scholarly journals Health and environment

2007 ◽  
Vol 60 (11-12) ◽  
pp. 569-574 ◽  
Author(s):  
Budimka Novakovic ◽  
Miroslava Kristoforovic-Ilic ◽  
Ljiljana Trajkovic-Pavlovic ◽  
Ljilja Torovic ◽  
Marija Jevtic ◽  
...  
Keyword(s):  
Human Health ◽  
Health Conditions ◽  
Graduate Courses ◽  
Physician Knowledge ◽  
Physical Chemical ◽  
Future Evaluation ◽  
Novi Sad ◽  
Principal Task

Introduction. The Department of Hygiene, Faculty of Medicine, University of Novi Sad, is responsible for undergraduate and graduate courses in the field of preventive medicine. The principal task of physicians in the 21st century is to provide health promotion and disease prevention. In the future, evaluation of physician knowledge and competence will be predominantly based on patients' health conditions. Health and Environment. Human health is a result of long-term interaction between human genome and the environment. Good human health requires permanent control of health conditions as well as control of environmental health hazards. Various environmental factors, such as physical, chemical, biological, social and economic, affect the population health. Air, drinking water and food are fundamental to the existence of life of all living beings on Earth, and therefore they have enormous influence on the health of individuals and populations. Conclusion. The significance of the above mentioned requirements, essential for human health, is the reason why the Department of Hygiene conducted an investigation on the quality of air, food and water (water is a foodstuff as well) in Vojvodina.

Modifiable Risk Factors for Neurocognitive and Psychosocial Problems After Hodgkin Lymphoma

Blood ◽  
2021 ◽  
Author(s):  
AnnaLynn M Williams ◽  
Sedigheh Mirzaei Salehabadi ◽  
Mengqi Xing ◽  
Nicholas Steve Phillips ◽  
Matthew Ehrhardt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hodgkin Lymphoma ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Cross Sectional ◽  
Chronic Health ◽  
Modifiable Factors ◽  
Task Efficiency

Long-term survivors of childhood Hodgkin lymphoma (HL) experience high burden of chronic health morbidities. Correlates of neurocognitive and psychosocial morbidity have not been well established. 1,760 survivors of HL (mean[SD] age 37.5[6.0] years, time since diagnosis 23.6[4.7] years, 52.1% female) and 3,180 siblings (age 33.2[8.5] years, 54.5% female) completed cross-sectional surveys assessing neurocognitive function, emotional distress, quality of life, social attainment, smoking, and physical activity. Treatment exposures were abstracted from medical records. Chronic health conditions were graded according to NCI CTCAE v4.3 (1=mild, 2=moderate, 3=severe/disabling, 4=life-threatening). Multivariable analyses, adjusted for age, sex, and race, estimated relative risk (RR) of impairment in survivors vs. siblings and, among survivors, risk of impairment associated with demographic, clinical, treatment factors and grade 2+ chronic health conditions. Compared with siblings, survivors had significant higher risk (p's<0.05) of neurocognitive impairment (e.g. memory 8.1% vs. 5.7%), anxiety (7.0%%vs. 5.4%),depression (9.1% vs. 7%), unemployment (9.6% vs. 4.4%), and impaired physical/mental quality of life (e.g. physical function 11.2% vs. 3.0%). Smoking was associated with higher risk of impairment in task efficiency (RR=1.56[1.02-2.39]), emotional regulation (RR=1.84[1.35-2.49]), anxiety (RR=2.43[1.51-3.93]), and depression (RR=2.73[1.85-4.04]). Meeting CDC exercise guidelines was associated with lower risk of impairment in task efficiency (RR=0.70[0.52-0.95]), organization (RR=0.60[0.45-0.80]), depression (RR=0.66[0.48-0.92]), and multiple quality of life domains. Cardiovascular and neurologic conditions were associated with impairment in nearly all domains. Survivors of HL are at elevated risk for neurocognitive and psychosocial impairment, and risk is associated with modifiable factors that provide targets for interventions to improve long-term functional outcomes.

Patients' experiences of nurse case management in primary care: a meta-synthesis

2017 ◽  
Vol 23 (5) ◽  
pp. 420 ◽  
Author(s):  
Anna Askerud ◽  
Jenny Conder
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Management ◽  
Research Question ◽  
Health Conditions ◽  
Long Term Conditions ◽  
Nurse Case Management ◽  
Primary Health

The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner’s 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples’ perceptions of nurse case management. The research synthesises the experiences of people with long-term conditions on the quality of care under a nurse case management model of primary health care. Over 1000 people were represented across the studies, and the results suggest that people had a high degree of confidence and trust in their nurse case manager, were better able to manage their health conditions with nurse case management support, and had better access to appropriate health care. This research suggests that nurse case management is an effective model of care and may contribute to improved quality of life and better health care for those with long-term health conditions.

scholarly journals Addressing the quality of paediatric primary care: Health worker and caregiver perspectives of PACK Child, a health systems intervention in South Africa

2020 ◽  
Author(s):  
Robyn Leigh Curran ◽  
Jamie Murdoch ◽  
Max Bachmann ◽  
Eric Bateman ◽  
Ruth Cornick ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Worker ◽  
Health Workers ◽  
Integrated Management ◽  
Health Conditions ◽  
Individual Interviews ◽  
Paediatric Primary Care ◽  
Child Intervention

