Implications of Local Culture for Public Health

1957 ◽  
Vol 16 (4) ◽  
pp. 16-18 ◽  
Author(s):  
Edward Wellin

The question for anthropologists and leading workers in public health is not whether the community's culture has implications for public health. Once one grants that culture counts—a premise accepted by Hanlon (7), Hydrick (8), and Leavell (9) among other public health men—the more pertinent issue is: how does it count? For the present, we will suggest not the answers but a simple classification of the range of questions.

2020 ◽  
Author(s):  
Thomas Gaisl ◽  
Naser Musli ◽  
Patrick Baumgartner ◽  
Marc Meier ◽  
Silvana K Rampini ◽  
...  

BACKGROUND The health aspects, disease frequencies, and specific health interests of prisoners and refugees are poorly understood. Importantly, access to the health care system is limited for this vulnerable population. There has been no systematic investigation to understand the health issues of inmates in Switzerland. Furthermore, little is known on how recent migration flows in Europe may have affected the health conditions of inmates. OBJECTIVE The Swiss Prison Study (SWIPS) is a large-scale observational study with the aim of establishing a public health registry in northern-central Switzerland. The primary objective is to establish a central database to assess disease prevalence (ie, International Classification of Diseases-10 codes [German modification]) among prisoners. The secondary objectives include the following: (1) to compare the 2015 versus 2020 disease prevalence among inmates against a representative sample from the local resident population, (2) to assess longitudinal changes in disease prevalence from 2015 to 2020 by using cross-sectional medical records from all inmates at the Police Prison Zurich, Switzerland, and (3) to identify unrecognized health problems to prepare successful public health strategies. METHODS Demographic and health-related data such as age, sex, country of origin, duration of imprisonment, medication (including the drug name, brand, dosage, and release), and medical history (including the International Classification of Diseases-10 codes [German modification] for all diagnoses and external results that are part of the medical history in the prison) have been deposited in a central register over a span of 5 years (January 2015 to August 2020). The final cohort is expected to comprise approximately 50,000 to 60,000 prisoners from the Police Prison Zurich, Switzerland. RESULTS This study was approved on August 5, 2019 by the ethical committee of the Canton of Zurich with the registration code KEK-ZH No. 2019-01055 and funded in August 2020 by the “Walter and Gertrud Siegenthaler” foundation and the “Theodor and Ida Herzog-Egli” foundation. This study is registered with the International Standard Randomized Controlled Trial Number registry. Data collection started in August 2019 and results are expected to be published in 2021. Findings will be disseminated through scientific papers as well as presentations and public events. CONCLUSIONS This study will construct a valuable database of information regarding the health of inmates and refugees in Swiss prisons and will act as groundwork for future interventions in this vulnerable population. CLINICALTRIAL ISRCTN registry ISRCTN11714665; http://www.isrctn.com/ISRCTN11714665 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/23973


1963 ◽  
Vol 41 (1) ◽  
pp. 1-14 ◽  
Author(s):  
G. G. E. Scudder

The characters used in the classification of the logaoedic–coreoid complex of the Heteroptera vary and no simple classification into superfamilies is apparent. The abdomen provides a number of additional characters which are useful and can be used with previous ones, in the assessment of phenetic affinity. The Coreoidea can be considered as containing families with 75% affinity with the Coreidae, whilst the Lygaeoidea contains families with less than a 75% affinity with this family. Since many of the families in the complex are defined on rather subjective characters, a key based on objective abdominal characters seems more satisfactory.


1995 ◽  
Vol 169 (4) ◽  
pp. 382-385 ◽  
Author(s):  
Yosuke Adachi ◽  
Tatsuo Oshiro ◽  
Toshiro Okuyama ◽  
Tatsuro Kamakura ◽  
Masaki Mori ◽  
...  

2018 ◽  
Vol 34 (12) ◽  
Author(s):  
Ana Cristina Martins ◽  
Fabíola Giordani ◽  
Lusiele Guaraldo ◽  
Gianni Tognoni ◽  
Suely Rozenfeld

Studies of adverse drug events (ADEs) are important in order not to jeopardize the positive impact of pharmacotherapy. These events have substantial impact on the population morbidity profiles, and increasing health system operating costs. Administrative databases are an important source of information for public health purposes and for identifying ADEs. In order to contribute to learning about ADE in hospitalized patients, this study examined the potential of applying ICD-10 (10th revision of the International Classification of Diseases) codes to a national database of the public health care system (SIH-SUS). The study comprised retrospective assessment of ADEs in the SIH-SUS administrative database, from 2008 to 2012. For this, a list of ICD-10 codes relating to ADEs was built. This list was built up by examining lists drawn up by other authors identified by bibliographic search in the MEDLINE and LILACS and consultations with experts. In Brazil, 55,604,537 hospital admissions were recorded in the SIH-SUS, between 2008 and 2012, of which 273,440 (0.49%) were related to at least one ADE. The proportions and rates seem to hold constant over the study period. Fourteen out of 20 most frequent ADEs were identified in codes relating to mental disorders. Intoxications figure as the second most frequently recorded group of ADEs in the SIH-SUS, comprising 76,866 hospitalizations. Monitoring of ADEs in administrative databases using ICD-10 codes is feasible, even in countries with information systems under construction, and can be an innovative tool to complement drug surveillance strategies in place in Brazil, as well as in others countries.


