scholarly journals Development of the Pulmonary Hypertension Functional Classification Self-Report: a patient version adapted from the World Health Organization Functional Classification measure

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristin B. Highland ◽  
Rebecca Crawford ◽  
Peter Classi ◽  
Ross Morrison ◽  
Lynda Doward ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pulmonary Hypertension ◽  
World Health Organization ◽  
Class Ii ◽  
Self Report ◽  
World Health ◽  
Functional Classification ◽  
Care Providers ◽  
The World ◽  
Health Organization

Abstract Background Pulmonary arterial hypertension (PAH) is characterized by progressive limitations on physical activity, right heart failure, and premature death. The World Health Organization functional classification (WHO-FC) is a clinician-rated assessment used widely to assess PAH severity and functioning, but no equivalent patient-reported version of PAH symptoms and activity limitations exists. We developed a version of the WHO-FC for self-completion by patients: the Pulmonary Hypertension Functional Classification Self-Report (PH-FC-SR). Methods Semistructured interviews were conducted with three health care providers (HCPs) via telephone to inform development of the draft PH-FC-SR. Two rounds of semi-structured interviews were conducted with 14 US patients with a self-reported PAH diagnosis via telephone/online to elicit concepts and iteratively refine the PH-FC-SR. Results HCPs reported that the WHO-FC was a useful tool for evaluating patients’ PAH severity over time and for making treatment decisions but acknowledged that use of the measure is subjective. Patients in round 1 interviews (n = 6) reported PAH symptoms, including shortness of breath (n = 6), fatigue (n = 5), syncope (n = 5), chest pains (n = 3), and dizziness (n = 3). Round 1 patients identified challenges with the original WHO-FC, including comprehensibility of clinical terms and overlapping descriptions of class II and III, and preferred the Draft 1 PH-FC-SR over the original WHO-FC. After minor changes were made to Draft 2, round 2 interviews (n = 8) confirmed patients understood the PH-FC-SR class descriptions, interpreting them consistently. Conclusions The HCP and patient interviews identified and confirmed certain limitations inherent within the clinician-rated WHO-FC, including subjective assessment and overlapping definitions for class II and III. The PH-FC-SR includes patient-appropriate language, symptoms, and physical activity impacts relevant to patients with PAH. Future research is recommended to validate the PH-FC-SR and explore its correlation with the physician-assessed WHO-FC and other outcomes.

scholarly journals Physical Activity Patterns in India Stratified by Zones, Age, Region, BMI and Implications for COVID-19: A Nationwide Study

2021 ◽  
pp. 097275312199850
Author(s):  
Vivek Podder ◽  
Raghuram Nagarathna ◽  
Akshay Anand ◽  
Patil S. Suchitra ◽  
Amit Kumar Singh ◽  
...  
Keyword(s):  
Physical Activity ◽  
World Health Organization ◽  
Rural Areas ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Home Work ◽  
The World ◽  
Health Organization ◽  
Physically Inactive ◽  
At Home

