing? Who asks about the uncertainty of lifetime exposure assessments based on a 1-hour, 1-day, 3-day, or even 30-day measurement? Who asks about the uncertainty of USEPA's risk estimates? Fortunately, an increasing number of radiation protection professions are asking such questions. They find that USEPA's risk projections are based on many assumptions which warrant further evaluation, particularly with regard to the combined risks of radon and cigarette-smoking. This is the next communication problem. What are these radiation professions doing to understand the bases for radon health-risk projections? Who is willing to communicate a balanced perspective to the public? Who is willing to communicate the uncertainty and conservatism in radon measurements and risk estimates?

  6. Persistent diarrhea as an emerging child health problem

    Galal Osman


    Full Text Available Persistent diarrhea (i.e. acute episodes lasting more than 14 days has been recognized by the WHO as a major public health problem in developing countries and a research topic of high priority. Persistent diarrhea is often associated with malnutrition, growth faltering, and a substantial risk of mortality in children below 5 years of age. Reported incidence and case-fatality rates from persistent diarrhea vary substantially. Substantial disagreement exists regarding definition, incidence and various putative risk factors. Resolution of such measurement related problems will allow for an accurate estimate of the force of morbidity and mortality from presistent diarrhea, while the elucidation of its risk factors will simplify policy making and the tailoring of intervention programs.

  7. Adolescence Health: the Needs, Problems and Attention

    Habibolah Taghizadeh Moghaddam


    Full Text Available Adolescence is a transitional stage of physical and psychological human development that generally occurs during the period from puberty to legal adulthood. There are approximately 1.2 billion adolescents (10-19 years globally, roughly 90% of whom live in low and middle-income countries. Most are healthy, but there is still significant death, illness and diseases among adolescents. Illnesses can hinder their ability to grow and develop to their full potential. Alcohol or tobacco use, lack of physical activity, unprotected sex and/or exposure to violence can jeopardize not only their current health, but often their health for years to come. The mortality rate decreased from 126 to 111 per 100 000 between 2000 and 2012. This modest decline of about 12% continues the trend of the past 50 years. Mortality rates dropped in all regions and for all age groups except 15–19 year old males in the Eastern Mediterranean and the Americas regions. The leading causes of death among adolescents in recent years were: road injury, HIV, suicide, lower respiratory infections, and interpersonal violence. Promoting healthy practices during adolescence, and taking steps to better protect young people from health risks are critical for the prevention of health problems in adulthood, and for countries’ future health and social infrastructure.

  8. Profile of acute poisoning in three health districts of Botswana

    Mary Kasule


    Full Text Available Background: This study sought to characterise acute poisoning cases seen in three health districts of Botswana.Method: A retrospective review of patients’ records was conducted and included patients treated from January 2004 to December 2005. Data on the demographic status of the patients, information about the poisonous agent(s involved, and the circumstances and outcomes of the poisoning incidents were recorded on a pre-tested data collection form.Results: A total of 590 cases of acute poisoning were included in the analysis. The most affected age category was that of children aged less than six years, who constituted 33.4% of the cases. Most incidents were recorded in the urban district of Gaborone. Seventy-eight percent (78% of the incidents were accidental, with the remainder being intentional. The poisonous agents involved were pharmaceuticals (26.6%, natural toxins (25.6%, household products (14.6%, foods (14.4%, alcohol (6.9%, traditional medicines (4.7%, unspecified agents (3.2%, and agrochemicals (2.7%. The most common route of poison exposure was by oral (82.2%, followed by dermal contact (16.5%, while the inhalation of gases occurred in 1.2% of cases. An incidence rate of 4.7/1000, a case fatality rate of 3.8/100, and 1.5% of deaths were recorded over the two-year period.Conclusion: In conclusion, it can be stated that acute poisoning involved mainly young children and resulted in an incidence rate of 4.7/1000, a case fatality rate of 3.8/100, and 1.5% of deaths over the two-year period. There were differences based on age category, gender and residence of the victims, the types of toxic agents involved, as well as the circumstances and the outcomes of the poisoning incidents. Given the fact that pharmaceuticals, natural toxins, household products and foods were the agents most commonly involved, targeted interventions should take these differences into account in addressing the problem of acute poisoning.

  9. Globalization causes a world of health problems.

    Abell, H


    Many countries in Asia, Africa, Latin America, and the Caribbean offer substantial tax breaks to foreign corporations that set up shops in free-trade zones and waive environmental regulations and repress trade unions to further induce this practice. Workers in these shops--mainly women--perform repetitive machine-based motions, are exposed to toxic chemicals and unsafe equipment, and face dangerously high production quotas. Health problems caused by these working conditions include headache and dizziness, fatigue, anemia, forgetfulness, stomach pains, respiratory problems, hypertension, heart disease, and allergies. Water and air pollution and dumping of hazardous waste affect the health of entire communities. Since free-trade zones are a permanent feature of the global economy, organizing to protect workers and communities assumes critical importance. Groups such as the Border Committee of Women Workers in Mexico are providing workers with skills and support to make demands such as better treatment of pregnant workers. International labor, environmental, and public health advocates can support such efforts by providing assistance to worker-controlled organizations and pressuring governments to enforce laws intended to protect workers and their communities. PMID:12348707

  10. [Occupational health problems in dental practice].

    Lewczuk, Ewa; Affelska-Jercha, Anna; Tomczyk, Jarosław


    The overload of the osteoarticular system resulting from standing and stooping position of the body is the main health problem of dentists. This may cause vertebral pain, symptoms of sciatica and foot valgo-planus. Symptoms of carpal tunnel syndrome are induced by repeated carpus movements. Frequent numbness associated with the peripheral nerves changes result from using drills by dentists. Menstruation disturbances observed in dental assistants could be related to the increased levels of mercury in serum and urine. Allergy is also a frequent medical problem, particularly allergy to latex. manifested by contact eczema or allergic urticaria, asthma and shock. There also is an increased risk for infectious diseases through the contact with biological material, mostly saliva and blood. PMID:12116907

  11. Adjustment and mental health problem in prisoners

    Sudhinta Sinha


    Background : "Crime" is increasing day by day in our society not only in India but also all over the world. In turn, the number of prisoners is also increasing at the same rate. They remain imprisoned for a long duration or in some cases for the whole life. Living in a prison for long time becomes difficult for all inmates. So they often face adjustment and mental health problems. Recent findings suggest that mental illness rate in prison is three times higher than in the general population. ...

  12. Acute effects of winter air pollution on respiratory health

    Zee, van der S.


    In this thesis, acute respiratory health effects of exposure to winter air pollution are investigated in panels of children (7-11 yr) and adults (50-70 yr) with and without chronic respiratory symptoms, living in urban and non-urban areas in the Netherlands. The study was performed during three cons

  13. Controlling alcohol-related global health problems.

    Lam, Tai Hing; Chim, David


    Alcohol's adverse public health impact includes disease, injury, violence, disability, social problems, psychiatric illness, drunk driving, drug use, unsafe sex, and premature death. Furthermore, alcohol is a confirmed human carcinogen. The International Agency for Research on Cancer concluded that alcohol causes cancer of the oral cavity, pharynx, larynx, esophagus, liver, colon-rectum, and breast. World Cancer Research Fund/American Institute for Cancer Research concluded that the evidence justifies recommending avoidance of consuming any alcohol, even in small quantities. Despite being responsible for 3.8% of global deaths (2,255,000 deaths) and 4.6% of global disability-adjusted life years in 2004, alcohol consumption is increasing rapidly in China and Asia. Contrary to the World Health Assembly's call for global control action, Hong Kong has reduced wine and beer taxes to zero since 2008. An International Framework Convention on Alcohol Control is urgently needed. Increasing alcohol taxation and banning alcohol advertisement and promotion are among the most effective policies. PMID:20566555

  14. Health Behaviour and Body Mass Index Among Problem Gamblers

    Holst Algren, Maria; Ekholm, Ola; Davidsen, Michael;


    Problem gambling is a serious public health issue. The objective of this study was to investigate whether past year problem gamblers differed from non-problem gamblers with regard to health behaviour and body mass index (BMI) among Danes aged 16 years or older. Data were derived from the Danish...... Health and Morbidity Surveys in 2005 and 2010. Past year problem gambling was defined using the lie/bet questionnaire. Logistic regression analyses were used to examine the association between past year problem gambling and health behaviour and BMI. Problem gambling was associated with unhealthy...

  15. [Induced abortion: a vulnerable public health problem].

    Requena, M


    Induced abortion is an urgent public health problem that can be controlled if it is approached in its true complexity and with a social and humanist perspective. Induced abortion has been discussed in Chile since the last century, but not always openly. Abortion is not just an individual and collective medical problem, it is also an ethical, religious, legal, demographic, political, and psychological problem. Above all it is a problem of human rights. In the past 60 years, more than 50 countries representing 76% of the world population have liberalized their abortion legislation. Around 980 million women have some degrees of access of legal abortion. The magnitude of illegal abortion is difficult to determine because of the desire of women to hide their experiences. Estimates of the incidence of abortion in Chile made some 25 years ago are no longer valid because of the numerous social changes in the intervening years. The number of abortions in Chile in 1987 was estimated using an indirect residual method at 195,441, of which 90%, or 175,897, were induced. By this estimate, 38.8% of pregnancies in Chile end in abortion. Data on hospitalizations for complications of induced abortion show an increase from 13.9/1000 fertile aged women in 1940 to 29.1 in 1965. By 1987, with increased contraceptive usage, the rate declined to 10.5 abortions per 1000 fertile aged women. The cost of hospitalization for abortion complications in 1987, despite the decline, was still estimated at US $4.3 million, a large sum in an era of declining health resources. The problem of induced abortion can be analyzed by placing it in the context of elements affecting the desire to control fertility. 4 complexes of variables are involved: those affecting the supply of contraceptive, the demand for contraceptives, the various costs of fertility control measure, and alternatives to fertility control for satisfying various needs. The analysis is further complicated when efforts are made to

  16. Ragging: A public health problem in India

    Garg Rajesh


    Full Text Available Ragging is any disorderly conduct that has the effect of teasing or handling with rudeness any student, which causes or is likely to cause annoyance, harm or to raise fear in a junior so as to adversely affect the psyche of the junior. Ragging is practiced all over the world, with different nomenclature like hazing, fagging; bapteme in French; doop in Dutch; and Mopokaste in Finnish. The first recorded cases of ragging were in the 8 th century BC during the Olympics in Greece. Ragging has been frequently associated with a broad spectrum of physical, behavioral, emotional and social problems among the victims. It independently increases suicide risks. Some of the reasons given by students for ragging are they were also ragged by their seniors; sense of superiority; and introduction. Other factors perpetuating ragging are use of alcohol in hostels and lack of implementation of serious anti-ragging measures by college authorities. Various practical steps to control ragging must include strict role of authorities, ban on alcohol within college and hostels, surprise raids in hostels at night, postings (with accommodation of wardens in hostels, separate hostels for juniors, presence of college "disciplinary committee" and "cultural committee," strict punishments for those involved in ragging, actions by Medical Council of India (MCI and University Grants Commission (UGC against the erring colleges and universities and formulation of anti-ragging laws. Ragging should be declared a public health problem because it involves the physical, mental and social exploitation of not only an individual but also of his/her family and the society as a whole.

  17. Acute Health Impact of Air Pollution in China

    Feng, T.; Zhao, Y.; Zheng, M.


    Air pollution not only has long term health impact, but can affect health through acute exposure. This paper, using air pollution index (API) as overall evaluation of air quality, blood pressure and vital capacity as health outcomes, focuses on the acute health impact of air pollution in China. Current result suggests that after controlling smoking history, occupational exposure, income and education, API is positively associated with blood pressure and negatively associated with vital capacity. The associations became stronger for people with hypertension or pulmonary functional diseases, which indicates that these people are more sensitive to air pollution. Among three pollutants which API measures, that is inhalable particles (PM10), sulfur dioxide (SO2) and nitrogen dioxide (NO2), PM10 is most statistically associated with blood pressure increase and vital capacity decrease. Further study will focusing on the following two questions. The first question is how various time lags affect the associations among API, blood pressure and vital capacity. The second question is how differently people in various cohorts reacts to acute exposure to air pollution. The differences in reactions of blood pressure and vital capacity between people in urban and rural areas, genders, various age cohorts, distinct income and education groups will be further studied.

  18. Acute rheumatic fever: a public health concern in resource-poor settings

    Olusegun Busari


    Full Text Available Acute rheumatic fever remains a public health concern in developing countries as well as in poorer communities and among indigenous populations in some developed nations. It poses serious economic problem at individual, communal and national levels through direct and indirect health care costs. The objective of this article is to review acute rheumatic fever in the global context with some emphasis on the continuing burden of this disease in the developing settings. The Cochrane Database of Systematic Reviews, PubMed, EMBASE and AJOL were searched with focus on epidemiology, pathogenesis, diagnosis and treatment, and control of acute rheumatic fever. The review shows that acute rheumatic fever still occurs under conditions of impoverished overcrowding and poor sanitation and where access to healthcare services is limited. Since acute rheumatic fever is a preventable disease, improved housing and sanitation, access to effective healthcare services, early diagnosis, registration of cases and follow up remain the bedrock of the control of this disease [Archives Medical Review Journal 2013; 22(2.000: 153-169

  19. Electronic Waste: Environmental Health Problems In India

    Sachan Ritu


    Full Text Available :WEEE (waste from electrical electronic equipments comes under a special category of waste which is the result of industrialization and ever increasing demand of electronic waste products in daily life, with increasing usage waste production is also increasing. Now, the situation is alarming as a huge quantity of waste is generated by India as well as other countries. The condition of India is much worse because about 80 percent of the e- waste generated ion the exported to India, china and Pakistan under the name charity. Only 3 % of the total e waste generated is recycled proper in India. The rest of it is handled by workers who work with bare hands, without makes under unhygienic conditions, informally recycling tons of e-waste for about 12-14 hours a day. It causes both environmental as well as health problems. Number of laws are framed but none is able to stop this informal recycling in this paper, National and International scenario along with hazards caused by e-waste and bit about its recycling.

  20. Environmental epidemiology: Epidemiological investigation of community environmental health problems

    Goldsmith, J.R.


    This volume brings together the experiences of practicing epidemiologists in solving world-wide community environmental health problems. Emphasis is placed on problems facing the community, methods of analysis, and means and results of action. Actual case histories of various complexity provide exercises in solving community health problems using applicable elementary concepts of statistics.


    M. A Kachkovsky


    Full Text Available Analysis of the data of national and international researches on evaluation of systemic inflammation in the acute coronary syndrome over the last 10 years was carried out. The problems of application the most studied inflammation markers in patients with acute myocardial infarction in clinical practice are focused.


    M. A Kachkovsky; E. Yu. Ragozinа


    Analysis of the data of national and international researches on evaluation of systemic inflammation in the acute coronary syndrome over the last 10 years was carried out. The problems of application the most studied inflammation markers in patients with acute myocardial infarction in clinical practice are focused.

  3. The Problem With Estimating Public Health Spending.

    Leider, Jonathon P


    Accurate information on how much the United States spends on public health is critical. These estimates affect planning efforts; reflect the value society places on the public health enterprise; and allows for the demonstration of cost-effectiveness of programs, policies, and services aimed at increasing population health. Yet, at present, there are a limited number of sources of systematic public health finance data. Each of these sources is collected in different ways, for different reasons, and so yields strikingly different results. This article aims to compare and contrast all 4 current national public health finance data sets, including data compiled by Trust for America's Health, the Association of State and Territorial Health Officials (ASTHO), the National Association of County and City Health Officials (NACCHO), and the Census, which underlie the oft-cited National Health Expenditure Account estimates of public health activity. In FY2008, ASTHO estimates that state health agencies spent $24 billion ($94 per capita on average, median $79), while the Census estimated all state governmental agencies including state health agencies spent $60 billion on public health ($200 per capita on average, median $166). Census public health data suggest that local governments spent an average of $87 per capita (median $57), whereas NACCHO estimates that reporting LHDs spent $64 per capita on average (median $36) in FY2008. We conclude that these estimates differ because the various organizations collect data using different means, data definitions, and inclusion/exclusion criteria--most notably around whether to include spending by all agencies versus a state/local health department, and whether behavioral health, disability, and some clinical care spending are included in estimates. Alongside deeper analysis of presently underutilized Census administrative data, we see harmonization efforts and the creation of a standardized expenditure reporting system as a way to

  4. Crime is a public health problem.

    Middleton, J


    Crime is a public health issue. It shares common causes with ill health, particularly poverty, and fear of violent crime is itself a major cause of anxiety. Community development in pre-school education, parental education, and among ethnic minorities, both reduces crime and promotes better health, for example in reducing the effects of alcohol and illicit drugs. Health workers should contribute in full to community development. PMID:9532958

  5. Health problems among menopausal women in Udupi district (Karnataka).

    Souza, Leena D; Rao, Anitha C


    Menopause among women, occurring in middle age, brings in its wake, a set of health problems that needs to be handled distinctly by the care givers. A study undertaken to determine the magnitude of health problems in Udupi district of Karnataka included 100 menopausal women in the age group 45-55 years, 50 each from urban and rural pockets. Using demographic proforma, modified socio-economic scale and structured interview schedule as tools, it was concluded that menopausal health problems were more common in women in rural areas than in their urban counterparts: they were also less articulate and less aware about managing or preventing menopausal health problems. PMID:23362740

  6. Violence a global public health problem

    Linda L. Dahlberg; Etienne G. Krug


    This article is a version of the Introduction to the World Report on Violence and Health, published by the World Health Organization (WHO). It presents a general description about this phenomenon and points some basic questions: concepts and definitions about the theme; the state of knowledge about it; nature and typology on violence; proposal of a quantitative and qualitative approach of an ecological model; responsibilities and functions of the public health sector and its potentiality to p...

  7. Violence a global public health problem

    Linda L. Dahlberg


    Full Text Available This article is a version of the Introduction to the World Report on Violence and Health, published by the World Health Organization (WHO. It presents a general description about this phenomenon and points some basic questions: concepts and definitions about the theme; the state of knowledge about it; nature and typology on violence; proposal of a quantitative and qualitative approach of an ecological model; responsibilities and functions of the public health sector and its potentiality to prevent and reduce violence in the world; the responsibilities of the nations and the policy makers in a intersetorial point of view; difficulties and obstacles for actuation and challenges for the health sector.

  8. Are mental health problems associated with use of Accident and Emergency and health-related harm?

    Keene, Jan; Rodriguez, Jorge


    Background: Previous findings indicate that mental health problems are common in Emergency departments; however, there are few studies of the extent of health-related problems and emergency service use in mental health populations as a whole. Methods: Record linkage methods were used to map the association between mental health, age, gender, and health-related harm across total health and mental health care populations in one geographical area, over three years. By examining patterns of healt...

  9. Health Problems in the Elementary School

    Spivak, Howard R.


    Focuses on several of the more crucial health issues--immunization and screening; accident prevention; nutrition, obesity, and exercise; drugs; and growth and development--that can be effectively dealt with at the elementary school level. (Author/IRT)


    Tatjana Milenković


    Full Text Available Psychological reactions, risk health behavior and cardiac parameters can influence rehospitalization after acute myocardial infarction.The aim of the paper was to determine the presence of psychological reactions and risk health behavior in patients with acute myocardial infarction on admission as well as the differences after six months.The research included thirty-trhee patients of both sexes, who were consecutively hospitalized due to acute myocardial infarction. A prospective clinical investigation involved the following: semi-structured interview, Mini International Neuropsychiatric Interview (M.I.N.I for pcychiatric disorders, Beck Anxiety Inventory (BAI for measuring the severity of anxiety, Beck Depression Inventory (BDI for measuring the severity of depression, KON-6 sigma test for aggression, Holms-Rahe Scale (H-R for exposure to stressful events, and Health Behavior Questionnaire: alcohol consumption, cigarette smoking, lack of physical activity. Measurement of the same parameters was done on admission and after six months. The differences were assessed using the t-test and chi-square test for p<0.05.On admission, anxiety (BAI=8.15±4.37 and depression (BDI=8.67±3.94 were mild without significant difference after six months in the group of examinees. Aggression was elevated and significantly lowered after six monts (KON-6 sigma =53,26±9, 58:41,42±7.67, t=2,13 for p<0.05. Exposure to stressful events in this period decreased (H-R=113.19±67.37:91,65±63,81, t=3,14 for p<0.05; distribution of physical activity was significantly higher compared to admission values (54.83%: 84.84%. χ2=5.07 for p<0.01.In the group of examinees with acute myocardial infarction in the period of six months, anxiety and depression remained mildly icreased, while the levels of aggression and exposure to stressful events were lowered. Risk health behavior was maintained, except for the improvement in physical activity. In the integrative therapy and

  11. Public perceptions of health care problems. An analysis from Arizona.

    Kirkman-Liff, B L


    Public perception of 17 health problems was assessed by telephone and in-person interviews in Arizona. Drug abuse (64.7%), the costs of health care (62.8%), and drunk driving (60.6%) were considered the most serious health care problems. Elderly and rural residents tended to view drug abuse, drunk driving, teenage pregnancy, and economic aspects of health care as less serious than did the younger and urban respondents, while the poor thought these problems were more serious. Respondents in th...

