The association between spinal curvature and balance in elderly women at high risk of osteoporotic fractures in primary health care

2016 ◽  
Vol 18 (4) ◽  
pp. 226-232
Author(s):  
Kristina Kaijser Alin ◽  
Ann-Charlotte Grahn Kronhed ◽  
Helena Salminen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Elderly Women ◽  
Osteoporotic Fractures ◽  
Spinal Curvature ◽  
Primary Health

scholarly journals Problem-Orientated Antenatal Notekeeping: A Useful Primary Health Care Tool

Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Significant Risk ◽  
Obstetric Care ◽  
Antenatal Screening ◽  
Primary Health ◽  
Risk Patients

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.

High-risk alcohol use and associated socio-demographic, health and psychosocial factors in patients with HIV infection in three primary health care clinics in South Africa

2016 ◽  
Vol 28 (7) ◽  
pp. 651-659 ◽  
Author(s):  
Diana Huis in ‘t Veld ◽  
Supa Pengpid ◽  
Robert Colebunders ◽  
Linda Skaal ◽  
Karl Peltzer
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Alcohol Use ◽  
Hiv Infection ◽  
Psychosocial Factors ◽  
Low Risk ◽  
Health Care Clinics ◽  
Primary Health

Alcohol use may have a negative impact on the course of HIV disease and the effectiveness of its treatment. We studied patients with HIV who use alcohol and associated socio-demographic, health and psychosocial factors. Outcomes from this study may help in selecting patients from clinical practice with high-risk alcohol use and who are likely to benefit most from alcohol reduction interventions. In a cross sectional study in three primary health care clinics in Pretoria, South Africa, from January 2012 to June 2012, patients with HIV infection were interviewed and patients’ medical files were reviewed to obtain data on levels of alcohol use (Alcohol Use Disorder Identification Test), patients’ socio-demographic characteristics, HIV-related information, health related quality of life (WHOQoL-HIVBref), internalized AIDS stigma, symptoms of depression and adherence to antiretroviral therapy. Analyses consisted of descriptive statistics, bi- and multivariate logistic regression models. A total of 2230 patients (1483 [66.5%] female) were included. The median age was 37 years (interquartile range 31–43), 99.5% were black Africans, 1975 (88.6%) had started ART and the median time on ART was 22 months (interquartile range 9–40). No alcohol was used by 64% of patients, 8.9% were low risk drinkers, 25.1% of patients were hazardous or harmful drinkers and 2.0% had possible alcohol dependence. In multivariate analysis high-risk drinking was positively associated with male gender, never being married, tobacco use, a higher score for the ‘level of independence’-domain measured with the WHOQoL-HIVBref questionnaire, and with more depressive symptoms compared to low-risk drinking. This study shows a high prevalence of hazardous or harmful drinking in patients with HIV infection (especially men) attending primary health care clinics in South Africa. Routine screening for alcohol use should be introduced in these clinics and harm reduction interventions should be evaluated, taking into account associated factors.

scholarly journals Educational Programs Development, Using Intervention Mapping Protocol and Kern Model in Primary Health Care Setting to Prevent Elders Abuse: A Randomized Controlled Trial Study.

2019 ◽  
Author(s):  
Sonia Oveisi ◽  
Forozan Olfati ◽  
Shima Jahed
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Setting ◽  
Elderly Women ◽  
Elder Abuse ◽  
Intervention Mapping ◽  
Educational Programs ◽  
Primary Health Care Setting ◽  
Primary Health ◽  
Educational Package

Abstract Background: Several studies have focused on to find out the factors that may improve psychological, physical well-being, and quality of life among elders and prevent their abuse. Objectives: We investigated the impact of developing educational programs, using Intervention Mapping (IM) protocol and Kern Model in Primary Health Care Setting to prevent elder abuse. Methods: The integrated educational package was provided using both the IM protocol and Kern Model. The family members of the eighty elderly women were trained once a week for 4 sessions. The self-administrated Elder Abuse Questionnaire (EAQ) was completed before and after intervention by elderly women. The linear mixed model was used for the comparison of elder abuse frequency in two groups of control and trail. Results: The data of this study indicated that our intervention resulted in reduction in frequency of psychological and financial abuse (F=127.12, p<0.005; and F= 16.53, p<0.07 respectively) and neglect (F=95.4; p<0.005). None of the elders reported any physical abuse. Conclusion: This study showed that, the developed integrated educational package improves elder abuse and specifically it is tailored to the education of family members of the elderly women

scholarly journals Knowledge in Tracking Danger Signs in Newborns and their Referrals by ASHA in Uttar Pradesh, India