Rationale: India has a high prevalence of noncommunicable diseases (NCDs), which can be lowered by regular physical activity. To understand this association, recent population data is required which is representative of all the states and union territories of the country. Objective: We aimed to investigate the patterns of physical activity in India, stratified by zones, body mass index (BMI), urban, rural areas, and gender. Method: We present the analysis of physical activity status from the data collected during the phase 1 of a pan-India study. This ( Niyantrita Madhumeha Bharata 2017) was a multicenter pan-India cluster sampled trial with dual objectives. A survey to identify all individuals at a high risk for diabetes, using a validated instrument called the Indian Diabetes Risk Score (IDRS), was followed by a two-armed randomized yoga-based lifestyle intervention for the primary prevention of diabetes. The physical activity was scored as per IDRS (vigorous exercise or strenuous at work = 0, moderate exercise at home/work = 10, mild exercise at home/work = 20, no exercise = 30). This was done in a selected cluster using a mobile application. A weighted prevalence was calculated based on the nonresponse rate and design weight. Results: We analyzed the data from 2,33,805 individuals; the mean age was 41.4 years (SD 13.4). Of these, 50.6% were females and 49.4% were males; 45.8% were from rural areas and 54% from urban areas. The BMI was 24.7 ± 4.6 kg/m 2 . Briefly, 20% were physically inactive and 57% of the people were either inactive or mildly active. 21.2% of females were found physically inactive, whereas 19.2% of males were inactive. Individuals living in urban localities were proportionately more inactive (21.7% vs. 18.8%) or mildly active (38.9% vs. 34.8%) than the rural people. Individuals from the central (29.6%) and south zones (28.6%) of the country were also relatively inactive, in contrast to those from the northwest zone (14.2%). The known diabetics were found to be physically inactive (28.3% vs. 19.8%) when compared with those unaware of their diabetic status. Conclusion: 20% and 37% of the population in India are not active or mildly active, respectively, and thus 57% of the surveyed population do not meet the physical activity regimen recommended by the World Health Organization. This puts a large Indian population at risk of developing various NCDs, which are being increasingly reported to be vulnerable to COVID-19 infections. India needs to adopt the four strategic objectives recommended by the World Health Organization for reducing the prevalence of physical inactivity.

Prevalence of and factors associated with insufficient physical activity among adolescents: evidence from a nationwide survey in Bangladesh

2021 ◽  
pp. 1-14
Author(s):  
Md Mokbul Hossain ◽  
Fahmida Akter ◽  
Abu Abdullah Mohammad Hanif ◽  
Md Showkat Ali Khan ◽  
Abu Ahmed Shamim ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
World Health Organization ◽  
Adolescent Girls ◽  
World Health ◽  
Factors Associated ◽  
Adolescent Girls And Boys ◽  
The World ◽  
Insufficient Physical Activity ◽  
Health Organization

Abstract The World Health Organization set a target of a 15% relative reduction in the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there are no national estimates of the prevalence of IPA among adolescents. The aim of this study was to estimate the prevalence of and risk factors associated with IPA among adolescent girls and boys. Data for 4865 adolescent girls and 4907 adolescent boys, collected as a part of a National Nutrition Surveillance in 2018–19, were analysed for this study. A modified version of the Global Physical Activity Questionnaire (GPAQ) was used to collect physical activity data. The World Health Organization recommended cut-off points were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression was performed to identify factors associated with IPA. Prevalences of IPA among adolescent girls and boys were 50.3% and 29.0%, respectively, and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents (15–19 years) among both boys and girls. The IPA prevalence was highest among adolescents living in non-slum urban areas (girls: 77.7%; boys: 64.1%). For both boys and girls, younger age, non-slum urban residence, higher paternal education and increased television viewing time were significantly associated with IPA. Additionally, residing in slums was significantly associated with IPA only among the boys. Higher maternal education was associated with IPA only among the girls. This study identified several modifiable risk factors associated with IPA among adolescent boys and girls in Bangladesh. These factors should be addressed through comprehensive public health interventions to promote physical activity among adolescent girls and boys.

scholarly journals Magnitude of infertility and associated factors among women attending selected public hospitals in Addis Ababa, Ethiopia: a cross-sectional study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mekdes Akalewold ◽  
Getachew W. Yohannes ◽  
Ziyad Ahmed Abdo ◽  
Yonas Hailu ◽  
Aynye Negesse
Keyword(s):  
World Health Organization ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
World Health ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
The World ◽  
Health Organization