  12. Immigrants' use of primary health care services for mental health problems

    Straiton, Melanie Lindsay; Reneflot, Anne; Diaz, Esperanza


    Background: Equity in health care across all social groups is a major goal in health care policy. Immigrants may experience more mental health problems than natives, but we do not know the extent to which they seek help from primary health care services. This study aimed to determine a) the rate immigrants use primary health care services for mental health problems compared with Norwegians and b) the association between length of stay, reason for immigration and service use among immigrants. ...

  13. Contemporary health physics problems and solutions

    Bevelacqua, Joseph John


    This is the first text specifically designed to train potential health physicists to think and respond like professionals. Written by a former chairman of the American Board of Health Physics Comprehensive Panel of Examiners with more than 20 years of professional and academic experience in the field, it offers a balanced presentation of all the theoretical and practical issues essential for a full working knowledge of radiation exposure assessments. As the only book to cover the entire radiation protection field, it includes detailed coverage of the medical, university, reactor, fuel cycle, e

  14. Animal health: Tackling a mitey problem.

    Bartley, Kathryn


    The poultry ectoparasite Dermanyssus gallinae, known to poultry farmers as 'red mite', has a negative impact on animal health and is a vector of viruses and bacteria. It also sometimes attacks poultry farm workers, and human infestations have been reported originating from pigeons' nests in urban areas. A European project is currently investigating synergistic and holistic approaches to improving the health, welfare and productivity of laying hens through more effective prevention and control of the red mite. Kathryn Bartley reports from a two-day conference held in Italy in May, which provided an update on progress with the project. PMID:26160787

  15. Oral health of children with acute lymphoblastic leukemia: A review

    Kadalagere Lakshmana Girish Babu


    Full Text Available Leukemia is a malignancy of the bone marrow and blood. It is the most common childhood cancer in India. Advances in the treatment regimens have greatly increased the chances of survival. Both the disease and its treatment change the oral environment. In some cases, oral manifestations are the presenting feature of the disease and it will be the dentist′s responsibility to identify the underlying disorder and guide the diagnosis of the patient. Hence, the aim of present article is to review the literature concerning the oral health of children with acute lymphoblastic leukemia (ALL.

  16. Serum acute phase proteins and swine health status

    Chen, Hsin-Hsin; Lin, Jyh-Hung; Fung, Hang-Pong; Ho, Lin-Lin; Yang, Ping-Chin; Lee, Wen-Chuan; Lee, Yan-Pai; Chu, Rea-Min


    The purpose of this study was to investigate the relationship between swine health status and the concentration of the serum acute phase proteins, haptoglobin (HP), and C-reactive protein (CRP). A total of 378 clinically healthy pigs from farms A and B, plus 20 pigs culled from farm A due to poor growth, were used in this experiment. Each pig was examined and blood samples were collected during slaughter. The HP concentration was measured by using an HP-hemoglobin binding assay. The CRP conce...

  17. Health Problems and Male Firearm Suicide

    Hempstead, Katherine; Nguyen, Tuan; David-Rus, Richard; Jacquemin, Bretta


    Drawing on constructs of masculinity as it relates to both gun ownership and men's health, we use a rich data set, the New Jersey Violent Death Reporting System as well as hospital discharge data, to analyze 3,413 completed male suicides between the years of 2003 and 2009. We test the hypotheses that the use of firearms is more common when…

  18. Contemporary health physics problems and solutions

    Bevelacqua, Joseph John


    A comprehensive and practical reference on radiation protection. Describes radiation basics, external and internal dosimetry and biological effects of ionizing radiation. Demonstrates the fundamentals and calculations as they are applied to various health physics fields. Over 375 worked examples, presented within the context of diverse scenarios, aid readers in testing their knowledge as well as applying the concepts to actual situations.

  19. Problems of prophylactic CNS radiotherapy in acute children's leukemia

    The prophylactic treatment of the CNS was conducted by cobalt teletherapy of the cranium and by intrathecal application of MTX after the induction of primary remission in 70 children with acute leukemia throughout 5 years up to the end of 1978. The method of the combined radio- and chemoprophylaxis of the CNS was being changed during the years, especially as far as the radiation dose for the cranium was concerned. A detailed analysis made in a group of 59 children with the minimum interval of 18 months from the beginning of the treatment showed the best results after the application of a dose of 24 Gy/3 weeks. Following this procedure the relapse of leukemia in the CNS occurred in 9% only, whereas on the application of doses of 20 Gy and lower it occurred in 35 to 40%. On the whole 24 out of 59 children, i.e. 41%, are surviving, 35 children, i.e. 59%, died. Mostly complete, but only temporary, epilation was an invariable consequence of the irradiation of the cranium. The somnolence syndrome was only sporadically observed. It cannot be excluded, however, that some of its forms in patients discharged from hospital escaped attention. No case was recorded of serious impairment of the CNS of the leukoencephalopathic type. Up to now the psychomotor, intellectual and emotional development of the surviving children has been normal. (author)

  20. Acute stroke trials: the problems of local investigators?

    Toni, D; Sacchetti, M L; Chamorro, A


    During stroke trials local investigators have to face many practical problems and time consuming procedures (filling in huge case report forms, performing repeat blood sample drawings for pharmacokinetic studies etc.) which, however, simply require organizational structures which is understood to be necessary to be able to conduct such kind of studies. Other, and most worrisome problems, are indeed to be solved when a sponsored research may rise potential ethical issues, or when academic research proposals clash with the interest of pharmaceutical companies or find difficulties in being funded by public institutions. It is just a greater involvement of these latter, possibly free from bureaucratic laces, which might help a balance to be struck between academic and industrial aims. PMID:12584421

  1. Mental, physical and social health problems of call centre workers

    P Bhuyar


    Full Text Available Background: Call centre workers in BPO face unique occupational hazards - mental, physical and psychosocial. Material & Method: A sample 100 call centre workers of both sexes and from two cities Pune and Mumbai were surveyed by both qualitative and quantitative methods for the above health problems. Results: A high proportion of workers faced sleep disturbances and associated mental stress and anxiety. Sleep disturbance and anxiety was significantly more in international call centres compared to domestic. There was also disturbance in circadian rhythms due to night shift. Physical problems such as musculoskeletal disorders, obesity, eye, and hearing problems were also present. Psychosocial problems included disruption in family life, use of tobacco and alcohol, and faulty eating habits. Conclusion: Better personal management, health education and more research is indicated to study the health problems in this emerging occupation.

  2. Social Problem Solving Ability Predicts Mental Health Among Undergraduate Students

    Mansour Ranjbar; Ali Asghar Bayani; Ali Bayani


    Background : The main objective of this study was predicting student′s mental health using social problem solving- ability . Methods : In this correlational- descriptive study, 369 (208 female and 161 male) from, Mazandaran University of Medical Science were selected through stratified random sampling method. In order to collect the data, the social problem solving inventory-revised and general health questionnaire were used. Data were analyzed through SPSS-19, Pearson′s correlation, t tes...

  3. Optimistic explanatory style and the perception of health problems.

    Peterson, C; De Avila, M E


    Eighty-six adults completed questionnaires that measure explanatory style and perception of health problems. Subjects on the average saw themselves as below average in risk for a variety of health problems. Those subjects with an optimistic explanatory style, who explained bad events with external, unstable, and specific causes, in particular saw themselves as less at risk (r = .30, p explanatory style and perceived risk, which suggests that perceived preventability may mediate this link. PMID:7782467

  4. Problems with the electronic health record.

    de Ruiter, Hans-Peter; Liaschenko, Joan; Angus, Jan


    One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of documentation from monitoring individual patient progress to recording data pertinent to Institutional Priorities (IPs). The specific IPs to which we refer include: finance/reimbursement; risk management/legal considerations; quality improvement/safety initiatives; meeting regulatory and accreditation standards; and patient care delivery/evidence based practice. Following a brief history of the transition from the paper record to the EHR, the authors discuss unintended or contested consequences resulting from this change. These changes primarily reflect changes in the organization and amount of clinician work and clinician-patient relationships. The paper is not a research report but was informed by an institutional ethnography the aim of which was to understand how the EHR impacted clinicians and administrators in a large, urban hospital in the United States. The paper was also informed by other sources, including the philosophies of Jacques Ellul, Don Idhe, and Langdon Winner. PMID:26603947

  5. Problem-Based Learning: Outcomes Evidence from the Health Professions

    Albanese, Mark A.; Dast, Laura


    Over the past 30 years, problem-based learning (PBL) has become a major force in health professions education and even in the broader educational world. This article focuses on the outcomes that have been found from using PBL in the health professions based on at least 20 reviews done since 1990. The outcomes identified in these reviews are…

  6. Gambling as an Emerging Health Problem on Campus

    Stuhldreher, Wendy L.; Stuhldreher, Thomas J.; Forrest, Kimberly Y-Z


    Objective: The authors documented the prevalence of gambling and correlates to health among undergraduates. Methods: The authors analyzed data from a health-habit questionnaire (gambling questions included) given to students enrolled in a university-required course. Results: Gambling and problems with gambling were more frequent among men than…

  7. Problem Gambling Treatment within the British National Health Service

    Rigbye, Jane; Griffiths, Mark D.


    According to the latest British Gambling Prevalence Survey, there are approximately 300,000 adult problem gamblers in Great Britain. In January 2007, the "British Medical Association" published a report recommending that those experiencing gambling problems should receive treatment via the National Health Service (NHS). This study examines the…

  8. Тheoretical analysis researches of problem cultures of health

    Preobrazhenskaya O.М.


    The theoretical analysis of the existing in literature approaches to the problem of health culture is conducted. Are presented the scientific approaches to the determination of essence «Culture of health» concept and terms attended with it on the basis of content-analysis of philosophical, sociological, psychological and pedagogical literature. The analysis of modern researches allowed to systematize and estimate factors that influence on the health culture, to differentiate and describe comp...

  9. Problems of health education in rural areas in Poland.

    Charzyńska-Gula, Marianna; Sygit, Katarzyna; Sygit, Marian; Goździewska, Małgorzata; Dobrowolska, Beata; Gałęziowska, Edyta


    Health promotion is aimed at the reduction of the differences in society's access to factors determining the frequency of occurrence of pro-health behaviours. This means the construction of health resources and increase in the level of egalitarianism in access to these resources. Health education carried out on a high level in rural schools provides actual possibilities for gaining these resources. Many examples of educational practices confirm that the establishment of health conditioning and health behaviours of schoolchildren, and the diagnosis of rural school on the background of the specificity of the community in which it functions. These are a basis for the construction of effective educational programmes, and not analysis of the differences between urban and rural children and adolescents. In Poland, the performance of health education in rural schools encounters many problems associated both with the lack of infrastructure for health promotion, insufficient perception of the importance of health education at school by the educational authorities, underestimation of primary health care, low activity of the local governments, and lack of qualified rural health promoters. Current health education in Polish rural schools deepens inequalities in access to health, and postpones the moment of providing equal opportunities for rural and urban schoolchildren with access to the resources which condition the maintenance or even an enhancement of health. The objective of the study is to present selected problems in the performance of health education in a Polish rural school in the light of international trends, experiences and discussions related with an optimum form of health promotion in the environment of rural a school and the community. PMID:24069857

  10. Operational plan for the prevention of acute street dust problems

    Juopperi, S. [City of Helsinki, Environment Centre (Finland)


    Suspended particles in the air has for a long time been one of the most crucial problems for air protection in Helsinki. The guidelines values set for total suspended particles are exceeded quite regularly in Helsinki( particularly during the springtime). Under the Air protection Act, a municipality is obliged to initiate the necessary procedures, for example by issuing orders for limiting traffic and emissions, in those situations where the limit values set by the Government for air quality are exceeded. Helsinki air has been cleaned with different projects by directing operations towards traffic, energy production, and the removal of grit from the streets in spring. Despite reductions in direct particle emissions, the suspended particle concentrations themselves have not decreased in the same proportion. This is due to the large proportion of road dust in the suspended particle concentrations. Sand removal work commences by wetting down the road surface to prevent the dust from rising. After wetting down, the coarser stone material and dirt is removed with a mechanical sweeper. The swept road is then cleaned using vacuum sweeping equipment. After vacuum sweeping the road is sprayed with high pressure water from a washing truck. The cleaning work is carried out in such a way that the equipment mentioned above operates as a complete work group. In the urban areas the work proceeds from street to street and notice boards carry prior information and requests for people to remove vehicles. (N.C.)

  11. Handwriting and fine motor problems after treatment for acute lymphoblastic leukemia

    Reinders-Messelink, H.A.; Schoemaker, M.M.; Goeken, L.N H; van den Briel, M.M.; Kamps, W.A; Simner, M L; Leedham, C G; Thomassen, A J W M


    Fine motor skills and handwriting performance were investigated in 17 children at least two years after treatment for acute lymphoblastic leukemia. It was hypothesized that as a late effect of vincristine neuropathy, children would still have fine motor and/or handwriting problems. Gross and fine mo

  12. Social problem solving ability predicts mental health among undergraduate students

    Mansour Ranjbar


    Methods : In this correlational- descriptive study, 369 (208 female and 161 male from, Mazandaran University of Medical Science were selected through stratified random sampling method. In order to collect the data, the social problem solving inventory-revised and general health questionnaire were used. Data were analyzed through SPSS-19, Pearson′s correlation, t test, and stepwise regression analysis. Results : Data analysis showed significant relationship between social problem solving ability and mental health (P < 0.01. Social problem solving ability was significantly associated with the somatic symptoms, anxiety and insomnia, social dysfunction and severe depression (P < 0.01. Conclusions: The results of our study demonstrated that there is a significant correlation between social problem solving ability and mental health.

  13. Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990–2014

    Adams, Catherine; Zacharia, Shilpa; Masters, Lisa; Coffey, Caroline; Catalan, Pepe


    ABSTRACT Mental health problems continue to be a significant comorbidity for people with HIV infection, even in the era of effective antiretroviral therapy. Here, we report on the changes in the mental health diagnoses based on clinical case reports amongst people with HIV referred to a specialist psychological medicine department over a 24-year period, which include the relative increase in depressive and anxiety disorders, often of a chronic nature, together with a decline in acute mental h...

  14. Health problems of Nepalese migrants working in three Gulf countries

    Prescott Gordon J


    Full Text Available Abstract Background Nepal is one of the largest suppliers of labour to countries where there is a demand for cheap and low skilled workers. In the recent years the Gulf countries have collectively become the main destinations for international migration. This paper aims to explore the health problems and accidents experienced by a sample of Nepalese migrant in three Gulf countries. Methods A cross-sectional survey was conducted among 408 Nepalese migrants who had at least one period of work experience of at least six months in any of three Gulf countries: Qatar, Saudi Arabia and United Arab Emirates (UAE. Face to face questionnaire interviews were conducted applying a convenience technique to select the study participants. Results Nepalese migrants in these Gulf countries were generally young men between 26-35 years of age. Unskilled construction jobs including labourer, scaffolder, plumber and carpenter were the most common jobs. Health problems were widespread and one quarter of study participants reported experiencing injuries or accidents at work within the last 12 months. The rates of health problems and accidents reported were very similar in the three countries. Only one third of the respondents were provided with insurance for health services by their employer. Lack of leave for illness, cost and fear of losing their job were the barriers to accessing health care services. The study found that construction and agricultural workers were more likely to experience accidents at their workplace and health problems than other workers. Conclusion The findings suggest important messages for the migration policy makers in Nepal. There is a lack of adequate information for the migrants making them aware of their health risks and rights in relation to health services in the destination countries and we suggest that the government of Nepal should be responsible for providing this information. Employers should provide orientation on possible health

  15. Barriers to discharge in an acute care medical teaching unit: a qualitative analysis of health providers’ perceptions

    Okoniewska, Barbara; Santana, Maria Jose; Groshaus, Horacio; Stajkovic, Svetlana; Cowles, Jennifer; Chakrovorty, David; Ghali, William A.


    Background The complex process of discharging patients from acute care to community care requires a multifaceted interaction between all health care providers and patients. Poor communication in a patient’s discharge can result in post hospital adverse events, readmission, and mortality. Because of the gravity of these problems, discharge planning has been emphasized as a potential solution. The purpose of this paper is to identify communication barriers to effective discharge planning in an ...

  16. Health Services for Behavioral Problems in Pediatric Primary Care.

    Nasir, Arwa; Watanabe-Galloway, Shinobu; DiRenzo-Coffey, Gina


    The aim of this research was to explore primary care pediatricians' experiences in delivering behavioral health services in their own practices within the Nebraska context. An online survey was sent to the 154 primary care pediatricians who are members of the Nebraska chapter of the American Academy of Pediatrics. Questions explored their management of behavioral problems, attitudes, and perceived barriers to providing behavioral health services in their practices. Seventy pediatricians completed the survey (47%). The majority of pediatricians reported seeing substantial numbers of children with behavioral problems. Eighty-five percent believed that most emotional and behavioral complaints could be managed by the pediatrician. Eighty-eight percent believed that the parents would prefer to receive services for their children's behavioral problems in the primary care office. Most felt that their training in mental health issues was inadequate. Pediatricians in this survey feel that pediatric behavioral problems are best managed in the primary care office and perceive that parents also prefer this setting. Improving training in behavioral health in pediatrics is necessary to meet the delivery of much needed behavioral health care to children and families. PMID:25398258

  17. Shift Work and Health: Current Problems and Preventive Actions

    Costa, Giovanni


    The paper gives an overview of the problems to be tackled nowadays by occupational health with regards to shift work as well as the main guidelines at organizational and medical levels on how to protect workers' health and well-being. Working time organization is becoming a key factor on account of new technologies, market globalization, economic competition, and extension of social services to general populations, all of which involve more and more people in continuous assistance and control...

  18. Regulatory perspective of operational problems with health physics survey instrumentation

    The proper operation and performance of radiation survey instruments are emphasized in this NRC report. Radiation measurements made by regulators and licensees must agree to avoid possible conflicts regarding compliance with regulatory requirements. The authors briefly review some significant problems which may exist in the design and construction of portable health physics survey instruments. They suggest a regulatory program for dealing with health physics instrument performance if a voluntary solution is not initiated

  19. Problems and strategies for bone marrow transplantation in acute leukemia and chronic myelogenous leukemia.

    Santos, G W


    Certain marrow transplant protocols can now result in a 50-70% long disease-free survival and low relapse rates in acute leukemia (AL) in CR1, CR2, or CML following cytoreduction and HLA-identical marrow infusion. Two-thirds of deaths are due to acute and chronic graft-versus-host disease (GVHD) or viral infection. The other deaths are due to toxicities of the cytoreductive treatment. Prevention of GVHD has been tried by treatment after the transplant or treating the marrow (lymphocyte depletion). Cyclosporine (CsA) or CsA plus methotrexate has reduced acute GVHD but not chronic GVHD. Marrow has been treated with monoclonal antibodies and lectins or elutriated to decrease numbers of T lymphocytes. Some studies have been effective, but the majority have shown an increased number of rejections or leukemic relapses. Apart from teratogenic effects, thalidomide has minimal toxicity. It effectively prevents and treats acute and chronic GVHD in rodent models. Clinical trials will soon begin. Mismatched related or matched unrelated donors have been employed in the clinic with limited success. Alternatively, autologous transplantation in acute leukemia has shown promising results. Possible solutions to remaining problems and strategies will be discussed. PMID:3052840

  20. The life world of the adolescent with mental health problems

    T Peens


    Full Text Available Adolescents are currently being more and more exposed to the expectations of parents, educators, health-workers/helpers and policy makers to meet the demands of society and conform to it. The perception arises that adults are not able to let the adolescent take responsibility for the HOW of his own life story, despite all the expectations and demands. Under the influence of the post-modernistic approach to science and the narrative therapy it appears that each person is an expert of his own life and that each person is responsible for the how and the writing and rewriting of his own life story. This means that even the adolescent with mental health problems is busy with the writing and rewriting of his life story till even unpleasant incidents and experiences gain new meaning. This demands from the adolescent with mental health problems to be actively involved with his treatment program while the therapist is a participating observer of the therapeutic events. A one-sided approach, where the therapist’s objectives and ideas make the difference in the treatment of adolescents with mental health problems, becomes redundant. An alternative approach is suggested where the adolescent with mental health problems becomes co-author of his own life story and his treatment program. In this research the researcher aimed to explore and describe the HOW of the life world of the adolescent with mental health problems. The utilization of the case-study format as research method enabled an in-depth, holistic description of the life world of the adolescent with mental health problems. The implementation of the strategies to ensure trustworthiness, as described by Guba was applied to ensure the validity and reliability of this study. Focus was specifically placed on the application of the strategy of cross validation. This implies that multiple datacollection sources, different experts, theories and respondents were utilized in the exploration of the life world

  1. Health utility indexes in patients with acute coronary syndromes

    Gencer, Baris; Rodondi, Nicolas; Auer, Reto; Nanchen, David; Räber, Lorenz; Klingenberg, Roland; Pletscher, Mark; Jüni, Peter; Windecker, Stephan; Matter, Christian M; Lüscher, Thomas F; Mach, François; Perneger, Thomas V; Girardin, François R


    Background Acute coronary syndromes (ACS) have been associated with lower health utilities (HUs) compared with the general population. Given the prognostic improvements after ACS with the implementation of coronary angiography (eg, percutaneous coronary intervention (PCI)), contemporary HU values derived from patient-reported outcomes are needed. Methods We analysed data of 1882 patients with ACS 1 year after coronary angiography in a Swiss prospective cohort. We used the EuroQol five-dimensional questionnaire (EQ-5D) and visual analogue scale (VAS) to derive HU indexes. We estimated the effects of clinical factors on HU using a linear regression model and compared the observed HU with the average values of individuals of the same sex and age in the general population. Results Mean EQ-5D HU 1-year after coronary angiography for ACS was 0.82 (±0.16) and mean VAS was 0.77 (±0.18); 40.9% of participants exhibited the highest utility values. Compared with population controls, the mean EQ-5D HU was similar (expected mean 0.82, p=0.58) in patients with ACS, but the mean VAS was slightly lower (expected mean 0.79, p<0.001). Patients with ACS who are younger than 60 years had lower HU than the general population (<0.001). In patients with ACS, significant differences were found according to the gender, education and employment status, diabetes, obesity, heart failure, recurrent ischaemic or incident bleeding event and participation in cardiac rehabilitation (p<0.01). Conclusions At 1 year, patients with ACS with coronary angiography had HU indexes similar to a control population. Subgroup analyses based on patients' characteristics and further disease-specific instruments could provide better sensitivity for detecting smaller variations in health-related quality of life. PMID:27252878

  2. Mental Health Problems in Adults with Williams Syndrome

    Stinton, Chris; Elison, Sarah; Howlin, Patricia


    Although many researchers have investigated emotional and behavioral difficulties in individuals with Williams syndrome, few have used standardized diagnostic assessments. We examined mental health problems in 92 adults with Williams syndrome using the Psychiatric Assessment Schedule for Adults with Developmental Disabilities--PAS-ADD (Moss,…

  3. Adolescent Substance Use: America's #1 Public Health Problem

    National Center on Addiction and Substance Abuse at Columbia University, 2011


    This report finds that adolescent smoking, drinking, misusing prescription drugs and using illegal drugs is, by any measure, a public health problem of epidemic proportion, presenting clear and present danger to millions of America's teenagers and severe and expensive long-range consequences for the entire population. This report is a wake-up call…

  4. Continuous admission to primary school and mental health problems

    Reijneveld, S.A.; Wiefferink, C.H.; Brugman, E.; Verhulst, F.C.; Verloove-Vanhorick, S.P.; Paulussen, T.G.W.


