Health Status Screening in Elderly Patients — Is this the Way Forward?

2012 ◽  
Vol 08 (01) ◽  
pp. 63
Author(s):  
Joanna Kazmierska ◽  
Keyword(s):  
Health Status ◽  
Health Assessment ◽  
European Population ◽  
Assessment Tools ◽  
Screening Tools ◽  
Screening Methods ◽  
Age Group ◽  
Cognitive Domains ◽  
Standard Assessment ◽  
Pre Treatment

The rapid ageing of the European population poses a challenge for healthcare systems. The incidence of cancers will rise as the number of adults aged 65 years and older increases. Moreover, the health status of individuals in this age group is diverse, and thus requires modern oncology to apply an individualised approach to treatment. There is a clear need to develop and validate health assessment tools enabling the identification of specific geriatric issues which might be overlooked by standard assessment methods. The Comprehensive Geriatric Assessment (CGA) is the ‘gold standard’ for geronto-oncology assessment. However, the complexity of this test has stimulated a search for pre-screening methods able to identify individuals with the potential to gain most from full pre-treatment CGA. Such tools consist of specific tests to evaluate health status in the important functional, psychological, social and cognitive domains. The choice of which tests are best to use within the various screening tools is still a subject of debate. This paper presents a review of the most commonly used tests within various health status domains as well as of the most valuable screening tools.

scholarly journals Assessment of oral health status and treatment needs among people of Foklyan area, Dharan, Nepal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
A. Singh ◽  
A. Shrestha ◽  
T. K. Bhagat ◽  
D. D. Baral
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Age Groups ◽  
Health Assessment ◽  
Oral Health Status ◽  
Caries Experience ◽  
Socioeconomic Background ◽  
Age Group ◽  
Treatment Needs ◽  
Low Socioeconomic

Abstract Background Oral diseases are a major public health problem globally due to high prevalence and significant social impact. Foklyan is a peri urban area with people belonging to indigenous population of low socioeconomic status. This study was conducted to assess the oral health status and treatment needs among the people of Foklyan area, Dharan. Methods Cross-sectional house to house survey was conducted on 310 randomly selected participants. The participants were stratified into five age groups as per WHO Basic Oral Health Survey Methods 1997 and further categorized by gender. WHO Oral Health Assessment form 1997, WHO oral health assessment questionnaire for adult/children 2013 and questionnaire for oral hygiene practice and cost as a treatment barrier were used. The examinations were done as per WHO standard guidelines. Results Most of the participants were from low socioeconomic background (71.3%). About 40% of the participants deferred dental visit due to financial burden. Although 99% of the participants brushed their teeth, there was high caries experience (DMFT: 3.18 ± 5.85; dft: 2.40 ± 2.65). Mean sextant score for bleeding was 5.58 in 35–44 years age group and 5.61 in 65–74 years age group. Tobacco consumption was seen in 70.9% of the adults. Prevalence of alcohol consumption was 58.8% among adult age groups. Conclusion The prevalence of dental caries, periodontal diseases, and prosthetic needs were more compared to national data. There is a need for oral health promotion in this area.

scholarly journals A Scoping Review of Community Based Geriatric Health Assessment and Screening Tools used in South Asia Region

2021 ◽  
Author(s):  
Sucharita Panigrahi ◽  
Trilochan Bhoi ◽  
Sanghamitra Pati ◽  
Jaya Singh Kshatri
Keyword(s):  
Older Adults ◽  
Health Status ◽  
South Asia ◽  
Scoping Review ◽  
Health Assessment ◽  
The Elderly ◽  
Holistic Health ◽  
Screening Tools ◽  
Older Population ◽  
Eligibility Criteria

AbstractThere have been many geriatric tools developed to assess health status targeting especially for older adults from developed nations but not context specific. Whereas finger count tools are available for LMICs, especially the South Asia population. CGA, as opposed to medical examination, uses multiple tools to capture a holistic health status of the older adults in line with the more comprehensive WHO definition of health. It includes a harmonized evaluation of the clinical, functional, psychological, environmental and social health status of older population. Although there is no standardized format for carrying out CGA, there is broad consensus on the domains that need to be measured. For the better caring of culturally diverse South Asian older population, we need to develop more culturally competent CGHA tools. So, this review summarised studies that describe validated tools for assessing geriatric health in community settings in South Asia. We followed Arksey and O’Malley’s five-stage scoping review framework, refined with the Joanna Briggs Institute methodology, to identify the research questions, identify relevant studies, select studies, chart the data, and collate and summarize the data. Using the PRISMA-ScR guidelines, a search of 3 databases (PubMed, Embase and PsychInfo was undertaken. After applying eligibility criteria to 607 articles, only 46 studies met the inclusion criteria. 7 studies reported on medical assessment, 4 studies assessed psychological condition,6 studies assessed functional issue,2 studies assessed social wellbeing and 9 studies reported on different domains. None study measured all domains. 24 tools calibrated with Gold standard measure, were validated and reliable by assessed with psychometric properties such as sensitivity, specificity, PPV, NPV and ROC-AUC. Meanwhile, 21 tools were validated exclusively for older adults, whereas there are no validated tools available for CGHA in South Asia. This review will guide us for development of CGHA tools or adaptation of existing tools in our context. As well, it will help practitioners to develop tools to measure comprehensive health of the elderly in their context.