Abstract Introduction The World Health Organization estimated that approximately 48 million couples and 186 million people are infertile worldwide. Although the problem of infertility is increasing worldwide, as well as in Ethiopia, there are limited studies done. Therefore, this study aims to determine the magnitude of infertility and the major risk factors in three governmental hospitals in Addis Ababa, Ethiopia. Method An institutional-based cross-sectional study design was used to conduct the study. The participants were selected by using a systematic random sampling technique. Data were collected through an interview using a structured questionnaire. The data were entered into Epi Data version 3.1 and exported to SPSS version 25 for analysis. Logistic regression was used to identify the predictor variables. Statistical significance was considered at a P < 0.05 with an adjusted odds ratio calculated at 95% CI. Result The overall prevalence of infertility was 27.6% (95%CI = 23.2, 32.0). Of these, 14.4% had primary infertility, and 13.2% had secondary infertility. Those whose duration of marriage was less than 60 months [AOR = 3.85; 95%CI 1.39, 10.64], had a history of fallopian tube obstructions [AOR = 8.27; 95%CI 2.36, 28.91], had irregular frequency of coitus [AOR = 37.4; 95%CI 11.29, 124.114], had more than one sex partner [AOR = 3.51; 95%CI 1.64, 7.54], had an abortion greater than 3 times [AOR = 6.89; 95%CI 1.28, 37.09], and had partners who currently consumed alcohol [AOR = 1.31; 95%CI 1.11, 1.86] were more likely to be infertile than their counterparts. Conclusion According to the results of this study, the prevalence of infertility was high compared to the global estimate of the World Health Organization. The government, health care providers, and researchers should emphasize developing appropriate strategies, research, education, and awareness creation of infertility and its potential causes.

Validation of the World Health Organization Adult ADHD Self-Report Scale for adolescents

2014 ◽  
Vol 69 (3) ◽  
pp. 216-223 ◽  
Author(s):  
Karin Sonnby ◽  
Konstantinos Skordas ◽  
Susanne Olofsdotter ◽  
Sofia Vadlin ◽  
Kent W. Nilsson ◽  
...  
Keyword(s):  
World Health Organization ◽  
Adult Adhd ◽  
Self Report ◽  
World Health ◽  
The World ◽  
Health Organization

scholarly journals Validity of the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener in a representative sample of health plan members

2007 ◽  
Vol 16 (2) ◽  
pp. 52-65 ◽  
Author(s):  
Ronald C. Kessler ◽  
Lenard A. Adler ◽  
Michael J. Gruber ◽  
Chaitanya A. Sarawate ◽  
Thomas Spencer ◽  
...  
Keyword(s):  
World Health Organization ◽  
Health Plan ◽  
Representative Sample ◽  
Adult Adhd ◽  
Self Report ◽  
World Health ◽  
The World ◽  
Health Organization

scholarly journals Care in a birth center according to the recommendations of the World Health Organization

2013 ◽  
Vol 47 (5) ◽  
pp. 1031-1038 ◽  
Author(s):  
Flora Maria Barbosa da Silva ◽  
Tais Couto Rego da Paixao ◽  
Sonia Maria Junqueira Vasconcellos de Oliveira ◽  
Jaqueline Sousa Leite ◽  
Maria Luiza Gonzalez Riesco ◽  
...  
Keyword(s):  
World Health Organization ◽  
Oral Intake ◽  
Appropriate Technology ◽  
World Health ◽  
Care Providers ◽  
Birth Center ◽  
The World ◽  
Care Models ◽  
Health Organization ◽  
Swiss Ball

Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, São Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.3%), side-lying (16.0%), other positions (1.7%), oral intake (95.6%); companionship (93.3%); exposure to up to three vaginal examinations (85.4%), shower bathing (84.0%), walking (68.0%), massage (60.1%), exercising with a Swiss ball (51.7%); amniotomy (53.4%), oxytocin use during the first (31.0%) and second stages of labor (25.8%), bath immersion (29.3%) and episiotomy (14.1%). In this birth center, care providers used practices recommended by the WHO, although some practices might have been applied less frequently.

scholarly journals SALSA scale and disability grading system of the World Health Organization: evaluation of physical activity limitations and disability of individuals treated for leprosy