    Background: Younger children in a school class have higher rates of mental health problems if admission to primary school occurs once a year. This study examines whether this relative age effect also occurs if children are admitted to school continuously throughout the year. Methods: We assessed men

  5. Childhood constipation as an emerging public health problem.

    Rajindrajith, Shaman; Devanarayana, Niranga Manjuri; Crispus Perera, Bonaventure Jayasiri; Benninga, Marc Alexander


    Functional constipation (FC) is a significant health problem in children and contrary to common belief, has serious ramifications on the lives of children and their families. It is defined by the Rome criteria which encourage the use of multiple clinical features for diagnosis. FC in children has a high prevalence (0.7%-29%) worldwide, both in developed and developing countries. Biopsychosocial risk factors such as psychological stress, poor dietary habits, obesity and child maltreatment are commonly identified predisposing factors for FC. FC poses a significant healthcare burden on the already overstretched health budgets of many countries in terms of out-patient care, in-patient care, expenditure for investigations and prescriptions. Complications are common and range from minor psychological disturbances, to lower health-related quality of life. FC in children also has a significant impact on families. Many paediatric clinical trials have poor methodological quality, and drugs proved to be useful in adults, are not effective in relieving symptoms in children. A significant proportion of inadequately treated children have similar symptoms as adults. These factors show that constipation is an increasing public health problem across the world with a significant medical, social and economic impact. This article highlights the potential public health impact of FC and the possibility of overcoming this problem by concentrating on modifiable risk factors rather than expending resources on high cost investigations and therapeutic modalities. PMID:27570423

  6. Mental Health Problems in Primary Care: Progress in North America

    Kathryn M. Magruder


    Full Text Available Background and Objectives: Research in the last decade has acknowledged that primary care plays a pivotal role in the delivery of mental health services. The aim of this paper is to review major accomplishments, emerging trends, and continuing gaps concerning mental health problems in primary care in North America. Methods: Literature from North America was reviewed and synthesized. Results: Major accomplishments include: the development and adoption of a number of clinical guidelines specifically for mental health conditions in primary care, the acceptance of the chronic care model as a framework for treating depression in primary care, and the clear adoption of pharmacologic approaches as the predominant mode for treating depression and anxiety. Emerging trends include: the use of non-physician facilitators as care managers in the treatment of depression in primary care, increasing use of technology in the assessment and treatment of mental health conditions in primary care, and dissemination and implementation of integrated mental health treatment approaches. Lingering issues include: the difficulty in moving beyond problem identification and initiation of treatment to sustaining evidence-based treatments, agreement on a common metric to evaluate outcomes, and the stigma still associated with mental illness. Conclusion: Though there now exists a solid and growing evidence base for the delivery of mental health services in primary care, there are still significant challenges which must be overcome in order to make further advances.

  7. Self-reported acute health symptoms and exposure to companion animals

    Background: In order to understand the etiological burden of disease associated with acute health symptoms (e.g. gastrointestinal [GI], respiratory, dermatological), it is important to understand how common exposures influence these symptoms. Exposures to familiar and unfamiliar ...

  8. [Health system in Afghanistan: problems and institutional perspectives].

    Lejars, M


    Afghanistan has been ravaged by years of conflict. To provide emergency services and restore access health services, the Public Health Ministry with the assistance of partners developed first a package of basic health services delivered by NGO contractors and second a package of essential hospital services. The Ministry's role consists of providing guidance. To reduce the many issues and problems affecting this role, reforms are now being undertaken and a new national health care strategy is being developed within the framework of the National Development Strategy. An institution-building project has been initiated with European Union funding to allow the Health Ministry to carry out its stewardship and management functions with greater effectiveness and transparency. This project is essential for the successful outcome of all future strategies and programs planned by the Health Ministry to enhance its institutional effectiveness. The objectives of this project are to strengthen planning and auditing activities, promote quality assurance, implement funding mechanisms for health-related activities, organize management of human resources, maintain ongoing efforts to reform the administration and fight against corruption, and lay the foundations for managing finances and procurement. The scope of this project underlines the importance of its outcome. However the institution-building process will be long and constantly threatened by political instability and insecurity. PMID:19068975

  9. Systems Biology: New Approaches to Old Environmental Health Problems

    Kristen P. Oehlke


    Full Text Available The environment plays a pivotal role as a human health determinant and presence of hazardous pollutants in the environment is often implicated in human disease. That pollutants cause human diseases however is often controversial because data connecting exposure to environmental hazards and human diseases are not well defined, except for some cancers and syndromes such as asthma. Understanding the complex nature of human-environment interactions and the role they play in determining the state of human health is one of the more compelling problems in public health. We are becoming more aware that the reductionist approach promulgated by current methods has not, and will not yield answers to the broad questions of population health risk analysis. If substantive applications of environment-gene interactions are to be made, it is important to move to a systems level approach, to take advantage of epidemiology and molecular genomic advances. Systems biology is the integration of genomics, transcriptomics, proteomics, and metabolomics together with computer technology approaches to elucidate environmentally caused disease in humans. We discuss the applications of environmental systems biology as a route to solution of environmental health problems.

  10. The Impact of Oral Health on Taste Ability in Acutely Hospitalized Elderly

    Solemdal, Kirsten; Sandvik, Leiv; Willumsen, Tiril; Mowe, Morten; Hummel, Thomas


    Objective To investigate to what extent various oral health variables are associated with taste ability in acutely hospitalized elderly. Background Impaired taste may contribute to weight loss in elderly. Many frail elderly have poor oral health characterized by caries, poor oral hygiene, and dry mouth. However, the possible influence of such factors on taste ability in acutely hospitalized elderly has not been investigated. Materials and Methods The study was cross-sectional. A total of 174 ...

  11. [Problems in the development of the emergency health care system].

    Hasić, Z; Sisić, I


    Since February 1994, during and after 4-years supervision of American specialists, Emergency department of Zenica hospital has been trying to implement Anglo-American working system within the hospital framework (video). Principles of quality functioning of Emergency Medical Service (EMS) are based on: Population that depends on different demographic factors and prevention programme (education of population, quality functioning of health legislation). Pre-hospital treatment depends on good quality communication and transport. Hospital treatment based on good functioning of Emergency department and Intensive care unit as well as proper coordination with other specialties. Proper implementation of items stated above depends on top-class teaching and compulsory periodical screening of attained knowledge and skills, properly organized communication, transport and technical equipment. Emergency medicine is not only a sum of urgencies from the existing conditions but a special medical discipline and it has special and unique approach to diagnosis and therapy of acute health disorders. Therefore, a main weakness in the development of emergency medicine is: no recognition of emergency medicine as a unique specialty in the most European countries, non-existing departments of emergency medicine at medical faculties, no unification of BiH emergency medicine system, undeveloped monitoring and development evaluation of emergency medicine etc. The World Association of Emergency Medicine should have an important role for emergency medicine recognition, and in its future development through links with health legislation and educational associations (ACLS, ATLS, APLS). PMID:11117025

  12. A tool to guide the process of integrating health system responses to public health problems

    Tilahun Nigatu Haregu


    Full Text Available An integrated model of health system responses to public health problems is considered to be the most preferable approach. Accordingly, there are several models that stipulate what an integrated architecture should look like. However, tools that can guide the overall process of integration are lacking. This tool is designed to guide the entire process of integration of health system responses to major public health problems. It is developed by taking into account the contexts of health systems of developing countries and the emergence of double-burden of chronic diseases in these settings. Chronic diseases – HIV/AIDS and NCDs – represented the evidence base for the development of the model. System level horizontal integration of health system responses were considered in the development of this tool.

  13. Promoting Health by Addressing Basic Needs: Effect of Problem Resolution on Contacting Health Referrals

    Thompson, Tess; Kreuter, Matthew W.; Boyum, Sonia


    Members of vulnerable populations have heightened needs for health services. One advantage of integrating health risk assessment and referrals into social service assistance systems such as 2-1-1 is that such systems help callers resolve problems in other areas (e.g., housing). Callers to 2-1-1 in Missouri (N = 1,090) with at least one behavioral…

  14. Adult Asylum Seekers from the Middle East Including Syria in Central Europe: What Are Their Health Care Problems?

    Pfortmüller, Carmen; Schwetlick, Miriam; Müller, Thomas; Lehmann, Beat; Exadaktylos, Aristomenis


    Background Forced displacement related to persecution and violent conflict has reached a new peak in recent years. The primary aim of this study is to provide an initial overview of the acute and chronic health care problems of asylum seekers from the Middle East, with special emphasis on asylum seekers from Syria. Methods Our retrospective data analysis comprised adult patients presenting to our emergency department between 01.11.2011 and 30.06.2014 with the official resident sta...

  15. Mental health problems in adolescents with cochlear implants: Peer problems persist after controlling for additional handicaps

    Maria eHuber


    Full Text Available The aims of the present multi-center study were to investigate the extent of mental health problems in adolescents with a hearing loss and cochlear implants (CIs in comparison to normal hearing (NH peers and to investigate possible relations between the extent of mental health problems of young CI users and hearing variables, such as age at implantation, or functional gain of CI. The survey included 140 adolescents with CI (mean age = 14.7, SD = 1.5 years and 140 NH adolescents (mean age = 14.8, SD = 1.4 years, their parents and teachers. Participants were matched by age, gender and social background. Within the CI group, 35 adolescents were identified as risk cases due to possible and manifest additional handicaps, and 11 adolescents were non-classifiable. Mental health problems were assessed with the Strengths and Difficulties Questionnaire (SDQ in the versions Self, Parent, and Teacher. The CI group showed significantly more Peer Problems than the NH group. When the CI group was split into a risk-group (35 risk cases and 11 non-classifiable persons and a non-risk group (n = 94, increased peer problems were perceived in both CI subgroups by adolescents themselves. However, no further differences between the CI non-risk group and the NH group were observed in any rater. The CI-risk group showed significantly more hyperactivity compared to the NH group and more hyperactivity and conduct problems compared to the CI non-risk group. Cluster analyses confirmed that there were significantly more adolescents with high problems in the CI-risk group compared to the CI non-risk group and the NH group. Adolescents with CI, who were able to understand speech in noise had significantly less difficulties compared to constricted CI users. Parents, teachers, and clinicians should be aware that CI users with additionally special needs may have mental health problems. However, peer problems were also experienced by CI adolescents without additional handicaps

  16. Water Related Health Problems in Central Asia—A Review

    Zakir Bekturganov; Kamshat Tussupova; Ronny Berndtsson; Nagima Sharapatova; Kapar Aryngazin; Maral Zhanasova


    The present paper provides an extensive literature review on water related health issues in Central Asia. Even though the per capita amount of available freshwater is substantial in all Central Asian states the uneven distribution in time and space creates problems for water availability. Due to this, the Central Asian economies are developing under increasing water deficiency. The degradation of water supply systems and sewage treatment plants is often severe leading to potentially high wate...

  17. Mental, physical and social health problems of call centre workers

    P Bhuyar; A. Banerjee; H Pandve; P Padmnabhan; Patil, A.; Duggirala, S.; Rajan, S.; Chaudhury, S.


    Background: Call centre workers in BPO face unique occupational hazards - mental, physical and psychosocial. Material & Method: A sample 100 call centre workers of both sexes and from two cities Pune and Mumbai were surveyed by both qualitative and quantitative methods for the above health problems. Results: A high proportion of workers faced sleep disturbances and associated mental stress and anxiety. Sleep disturbance and anxiety was significantly more in international call centres com...

  18. Migrant differences in adolescents’ medicine use for common health problems

    Cantarero Arevalo, Lourdes; Andersen, Anette; Holstein, Bjørn Evald;


    and 456 migrants. Logistic regression was applied to assess associations. Multi-level logistic regression was used to assess the independent effect of school cluster. Results: Immigrant girls reported the highest past-month prevalence of medicine use for the four ailments included in the analysis. The...... differences in adolescents’ medicine use for common health problems, and if feeling safe at school, as a non-exposure to discrimination, explained these differences. Methods: Data derived from the 2006 Danish contribution to the World Health Organization collaborative study Health Behaviour in School...... highest prevalence of medicine use was found for alleviating headache (54.7%), followed by stomach-ache (30.4%). Among the boys who took medicine for stomach-ache, the odds were 2.11 (1.46-3.05) for descendants and 1.55 (1.00-2.39) for immigrants. Feeling safe at school modifies the effect by reducing the...

  19. Sleep disturbance in mental health problems and neurodegenerative disease

    Anderson KN


    Full Text Available Kirstie N Anderson1 Andrew J Bradley2,3 1Department of Neurology, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle Upon Tyne, UK; 2Eli Lilly and Company Limited, Lilly House, Basingstoke, UK; 3Institute of Neuroscience, Newcastle University, Newcastle Upon Tyne, UK Abstract: Sleep has been described as being of the brain, by the brain, and for the brain. This fundamental neurobiological behavior is controlled by homeostatic and circadian (24-hour processes and is vital for normal brain function. This review will outline the normal sleep–wake cycle, the changes that occur during aging, and the specific patterns of sleep disturbance that occur in association with both mental health disorders and neurodegenerative disorders. The role of primary sleep disorders such as insomnia, obstructive sleep apnea, and REM sleep behavior disorder as potential causes or risk factors for particular mental health or neurodegenerative problems will also be discussed. Keywords: sleep, mental health, neurodegenerative disorders, cognition

  20. Relationship Between Alcohol Drinking and Alcohol-related Health Problems



    Objective To study the relationship between drinking environment, attitudes and situation and alcohol-related health problems. Methods A sample of 2327 respondents was randomly collected from Wuhan, Hubei Province in China by a face-to-face interview. The structural equation modeling analysis was performed for the data collected. Results Both parents' drinking behaviors and respondents' drinking situation strongly impacted the alcohol-related problems and diseases. Friends' or peers' drinking behaviors influenced the respondents' drinking attitudes and behaviors. Males experienced more alcohol-related problems and diseases than females. Conclusions Comparatively, parents' drinking behaviors exert the most significant influence on drinkers. Therefore, it is beneficial to restrict parents' drinking behaviors for the offsprings and the whole society, and an intensive professional education in early motherhood is also necessary for Chinese women.

  1. Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990-2014.

    Adams, Catherine; Zacharia, Shilpa; Masters, Lisa; Coffey, Caroline; Catalan, Pepe


    Mental health problems continue to be a significant comorbidity for people with HIV infection, even in the era of effective antiretroviral therapy. Here, we report on the changes in the mental health diagnoses based on clinical case reports amongst people with HIV referred to a specialist psychological medicine department over a 24-year period, which include the relative increase in depressive and anxiety disorders, often of a chronic nature, together with a decline in acute mental health syndromes, mania, and organic brain disorders. In addition, new challenges, like the presence of HIV and Hepatitis C co-infection, and the new problems created by recreational drugs, confirm the need for mental health services to be closely involved with the general medical services. A substantial proportion of people with HIV referred to specialist services suffer complex difficulties, which often require the collaboration of both psychiatrists and psychologists to deal effectively with their difficulties. PMID:26888472

  2. Health-related quality of life and mental health problems after a disaster: are chronically ill survivors more vulnerable to health problems?

    Berg, B. van den; Velden, P.G. van der; Yzermans, C.J.; Stellato, R.K.; Grievink, L.


    Studies have shown that the chronically ill are at higher risk for reduced health-related quality of life (HRQL) and for mental health problems. A combination with traumatic events might increase this risk. This longitudinal study among 1216 survivors of a disaster examines whether chronically ill s

  3. Health-related quality of life and mental health problems after a disaster: Are chronically ill survivors more vulnerable to health problems?

    Berg, Bellis van den; Velden, Peter G van der; Yzermans, C Joris; Stellato, Rebecca K; Grievink, Linda


    Studies have shown that the chronically ill are at higher risk for reduced health-related quality of life (HRQL) and for mental health problems. A combination with traumatic events might increase this risk. This longitudinal study among 1216 survivors of a disaster examines whether chronically ill s

  4. Problem Gambling Among Ontario Students: Associations with Substance Abuse, Mental Health Problems, Suicide Attempts, and Delinquent Behaviours.

    Cook, Steven; Turner, Nigel E; Ballon, Bruce; Paglia-Boak, Angela; Murray, Robert; Adlaf, Edward M; Ilie, Gabriela; den Dunnen, Wendy; Mann, Robert E


    This paper describes gambling problems among Ontario students in 2009 and examines the relationship between gambling problems and substance use problems, mental health problem indicators, and delinquent behaviors. Data were derived from the Ontario Student Drug Use and Health Survey of Ontario students in grades 7-12. Gambling problems were measured as 2 or more of 6 indicators of problem gambling. In total 2.8% of the students surveyed endorsed two or more of the problem gambling items. The odds of problem gamblers reporting mental distress was 4.2 times higher than the rest of the sample and the odds of problem gamblers reporting a suicide attempt were 17.8 times greater than the rest of the sample. In addition compared to the rest of the students, delinquent behaviors were also more common among problem gamblers, including theft (OR = 14.5), selling marijuana (OR = 19.6), gang fights (OR = 11.3) and carrying a handgun (OR = 11.2). In a multivariate analysis, substance-use problems, mental health problems, and the participation in a variety of delinquent behaviors remained significantly associated with youth problem gambling behavior. Students who report problem gambling behaviors show increased substance abuse, mental health, and delinquency/criminal problems that are similar to those seen among adult problem gamblers. The association between these problems suggests that these problems could be addressed in a unified manner. PMID:24981225

  5. Burnout syndrom as a mental health problem among medical students

    Backović Dušan


    Full Text Available Introduction. Mental health problems of adolescents are among the prevailing problems of public health. While studying for their future medical profession, the students of medicine have to exchange emotions with the patients intensively, and the empathic relationship itself bears a risk of eventual ”emotional depletion”, which leads to ”professional lack of emotions”. The study was aimed at presenting burnout syndrome as a challenge for mental health of medical students, its importance for the future professional engagement of doctors and the possibilities of its prevention. Methods. The authors of this paper review and analyze data and conclusions of previous national and international studies from this field and suggest possibilities of overcoming the condition of burnout. Results. The frequency of burnout syndrome, which is the synonym for the above mentioned condition of emotional exhaustion, is twice as high in medical professionals, particularly young ones, as in other professions on average. Burnout syndrome is nowadays regarded as a psychological distress experienced during the educational process and it has been observed in as many as 50% of medical students. The most significant factors independently associated with student burnout are: personality traits, stressful personal life events and learning and training conditions at their faculties. Conclusions. It is of utmost importance to understand the causes and consequences of psychological distress in students, and the faculties should not only identify these problems, but also endeavor to promote health by developing strategies for improving personal well-being, which are important for future doctors to achieve professional success and develop resistance to stress.