scholarly journals THE BIRHOR TRIBES OF RAMGARH DISTRICT, JHARKHAND – A FERRET INTO THEIR ORAL HEALTH STATUS AND TREATMENT NEEDS

2018 ◽  
Author(s):  
Gunjan Kumar ◽  
C L Dileep ◽  
Alok Kumar Sethi ◽  
Bhaskar Gupta
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Health Assessment ◽  
Household Survey ◽  
Oral Health Status ◽  
World Health ◽  
Age Group ◽  
Treatment Needs ◽  
Cross Sectional ◽  
Shorea Robusta

Aim and objectives. Jharkhand is a land of 32 listed Tribes, out of which eight tribes have been categorized as ‘Primitive Tribes’ and the Birhors are one among these. The study was aimed at assessing the oral health status and treatment needs of the native Birhors.Material and methods. A cross-sectional household survey of 400 Birhors in the panchayats of Basantpur, Kuju Purvi and Mandu Chatti was conducted. A modified World Health Organization (WHO) Oral Health Assessment Form (1997) was utilized and examined according to the WHO methodology (1997). The recorded data were statistically analyzed using the SPSS version 15. Results. Based on the occupation, it was found that 141 (35.25%) subjects were hunters and 90 (22.50%) subjects practiced agriculture. A majority of 337 (84.25%) subjects were using the Sakhua twigs (Shorea robusta) to clean their teeth. It was observed that 381 (95.25%) subjects were quite healthy and had no oral mucosal lesions. Almost half of the study subjects (45%) were habituated to tobacco and among them 101 (56.11%) subjects were using khaini, followed by 46 (25.56%) subjects who used bidis. The mean decayed, missing, and filled teeth (DMFT) Index scores among males and females was 1.05±2.59 and 1.02±2.17, respectively. Subjects with bleeding gums were predominantly seen in the age group of 2-5 years (26.75%) and those with shallow pockets were more commonly seen in the age group of 16-34 years (47.12%). A total of 53 (13.25%) subjects and 33 (8.25%) subjects had a LOA of 4-5 mm and 6-8 mm, respectively. Among males, 0.44±2.60 subjects each needed one/two surface fillings. A total of 14 (3.5%) and 15 (3.75%) subjects needed one-unit prosthesis in the upper and lower jaws, respectively.Conclusion. The study showed that a majority of Birhor tribals (84.25%) used Sakhua twigs to clean their teeth. Almost half of the study subjects (45%) were habituated to tobacco in myriad forms.

Health Status of Senior Citizens: A Cross-sectional study

2020 ◽  
Vol 11 (01) ◽  
Author(s):  
Priyanka Beniwal ◽  
Chandrakala Singh
Keyword(s):  
Health Status ◽  
Senior Citizens ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Age Group ◽  
Poor Health Status ◽  
Cross Sectional ◽  
Males And Females ◽  
The Individual ◽  
Average Health

Aging is a series of processes that begin with life and continue throughout the lifecycle. It represents the closing period in the lifespan, a time when the individual looks back on life, lives on past accomplishments and begins to finish off his life course. It represents the accumulation of changes in person over time. The study aims to investigate the health status of senior citizens. The present study was carried out in Hisar and Sirsa district of Haryana state. A total of 400 elderly equally representing both males and females of age group 65-70 years were selected randomly for the study. Modified inventory developed by Khan and Lal (2011) was used to assess health status of senior citizens. The results of the study elucidated that health status of senior citizens depicted that 54.25 per cent of the total respondents had average health status followed by good (25.25%) and poor health status (20.50%). The most common health problems reported by the senior citizens were joint pains, back pains, blood pressure, and chest pain etc. Gender wise comparison of total sample further pointed out that females were poor in their health against males.

scholarly journals Feasibility of oral health evaluation by intraoral digital photography: a pilot study