2010 ◽  
Vol 17 (4) ◽  
Author(s):  
Eliyara Ikehara ◽  
Susilene Maria Tonelli Nardi ◽  
Iracema Serrat Vergotti Ferrigno ◽  
Heloisa da Silveira Paro Pedro ◽  
Vânia Del'Arco Paschoal
Keyword(s):  
Physical Activity ◽  
World Health Organization ◽  
World Health ◽  
Grading System ◽  
Activity Limitations ◽  
The World ◽  
Health Organization

scholarly journals The First Global Physical Activity and Sedentary Behavior Guidelines for People Living With Disability

2020 ◽  
pp. 1-8 ◽  
Author(s):  
Catherine Carty ◽  
Hidde P. van der Ploeg ◽  
Stuart J.H. Biddle ◽  
Fiona Bull ◽  
Juana Willumsen ◽  
...  
Keyword(s):  
Physical Activity ◽  
World Health Organization ◽  
Sedentary Behavior ◽  
Action Plan ◽  
Activity Level ◽  
World Health ◽  
Global Public Health ◽  
The World ◽  
Inclusive Policy ◽  
Health Organization

Background: The World Health Organization has released the first global public health guidelines on physical activity and sedentary behavior for people living with disability. This paper presents the guidelines, related processes, and evidence, and elaborates upon how the guidelines can support inclusive policy, practice, and research. Methods: Methods were consistent with the World Health Organization protocols for developing guidelines. Systematic reviews of the evidence on physical activity for health for people living with disability were appraised, along with a consideration of the evidence used to inform the general 2020 World Health Organization guidelines. Results: Evidence supported the development of recommendations for people living with disability, stressing that there are no major risks to engaging in physical activity appropriate to an individual’s current activity level, health status, and physical function, and that the health benefits accrued generally outweigh the risks. They also emphasize the benefits of limiting sedentary behavior. Conclusions: The guidelines mark a positive step forward for disability inclusion, but considerable effort is needed to advance the agenda. This paper highlights key considerations for the implementation of the new recommendations for people living with disability, in line with the human rights agenda underpinning the Global Action Plan on Physical Activity 2018–2030 and allied policies.

scholarly journals Description Of Depression Rates In Drug Case Inmates In Class II A Bulukumba Correctional Institution

2021 ◽  
Vol 5 (1) ◽  
pp. 26-31
Author(s):  
Magfirah Ichlasul Amalia ◽  
Nurlina ◽  
Safruddin
Keyword(s):  
World Health Organization ◽  
Class Ii ◽  
World Health ◽  
Common Disease ◽  
Correctional Institution ◽  
Mild Depression ◽  
The World ◽  
Depression Disorders ◽  
Health Organization ◽  
Reduced Activity

Depression is an affective disorder, which is generally characterized by loss of interest or excitement, reduced energy so that it is easily tired and reduced activity. Depression can occur in anyone and at any period. Depression disorders have increased from year to year this is supported by data, the World Health Organization WHO which states depression is a common disease that occurs in the world, there are about 264 million people who suffer from depression that increases from year to year about 76-85%. The goal is to identify the level of depression in drug inmates in The Correctional Institution Class II A Bulukumba Method used in this study is a descriptive design, which aims to get an overview of the level of depression in drug case inmates in The Correctional Institution Class II A Bulukumba. The affordable population in this study was inmates with drug cases, as many as 141 drug case inmates in the correctional institution Kls II A Bulukumba. The large sample in this study was 85 people. The researchers found results from 85 respondents (100%) obtained results for the highest depressed proposri is mild depression with the number of 55 (64.7%), while the lowest respondents who do not megalami depression with the number of 14 (16.5%). The conclusion of this study is that there is a picture of the level of depression of drug case inmates in the correctional institution class II A Bulukumba. And researchers suggest that the results of this study can be used as a material to increase insights in the field of research as well as increase knowledge about depression and drug cases at the Correctional Institution Class II A Bulukumba.

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