  6. Secondhand smoke exposure and mental health problems in Korean adults


    OBJECTIVES: To evaluate the association between secondhand smoke exposure (SHSE) and mental health problems among Korean adults. METHODS: We analyzed data from the 2011 Korean Community Health Survey. From the total of 229,226 participants aged 19 years or above, we excluded 48,679 current smokers, 36,612 former smokers, 3,036 participants with a history of stroke, 2,264 participants with a history of myocardial infarction, 14,115 participants who experienced at least one day in bed per month due to disability, and 855 participants for whom information regarding SHSE or mental health problems was not available. The final analysis was performed with 22,818 men and 100,847 women. Participants were classified into four groups according to the duration of SHSE: none, <1 hr/d, 1-<3 hr/d, and ≥3 hr/d. The presence of depressive symptoms, diagnosed depression, and high stress were measured by questionnaire. RESULTS: After adjusting for demographic factors, lifestyle, and chronic disease, the odds ratio (OR) and 95% confidence interval (CI) of depressive symptoms with 1-<3 hr/d and ≥3 hr/d SHSE were 1.44 (95% CI, 1.14 to 1.82) and 1.59 (95% CI, 1.46 to 1.74), respectively. However, SHSE ≥3 hr/d had a higher OR of 1.37 (95% CI, 1.20 to 1.58) for diagnosed depression. SHSE was also associated with high stress (1-<3 hr/d: OR, 1.56; 95% CI, 1.38 to 1.76; ≥3 hr/d: OR, 1.33 95% CI, 1.28 to 1.40). However, the association between SHSE and symptoms of depression and stress did not differ significantly by region. CONCLUSIONS: SHSE may be associated with mental health problems such as depression and stress in Korean adults. PMID:26988086

  7. Women as Unpaid Family Workers, Their Health Risks and Problems

    Ulfiye Celikkalp


    Full Text Available Turkey has one of the highest numbers of and #8220;unpaid family workers and #8221;(UFW among women. This study aimed that to determine the health problems and risks works as an UFW. Economic, social and cultural causes have been undermining the women and #8217;s status in the society and these before mentioned causes make women dependent. In addition to their biological burden, women are also exposed to diversified amount of health risks with the effects of their gender role in the society. This study determined that, being an UFW might increase the risk of psychosocial, chemical, physical, biological, ergonomic exposure among women and poor working conditions might cause additional health problems in physiological periods such as pregnancy and senescence; it might increase the risk of pathological exposures such as violence and harassment. This predicament blocks the health services accessing. It is possible to say the increased disease burden; unfulfilled health services needs and demands addition to the unsecured and unhealthy working conditions of the women as an UFW. Women have been experiencing a waste range of risk factors and falling ill as UFW. These women are unaware of these dangers and the ones around them are oblivious to these risks. In order to make the woman labor visible and perpetual, there must be made regulations and social educational studies. Being an UFW must be predefined as a line of business by the legal regulations and these women must benefit from all the rights and assurances in the working life. [TAF Prev Med Bull 2014; 13(3.000: 233-240

  8. Tackling 'wicked' health promotion problems: a New Zealand case study.

    Signal, Louise N; Walton, Mat D; Ni Mhurchu, Cliona; Maddison, Ralph; Bowers, Sharron G; Carter, Kristie N; Gorton, Delvina; Heta, Craig; Lanumata, Tolotea S; McKerchar, Christina W; O'Dea, Des; Pearce, Jamie


    This paper reports on a complex environmental approach to addressing 'wicked' health promotion problems devised to inform policy for enhancing food security and physical activity among Māori, Pacific and low-income people in New Zealand. This multi-phase research utilized literature reviews, focus groups, stakeholder workshops and key informant interviews. Participants included members of affected communities, policy-makers and academics. Results suggest that food security and physical activity 'emerge' from complex systems. Key areas for intervention include availability of money within households; the cost of food; improvements in urban design and culturally specific physical activity programmes. Seventeen prioritized intervention areas were explored in-depth and recommendations for action identified. These include healthy food subsidies, increasing the statutory minimum wage rate and enhancing open space and connectivity in communities. This approach has moved away from seeking individual solutions to complex social problems. In doing so, it has enabled the mapping of the relevant systems and the identification of a range of interventions while taking account of the views of affected communities and the concerns of policy-makers. The complex environmental approach used in this research provides a method to identify how to intervene in complex systems that may be relevant to other 'wicked' health promotion problems. PMID:22419621

  9. Self-reported acute health symptoms and exposure to companion animals#

    Self-reported acute health symptoms and exposure to companion animalsWhitney S. Krueger1,2, Elizabeth D. Hilborn2, Timothy J. Wade21Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA2Environmental Public Health Division, Office of Research and Development, U...

  10. Substance-related health problems during rave parties in The Netherlands (1997-2008.

    Jan Krul

    Full Text Available The objective of this study was to describe a 12-year (1997-2008 observation of substance-related incidents occurring at rave parties in the Netherlands, including length of visits to first-aid stations, substances used, and severity of the incidents. During rave parties, specifically trained medical and paramedical personnel staffed first aid stations. Visitors were diagnosed and treated, and their data were recorded using standardized methods. During the 12-year period with 249 rave parties involving about 3,800,000 visitors, 27,897 people visited a first aid station, of whom 10,100 reported having a substance-related problem. The mean age of these people was 22.3+/-5.4 years; 52.4% of them were male. Most (66.7% substance-related problems were associated with ecstasy or alcohol use or both. Among 10,100 substance-related cases, 515 required professional medical care, and 16 of these cases were life threatening. People with a substance-related problem stayed 20 min at the first aid station, which was significantly longer than the 5 min that those without a substance-related health problem stayed. These unique data from the Netherlands identify a variety of acute health problems related to the use of alcohol, amphetamines, cannabis, cocaine, ecstasy, and GHB. Although most problems were minor, people using GHB more often required professional medical care those using the other substances. We recommended adherence to harm and risk reduction policy, and the use of first aid stations with specially trained staff for both minor and serious incidents.

  11. Perceived risk of mental health problems in primary care.


    In the face of limited resources and an aging population with increasingly care needs, healthcare systems must identify community-dwelling older adults with mental health problems at higher risk of adverse outcomes such as institutionalization, hospitalization and death, in order to deliver timely and efficient care. The objectives of this study were to assess the prevalence of mental health concerns and the associated perceived risk of adverse outcomes in a large sample of older patients in primary care (PC). We trained general practitioners and nurses to use the Risk Instrument for Screening in the Community to rank perceived risk of mental health concerns (including neurocognitive and mood disorders) from 1 (mild) to 3 (severe). The mean age of the 4499 people assessed was 76.3 years (SD = 7.3) and 2645 (58.8%) were female. According to the PC team 1616 (35.9%) were perceived to have mental health concerns of whom 847 (52.4%) were mild, 559 (34.6%) were moderate and 210 (13%) were severe. Patients with mental health concerns had higher odds of perceived risk of adverse outcomes (OR = 2.22, 95% CI 1.83-2.69 for institutionalization; OR = 1.66, 95% CI 1.41-1.94 for hospitalization; OR = 1.69, 95% CI 1.42-2.01 for death). These results suggest a high prevalence of mental health concerns among older adults and supports the need for early identification of patients at high-risk of adverse healthcare outcomes.

  12. Electronic media, violence, and adolescents: an emerging public health problem.

    David-Ferdon, Corinne; Hertz, Marci Feldman


    Adolescents' access to and use of new media technology (e.g., cell phone, personal data assistant, computer for Internet access) are on the rise, and this explosion of technology brings with it potential benefits and risks. Attention is growing about the risk of adolescents to become victims of aggression perpetrated by peers with new technology. In September 2006, the Centers for Disease Control and Prevention convened a panel of experts in technology and youth aggression to examine this specific risk. This special issue of the Journal of Adolescent Health presents the data and recommendations for future directions discussed at the meeting. The articles in the Journal support the argument that electronic aggression is an emerging public health problem in need of additional prevalence and etiological research to support the development and evaluation of effective prevention programs. PMID:18047940

  13. Health problems of nursing workers in a public educational institution

    Carolina Luiza Bernardes


    Full Text Available Objective: To identify the issues occurred with nursing workers through a Health Monitoring System for Nursing Workers (SIMOSTE and to describe the consequences of those problems. Method: This is a quantitative, exploratory and descriptive study realized in a teaching hospital in the west region of the city of São Paulo. Results: From the SIMOSTE, 1.847 occurrences were registered in a six month period. Within the main occurrences, medical licenses, work related accidents with and without removals; psychiatric consultations and psychotherapy were highlighted. Conclusion: The data points out to the need for the development of new health vigilance actions to notify accidents and illness related to work, besides the prevention of issues.

  14. Applied social and behavioral science to address complex health problems.

    Livingood, William C; Allegrante, John P; Airhihenbuwa, Collins O; Clark, Noreen M; Windsor, Richard C; Zimmerman, Marc A; Green, Lawrence W


    Complex and dynamic societal factors continue to challenge the capacity of the social and behavioral sciences in preventive medicine and public health to overcome the most seemingly intractable health problems. This paper proposes a fundamental shift from a research approach that presumes to identify (from highly controlled trials) universally applicable interventions expected to be implemented "with fidelity" by practitioners, to an applied social and behavioral science approach similar to that of engineering. Such a shift would build on and complement the recent recommendations of the NIH Office of Behavioral and Social Science Research and require reformulation of the research-practice dichotomy. It would also require disciplines now engaged in preventive medicine and public health practice to develop a better understanding of systems thinking and the science of application that is sensitive to the complexity, interactivity, and unique elements of community and practice settings. Also needed is a modification of health-related education to ensure that those entering the disciplines develop instincts and capacities as applied scientists. PMID:22011425

  15. Unmasking the health problems faced by the police personnel



    Full Text Available Aim: To assess the health problems of the police personnel under Vijayawada police commisionerate 2. To make the health check ups regular and 3. To make the physical fitness programme mandatory for them.Study design: cross sectional study Methodology: Health check up was done for 617 police personnel from 12.11.09 to 4.12.09. In the morning hours, a group of junior doctors, paramedical staff and technicians visited the police dispensary to do the general check up, take blood samples and ECG. The following afternoon a group of specialists visited to check the same patients along with their reports to make the final diagnosis. Results: Out of 617 police personnel 259 (42% were overweight/obese, lack of physical activity was found in 397 (64% of them, alcohol consumption was present in 148 (24% and smoking in 136 (22% of the police personnel. Diabetes was diagnosed in 229 (37% and hypertension in 203 (33%. Anemia was detected in 154 (25%, visual abnormalities in 59 (10%, lipid abnormalities in 185 (30%, liver function test abnormalities in 31 (5%, ECG abnormalities in 25 (4%, renal function abnormalities in 6 (1%. Conclusion: A Physical fitness Schedule along with Stress alleviation techniques to be made mandatory for the police personnel to keep them physically and mentally fit, to perform critical job functions, to alleviate stress, and to improve their quality of life. Routine health checkups should be done to detect lurking dangers.

  16. A multidisciplinary approach to the air quality and health problems in indoor arenas

    Salonen, R.O.; Pennanen, A.S.; Alm, S.; Randell, J.T.; Haelinen, A.I.; Husman, T.; Jantunen, M.J. [National Public Health Inst., Kuopio (Finland). Div. of Environmental Health; Eklund, T. [Technical Research Centre of Finland, Espoo (Finland); Lee, Kiyoung; Spengler, J.D. [Harvard School of Public Health, Boston (United States). Dept. of Environmental Health


    Most ice resurfacing machines used in indoor ice arenas have internal combustion engines. They use either propane or petrol as fuel. The main exhaust pollutants are carbon monoxide (CO), nitrogen oxides (NO{sub x}), volatile organic compounds (VOC) and fine particles. In general, propane engines emit more NO{sub x} than petrol engines, but their CO emissions are smaller. The levels of these pollutants in indoor air depend on total amount of emissions volume of arena and effectiveness of ventilation. However, due to large variations in engine emissions the air quality in any single arena cannot be estimated without direct measurements. High levels of CO and nitrogen dioxide (NO{sub 2}) have been measured in indoor ice arenas of North America since 1960`s, and it is only recently that high NO{sub 2} levels have been measured also in Sweden. In health studies, attention has been paid mostly to epidemic acute poisonings among ice hockey players and spectators caused by large concentrations of CO. However, some cases of acute NO{sub 2} poisonings have also been described. The aims of this project are: (1) to examine the air quality in Finnish indoor ice arenas, (2) to study associations between the air quality and the major technical features of the arenas, (3) to assess personal exposures of ice hockey players, spectators and maintenance personnel to CO and NO{sub 2}, (4) to investigate short-term and longer-term health effects of CO and NO{sub 2} exposures on ice hockey players and maintenance personnel, (5) to inform the managers of ice arenas and the health authorities on the current air quality problems and health risks in Finnish indoor ice arenas. (author)

  17. Problems of Parliamentary accountability in Jamaica: consequences for health administration.

    Moncrieffe, J M


    The effective parliamentary democracy implements the policies, programmes, procedures and processes that encourage optimal constituency service, effective departmental performance, thoroughly considered and well-formulated government policies, public responsiveness and accountability. This paper uses a case study of health administration to highlight some of the problems presented in seeking to establish parliamentary accountability in Jamaica. It argues that the ineffectiveness and lack of accountability in and of Parliament have flourished in a context of poor economic growth and deep political and social divides. Accountability requires more than ad-hoc institutional interventions; it depends on social and political change. PMID:20027707

  18. Health behaviour changes and onset of chronic health problems in later life

    Marijke Veenstra


    Full Text Available Objectives: To assess five-year changes in health behaviours in later life and associations with onset of chronic health problems. The results may inform policy and interventions to promote healthy life years in ageing populations.Methods: Data are derived from the Norwegian study on Life-course, Ageing and Generation (NorLAG, a five-year (2002-2007 panel survey comprising a nation wide community sample. The present analyses include a sample of 1,019 respondents aged 60 years and older. Five-year changes in smoking, alcohol use, physical exercise and Body Mass Index (BMI are assessed according to prevalent and incident chronic health problems. Multivariate logistic analyses of “healthy” behavioural changes are conducted.Results: A total of 453 respondents (45% reported at least one chronic condition and 13% (N=133 reported onset of chronic conditions in the course of the past five years. Over a five-year period, there was an overall reduction in smoking rates and a decrease in regular physical activity. Alcohol consumption in older people slightly increased over time, but the incidence of chronic health problems tended to reduce alcohol intake. Older persons experiencing chronic health problems were less likely to initiate physical activity.Conclusions: The results provide limited support for the assumption that the onset of a chronic health condition triggers improved health behaviours. This suggests that the health care system could do more in targeting a potential “window of opportunity” for individuals to adopt new healthy behaviours in later life.

  19. Health-related quality of life assessment in Indonesian childhood acute lymphoblastic leukemia



    Full Text Available Abstract Background Most studies on Health-related Quality of Life (HRQOL in children with cancer were conducted in developed countries. The aims of this study were to assess the HRQOL in childhood acute lymphoblastic leukemia (ALL patients in Indonesia and to assess the influence of demographic and medical characteristics on HRQOL. Methods After cultural linguistic validation, a cross-sectional study of HRQOL was conducted with childhood ALL patients and their guardians in various phases of treatment using the Pediatric Quality of Life Inventory™ (PedsQL™ 4.0 Generic Core Scale and the Pediatric Quality of Life Inventory™ (PedsQL™ 3.0 Cancer Module. Results Ninety-eight guardians and 55 patients participated. The internal consistency of both scales ranged from 0.57 to 0.92. HRQOL of Indonesian patients was comparable with those in developed countries. There were moderate to good correlations between self-reports and proxy-reports, however guardians tended to report worse HRQOL than patients. Children of the 2–5 year-group significantly had more problems in procedural anxiety, treatment anxiety and communication subscales than in older groups (p Conclusion Younger children had more problems in procedural anxiety, treatment anxiety and communication subscales. Therefore, special care during intervention procedures is needed to promote their normal development. Psychosocial support should be provided to children and their parents to facilitate their coping with disease and its treatment.

  20. Assessment of health-related quality of life in patients after acute myocardial infarction

    Rančić Nataša; Petrović Branislav; Apostolović Svetlana; Mandić Milan; Antić Ivan


    Introduction. Acute myocardial infarction has negative influence on patient’s quality of life. The objective of the paper was to assess the healthrelated quality of life in the patients one month and twelve months after acute myocardial infarction and to compare it with the healthy controls. Material and Methods. A prospective cohort study involved 160 patients aged from 30 to 79 and 240 healthy controls. The health-related quality of life was assessed with the Serbian version of these ...

  1. Acute and chronic job stressors among ambulance personnel: predictors of health symptoms

    van der Ploeg, E; Kleber, R.J.


    Objectives: To predict symptomatology (post-traumatic distress, fatigue, and burnout) due to acute and chronic work related stressors among ambulance personnel. Methods: Data were gathered from 123 ambulance workers in The Netherlands in a longitudinal design. At two measurements they completed standardised questionnaires to assess health symptoms, such as the Impact of Event Scale, the Maslach Burnout Inventory, and the Checklist Individual Strength. Acute stressors were assessed with specif...

  2. Acute Stroke Through the Perspective of a County Hospital: Problems and Opportunities

    Atay Vural


    Full Text Available Objective: Stroke is one of the most important public health issues worldwide, and ranks as the second highest cause of mortality in our country. Regular follow-up of stroke statistics and taking necessary precautions upon determining deficits by countries themselves constitute the most important way of improving prognosis and survival after stroke incidents. To achieve this goal, statistical studies should be performed at various levels of healthcare services. Tertiary care hospitals are the most suitable centers to perform these studies. However, the majority of the population receives service at secondary care centers where the actual statistics remain unknown. The objective of this study was to examine all patients with acute stroke who presented to a county hospital over a one-year period and obtain related data, discuss deficits, and provide solutionbased recommendations. Materials and Methods: All patients diagnosed as having acute stroke between July 2013-July 2014 were included in the study. Demographic, clinical, and radiologic data, in addition to the timing of presentation and baseline National Institutes of Health Stroke Scale (NIHSS scores were recorded retrospectively, and patients were classified by the type of stroke. All patients were followed up for at least one year after the stroke incident and cumulative survival scores were calculated using Kaplan-Meier analysis. Results: Hemorrhagic stroke was determined in four out of 49 patients with acute stroke; the 45 patients diagnosed as having ischemic stroke were included in the study. Among these, 44.4% (n=20 of the patients presented within the first three hours of onset of clinical symptoms, 4.4% (n=2 presented at 3.-4.5 hours. Baseline NIHSS was 1-4 (mild stroke in 50% (n=10 of patients who presented in the first three hours, and >5 (moderate or severe stroke in 50% (n=10 of the remaining patients. The etiologic cause was embolic in 37.1% (n=13, large artery atherosclerosis

  3. Health literacy and 30-day hospital readmission after acute myocardial infarction

    Bailey, Stacy Cooper; Fang, Gang; Annis, Izabela E; O'Conor, Rachel; Paasche-Orlow, Michael K; Wolf, Michael S


    Objective To assess the validity of a predictive model of health literacy, and to examine the relationship between derived health literacy estimates and 30-day hospital readmissions for acute myocardial infarction (AMI). Design Retrospective cohort study. Setting and participants A National Institute of Aging (NIA) study cohort of 696 adult, English-speaking primary care patients, aged 55–74 years, was used to assess the validity of derived health literacy estimates. Claims from 7733 Medicare...

  4. Organisational Issues surrounding the Merger of Two Acute Mental Health Services: An Exploratory Study

    Hayes, Claire


    Healthcare services have engaged in domestic and international mergers in recent years in order to match the macroeconomic trends operating worldwide and to cope with the current global financial crisis. ‘Vision for Change’ (Department of Health and Children 2006) highlights the importance of closing all psychiatric institutions in an effort to enhance a community-based model of care and to modernise mental health service infrastructure. Therefore, considering acute mental health services wil...

  5. Mental and social health during and after acute emergencies: emerging consensus?

    van Ommeren, Mark; Saxena, Shekhar; Saraceno, Benedetto


    Mental health care programmes during and after acute emergencies in resource-poor countries have been considered controversial. There is no agreement on the public health value of the post-traumatic stress disorder concept and no agreement on the appropriateness of vertical (separate) trauma-focused services. A range of social and mental health intervention strategies and principles seem, however, to have the broad support of expert opinion. Despite continuing debate, there is emerging agreem...