2019 ◽  
Vol 10 (12) ◽  
pp. 20762-20765
Author(s):  
Dr. Tridibesh Tripathy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Child Survival ◽  
Uttar Pradesh ◽  
Structured Interview ◽  
Interview Schedule ◽  
Danger Signs ◽  
Primary Health ◽  
Depth Interviews

When ASHAs were introduced in NRHM in 2005, their primary aim was to visit homes of newborns as the first program in UP operated through the ASHAs was the Comprehensive Child Survival Program in 2008. Since then, tracking of all deliveries and all the newborns are an integral part of the work of ASHAs in all the primary health care programs operated by the NHM in UP. The current study explores some of the crucial variables of the danger signs in newborns and their subsequent referrals by the ASHAs in four districts of UP. Through this profile, the knowledge of ASHAs on these danger signs and the action that they take after identification is detailed out.    The relevance of the study assumes significance as data on the details of targeted activities on high risk newborns done by ASHAs in comparison to their performance are usually not available in various studies. A total of four districts of Uttar Pradesh were selected purposively for the study and the data collection was conducted in the villages of the respective districts with the help of a pre-tested structured interview schedule with both close-ended and open-ended questions. In addition, in-depth interviews were also conducted amongst the ASHAs and a total 250 respondents had participated in the study.

scholarly journals Improving clinical outcomes for type 2 diabetes patients using teleconsultations during the COVID-19 pandemic

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Samya Ahmad Al-Abdulla ◽  
Mariama Mansaray
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Patient Management ◽  
Diabetes Management ◽  
Diabetic Patients ◽  
Primary Health ◽  
Medicine Physician ◽  
Management Plans

Background: Diabetic patients are at significant risk of serious complications and higher mortality rates if they contract COVID-19. Primary Health Care Corporation (PHCC) in Qatar launched a Diabetes Teleconsultation Clinic to proactively support high risk diabetic patients with a hemoglobin A1c (HbA1C) superior or equal to 8 mg/dL and without a primary health care encounter in the last 2-12 months, in an attempt to support this high risk population and still provide continuity of care. Methods/Case presentation: Patients meeting the criteria were proactively contacted and received a teleconsultation call from a family medicine physician. During the call, family physicians and patients reviewed individual management plans, and if agreed and required changes, the patient management plans were adjusted and monitored. Patients were additionally supported by a wider team of professionals via teleconsultations, including dieticians, health educators and primary care psychology and psychiatry services. A paired sample T-Test was conducted to compare the HbA1c mean levels for patients before and after joining the PHCC Diabetes Management Teleconsultation Clinic, after a 4-month period. Results/Findings/Recommendations: There was a statistically significant difference in the results of mean HbA1c levels for patients before joining the Diabetes Management Teleconsultation Clinic and after the intervention. Of the 384 patients analysed, the average HbA1c level before the intervention was 9.49 mg/dL, and after the intervention the average was 8.83 mg/dL (p < 0.001). Conclusion: The use of teleconsultations, remote multidisciplinary team support, and collaborative patient management plans has had a positive impact on the health outcomes of 384 high-risk diabetic patients within primary care. This inclusive model of care will be replicated to support more patients as a preventative and supportive intervention not only during the COVID-19 pandemic but in the long term.

scholarly journals “Burden of osteoporotic fractures in primary health care in Catalonia (Spain): a population-based study”

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Aina Pagès-Castellà ◽  
Cristina Carbonell-Abella ◽  
Francesc Fina Avilés ◽  
Maite Alzamora ◽  
Jose Miguel Baena-Díez ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Osteoporotic Fractures ◽  
Population Based ◽  
Population Based Study ◽  
Primary Health
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