Author(s):  
S. P. Shpinyak ◽  
A. P. Barabash ◽  
Yu. A. Barabash

Purpose of study: to analyze the modern approaches to classification of large joints periprosthetic infection (PPI) and evaluate the results of revision surgical interventions in patients with deep PPI of the knee. Patients and methods. One hundred fifty three patients, 51 men and 102 women (mean age 57.3±12.4 years), with deep PPI were operated on. Treatment tactics was determined by the term after primary operation. In early PPI (n=31) sanitation interventions with implant preservation and in late PPI (n=122) – two step interventions with long period between the operations (over 4 weeks) were performed. Results. Follow up made up from 2 to 5 years. Sanitation interventions with implant preservation were successful in71% of patients. In group of patients with late PPI satisfactory results were achieved in 89.6% of cases. On the basis of the obtained data the variants of diagnosis and treatment tactics optimization as well as its adaptation to domestic public health system were proposed.


Author(s):  
Robert J. Kowalsky ◽  
Lee Stoner ◽  
Mark A. Faghy ◽  
Bethany Barone Barone Gibbs

Public health guidelines for physical activity now include recommendations to break up prolonged sitting with light-intensity activities. Concurrently, interventions to increase standing have emerged, especially within the workplace in the form of sit–stand or standing workstations. Moreover, in short-duration studies, breaking up prolonged sitting with standing has been associated improved cardiometabolic outcomes. Publicly available estimates of the intensity of standing range from 1.5 to 2.3 metabolic equivalents (METs), neatly classifying standing as a light-intensity activity (> 1.5 to < 3.0 METs). Further delineation between ‘active’ and ‘passive’ standing has been proposed, with corresponding METs of > 2.0 METs and ≤ 2.0 METs, respectively. However, this study reviews data suggesting that some standing (e.g., while performing deskwork) is substantially below the minimum light intensity activity threshold of 1.5 METs. These data bring into question whether standing should be universally classified as a light-intensity behavior. The objectives of this study are to (i) highlight discrepancies in classifying standing behavior in the human movement spectrum continuum, and (ii) to propose a realignment of the ‘active’ vs. ‘passive’ standing threshold to match the light intensity threshold to help provide a clearer research framework and subsequent public health messaging for the expected health benefits from standing.


1998 ◽  
Vol 22 (3) ◽  
pp. 153-154 ◽  
Author(s):  
Martin Baggaley

Thirteen per cent of referrals of ex-servicemen to a military psychiatric centre for the treatment of combat-related post-traumatic stress disorder (PTSD) in a 12-month period have proved to be factitious. A simple classification of factitious combat-related PTSD into those with no military service and those with military service but with false claims of combat is described. The possible causes of this behaviour are discussed and a guide to the detection of factitious claims for psychiatrists without military experience is given.


2017 ◽  
Vol 30 (2) ◽  
pp. 147-161 ◽  
Author(s):  
Francisco de Assis Guedes de VASCONCELOS

ABSTRACT Objective: Perform analysis of the scientific production of Nutrition published by the Scientific Electronic Library under the gaze of the evaluation of Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Methods: Systematic search was performed in the 286 current title journals, using the "article search" path, the "subject index" window and the "Nutrition" indexer. The articles and periodicals selected were analyzed in order to answer the following questions: Which journals from Scientific Electronic Library publish articles on Nutrition? Do these journals have an impact factor as measured by the Journal Citation Reports? Which are? What is the classification of these journals by the areas of evaluation of Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, specifically by the area of Nutrition? Results: We analyzed 779 articles published in 85 journals. The majority of articles (n=698; 89.6%) were related to the area of Health Sciences. The five journals with higher volumes of articles were: Brazilian Journal of Nutrition, Reports in Public Health, Public Health Journal, Science & Public Health and Journal of Pediatrics. Most (62.4%) does not have Journal Citation Reports. The Nutrition area not rated any journal in strata A1 and A2, classifying them from B1 to B4. For eight areas analyzed their specific journals were induced to the upper strata of Qualis (A1, A2 and B1). Conclusion: The analyzed journals are the main vehicles of circulation of scientific paradigms of national scientific communities. Considering the correlation of forces between the vehicles of circulation of scientific knowledge in the international context, stimuli for valorization and qualification of these journals are essential.


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