  6. Exploring the role of GIS during community health assessment problem solving: experiences of public health professionals

    Scotch Matthew


    Full Text Available Abstract Background A Community health assessment (CHA involves the use of Geographic Information Systems (GIS in conjunction with other software to analyze health and population data and perform numerical-spatial problem solving. There has been little research on identifying how public health professionals integrate this software during typical problem solving scenarios. A better understanding of this is needed to answer the "What" and the "How". The "What" identifies the specific software being used and the "How" explains the way they are integrated together during problem solving steps. This level of understanding will highlight the role of GIS utilization during problem solving and suggest to developers how GIS can be enhanced to better support data analysis during community health assessment. Results An online survey was developed to identify the information technology used during CHA analysis. The tasks were broken down into steps and for our analysis these steps were categorized by action: Data Management/Access, Data Navigation, Geographic Comparison, Detection of Spatial Boundaries, Spatial Modelling, and Ranking Analysis. 27 CHA professionals completed the survey, with the majority of participants (14 being from health departments. Statistical software (e.g. SPSS was the most popular software for all but one of the types of steps. For this step (detection of spatial boundaries, GIS was identified as the most popular technology. Conclusion Most CHA professionals indicated they use statistical software in conjunction with GIS. The statistical software appears to drive the analysis, while GIS is used primarily for simple spatial display (and not complex spatial analysis. This purpose of this survey was to thoroughly examine into the process of problem solving during community health assessment data analysis and to gauge how GIS is integrated with other software for this purpose. These findings suggest that GIS is used more for spatial

  7. Sleep Problems Before and After Acute Myocardial Infarction: A Comparative Study

    Belguzar Kara


    Full Text Available AIM: The purpose of this study was to compare patients’ sleep problems before and after acute myocardial infarction (AMI and also to determine factors affecting sleep problems in patients undergoing AMI. METHOD: This cross-sectional study was conducted at the Coronary Intensive Care Unit in a training hospital between January 1 and April 30, 2007. The sample of the study was composed of 26 patients with a first-ever AMI. Data were collected by using a questionnaire to determine the patient and illness-related descriptive characteristics and the Post Sleep Inventory Scale (PSIS. The Shapiro-Wilks test, descriptive statistics, paired samples t test, Mann Whitney U test, Wilcoxon test, reliability analysis and correlation analysis were used to analyze the data. RESULTS: The mean age of the study group was 53.2 ± 12.6 years and approximately 81% were males. The patients’ mean bedtime (t= -3.422, p= 0.001, quality of nocturnal sleep (t= -3.221, p= 0.001, awakening (t =-3.533, p<0.001 and total PSIS scores (t= -5.652, p<0.001 were significantly higher after AMI compared to before AMI. The mean PSIS scores of patients undergoing AMI were statistically significant different by gender (z= -2.164, p= 0.030 and working status (z= -2.171, p= 0.030. There was a negative correlation between the PSIS score and haemoglobin and haematocrit values (r= -0.503, p<0.01; r= -0.473, p<0.05; respectively. CONCLUSION: There were differences in the patients’ reported sleep problems between before and after AMI. The results of this study showed that sleep problems were more common among women, patients not working and those with anemia. Nurses should be aware of the sleep problems and factors that affect to sleep problems. [TAF Prev Med Bull 2012; 11(6.000: 687-694

  8. [Chronic renal insufficiency. A permanent public health problem].

    Legrain, M; Jacobs, C


    Chronic renal insufficiency raises an ever-increasing public-health problem due to its permanent growth among the general population and the escalating cost of renal replacement therapies. By the end of 1995 there were close to 33,700 patients with end-stage renal failure maintained alive with renal replacement methods in France. About 11,200 had a functioning kidney graft, whereas 22,500 were treated with various dialysis techniques, in and out-of-center hemodialysis and peritoneal dialysis. An optimal health policy should contribute both to prevent renal insufficiency and offer each patient his/her best specific mode of treatment at the lowest cost for the community. Renal transplantation should be much more widely promoted and utilized through measures aiming at reducing the too high refusal rates of organ donation in subjects with brain-death. Promotion and extension of out-of-center dialysis techniques are also necessary. Design of reliable epidemiological studies dealing not only with end-stage renal failure patients but with the early stage and time-course of renal insufficiency is also mandatory. A deeper investigation in the area of renal-risk factors and a qualified follow-up of patients with mild/moderate renal insufficiency are essential to avoid or delay an evolution towards end-stage renal failure. Prevention of renal fibrosis has a central role in such a long-term public health-policy. PMID:10371761

  9. Vaal Triangle air pollution health study. Addressing South African problems

    Terblanche, P.; Nel, R. [CSIR Environmental Services, Pretoria (South Africa); Surridge, T. [Dept. of Mineral and Energy Affairs (South Africa); Annegarn, H. [Annegarn Environmental Research, Johannesburg (South Africa); Tosen, G. [Eskom, Johannesburg (South Africa); Pols, A. [CSIR Informationtek, Pretoria (South Africa)


    Situated in the central region of South Africa, the Vaal Triangle is an area which plays a vital role in driving the economic dynamo of South Africa. Also, because of the concentration of heavy industry, it is an area which provides a challenge in effective air pollution control. The Vaal Triangle lies within the Vaal River Basin, at an altitude of 1 500 m above sea level. Meteorological conditions in the area are highly conducive to the formation of surface temperature inversions, resulting in a poor dispersion potential. Because of multiple sources of air pollution in the area, poor dispersion conditions increase the risk pollution build-up and subsequent adverse impacts. The situation is further exacerbated by the continued combustion of coal in households, even after the electrification of residences. This is particularly chronic in the developing communities and during winter. Vaal Triangle Air Pollution Health Study (VAPS) was initiated in 1990 by the Department of Health, the Medical Research Council and major industries in the area to determine effects of air pollution on the health of the community. The final results of that study summarised in this article, and options to ameliorate problems are addressed. (author)

  10. How to Tell If Your Teen Has a Mental Health Problem

    ... How to Tell If Your Teen Has a Mental Health Problem 1 in 5 kids develop a serious ... make it difficult for parents to spot serious mental health problems such as depression and anxiety, an expert ...

  11. Associations between physical and mental health problems and sexual dysfunctions in sexually active Danes

    Christensen, Birgitte Schütt; Grønbaek, Morten; Osler, Merete;


    Studies have shown a high prevalence of sexual dysfunctions among individuals with a variety of health problems.......Studies have shown a high prevalence of sexual dysfunctions among individuals with a variety of health problems....

  12. The diagnosis and management of acute childhood illness: is there a role for health visitors?

    Kendrick, D; Young, A; Futers, D


    Much of the published literature on nurse practitioners relates to nurses with backgrounds, training and nursing experience other than health visiting. Health visitors however may be ideally placed to develop their role in the identification and management of acute childhood illness, and such a development may benefit patients, the health service and health visitors themselves. This study examines the current practice and attitudes of heath visitors in identifying and managing acute childhood illness using a postal questionnaire survey in one community National Health Service (NHS) Trust. The majority of responding health visitors reported that they were already identifying and advising on a range of acute childhood illnesses. Their confidence in undertaking these activities varied by condition. They were less confident in identifying and advising on conditions requiring the use of diagnostic equipment, viral illnesses which are becoming increasingly rare, and those with potentially serious outcomes. More knowledge and more training were seen as methods for increasing confidence. Most health visitors could see advantages in taking on this role; almost two thirds felt it would become part of the role of the health visitor in the future and a high level of interest was expressed in developing such a role. PMID:11136418

  13. Ethnographic research into nursing in acute adult mental health units: a review.

    Cleary, Michelle; Hunt, Glenn E; Horsfall, Jan; Deacon, Maureen


    Acute inpatient mental health units are busy and sometimes chaotic settings, with high bed occupancy rates. These settings include acutely unwell patients, busy staff, and a milieu characterised by unpredictable interactions and events. This paper is a report of a literature review conducted to identify, analyse, and synthesize ethnographic research in adult acute inpatient mental health units. Several electronic databases were searched using relevant keywords to identify studies published from 1990-present. Additional searches were conducted using reference lists. Ethnographic studies published in English were included if they investigated acute inpatient care in adult settings. Papers were excluded if the unit under study was not exclusively for patients in the acute phase of their mental illness, or where the original study was not fully ethnographic. Ten research studies meeting our criteria were found (21 papers). Findings were grouped into the following overarching categories: (1) Micro-skills; (2) Collectivity; (3) Pragmatism; and (4) Reframing of nursing activities. The results of this ethnographic review reveal the complexity, patient-orientation, and productivity of some nursing interventions that may not have been observed or understood without the use of this research method. Additional quality research should focus on redefining clinical priorities and philosophies to ensure everyday care is aligned constructively with the expectations of stakeholders and is consistent with policy and the realities of the organisational setting. We have more to learn from each other with regard to the effective nursing care of inpatients who are acutely disturbed. PMID:21736465

  14. [Aedes albopictus in Italy: an underestimated health problem].

    Romi, R


    Since 1990, Ae. albopictus has spread in 9 regions and 30 provinces of the country. This species was introduced in Italy in shipments of scrap tires form the USA. In Italy, Ae. albopictus is the major biting pest throughout much of its range and, although there is no evidence that this mosquito is the vector of human disease in the country, the species might be involved in the transmission of some arboviruses which have been reported in the Mediterranean Basin. Aim of this paper is to provide an update on the distribution of Ae. albopictus in Italy and to renew the interest in a problem frequently underestimated. Public health implications after a ten-year presence of the species are also discussed. PMID:11758282

  15. School Nurses' Perceived Prevalence and Competence to Address Student Mental Health Problems

    Stephan, Sharon H.; Connors, Elizabeth H.


    Due to under-identification of student mental health problems and limited specialty mental health providers in schools, school nurses are often faced with identifying and addressing student mental health needs. This exploratory study assessed prevalence and types of student mental health problems encountered by school nurses, as well as their…

  16. Should You Talk to Someone About a Drug, Alcohol, or Mental Health Problem?

    ... Talk to Someone About a Drug, Alcohol, or Mental Health Problem? Substance use and mental health problems are treatable, and help is available. U.S. ... OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment www. ...

  17. Acute stress and cardiovascular health: is there an ACE gene connection?

    Holman, E Alison


    Cardiovascular disorders (CVD) are associated with acute and posttraumatic stress responses, yet biological processes underlying this association are poorly understood. This study examined whether renin-angiotensin-aldosterone system activity, as indicated by a functional single nucleotide polymorphism (SNP) in the angiotensin converting enzyme (ACE) gene, is associated with both CVD and acute stress related to the September 11, 2001 (9/11) terrorist attacks. European-American respondents (N = 527) from a nationally representative longitudinal study of coping following 9/11 provided saliva for genotyping. Respondents had completed health surveys before 9/11 and annually for 3 years after, and acute stress assessments 9 to 23 days after 9/11. Respondents with rs4291 AA or TT genotypes reported high acute stress twice as often as those with the AT genotype. Individuals with the TT genotype were 43% more likely to report increased physician-diagnosed CVD over 3 years following 9/11, when the following variables were included in the model: (a) pre-9/11 CVD, mental health, and non-CVD ailments; (b) cardiac risk factors; (c) ongoing endocrine disorders; and (d) significant demographics. The ACE rs4291 TT genotype, which has been associated with HPA axis hyperactivity and higher levels of serum angiotensin converting enzyme (ACE), predicted acute stress response and reports of physician-diagnosed CVD in a national sample following collective stress. ACE gene function may be associated with both mental and physical health disorders following collective stress. PMID:23055331

  18. Water Related Health Problems in Central Asia—A Review

    Zakir Bekturganov


    Full Text Available The present paper provides an extensive literature review on water related health issues in Central Asia. Even though the per capita amount of available freshwater is substantial in all Central Asian states the uneven distribution in time and space creates problems for water availability. Due to this, the Central Asian economies are developing under increasing water deficiency. The degradation of water supply systems and sewage treatment plants is often severe leading to potentially high water loss rates and inadequate accessibility to safe water supply. In this context, rural areas are the most affected. Low tariffs in combination with absent metering and low collection rates for water fees mean that operation and maintenance costs for basic services of water supply and sanitation are not covered. Unsafe water supply contains both microbiological and non-microbiological contaminants. Helminthiasis and intestinal protozoa infections are of considerable public health importance in Central Asia. Agricultural and industrial pollution is especially affecting downstream areas of Amu Darya and Syr Darya rivers. In large areas copper, zinc, and chromium concentrations in water exceed maximum permissible concentration. Thus, there is an urgent need to strengthen the environmental monitoring system. Small-scale water supply and sanitation systems need to be developed in line with more efficient public spending on these.

  19. Non-ionizing radiation and health protection problems

    Wavelength and frequency are two closely related properties which determine the characteristics of any particular type of electromagnetic radiation and which can be used interchangeably to describe it. For protection purposes the determination of the energy absorbed (absorbed dose) and of its distribution within living systems, whatever the radiation concerned, is still one of the chief problems to be solved. Therefore, although thermal effects are often prevailing, no appropriate dose-effect relationships could be established in most cases and more particularly as far as non-thermal effects are concerned. The problems associated with the different types of NIR are briefly reviewed. An increasing number of countries is promulgating regulatory measures for limiting exposure to NIR of occupationally exposed individuals and of the general population. Harmonization of basic concepts and internationally acceptable protection standards are therefore urgently needed. IRPA is probably the only international, non-governmental scientific organization able to promote wide international and interdisciplinary cooperation in the field of health protection against NIR. Therefore, after having carefully considered the situation, IRPA felt that it was its responsibility to produce guidance on basic protection criteria and standards and created the International NIR-Committee with the objective of developing background documents and internationally accepted recommendations

  20. Revelations from a meta database system on environmental health problems.

    Simon, P; Ménesi, L; Fekete, A; Varga, G


    workstation modules of experts and research institutions may be linked to the meta database. Information property created as a result of special analysis and annotation might create a knowledge basis for free access by participants. Thus not only would their scientific backgrounds be strengthened, but services would also be provided by the meta database which could be diversified continuously. The satellite systems, the sorting and retrieval functions of the database, and its graphical services would provide a loose but flexible micro-computer system that could be linked together by autonomous or networked workstations. Our system is written on FoxPro and uses FoxGraph. At a medium level of capacity, it requires 1 MB free RAM and 14-16 MB fixed memory. The system already shows a certain specialization: the 'PubHealth' system from general issues of environmental health care leans towards problems related to sub-toxic long term effects and correlations to health insurance risk assessment (cost-benefit, risk-benefit analysis). However, new issues are also emerging when experts wish foremost to utilize the philosophy of the system (e.g., epidemiological mental-hygienic surveys related to life style and social status). PMID:8591279

  1. Citizen participation and health care: problems of government induced participation.

    Lipsky, M; Lounds, M


    In this paper we trace the implications of some common contradictions in government-inspired efforts to increase citizen participation in health care delivery. We cover general problems of generating citizen participation, specific difficulties in community organization resulting when issues of health are the organizing focus, and the benefits that were thought to result from efforts to increase citizen participation in social programs in the 1960's. When programs focused on increased citizen participation were initiated program administrators attempted to maximize citizen involvement quickly by: projecting an image of maximal social impact; minimizing or ignoring questions of long-term fiscal uncertainty; projecting an image of maximal control by citizens; and projecting images of institutional solidarity and of experimentation and innovation. They tended to recruit to the staff social activists taken to be representative of the community (although they might not be), promising opportunities for upward mobility. They also tended to adopt conciliatory administrative styles in keeping with their experimental non-elitist orientations. These tendencies characteristic of the initiation phase of projects conflicted with the demands placed upon programs in later phases of program implementation. These demands resulted from later perceived needs to: evaluate programs; limit spending; counter internal organizational opposition; and respond to sponsors' shifting interests. Paraprofessionals recruited to the staff tended to lose their "community" orientation, and administrative style tended to focus considerably more on program accountability. These shifting program demands substantially account for what otherwise appears to be the failure of efforts to increase citizens' participation in health delivery programs, and, by extension, in other areas where the impetus for increased citizen participation comes from government initiatives. PMID:1022799

  2. Potential mechanisms for acute health effects and lung retention of inhaled particles of different origin

    Klepczynska Nyström, Anna


    Background: Environmental particle exposure is known to have negative health effects. There is limited knowledge about how size and origin of particles influence these effects. There is also little known regarding the fate of ultrafine particles (particles in nanosize;< 100 nanometers in diameter) after being inhaled. Aim: The main objective of this thesis was to study acute health effects in humans and their potential underlying mechanisms, resulting from exposure to particles of different o...

  3. The mental health of nurses in acute teaching hospital settings: a cross-sectional survey

    Perry, Lin; Lamont, Scott; Brunero, Scott; Gallagher, Robyn; Duffield, Christine


    Background Nursing is an emotionally demanding profession and deficiencies in nurses’ mental wellbeing, characterised by low vitality and common mental disorders, have been linked to low productivity, absenteeism and presenteeism. Part of a larger study of nurses’ health, the aim of this paper was to describe the mental health status and related characteristics of nurses working in two acute metropolitan teaching hospitals. Methods A cross sectional survey design was used. The Registered and ...

  4. Comparing the Obvious: Interactional characteristics of staff in acute mental health nursing and forensic psychiatric nursing

    Hounsgaard, Lise; Alkier Gildberg, Frederik; Bradley, S. K.


    interviews. Findings show that both acute and forensic mental health nursing practice is characterized by two overriding themes; ‘trust and relationship-enabling care’ and ‘behavior and perception-corrective care.’ The comparison of the two studies shows no major differences in the characteristics of staff...

  5. Quality of health in survivors of childhood acute myeloid leukemia treated with chemotherapy only

    Molgaard-Hansen, Lene; Glosli, Heidi; Jahnukainen, Kirsi;


    More than 60% of children with acute myeloid leukemia (AML) become long-term survivors, and approximately 50% are cured with chemotherapy only. Limited data exist about their long-term morbidity and social outcomes. The aim of the study was to compare the self-reported use of health care services...

  6. Principles and practical procedures for acute psychological first aid training for personnel without mental health experience.

    Everly, George S; Flynn, Brian W


    Most authorities agree that mass disasters leave in their wake a need for some form of acute mental health services. However, a review of current literature on crisis intervention and disaster mental health reveals differing points of view on the methods that should be employed (Raphael, 1986; NIMH, 2002). Nevertheless, there appears to be virtual universal endorsement, by relevant authorities, of the value of acute "psychological first aid" (American Psychiatric Association, 1954; USDHHS, 2004; Raphael, 1986; NIMH, 2002; Institute of Medicine, 2003; WHO, 2003; DoD/VAPTSD, 2004; Ritchie, et al., 2004; Friedman, Hamblin, Foa, & Charney, 2004). Psychological first aid (PFA), as an acute mental health intervention, seems uniquely applicable to public health settings, the workplace, the military, mass disaster venues, and even the demands of more well circumscribed critical incidents, e.g., dealing with the psychological aftermath of accidents, robberies, suicide, homicide, or community violence. In this document, we shall introduce the notion of psychological first aid (PFA) as one aspect of a psychological continuum of care, offer a rudimentary definition of PFA, and provide the reader with a practicalframework for its implementation utilizing the individual psychological first aid (iPFA)format. The goal of this paper is to better prepare public health, public safety, and other disaster response personnel who do not possess formal clinical mental health degrees or specialized training to provide iPFA services to primary and secondary disaster victims. PMID:16703847

  7. The Soviet health care system: Glasnost, Perestroika, and health problems of the 1990s.

    Moody, L E


    Worsening economic conditions and political turmoil in the Soviet Union have led to significant health care problems in the 90s. The Soviet people are calling for reforms of education and the health care system that extend beyond the unsuccessful program of glasnost and perestroika. The purposes of this article are to (a) describe the health care system in the Soviet Union, (b) highlight health issues and concerns of the Soviet people, (c) describe the education of physicians and nurses, and (d) compare and contrast common and unique factors about Soviet health care with health care in the West. The data base for the article was collected from observational site visits, on-site focused interviews with key informants in Kiev and Moscow, and extensive computerized and manual literature searches. Data were also gathered from questionnaires distributed to a convenience sample of 17 nurses in Moscow. Study results include demographic information and the state of nursing education and research, including availability and access to resources to conduct nursing research in Moscow. PMID:1293203

  8. Barriers to discharge in an acute care medical teaching unit: a qualitative analysis of health providers’ perceptions

    Okoniewska B


    Full Text Available Barbara Okoniewska,1 Maria Jose Santana,1 Horacio Groshaus,2 Svetlana Stajkovic,3 Jennifer Cowles,4 David Chakrovorty,5 William A Ghali1 1Department of Community Health Sciences, W21C Research and Innovation Centre, Institute of Public Health, 2Department of Internal Medicine, University of Calgary, 3Community Based Practice, 4Foothills Medical Centre, 5Department of Quality and Healthcare Improvement, Alberta Health Services, Calgary, AB, Canada Background: The complex process of discharging patients from acute care to community care requires a multifaceted interaction between all health care providers and patients. Poor communication in a patient’s discharge can result in post hospital adverse events, readmission, and mortality. Because of the gravity of these problems, discharge planning has been emphasized as a potential solution. The purpose of this paper is to identify communication barriers to effective discharge planning in an acute care unit of a tertiary care center and to suggest solutions to these barriers. Methods: Health care providers provided comments to a single open-ended question: “What are the communication barriers between the different health care providers that limit an effective discharge of patients from Unit 36?” We conducted qualitative thematic analysis by identifying themes related to communication barriers affecting a successful discharge process. Results: Three broad themes related to barriers to the discharge process were identified: communication, lack of role clarity and lack of resources. We also identified two themes for opportunities for improvement, ie, structure and function of the medical team and need for leadership. Conclusion: While it was evident that poor communication was an overarching barrier identified by health care providers, other themes emerged. In an effort to increase inter-team communication, “bullet rounds”, a condensed form of discharge rounds, were introduced to the medical

  9. [Abortion: a public health or a family planning problem].