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098284
Author(s):  
ShuLing Guo ◽  
Yong Chen ◽  
Sreekanth Kumar Mallineni ◽  
ShuYing Huang ◽  
BaiWang Liu ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Health Assessment ◽  
Oral Health Status ◽  
Health Evaluation ◽  
Gingival Health ◽  
Status Assessment ◽  
Dmft Index ◽  
Positive Correlations ◽  
University Training

Objectives This study investigated the accuracy and duration of intraoral digital photograph examination (IDPE) for evaluating oral health status and explored the feasibility of remote oral health assessment. Methods Thirty-one healthy college students underwent evaluations of oral health status via clinical examination (CE) combined with panoramic X-ray assessment at baseline, followed by IDPE 1 month later using photos taken at baseline. Methods for evaluation of gingival health included the Modified Gingival Index (MGI) and Plaque Index (PI). Examinations of caries status included the decayed, missing, and filled teeth and surfaces indexes (DMFT and DMFS indexes, respectively). The duration of each evaluation was also recorded. Results There were significant differences in MGI and PI between CE and IDPE. There were no significant differences in DMFT and DMFS indexes between CE and IDPE, and there were positive correlations between CE and IDPE for each of the two indexes (DMFT index: r=0.56; DMFS index: r=0.69). The IDPE duration was shorter than the CE duration. Conclusions The feasibility of caries status assessment via IDPE is promising. Digital oral health evaluation merits further clinical consideration. Trial registration Xiamen University Training Program of Innovation and Entrepreneurship for Undergraduates, project number: 2018X0583. Registered 1 April 2018; http://cxw.xmu.edu.cn/admin/Innovation/NewInnovationDetail?id=6ce0a415-6131-496b-891a-6a1ae44e556d

scholarly journals Assessment of the Reproductive Health Status of Adult Prison Inmates in Osun State, Nigeria

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
A. I. Olugbenga-Bello ◽  
O. A. Adeoye ◽  
K. G. Osagbemi
Keyword(s):  
Health Status ◽  
Reproductive Health ◽  
Cross Sectional Study ◽  
Prison Inmates ◽  
Age Group ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Condom Usage ◽  
Hiv Aids

Introduction. All over the world, numbers of prisoners have being increasing with majority in the sexually active age group; hence diseases such as HIV, Tuberculosis and Hepatitis are more prevalent in prisons than in the community. This study thus aims to provide an overview of the reproductive health status of adult prison inmates in Osun State.Methodology. This is a cross-sectional study among adult inmates in Osun State prison. Data was obtained from 209 selected respondents using pre-tested semi structured questionnaire.Result. Majority of the respondents were in the age group 20–39 years with mean age of30.9+7.5. 73.2% are aware of STIs, 93.3% HIV/AIDS and 81.3% contraception. 54.6% had multiple sexual partners before incarceration and 23.3% of them used condom always. 89.5% were not involved in any sexual practice inside the prison, 9.1% masturbated and 1.4% had homosexual partners. Less than 6% had access to male condoms gotten from prison staffs and prison clinics.Conclusion and recommendation. No comprehensive reproductive health care system to address reproductive health services in prisons. Respondents’ knowledge about STIs, HIV/AIDS and contraception is good, but their condom usage is low compared with the knowledge. Government should put in place specific reproductive health programmes in prisons.

scholarly journals Formal Verification of Health Assessment Tools: a Case Study

2016 ◽  
Vol 324 ◽  
pp. 31-50 ◽  
Author(s):  
Jonas Santos Bezerra ◽  
Andrei Costa ◽  
Leila Ribeiro ◽  
Érika Cota
Keyword(s):  
Formal Verification ◽  
Health Assessment ◽  
Assessment Tools

Health Assessment Based on Fuzzy Synthetic Evaluation for Civil Aircrafts

2011 ◽  
Vol 335-336 ◽  
pp. 985-988
Author(s):  
Bao Hui Jia ◽  
Ze Dong Sun
Keyword(s):  
Health Status ◽  
Health Management ◽  
Health Assessment ◽  
Fuzzy Synthetic Evaluation ◽  
Hydraulic Pump ◽  
Quantitative Level ◽  
Key Technologies ◽  
Civil Aircraft ◽  
Evaluation Algorithm ◽  
Synthetic Evaluation

Health assessment is one of the key technologies for civil aircraft health management system. In order to access the health status of components, subsystems and systems of civil aircrafts, this paper explicitly defines the health status, and presents the fuzzy synthetic evaluation algorithm. Then the model of the evaluated object is established to get the health status of quantitative level. Finally, the method is used for health assessment of aircraft hydraulic pump .The results of simulation show the practicability of this method.

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