    Aguayo Hernandez, J R


    This work discusses various views of abortion and presents data on the legal aspects and incidence of abortion in Mexico as a contribution to a more productive dialogue on the problems of abortion. It is very difficult to deter women who have decided to seek an abortion, regardless of whether the procedure is legal or even safe. In the state of Sinaloa, Mexico, an abortion has not been punishable since 1939 if it caused by "imprudence", if the woman is a victim of rape, or if the woman's life is endangered by pregnancy. The penal codes of most Mexican states and the Federal District contain similar provisions. In October 1990, the state of Chiapas decriminalized abortion for most indications in the 1st 90 days of pregnancy on the basis that the fertility and growth rates were too high, many children were in situations of extreme poverty, and the widespread practice of illegal abortion led to high rates of maternal morbidity and mortality. The decree legalizing abortion in Chiapas was suspended in early 1991 by the Congress of Chiapas and is currently under further study by the National Commission on Human Rights. UNICEF estimates that in 1990, some 100,000 illegal abortions occurred daily in the world. 150,000-200,000 women may die each year as a result of illegal abortions. Today some 300 million couples throughout the world do not want more children but lack access to family planning. UNICEF estimates that the world rate of population growth would decline by 30% if all couples not desiring children practiced effective contraception. A large number of illegal abortions are believed to occur annually in Mexico. Abortions in Mexico are most common among married women of lower or lower middle class who already have children and who wish to avoid the economic hardships of a new baby. Perhaps because of their illegality, abortions represent a significant expense for a household. Unsafe abortions may cause serious health and fertility problems for women. The Mexican

  10. Mental health problems and speech development in toddlers with physical illnesses

    Marković Jasminka; Romić Teodora


    Introduction. Mental health problems develop more and more frequently in children and adolescents. Children with physical illnesses are at a particular risk of developing associated mental health problems and it is important to study this association in order to detect and treat these problems on time. This study was aimed at determining whether there were differences in the presence of mental health problems and delayed speech development in children with ...

  11. Adult Asylum Seekers from the Middle East Including Syria in Central Europe: What Are Their Health Care Problems?

    Pfortmueller, Carmen Andrea; Schwetlick, Miriam; Mueller, Thomas; Lehmann, Beat; Exadaktylos, Aristomenis Konstantinos


    Background Forced displacement related to persecution and violent conflict has reached a new peak in recent years. The primary aim of this study is to provide an initial overview of the acute and chronic health care problems of asylum seekers from the Middle East, with special emphasis on asylum seekers from Syria. Methods Our retrospective data analysis comprised adult patients presenting to our emergency department between 01.11.2011 and 30.06.2014 with the official resident status of an “a...

  12. Public Health Consequences on Vulnerable Populations from Acute Chemical Releases

    Perri Zeitz Ruckart


    Full Text Available Data from a large, multi-state surveillance system on acute chemical releases were analyzed to describe the type of events that are potentially affecting vulnerable populations (children, elderly and hospitalized patients in order to better prevent and plan for these types of incidents in the future. During 2003–2005, there were 231 events where vulnerable populations were within ¼ mile of the event and the area of impact was greater than 200 feet from the facility/point of release. Most events occurred on a weekday during times when day care centers or schools were likely to be in session. Equipment failure and human error caused a majority of the releases. Agencies involved in preparing for and responding to chemical emergencies should work with hospitals, nursing homes, day care centers, and schools to develop policies and procedures for initiating appropriate protective measures and managing the medical needs of patients. Chemical emergency response drills should involve the entire community to protect those that may be more susceptible to harm.

  13. Trends and factors associated with mental health problems among children and adolescents in Malaysia

    Ahmad, NoorAni; MuhdYusoff, Fadhli; Ratnasingam, Selva; Mohamed, Fauziah; Nasir, Nazrila Hairizan; MohdSallehuddin, Syafinaz; MahadirNaidu, Balkish; Ismail, Rohana; Aris, Tahir


    Studying trends in mental health morbidity will guide the planning of future interventions for mental and public health services. To assess the trends in mental health problems among children and adolescents aged 5 through 15 years in Malaysia from 1996 to 2011, data from the children's mental health component of three population-based surveys was analysed using a two-stage stratified sampling design. Mental health problems were assessed using the Reporting Questionnaire for Children. The pre...

  14. Recycling Biowaste – Human and Animal Health Problems

    Albihn Ann


    Full Text Available Biowaste from the food chain is of potential benefit to use in agriculture. Agriculture in general and organic farming in particular needs alternative plant nutrients. However, the quality concerning hygiene and soil contaminants must be assured. This recycling has to be regulated in a way that harmful effects on soil, vegetation, animals and man are prevented. The problems with heavy metals and organic contaminants have been focused on. Still, maximum threshold values are continuously discussed to avoid an increase of soil concentrations. The effect on the ecosystems of residues from use of medicines needs further attention. There is also a risk for a spread of antibiotic resistant micro-organisms in the environment and then to animals and man. Infectious diseases may be spread from biowaste and new routes of disease transmission between animals and humans can be created. Zoonotic diseases in this context play a central role. Pathogens recently introduced to a country may be further spread when biowaste is recycled. The very good health status of domestic animals in the Nordic countries may then quickly change. The quality of biowaste is of enormous importance if biowaste is to gain general acceptance for agricultural use, especially for organic production. A balance needs to be maintained between risk and advantage for its use.

  15. Anemia in Mexican women: a public health problem

    Shamah-Levy Teresa


    Full Text Available OBJECTIVE: The purpose of this study is to quantify the prevalence and distribution of anemia among women of childbearing age (12 to 49 years participating in the 1999 National Nutrition Survey (NNS-1999. MATERIAL AND METHODS: The survey had a probabilistic design and was representative at the national level, of urban and rural areas and four regions: North, South, Center, and Mexico City. Hemoglobin concentration was determined in capillary blood samples using a portable photometer (HemoCue, in 17 194 women, 697 of whom were pregnant. RESULTS: The overall prevalence of anemia was 27.8% in pregnant women and 20.8% in non-pregnant women. Higher prevalences were observed in rural as compared to urban areas, both in pregnant (28.0% vs 27.7% and non-pregnant (22.6% vs 20.0% women, but the differences were not statistically significant (p >0.05. Women in the South had the greatest prevalence (23.2%, followed by those in the North (20.9%, Center (20.6%, and Mexico City (16.4%. Non-pregnant indigenous women had a prevalence of 24.8%, while in non-indigenous women the prevalence was 20.4%. CONCLUSIONS: Anemia in women of childbearing age is a growing public health problem that justifies the implementation of interventions for its prevention and control.

  16. [Allergies, an increasing public health problem: causes and consequences].

    de Weck, A


    Allergies due to IgE immunoglobulins and belonging to the atopic syndrome, such as asthma, allergic rhinitis and atopic eczema have increased in prevalence three times during the past 20-30 years in most industrialized countries. The causes of that increase are still much debated but seem to be related to multiple changes in the environment. Our recent studies on dog atopy indicate that the interaction of a dominant gene responsible for high IgE production but with variable expression, according to several environmental factors acting during infancy, could explain observations made in man. Allergic diseases have become an important portion of public health costs, amounting to approximately 200 billions French Francs in the European Community. Early and adequate care for the about 20% of allergic patients which are severely affected, as well setting up a systematic prevention policy would have a moderating influence on the increasing costs, and would achieve improvements in the quality of life of allergic patients. Appropriate measures include fostering medical and political awareness about the problem's urgency, the formation of an appropriate body of specialists and an Allergological education at all levels, as well as the definition of a screening and care providing policy taking in account existing medical structures. PMID:10723529

  17. Assessment of health-related quality of life in patients after acute myocardial infarction

    Rančić Nataša


    Full Text Available Introduction. Acute myocardial infarction has negative influence on patient’s quality of life. The objective of the paper was to assess the healthrelated quality of life in the patients one month and twelve months after acute myocardial infarction and to compare it with the healthy controls. Material and Methods. A prospective cohort study involved 160 patients aged from 30 to 79 and 240 healthy controls. The health-related quality of life was assessed with the Serbian version of these questionnaires: Euro- Quol-5-Dimension and EuroQuolVAS. Angina pectoris was ranked according to the classification of Canadian Cardiovascular Society. Multivariate logistic regression analysis was used. Results. The healthy controls had significantly higher average scores in EuroQuolVAS compared with the patients one month after acute myocardial infarction (74.35±9.42 vs 60.50±12.03, p<0.001, as well as twelve months after acute myocardial infarction (74.35±9.42 vs 69.83±12.06, p<0.001. Significantly lower average ranges in EuroQuol-5-Dimension questionnaire and higher quality of life were found twelve months after acute myocardial infarction than one month after acute myocardial infarction (1.41±0.26 vs 1.53±0.26, p<0.001. The average ranges of angina pectoris were significantly lower in all the patients twelve months after acute myocardial infarction compared with the first month (0.78±0.51 vs 0.91±0.44, p<0.001. The multivariate regression analysis confirmed thrombolytic therapy, percutaneous transluminal angioplasty and age to be important factors influencing health-related quality of life. Conclusion. The patients assessed their health condition to be significantly higher twelve months after acute myocardial infarction than one month after it. The health-related quality of life was significantly higher in patients who had undergone the percutaneous intervention than in those who had been treated with the thrombolytic therapy.

  18. Health-related quality of life among children with mental health problems: a population-based approach

    Dey Michelle


    Full Text Available Abstract Background Children with mental health problems have been neglected in health-related quality of life (HRQOL studies. Therefore, the aims of the current study were 1 to assess the influence of the presence of mental or physical health problems on HRQOL; and 2 to analyze the effects of item overlap between mental health problems and HRQOL-measurements. Methods Proxy- and self-rated HRQOL (KIDSCREEN-27 of children 9–14 years old was assessed across children with mental health problems (n = 535, children with physical health problems (n = 327, and healthy controls (n = 744. Multiple linear regression analyses were conducted with health status, severity of symptoms, status of medication use, gender and nationality as independent, and HRQOL scores as dependent variables. The effects of item overlap were analyzed by repeating regression analyses while excluding those HRQOL items that contextually overlapped the most frequently-occurring mental health problem (attention deficits. Results Severity of symptoms was the strongest predictor of reduced HRQOL. However, all other predictors (except for the status of medication use also contributed to the prediction of some HRQOL scores. Controlling for item overlap did not meaningfully alter the results. Conclusions When children with different health constraints are compared, the severity of their particular health problems should be considered. Furthermore, item overlap seems not to be a major problem when the HRQOL of children with mental health problems is studied. Hence, HRQOL assessments are useful to gather information that goes beyond the clinical symptoms of a health problem. This information can, for instance, be used to improve clinical practice.

  19. Understanding College Students' Problems: Dysfunctional Thinking, Mental Health, and Maladaptive Behavior

    Mandracchia, Jon T.; Pendleton, Shandrea


    Many college students experience mental health problems and engage in risky behavior. These problems perpetuate negative outcomes such as poor academic performance and health problems, which may ultimately result in dropping out of college. Maladaptive cognitions, such as criminogenic thinking, have been established as an important contributor to…

  20. Definition and Classification of Acute Kidney Injury:Contributions and Problems in the Clinical Practice

    CHEN Yi-pu


    @@ Definition and Classification of Acute Kidney Injury Before the RIFLE classification system of acute renal failure (ARF) was proposed in the Second Conference of Acute Dialysis Quality Initiative (ADQI, an international volunteer organization mainly composed of intensivists and nephrologists in developed countries) in 2002, there were more than 35 diagnostic criteria of ARF in different literatures, which led to confusion in clinical practice and epidemiological investigation(1).

  1. Tungiasis: A Neglected Health Problem in Rural Cameroon

    George Collins


    areas of North-west Cameroon are high, causing suffering and disability to a large proportion of the population. The disease remains an important health problem to the impoverished, and needs to be addressed by health officials, the medical community, educationalists and sufferers themselves.

  2. Correlation of oral health of children with acute leukemia during the induction phase

    Kanchan P. Dholam


    Full Text Available Background: Treatment of acute leukemia′s- a common childhood malignancy, involves intensive and powerful multi-drug chemotherapeutic regime. Oral lesions are a common complication in these patients affecting oral health status. Aim: This study was conducted to evaluate and assess the oral health status of newly diagnosed leukemic pediatric patients during induction phase and its correlation to outcome of induction therapy. Material Methods: Oral examinations was done in 33 children between the age group of 5-15 years with acute lymphoblastic leukemia (ALL and acute myloblastic leukemia (AML, who were undergoing chemotherapy. Oral Hygiene Index- Simplified, (OHI-S decayed missing filled teeth index (def/DMFT, Loe and Sillness index for gingiva, and complete blood count at first and fourth week of induction phase were recorded for each patient. The changes in the oral health status were analyzed with Wilcoxon signed rank test. Results: During an induction phase it was observed that level of OHI-S (P = 0.002, Loe and Sillness index (P = 0.003, def/DMFT index (P = 0.076, platelet count (P = 0.00 increased significantly and no significant difference was noted in hemoglobin (P = 0.4 and total leucocytes count (P = 0.11. Conclusion: It was observed that, although oral health status had significantly worsened, the induction outcome was not affected.

  3. Climate Change and Health – What’s the Problem?

    Anstey, Matthew Harry Richards


    The scientific consensus is that global warming is occurring and is largely the result of greenhouse gas emissions from human activity. This paper examines the health implications of global warming, the current socio-political attitudes towards action on climate change and highlight the health co-benefits of reducing greenhouse gas emissions. In addition, policy development for climate change and health should embrace health systems strengthening, commencing by incorporating climate change ta...

  4. Climate change and health – what’s the problem?

    Anstey, Matthew HR


    The scientific consensus is that global warming is occurring and is largely the result of greenhouse gas emissions from human activity. This paper examines the health implications of global warming, the current socio-political attitudes towards action on climate change and highlight the health co-benefits of reducing greenhouse gas emissions. In addition, policy development for climate change and health should embrace health systems strengthening, commencing by incorporating climate change ta...

  5. The prevalence of natural health product use in patients with acute cardiovascular disease.

    Aws Alherbish

    Full Text Available BACKGROUND: Natural health products (NHP use may have implications with respect to adverse effects, drug interactions and adherence yet the prevalence of NHP use by patients with acute cardiovascular disease and the best method to ascertain this information is unknown. OBJECTIVE: To identify the best method to ascertain information on NHP, and the prevalence of use in a population with acute cardiovascular disease. METHODS: Structured interviews were conducted with a convenience sample of consecutive patients admitted with acute cardiovascular disease to the University of Alberta Hospital during January 2009. NHP use was explored using structured and open-ended questions based on Health Canada's definition of NHP. The medical record was reviewed, and documentation of NHP use by physicians, nurses, and pharmacists, compared against the gold-standard structured interview. RESULTS: 88 patients were interviewed (mean age 62 years, standard deviation [SD 14]; 80% male; 41% admitted for acute coronary syndromes. Common co-morbidities included hypertension (59%, diabetes (26% and renal impairment (19%. NHP use was common (78% of patients and 75% of NHP users reported daily use. The category of NHP most commonly used was vitamins and minerals (73% followed by herbal products (20%, traditional medicines including Chinese medicines (9%, homeopathic preparations (1% and other products including amino acids, essential fatty acids and probiotics (35%. In a multivariable model, only older age was associated with increased NHP use (OR 1.5 per age decile [95%CI 1.03 to 2.2]. When compared to the interview, the highest rate of NHP documentation was the pharmacist history (41%. NHP were documented in 22% of patients by the physician and 19% by the nurse. CONCLUSIONS: NHP use is common in patients admitted with acute cardiovascular disease. However, health professionals do not commonly identify NHP as part of the medication profile despite its potential importance

  6. Environmental Health Problems and Indicators in Tabriz, Iran

    Mohammad Ghanbari Ghozikali; Mohammad Mosaferi; Kazem Naddafi


    Background: Environmental Health Indicators (EHIs) are the most im¬portant criteria for evaluation of effi¬ciency and effectiveness of the activi¬ties of the health sector. The operations and situation of the health sys¬tem can be analyzed through surveying the indicators and comparing them during different times. The present study aimed to study the EHIs of Ta¬briz, using the common environmental health processes and national EHIs of the Ministry of Health. Method: The required information f...

  7. Operation Safe Haven: an evaluation of health surveillance and monitoring in an acute setting.

    Bennett, C; Mein, J; Beers, M; Harvey, B; Vemulpad, S; Chant, K; Dalton, C


    From May to June 1999, 3,920 ethnic Albanians from Kosovo arrived in Australia as part of Operation Safe Haven. These people were evacuated from refugee camps in the former Yugoslav Republic of Macedonia. Initial processing in Australia occurred at East Hills Reception Centre, and accommodation for the duration of stay was provided in eight Haven Centres in five States. The arrival of a large number of refugees in a short time frame is unprecedented in Australia. A health surveillance system was developed and critical health data were collected to assess health status and needs, plan care, monitor for potential outbreaks of communicable diseases, track service use, to meet international reporting requirements and document our response to this crisis. In this article the health surveillance system is evaluated and suggestions are offered for the formulation of specific guidelines necessary for health surveillance in acute settings. PMID:10758691

  8. [European health systems and the integration problem of modern societies].

    Lüschen, G


    With reference to the national health systems in Germany and the UK we must acknowledge that it was in particular Bismarck's Reform, originally directed toward a solidarity among the socially weak, which entailed in its development a marked redistribution via progressive health fees and standardized health services. In view of Alfred Marshall's original expectations this has resulted in a specific integration of the socially weak and with some difference for nationally tax-financed and social security financed health systems to a genuine contribution towards integration of modern society. An open research question is whether as a consequence of solidarity and integration through health systems there is a decline of social inequality for health. Equally open is the question as to the socio-structural and economic consequences the expansion of modern health systems has. PMID:10838787

  9. Health behaviour and body mass index among problem gamblers: results from a nationwide survey.

    Algren, Maria H; Ekholm, Ola; Davidsen, Michael; Larsen, Christina V L; Juel, Knud


    Problem gambling is a serious public health issue. The objective of this study was to investigate whether past year problem gamblers differed from non-problem gamblers with regard to health behaviour and body mass index (BMI) among Danes aged 16 years or older. Data were derived from the Danish Health and Morbidity Surveys in 2005 and 2010. Past year problem gambling was defined using the lie/bet questionnaire. Logistic regression analyses were used to examine the association between past year problem gambling and health behaviour and BMI. Problem gambling was associated with unhealthy behaviour and obesity. The odds of smoking was significantly higher among problem gamblers than among non-problem gamblers. Further, the odds of high-risk alcohol drinking and illicit drug use were significantly higher among problem gamblers. The prevalence of sedentary leisure activity, unhealthy diet pattern and obesity was higher among problem gamblers than among non-problem gamblers. The associations found in this study remained significant after adjustment for sex, age, educational and cohabiting status as well as other risk factors. Our findings highlight the presence of a potential, public health challenge and elucidate the need for health promotion initiatives targeted at problem gamblers. Furthermore, more research is needed in order to understand the underlying social mechanism of the association between problem gamblers and unhealthy behaviour. PMID:24390713

  10. Acute childhood morbidities in rural Wardha : Some epidemiological correlates and health care seeking

    Deshmukh P


    Full Text Available Background: In India, common morbidities among children under 3 years of age are fever, acute respiratory infections, diarrhea. Effective early management at the home level and health care-seeking behavior in case of appearance of danger signs are key strategies to prevent the occurrence of severe and life-threatening complications. Objectives: To find out the prevalence of acute child morbidities, their determinants and health-seeking behavior of the mothers of these children. Setting and Design: The cross-sectional study was carried out in Wardha district of central India. 0 Material and Methods: We interviewed 990 mothers of children below 3 years of age using 30-cluster sampling method. Nutritional status was defined by National Center for Health Statistics (NCHS reference. Composite index of anthropometric failure (CIAF was constructed. Hemoglobin concentration in each child was estimated using the ′filter paper cyanm ethemoglobin method.′ Using World Health Organization guidelines, anemia was defined as hemoglobin concentration less than 110 g/L. Post-survey focus group discussions (FGDs were undertaken to bridge gaps in information obtained from the survey. Statistical Analysis: The data was analyzed by using SPSS 12.0.1 software package. Chi-square was used to test the association, while odds ratios were calculated to measure the strength of association. Multiple logistic regression analysis was applied to derive the final model. Results: Anemia was detected in 80.3% of children, and 59.6% of children were undernourished as indicated by CIAF. The overall prevalence of acute morbidity was 59.9%. Children with mild anemia, moderate anemia and severe anemia had 1.52, 1.61 and 9.21 times higher risk of being morbid, respectively. Similarly, children with single, 2 and 3 anthropometric failures had 1.16, 1.29 and 2.27 times higher risk of being morbid, respectively. Out of 594 (60% children with at least one of the acute morbidities, 520

  11. Two cases of viper bite: still an important health problem

    Adrija Hajra


    Full Text Available Viper venoms act mainly as hemotoxic. Manifestations of snakebites depend on specific toxins that constitute the venom. The local and systemic snake bite related symptoms are directly linked to the toxicity of the venom. Edema, ecchymoses, hematoma, and gangrenous lesions are reported to occur as local symptoms. Systemic symptoms may include fever, nausea, vomiting, delirium, jaundice, circulatory collapse, convulsions, and coma. Death from secondary infections, neurotoxicity, disseminated intravascular coagulation (DIC, intracranial hemorrhage, and acute renal failure are the well-known facts. For reduction of morbidity and mortality, it is important that antiserum is administered at the appropriate dose as early as possible after snake bite. There are several case reports about various complications of viperid bite. Here we are discussing two cases of viper bite. These cases are unique because of the extensive tissue necrosis. One of them succumbed to septicemia after acute pancreatitis. [Int J Res Med Sci 2016; 4(4.000: 1274-1277

  12. [Problems and ethical challenges in public health communication].

    Loss, J; Nagel, E


    Health communication, e.g., mass media campaigns, patient information leaflets or websites, plays an important role in public health. It contributes to citizen empowerment and helps them make informed decisions in health matters. However, public health communication can lead to adverse effects on both individual and societal level, e.g., by inaccurate or partial information, discriminatory messages, scandalizing coverage or inadequate tailoring to relevant target groups. It seems important to suggest ethical criteria for health information, e.g., (1) accuracy, completeness and balance, (2) transparency, (3) participation of the target group, (4) respect for human dignity, (5) social justice and equity, (6) appropriateness. Thoughtfulness is important in order not to stigmatize population subgroups. In addition, it is laborious to comprehensively and correctly present benefits and risks of a certain health behavior. Marketing principles guide how to 'sell' a certain health behavior, but health campaigns should not manipulate target persons for the sake of a population health aim. It remains unclear, however, how the different providers of health information can be held ethically responsible. PMID:19357817

  13. Lithuanian health care in transitional state: ethical problems

    Žekas Romualdas; Darulis Žilvinas; Jakušovaitė Irayda


    Abstract Background Throughout the economic and political reforms in post-communist countries, significant changes have also occurred in public morality. One of the tasks of the Lithuanian health policy is to create mechanisms for strengthening the significance of ethical considerations in the decision-making processes concerning health care of individuals and groups of individuals, as well as considering the positions of physicians and the health care system itself in a general way. Thus, he...

  14. Lithuanian health care in transitional state: ethical problems

    Žekas Romualdas


    Full Text Available Abstract Background Throughout the economic and political reforms in post-communist countries, significant changes have also occurred in public morality. One of the tasks of the Lithuanian health policy is to create mechanisms for strengthening the significance of ethical considerations in the decision-making processes concerning health care of individuals and groups of individuals, as well as considering the positions of physicians and the health care system itself in a general way. Thus, health care ethics could be analyzed at two levels: the micro level (the ethics of doctor-patient relationships and the macro level (the ethics of health policy-making, which can be realized by applying the principles of equal access, reasonable quality, affordable care and shared responsibilities. To date, the first level remains dominant, but the need arises for our attention to refocus now from the micro level to the patterns of managing and delivering care, managing the health care resources, and conducting business practices. Discussion In attempting to increase the efficiency of health services in Lithuania, a common strategy has been in place for the last fifteen years. Decentralization and privatization have been implemented as part of its policy to achieve greater efficiency. Although decentralization in theory is supposed to improve efficiency, in practice the reform of decentralization has still to be completely implemented in Lithuania. Debates on health policy in Lithuania also include the issue of private versus public health care. Although the approach of private health care is changing in a positive way, it is obvious that reduced access to health services is the most vulnerable aspect. In the Lithuanian Health Program adopted in July 1998, the target of equity was stressed, stating that by 2010, differences in health and health care between various socio-economic groups should be reduced by 25%. Summary The restructuring of health care system

  15. Self-Reported Acute Health Effects and Exposure to Companion Animals.

    Krueger, W S; Hilborn, E D; Dufour, A P; Sams, E A; Wade, T J


    To understand the etiological burden of disease associated with acute health symptoms [e.g. gastrointestinal (GI), respiratory, dermatological], it is important to understand how common exposures influence these symptoms. Exposures to familiar and unfamiliar animals can result in a variety of health symptoms related to infection, irritation and allergy; however, few studies have examined this association in a large-scale cohort setting. Cross-sectional data collected from 50 507 participants in the United States enrolled from 2003 to 2009 were used to examine associations between animal contact and acute health symptoms during a 10-12 day period. Fixed-effects multivariable logistic regression estimated adjusted odds ratios (AORs) and 95% confident intervals (CI) for associations between animal exposures and outcomes of GI illness, respiratory illness and skin/eye symptoms. Two-thirds of the study population (63.2%) reported direct contact with animals, of which 7.7% had contact with at least one unfamiliar animal. Participants exposed to unfamiliar animals had significantly higher odds of self-reporting all three acute health symptoms, when compared to non-animal-exposed participants (GI: AOR = 1.4, CI = 1.2-1.7; respiratory: AOR = 1.5, CI = 1.2-1.8; and skin/eye: AOR = 1.9, CI = 1.6-2.3), as well as when compared to participants who only had contact with familiar animals. Specific contact with dogs, cats or pet birds was also significantly associated with at least one acute health symptom; AORs ranged from 1.1 to 1.5, when compared to participants not exposed to each animal. These results indicate that contact with animals, especially unfamiliar animals, was significantly associated with GI, respiratory and skin/eye symptoms. Such associations could be attributable to zoonotic infections and allergic reactions. Etiological models for acute health symptoms should consider contact with companion animals, particularly exposure to unfamiliar animals

  16. Using Personal Sensors to Assess the Exposome and Acute Health Effects

    Mark J. Nieuwenhuijsen


    Full Text Available Introduction: The exposome encompasses the totality of human environmental exposures. Recent developments in sensor technology have made it possible to better measure personal exposure to environmental pollutants and other factors. We aimed to discuss and demonstrate the recent developments in personal sensors to measure multiple exposures and possible acute health responses, and discuss the main challenges ahead. Methods: We searched for a range of sensors to measure air pollution, noise, temperature, UV, physical activity, location, blood pressure, heart rate and lung function and to obtain information on green space and emotional status/mood and put it on a person. Results and Conclusions: We discussed the recent developments and main challenges for personal sensors to measure multiple exposures. We found and put together a personal sensor set that measures a comprehensive set of personal exposures continuously over 24 h to assess part of the current exposome and acute health responses. We obtained data for a whole range of exposures and some acute health responses, but many challenges remain to apply the methodology for extended time periods and larger populations including improving the ease of wear, e.g., through miniaturization and extending battery life, and the reduction of costs. However, the technology is moving fast and opportunities will come closer for further wide spread use to assess, at least part of the exposome.


    Alev YUCEL


    Full Text Available The following research was performed in 1999 in order to determine public health problems and the priority about public education of the municipalities. Questionnaire forms were sent to a total of 3215 municipalities. The participitation ratio were 29% (931 municipalities. Municipalities declined their priorities about public health problems in the following order: general environmental problems (20.3%, problems related with health systems (13.1% and communicable diseases (8.6%. Subjects which had been declined as beeing the most priority that must be included in public education were as follows; general environmental problems (16.0%, personal hygiene and cleaning (14.1%, and family planning (9.7%. There was consistency between the priorities about public health problems and subjects with high priority about public education reported by the municipalities. The priorities about these two subjects were suitable to National Health 21 Policy. [TAF Prev Med Bull 2004; 3(4.000: 72-75

  18. Current environmental health problems and initiatives in Malaysia

    This paper discusses the various environmental changes that have taken place and the change health status of the people in Malaysia. This includes water pollution, air pollution, noise pollution, solid waste pollution, urbanisation and initiatives in environmental health protection via water resources, air quality, solid and toxic and hazardous waste , and urban management

  19. On obesity in acute pancreatitis

    Segersvärd, Ralf


    Over-nutrition is one of today s most visible public health problems. Currently over 40% of the Swedish population is either overweight or obese. Acute pancreatitis (AP) is an acute inflammatory process of the pancreas with variable involvement of regional tissues and/or remote organ systems. The morbidity and mortality associated with acute pancreatitis is largely determined by the involvement of distant organs such as the liver and lung and by the development of organ fail...

  20. The impact of oral health on taste ability in acutely hospitalized elderly.

    Kirsten Solemdal

    Full Text Available OBJECTIVE: To investigate to what extent various oral health variables are associated with taste ability in acutely hospitalized elderly. BACKGROUND: Impaired taste may contribute to weight loss in elderly. Many frail elderly have poor oral health characterized by caries, poor oral hygiene, and dry mouth. However, the possible influence of such factors on taste ability in acutely hospitalized elderly has not been investigated. MATERIALS AND METHODS: The study was cross-sectional. A total of 174 (55 men acutely hospitalized elderly, coming from their own homes and with adequate cognitive function, were included. Dental status, decayed teeth, oral bacteria, oral hygiene, dry mouth and tongue changes were recorded. Growth of oral bacteria was assessed with CRT® Bacteria Kit. Taste ability was evaluated with 16 taste strips impregnated with sweet, sour, salty and bitter taste solutions in 4 concentrations each. Correct identification was given score 1, and maximum total taste score was 16. RESULTS: Mean age was 84 yrs. (range 70-103 yrs.. Total taste score was significantly and markedly reduced in patients with decayed teeth, poor oral hygiene, high growth of oral bacteria and dry mouth. Sweet and salty taste were particularly impaired in patients with dry mouth. Sour taste was impaired in patients with high growth of oral bacteria. CONCLUSION: This study shows that taste ability was reduced in acutely hospitalized elderly with caries activity, high growth of oral bacteria, poor oral hygiene, and dry mouth. Our findings indicate that good oral health is important for adequate gustatory function. Maintaining proper oral hygiene in hospitalized elderly should therefore get high priority among hospital staff.

  1. Philosophical problems with social research on health inequalities.

    Wainwright, S P; Forbes, A


    This paper offers a realist critique of social research on health inequalities. A conspectus of the field of health inequalities research identifies two main research approaches: the positivist quantitative survey and the interpretivist qualitative 'case study'. We argue that both approaches suffer from serious philosophical limitations. We suggest that a turn to realism offers a productive 'third way' both for the development of health inequality research in particular and for the social scientific understanding of the complexities of the social world in general. PMID:11186025


    Subhash Sadashiv Rane


    In State transport bus is one of the main mode of public transport in Maharashtra State. S.T. Bus Drivers have common complaints like gastro-intestinal problems, acute headaches, back pain, neck related problem, knee pain, burning sensation and watering in their eyes. Occupational stress is one of the hazard for many bus drivers. For the present study 100 S. T. drivers were selected through purposive and random sample selection technique. Information pertaining to the present research work ha...

  3. Families of Individuals with Intellectual Disability and Comorbid Mental Health Problems

    Esbensen, Anna J.


    This review focuses on the families of individuals dually diagnosed with intellectual disability (ID) and comorbid mental health problems. The review examines the impact of caring for individuals with ID and comorbid mental health problems on family well-being, the impact of the family on these individuals, and intervention and support needs of…

  4. Health problems of people with intellectual disabilities: the impact for general practice.

    Straetmans, J.M.J.A.A.; Schrojenstein Lantman-de Valk, H.M.J. van; Schellevis, F.G.; Dinant, G.J.


    This study aimed to analyse the health problems and prescriptions of people with intellectual disabilities registered with GPs. Within the Second Dutch National Survey of General practice evidence was gathered on the differences in health problems between people with intellectual disabilities and co

  5. 75 FR 384 - Event Problem Codes Web Site; Center for Devices and Radiological Health; Availability


    ... HUMAN SERVICES Food and Drug Administration Event Problem Codes Web Site; Center for Devices and Radiological Health; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food... Devices and Radiological Health (CDRH) is posting updates to the problem codes used in conjunction...

  6. Early Childhood Aetiology of Mental Health Problems: A Longitudinal Population-Based Study

    Bayer, Jordana K.; Hiscock, Harriet; Ukoumunne, Obioha C.; Price, Anna; Wake, Melissa


    Background: Mental health problems comprise an international public health issue affecting up to 20% of children and show considerable stability. We aimed to identify child, parenting, and family predictors from infancy in the development of externalising and internalising behaviour problems by age 3 years. Methods: "Design" Longitudinal,…

  7. Perceptions of Neighborhood Problems and Health-Related Quality of Life

    Hill, Erin M.; Shepherd, Daniel; Welch, David; Dirks, Kim N.; McBride, David


    This article examines the association between perceptions of neighborhood problems and health-related quality of life (HRQOL) in a sample of New Zealand residents (n = 692). A modified version of the Neighborhood Problems Scale (originally developed by Steptoe and Feldman, 2001) and the World Health Organization Quality of Life (WHOQOL-BREF) were…

  8. Perceived Causes of Mental Health Problems and Help-Seeking Behavior among University Students in Ethiopia

    Alemu, Yirgalem


    The study examined perceived causes of mental health problems and professional help-seeking behavior among university students in Ethiopia. Data were collected from 370 students from four randomly selected colleges. The results revealed that the majority of the participants were able to recognize major mental health problems such as schizophrenia…

  9. Mental health problems in children with intellectual disability: Use of the Strengths and Difficulties Questionnaire

    Kaptein, S.; Jansen, D.E.M.C.; Vogels, A.G.C.; Reijneveld, S.A.


    Background: The assessment of mental health problems in children with intellectual disability (ID) mostly occurs by filling out long questionnaires that are not always validated for children without ID. The aim of this study is to assess the differences in mental health problems between children wit

  10. Resurgent vector-borne diseases as a global health problem.

    Gubler, D. J.


    Vector-borne infectious diseases are emerging or resurging as a result of changes in public health policy, insecticide and drug resistance, shift in emphasis from prevention to emergency response, demographic and societal changes, and genetic changes in pathogens. Effective prevention strategies can reverse this trend. Research on vaccines, environmentally safe insecticides, alternative approaches to vector control, and training programs for health-care workers are needed.

  11. Pedagogical promise and problems: teaching public health law.

    Syrett, K; Quick, O


    This article considers the case for teaching public health law as a distinct subject of study within the academic curriculum. It offers proposals on syllabus design, assessment and objectives by reference to the authors' own teaching experience, and also seeks to serve as a resource for those considering the introduction of a course in this field. There is consideration of the conceptual analysis of public health law, and an exploration of the obstacles and opportunities involved in teaching public health law in higher education. To date, issues of public health law have received coverage, if at all, almost exclusively in the context of existing medical or healthcare law modules. Although difficult obstacles remain to be surmounted before the subject can be fully embraced, its marginalization appears to be increasingly misplaced in light of growing awareness of the policy challenges presented by public health and the potential for law to function as a valuable tool to assist in addressing such challenges. There are also potent pedagogical arguments for the teaching of public health law on a liberal academic curriculum. PMID:19243797

  12. Living with Multiple Health Problems: What Older Adults Should Know

    ... other tip sheets. More than half of all adults 65 and older have three or more chronic (ongoing) medical problems, such as heart disease, diabetes, cancer, or arthritis. Caring for older patients with multiple ...

  13. Who Is at Increased Risk of Health Problems during Pregnancy?

    ... risk for complications such as gestational diabetes and preeclampsia . Infants of overweight or obese mothers also have ... Problems in previous pregnancies. Women who have experienced preeclampsia, stillbirth, or preterm labor or have had an ...

  14. Developing confidence in mental health students to recognise and manage physical health problems using a learning intervention.

    Chadwick, Angelina Lilja; Withnell, Neil


    Globally, there is increased recognition of a higher prevalence of physical ill health and mortality in individuals with mental health problems. A review of the literature highlighted the need to address deterioration in physical health of those with mental health problems through better recognition and management on the part of mental health nurses. However, mental health nurses have been found to lack confidence and be unsure of their role within this area. The aim of the project was to develop pre-registration mental health students' confidence to be able to recognise and manage physical health deterioration through the use of high fidelity human patient simulation, the development of contextualised clinical scenarios and additional theory around the A to E mnemonic structured assessment. The project involved 95 third year mental health student nurses, using a self-rating pre and post intervention questionnaire to measure their perceived confidence levels and to evaluate the effectiveness of the learning intervention. Findings demonstrate improved overall confidence levels in recognising and managing physical health deterioration in human patient simulators displaying mental health problems. PMID:27428688

  15. Risk factors for psychological and physical health problems after a man-made disaster.

    Dirkzwager, A.J.E.; Grievink, L.; Velden, P.G. van der; Yzermans, C.J.


    BACKGROUND: There are few prospective studies on risk factors for health problems after disasters in which actual pre-disaster health data are available. AIMS: To examine whether survivors' personal characteristics, and pre-disaster psychological problems, and disaster-related variables, are related to their post-disaster health. METHOD: Two studies were combined: a longitudinal survey using the electronic medical records of survivors' general practitioners (GPs), from 1 year before to 1 year...

  16. Risk factors for psychological and physical health problems after a man-made disaster

    Dirkzwager, Anja J E; Grievink, Linda; van der Velden, Peter G.; Yzermans, C Joris


    Background There are few prospective studies on risk factors for health problems after disasters in which actual pre-disaster health data are available. Aims To examine whether survivors' personal characteristics, and pre-disaster psychological problems, and disaster-related variables, are related to their post-disaster health. Method Two studies were combined: a longitudinal survey using the electronic medical records of survivors' general practitioners (GPs), from 1 year before to 1 year af...

  17. The Role of Health Systems in Obesity Management and Prevention: Problems and Paradigm Shifts

    Kirk, Sara F. L.; Penney, Tarra L.


    This paper provides an overview of a new section of Current Obesity Reports, called Health Services and programs. This new section seeks to better understand the problems within health systems around obesity management and prevention and to discuss the latest research on solutions. There are few health system issues that are quite as controversial as obesity and there remain several key problems inherent within existing obesity management and prevention approaches that necessitate the adoptio...

  18. Public health problems and global warming faced by developing countries

    Moreno, A.R.


    Climatic change potentially causes direct and indirect impacts on human health, resulting in a net increase in morbidity and associated mortality. Impacts would be greater in communities with higher exposure and with fewer technical and social resources. Age, skin pigmentation, hygiene level, socio-economic and health status, are determinants of the net effects. Climatic change will have indirect health effects by changing natural ecosystems, affecting such aspects as food production, patterns of vector-borne diseases, a number of non-infectious diseases, and unknown infections. The health effects, occurring largely as a result of increases in biologically effective UVR, are expected to consist of: increase in malignant and nonmalignant skin cancer; several eye diseases (primarily cataract); and possible alterations in the immune response. Some of the largest public health issues will be respiratory diseases brought about by increased air pollution, exacerbation of allergic disorders, and deaths and injuries from extreme weather events. Additionally, vaccination programs may be ineffective and nutritional requirements may be different in heavily sun-exposed populations.

  19. The problems and directions of financing mechanisms’ development in Health Assistance System

    Gheorghe Costandachi


    Full Text Available The essay discloses the main problem of Moldovan public health system is the significant gap between state free public health maintenance and its financial support. Here're the problems are met moldovan public health during reforming financing mechanisms in the transition period, also are presented interests of subjects of this system and informal sources of incomes. Author describes the interests of head physicians of medical institutions in relation to system of financing of public health services consist. In the final of work is making conclusions and is offered wais of the solutions created present situation and financing mechanisms'development in Health Assistance System on Moldova.

  20. Association between Psychopathology and Physical Health Problems among Youth in Residential Treatment

    Nelson, Timothy D.; Smith, Tori R.; Duppong Hurley, Kristin; Epstein, Michael H.; Thompson, Ronald W.; Tonniges, Thomas F.


    Youth in residential treatment settings often present with a complex combination of mental and physical health problems. Despite an emerging literature documenting significant associations between mental health and physical health, the relationship between these two areas of functioning has not been systematically examined in youth presenting to…

  1. School Social Work with Students with Mental Health Problems: Examining Different Practice Approaches

    McManama O'Brien, Kimberly H.; Berzin, Stephanie C.; Kelly, Michael S.; Frey, Andy J.; Alvarez, Michelle E.; Shaffer, Gary L.


    School social workers frequently serve as the primary mental health providers to youths with mental health problems. Although school social workers play a primary role in care, many students also receive outside counseling services. Previous research has not examined whether practice approaches differ when considering mental health practice with…

  2. Assessing the accuracy of an inter-institutional automated patient-specific health problem list

    Taylor Laurel


    Full Text Available Abstract Background Health problem lists are a key component of electronic health records and are instrumental in the development of decision-support systems that encourage best practices and optimal patient safety. Most health problem lists require initial clinical information to be entered manually and few integrate information across care providers and institutions. This study assesses the accuracy of a novel approach to create an inter-institutional automated health problem list in a computerized medical record (MOXXI that integrates three sources of information for an individual patient: diagnostic codes from medical services claims from all treating physicians, therapeutic indications from electronic prescriptions, and single-indication drugs. Methods Data for this study were obtained from 121 general practitioners and all medical services provided for 22,248 of their patients. At the opening of a patient's file, all health problems detected through medical service utilization or single-indication drug use were flagged to the physician in the MOXXI system. Each new arising health problem were presented as 'potential' and physicians were prompted to specify if the health problem was valid (Y or not (N or if they preferred to reassess its validity at a later time. Results A total of 263,527 health problems, representing 891 unique problems, were identified for the group of 22,248 patients. Medical services claims contributed to the majority of problems identified (77%, followed by therapeutic indications from electronic prescriptions (14%, and single-indication drugs (9%. Physicians actively chose to assess 41.7% (n = 106,950 of health problems. Overall, 73% of the problems assessed were considered valid; 42% originated from medical service diagnostic codes, 11% from single indication drugs, and 47% from prescription indications. Twelve percent of problems identified through other treating physicians were considered valid compared to 28

  3. Assessment of the Acute and Chronic Health Hazards of Hydraulic Fracturing Fluids.

    Wattenberg, Elizabeth V; Bielicki, Jeffrey M; Suchomel, Ashley E; Sweet, Jessica T; Vold, Elizabeth M; Ramachandran, Gurumurthy


    There is growing concern about how hydraulic fracturing affects public health because this activity involves handling large volumes of fluids that contain toxic and carcinogenic constituents, which are injected under high pressure through wells into the subsurface to release oil and gas from tight shale formations. The constituents of hydraulic fracturing fluids (HFFs) present occupational health risks because workers may be directly exposed to them, and general public health risks because of potential air and water contamination. Hazard identification, which focuses on the types of toxicity that substances may cause, is an important step in the complex health risk assessment of hydraulic fracturing. This article presents a practical and adaptable tool for the hazard identification of HFF constituents, and its use in the analysis of HFF constituents reported to be used in 2,850 wells in North Dakota between December 2009 and November 2013. Of the 569 reported constituents, 347 could be identified by a Chemical Abstract Service Registration Number (CASRN) and matching constituent name. The remainder could not be identified either because of trade secret labeling (210) or because of an invalid CASRN (12). Eleven public databases were searched for health hazard information on thirteen health hazard endpoints for 168 identifiable constituents that had at least 25 reports of use. Health hazard counts were generated for chronic and acute endpoints, including those associated with oral, inhalation, ocular, and dermal exposure. Eleven of the constituents listed in the top 30 by total health hazard count were also listed in the top 30 by reports of use. This includes naphthalene, which along with benzyl chloride, has the highest health hazard count. The top 25 constituents reportedly used in North Dakota largely overlap with those reported for Texas and Pennsylvania, despite different geologic formations, target resources (oil vs. gas), and disclosure requirements

  4. Mental health providers confronting organizational change: process, problems, and strategies.

    Gabel, S; Oster, G D


    Under the influence of managed care and diminished funding, the mental health field is undergoing a major transformation. Existing mental health programs, departments, and agencies are downsizing and restructuring to develop new types of service delivery systems. Organizations must change to survive; yet necessary and adaptive change may be resisted in numerous ways by providers whose reactions and behaviors may reduce the viability of their own programs and agencies. This paper explores various characteristics and reactions of mental health care professionals as they face great stress, professional devaluation, and necessary organizational change and restructuring. Adaptive and maladaptive patterns in response to potential organizational change are explored. The role of the leader in guiding and implementing programmatic changes and in dealing with denial and resistance is highlighted. Strategies to enhance the prospects for adaptive organizational change are offered. PMID:9919625

  5. Does the Association with Psychosomatic Health Problems Differ between Cyberbullying and Traditional Bullying?

    Beckman, Linda; Hagquist, Curt; Hellstrom, Lisa


    The association between mental health problems and traditional bullying is well known, whereas the strength of the association in cyberbullying is less known. This study aimed to compare the association between mutually exclusive groups of bullying involvement and psychosomatic problems as measured by the PsychoSomatic Problems scale. The sample…

  6. Post-disaster mental health problems and the utilization of mental health services: A four-year longitudinal comparative study

    P.G. van der Velden; L. Grievink; R.J. Kleber; A.N. Drogendijk; A.J.R. Roskam; F.G.H. Marcelissen; M. Olff; M.L. Meewisse; B.P.R. Gersons


    This study examined mental health problems and mental health services (MHS) utilization after a fireworks disaster among adult survivors and a comparison group. The disaster took place on May 13, 2000, in the city of Enschede, The Netherlands. Victims (N=662) participated in a survey 2-3 weeks (T1).

  7. Post-Disaster Mental Health Problems and the Utilization of Mental Health Services: A Four-year Longitudinal Comparative Study

    Velden, P.G. van der; Grievink, L.; Kleber, R.J.; Drogendijk, A.N.; Roskam, A.J.R.; Marcelissen, F.G.H.; Olff, M.; Meewisse, M.L.; Gersons, B.P.R.


    This study examined mental health problems and mental health services (MHS) utilization after a fireworks disaster among adult survivors and a comparison group. The disaster took place on May 13, 2000, in the city of Enschede, The Netherlands. Victims (N=662) participated in a survey 2–3 weeks (T1),

  8. Proceedings, AMA Congress on Environmental Health Problems. Population Environment and Health (2nd, Chicago, Illinois, April 26-27, 1965).

    American Medical Association, Chicago, IL.

    Included are 20 papers presented at the second AMA Congress on Environmental Health Problems. The papers have been grouped into these broad subject categories. One group relates to physical and chemical changes, living cells, mental health, and human physiology. The second category relates to tuberculosis, venereal disease, respiratory disease,…

  9. Health should not have to be problem: Talking health and accountability in an Internet forum on veganism

    Sneijder, P.W.J.; Molder, te H.F.M.


    This article draws upon insights from discursive psychology to examine how participants in an Internet forum on veganism orient to the relationship between food choice, health and accountability. First, we explore the ways in which participants ascribe responsibility for health problems like vitamin

  10. Conceptualizing childhood health problems using survey data: a comparison of key indicators

    Miller Anton R


    Full Text Available Abstract Background Many definitions are being used to conceptualize child health problems. With survey data, commonly used indicators for identifying children with health problems have included chronic condition checklists, measures of activity limitations, elevated service use, and health utility thresholds. This study compares these different indicators in terms of the prevalence rates elicited, and in terms of how the subgroups identified differ. Methods Secondary data analyses used data from the National Longitudinal Survey of Children and Youth, which surveyed a nationally representative sample of Canadian children (n = 13,790. Descriptive analyses compared healthy children to those with health problems, as classified by any of the key indicators. Additional analyses examined differences between subgroups of children captured by a single indicator and those described as having health problems by multiple indicators. Results This study demonstrates that children captured by any of the indicators had poorer health than healthy children, despite the fact that over half the sample (52.2% was characterized as having a health problem by at least one indicator. Rates of child ill health differed by indicator; 5.6% had an activity limitation, 9.2% exhibited a severe health difficulty, 31.7% reported a chronic condition, and 36.6% had elevated service use. Further, the four key indicators captured different types of children. Indicator groupings differed on child and socio-demographic factors. Compared to children identified by more than one indicator, those identified only by the severe health difficulty indicator displayed more cognitive problems (p Conclusion We provide information useful to researchers when selecting indicators from survey data to identify children with health problems. Researchers and policy makers need to be aware of the impact of such definitions on prevalence rates as well as on the composition of children classified as

  11. Exposure to child abuse and risk for mental health problems in women.

    Schneider, Renee; Baumrind, Nikki; Kimerling, Rachel


    Risk for adult mental health problems associated with child sexual, physical, or emotional abuse and multiple types of child abuse was examined. Logistic regression analyses were used to test study hypotheses in a population-based sample of women (N = 3,936). As expected, child sexual, physical, and emotional abuse were independently associated with increased risk for mental health problems. History of multiple types of child abuse was also associated with elevated risk for mental health problems. In particular, exposure to all three types of child abuse was linked to a 23-fold increase in risk for probable posttraumatic stress disorder (PTSD). Findings underscore relations between child emotional abuse and adult mental health problems and highlight the need for mental health services for survivors of multiple types of child abuse. PMID:18064973

  12. Beliefs about treatment of mental health problems among Cambodian American children and parents.

    Daley, Tamara C


    Beliefs about treatment of mental health problems are a critical area for examination among immigrant and refugee populations. Data on treatment of child problems have been conspicuously absent from the literature. This study examines explanatory models of treatment among 40 second-generation Cambodian children aged 8-18 and their parents in the US. Comparisons of perceptions of intervention for an externalizing problem (gang-related behavior) and an internalizing problem (depression) are made in a group of children who have received mental health services, their parents, and a matched community sample. A significant interaction between respondent and group membership was present in the perception that these problems could be helped, and contrary to past findings among Asian Americans, both children and parents generally endorsed the use of mental health services. Data about actual experiences with mental health services are used to help explain the findings and suggest implications for treatment of Cambodian-American youth. PMID:15996805

  13. Problem drug use the public health imperative: what some of the literature says

    Bevan Gez


    Full Text Available Abstract Background With more than 200,000 problem drug users is contact with structured treatment services in England the public health imperative behind drug treatment is great. Problem drug use for many is a chronic and relapsing condition, where "cure" is often neither a reasonable or appropriate expectation and it can further be argued that in these circumstances problem drug use is no different from any number of chronic and enduring health conditions that are managed in the health care system and therefore should be conceptualised as such. Discussion A public health approach to drug treatment emphasises the need for drug users in or accessing treatment, to reduce their harmful drug use, reduce drug use related risks such as sepsis and overdose and stay alive for longer. However a public health perspective in relation to problem drug use isn't always either apparent or readily understood and to that end there is still a significant need to continue the arguments and debate that treatment and interventions for problem and dependent drug users need to extend beyond an individualistic approach. For the purposes of discussion in this article public and population health will be used interchangeably. Summary A recognition and acceptance that a public and population health approach to the management of problem drug users is sound public health policy also then requires a long term commitment in terms of staffing and resources where service delivery mirrors that of chronic condition management.

  14. Health problems among detainees in Switzerland: a study using the ICPC-2 classification

    Bertrand Dominique


    Full Text Available Abstract Background Little is known about the health status of prisoners in Switzerland. The aim of this study was to provide a detailed description of the health problems presented by detainees in Switzerland's largest remand prison. Methods In this retrospective cross-sectional study we reviewed the health records of all detainees leaving Switzerland's largest remand prison in 2007. The health problems were coded using the International Classification for Primary Care (ICPC-2. Analyses were descriptive, stratified by gender. Results A total of 2195 health records were reviewed. Mean age was 29.5 years (SD 9.5; 95% were male; 87.8% were migrants. Mean length of stay was 80 days (SD 160. Illicit drug use (40.2% and mental health problems (32.6% were frequent, but most of these detainees (57.6% had more generic primary care problems, such as skin (27.0%, infectious diseases (23.5%, musculoskeletal (19.2%, injury related (18.3%, digestive (15.0% or respiratory problems (14.0%. Furthermore, 7.9% reported exposure to violence during arrest by the police. Conclusion Morbidity is high in this young, predominantly male population of detainees, in particular in relation to substance abuse. Other health problems more commonly seen in general practice are also frequent. These findings support the further development of coordinated primary care and mental health services within detention centers.

  15. Preventing falls among older people with mental health problems: a systematic review

    Bunn, F; Dickinson, A.; Simpson, C.; Narayanan, V.; Humphrey, D; Griffiths, C; W. Martin; Victor, C.


    Background: Falls are a leading cause of mortality and morbidity in older people and the risk of falling is exacerbated by mental health conditions. Existing reviews have focused on people with dementia and cognitive impairment, but not those with other mental health conditions or in mental health settings. The objective of this review is to evaluate the effectiveness of fall prevention interventions for older people with mental health problems being cared for across all settings.Methods: A s...

  16. Perspectives of pupils, parents, and teachers on mental health problems among Vietnamese secondary school pupils

    Nguyen, Dat Tan; Dedding, Christine; Pham, Tam Thi; Bunders, Joske


    Background Secondary school can be a stressful period for adolescents, having to cope with many life changes. Very little research has been conducted on the mental health status of secondary school pupils in South East Asian countries, such as Vietnam. The study aimed to explore perceptions of mental health status, risk factors for mental health problems and strategies to improve mental health among Vietnamese secondary school students. Methods A qualitative design was used to address the mai...

  17. Latex allergy: an emerging problem in health care.

    Kinnaird, S W; McClure, N; Wilham, S


    Allergy to latex has been increasing as the use of latex products has grown. The increase is disproportionately occurring in those people with myelodysplasias, those who have undergone multiple surgical procedures, and health care providers. Within those groups, the most susceptible to latex allergy are people with other allergies. Early identification of high-risk individuals and their avoidance of products containing latex can minimize the occurrence of this allergic response. Heightened awareness among health care providers is needed because latex is very common in hospitals and clinics. Inadvertent exposure places latex-sensitive individuals in danger of anaphylaxis. Nurses caring for infants and children are able to modify the environment of those at risk for latex allergy, reducing exposure to this potentially dangerous substance. Teaching families of children at risk will help them avoid latex in the home; many common household substances contain latex and are likely to trigger allergic responses. PMID:7565525

  18. Acute compartment syndrome after open forearm fracture – scale of the problem and case report

    Elsaftawy Ahmed


    Full Text Available Acute compartment syndrome is caused due to a sudden increase in the tissue pressure in a given fascial compartment. Missed and undiagnosed or not treated in time can lead to irreversible damage to limb muscles and nerves due to ischemia mechanism. This paper presents a case of a patient with an open forearm fracture treated conservatively in plaster.

  19. Fine motor and handwriting problems after treatment for childhood acute lymphoblastic leukemia

    ReindersMesselink, HA; Schoemaker, MM; Hofte, M; Goeken, LNH; Kingma, A; vandenBriel, MM; Kamps, WA


    Motor skills were investigated in 18 children 2 years after treatment for acute lymphoblastic leukemia (ALL). Cross and fine motor functioning were examined with the Movement Assessment Battery for Children. Handwriting as a specific fine motor skill was studied with a computerized writing task. We

  20. Is DDT use a public health problem in Mexico?

    López-Carrillo, L; Torres-Arreola, L; Torres-Sánchez, L; Espinosa-Torres, F; Jiménez, C.; Cebrián, M.; Waliszewski, S; Saldate, O


    We review the potential impact of DDT on public health in Mexico. DDT production and consumption patterns in Mexico during the last 20 years are described and compared with those in the United States. In spite of the restrictions on DDT use in antimalaria campaigns in Mexico, use of DDT is still higher than in other Latin American countries. We analyzed information from published studies to determine accumulated levels of this insecticide in blood, adipose tissue, and breast milk samples from...

  1. Meta-analysis in public health: potentials and problems

    John P.A. Ioannidis


    Full Text Available

    Meta-analysis has evolved as a primary tool for evidence-based medicine. Initially, meta-analysis was seen as a technique that could improve statistical power in a research world of small, underpowered studies. We increasingly recognize that meta-analysis is a critical tool that can help us measure and understand not only summary effects, but also heterogeneity (diversity and bias. Here I discuss some key themes and challenges for “meta-epidemiology”.

    These include the contrast between randomized and observational evidence; the evolutionary nature of biomedical evidence; the contrast between small and larger studies; the difficulties in appraising study “quality” and its potential impact on the study effects; and the scandal of missing even minimal, key information on the harms of interventions that are otherwise postulated to be effective. I discuss a general outlook about the validity of the evidence in medicine and public health. I suggest that we should learn to live with uncertainty, since the evidence that is available is often limited, biased, or both. This means that we should be prepared to dismiss big chunks of biomedical dogma, including perhaps whole specialties and sub-specialties of current medicine, as false, erroneous, irrelevant or even potentially dangerous for the health of individuals and populations. An effort should be made to shift the accumulation and synthesis of evidence towards answering critical public health-related questions. This paper is based on a lecture presented at the European Public Health Association 2005 annual conference in Graz, Austria.

  2. Urinary tract infection : a serious health problem in old women

    Eriksson, Irene


    Urinary tract infection (UTI) is a common bacterial infection in women of all ages but the incidence and prevalence increase with age. Despite the high incidence of UTI, little is known about its impact on morale or subjective wellbeing and daily life in old women. UTI in older people can be a complex problem in terms of approach to diagnosis, treatment and prevention because in these patients it frequently presents with a range of atypical symptoms such as delirium, gastrointestinal signs an...

  3. Serum and salivary cardiac analytes in acute myocardial infarction related to oral health status

    Ebersole, Jeffrey L.; Kryscio, Richard J.; Campbell, Charles; Kinane, Denis F.; McDevitt, John T.; Christodoulides, Nicolaos; Floriano, Pierre N.; Miller, Craig S.


    With the advent of an increased emphasis on the potential to utilize biomarkers in saliva for systemic diseases, the issue of existing oral disease is an important consideration that could adversely affect the interpretation of diagnostic results obtained from saliva. We addressed the question does a patient's oral inflammation status confound biomarker levels used in diagnosis of acute myocardial infarction (AMI). The results demonstrated that multiple serum biomarkers and a few salivary biomarkers reflected the cardiac event. Importantly, oral health of the individual had minimal impact on the validity of the serum or salivary biomarker effectiveness.

  4. Reliability and validity of functional health status and health-related quality of life questionnaires in children with recurrent acute otitis media.

    Brouwer, C.N.M.; Schilder, A.G.M.; van Stel, H.F.; Rovers, M.M.; Veenhoven, R.H.; Grobbee, D.E.; Sanders, E.A.M.; Maille, A.R.


    In this study the reliability and validity of generic and disease-specific questionnaires has been assessed focusing on responsiveness. This is part of a study on the effects of recurrent acute otitis media (rAOM) on functional health status (FHS) and health-related quality of life (HRQoL) in 383 ch

  5. Exploring the Relationships between the Electronic Health Record System Components and Patient Outcomes in an Acute Hospital Setting

    Wiggley, Shirley L.


    Purpose: The purpose of this study was to examine the relationship between the electronic health record system components and patient outcomes in an acute hospital setting, given that the current presidential administration has earmarked nearly $50 billion to the implementation of the electronic health record. The relationship between the…

  6. Probing problems and priorities in oral health (care) among community dwelling elderly in the Netherlands: a mixed method study

    Everaars, B.; Jerković-Ćosić, K.; Putten, van, B.; Heijden, van der, J.


    Background: Complex dentitions and decline in adequate oral hygiene in elderly may lead to poor oral health. This may have impact on their general health, wellbeing and quality of life. With increased longevity, the problems and needs in oral health of community dwelling elderly lead to changes in oral health care needs. We identified and prioritized problems and needs in oral health of community dwelling elderly. Methods: The problems and needs in oral health of community dwelling elderly we...

  7. Is myopia a public health problem in India?

    Rohit Saxena


    Full Text Available Myopia, a form of refractive error is a leading cause of visual disability throughout the world. In India uncorrected refractive errors are the most common cause of visual impairment and second major cause of avoidable blindness. Due to this the public health and economic impact of myopia is enormous. Although school vision screening programme is very successful in many states, still a significant number of school going children remain unidentified and the unmet need for correcting refractive errors in children appears to be significant.

  8. The life world of the adolescent with mental health problems

    T Peens; M. Poggenpoel


    Adolescents are currently being more and more exposed to the expectations of parents, educators, health-workers/helpers and policy makers to meet the demands of society and conform to it. The perception arises that adults are not able to let the adolescent take responsibility for the HOW of his own life story, despite all the expectations and demands. Under the influence of the post-modernistic approach to science and the narrative therapy it appears that each person is an expert of his own l...

  9. The problem of wastes in the health sector

    The article presents the management of hospital wastes in Lebanon. Hospital wastes considered as solid wastes, are divided into three main categories: radioactive wastes, contaminated wastes and chemical wastes. The treatment of wastes in the health sector in Lebanon is reduced to the incinerators. This method causes the major air pollution by emitting toxic substances as Dioxin. Advantages and disadvantages of alternate methods of wastes treatment are discussed such as: steam sterilization, bio-conversion, coal-burning, electronic radiation sterilization and chemical sterilization

  10. Laying the foundations of a culture of health as a pedagogical problem

    Khalajtsan A.P.


    Full Text Available Purpose : to show the dominant influence of educational - educational process lay the groundwork for a culture of health students. Material : processed more than 40 references, conducted a survey, questionnaires and observation of the living conditions of students. Results : named main reasons for creating a culture of health of students should be considered as primary pedagogical problem. The preconditions and conditions of the foundations of the culture of youth health, namely: social, educational, health, environmental, economic, geographic, individual. Traced the sequence and phasing of the pedagogical process of building a culture of health of students in the course of many years of teaching in higher education. Conclusions : proven pedagogical influence priority basis forming a culture of health of students in the individual development and identity formation for learning in higher education. The sequence and structure of the solution of pedagogical problems of forming the foundations of a culture of health students.