Abstract Background: The WHO’s Integrated Management of Childhood Illness (IMCI) has resulted in progress in addressing infant and child mortality. However, unmet needs of children continue to present a burden upon primary healthcare services. The capacity of services and quality of care offered require greater support to address these needs by extending and integrating curative and preventive care for the child with a long-term health condition and the child older than 5, not prioritised in IMCI. In response to these needs, the PACK Child intervention was developed, to expand the scope of integrated management and training programmes for paediatric primary care. We report health worker and caregiver perspectives of the existing paediatric primary care context as well as the extent to which PACK Child functions to address perceived problems within the current local healthcare system. Methods: This process evaluation involved 52 individual interviews with caregivers, 10 focus group discussions with health workers, 3 individual interviews with trainers, and 31 training observations. Interviews and focus groups explored participants’ experiences of paediatric primary care, perspectives of the PACK Child intervention, and tensions with implementation in each context. Inductive thematic analysis was used to analyse verbatim interview and discussion transcripts.Results: Perspectives of caregivers and health workers suggest an institutionalised focus of paediatric primary care to treating children’s symptoms as acute episodic conditions. Health workers’ reports imply that this focus is perpetuated by interactions between contextual features such as, IMCI policy, documentation-driven consultations, overcrowded clinics and verticalised care. Whilst these contextual conditions constrained health workers’ ability to translate skills developed within PACK Child training into practice, the intervention initiated expanded care of children 0-13 years and those with long-term health conditions, enhanced professional competence, improved teamwork and referrals, streamlined triaging, and facilitated probing for psychosocial risk.ConclusionPACK Child appears to be catalysing paediatric primary care to address the broader needs of children, including long-term health conditions and the identification of psychosocial problems. However, to maximise this requires primary care to re-orientate from risk minimisation on the day of attendance towards a view of the child beyond the day of presentation at clinics.

Harmful Effects of Ecosystem Impairment on Human Health

2017 ◽  
pp. 224-232
Author(s):  
Suruchi Singh ◽  
Shashi Bhushan Agrawal ◽  
Madhoolika Agrawal
Keyword(s):  
Climate Change ◽  
Human Health ◽  
Will Force ◽  
Over Exploitation ◽  
The Cost ◽  
Global Population ◽  
Harmful Effects ◽  
Environment Degradation

Growing global population has caused environment degradation through ecosystem impairment and over exploitation. Although, people have made great moves for improving life style, and enjoy a drastically improved quality of life but such improvements have been made at the cost of environment degradation. Climate change will force humans to adjust with changing environment and find ways to deal with short term protection and long term health consequences. The range of potential threats to human health caused by climate change is increasing and at the same time is not clear. So, owing to the potential magnitude and universality of such an issue, we have a moral obligation for developing proper tools and make informed choices that ultimately result in better lives for the humans.

Harmful Effects of Ecosystem Impairment on Human Health

2018 ◽  
pp. 384-392
Author(s):  
Suruchi Singh ◽  
Shashi Bhushan Agrawal ◽  
Madhoolika Agrawal
Keyword(s):  
Climate Change ◽  
Human Health ◽  
Will Force ◽  
Over Exploitation ◽  
The Cost ◽  
Global Population ◽  
Harmful Effects ◽  
Environment Degradation

Growing global population has caused environment degradation through ecosystem impairment and over exploitation. Although, people have made great moves for improving life style, and enjoy a drastically improved quality of life but such improvements have been made at the cost of environment degradation. Climate change will force humans to adjust with changing environment and find ways to deal with short term protection and long term health consequences. The range of potential threats to human health caused by climate change is increasing and at the same time is not clear. So, owing to the potential magnitude and universality of such an issue, we have a moral obligation for developing proper tools and make informed choices that ultimately result in better lives for the humans.

scholarly journals Plant foods for human health: research challenges

2006 ◽  
Vol 65 (2) ◽  
pp. 198-203 ◽  
Author(s):  
John C. Mathers
Keyword(s):  
Human Health ◽  
Fruits And Vegetables ◽  
Adverse Reactions ◽  
Dietary Exposure ◽  
Plant Foods ◽  
Research Challenges ◽  
Very High ◽  
Produce Plant

Plants provide the major part of human food intake. Whilst advances in agronomic characteristics (improved yield and better pest and disease resistance) continue to be a very high priority, there is increasing opportunity to enhance the nutritional value of plant based diets by improving the nutritional quality of staple foods. We now have proof of principle that genetic engineering can be used to produce plant-derived human vaccines. In relation to plant foods for human health, the research challenges include understanding: (1) why certain foods cause adverse reactions in some individuals but not in others; (2) the mechanisms of action of apparently ‘protective’ foods such as fruits and vegetables. There is also a need to develop much more informative and robust methods for measuring dietary exposure to specific plant foods or food constituents, including both recent exposure, for which a metabolomics approach may be particularly helpful, and long-term exposure.

scholarly journals City and Health: An Exploratory Overview of Research Issues

2017 ◽  
Vol 21 (1) ◽  
pp. 81 ◽  
Author(s):  
Peter Nijkamp ◽  
Karima Kourtit
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Human Health ◽  
Environmental Quality ◽  
Health Care Facilities ◽  
Health Conditions ◽  
Health And Wellness ◽  
Bottom Line ◽  
Care Facilities

<p>The bottom line of welfare on our planet and its people is not only dependent on traditional economic measures, but also on knowledge and education and – last but not least – on human health. Human health is a critical factor for the welfare and prosperity of society. Many parameters appear to play a role in a health equation, even though the empirical measurement of health is fraught with many conceptual and empirical problems. As a consequence, we observe many disparities in empirical health conditions in a heterogeneous society; an appropriate definition and measurement of 'good health' are far from easy. Next to health disparities caused by a heterogeneity among the population, there is also an important geographical component in the spread of health patterns of the population as a result of differences in environmental quality-of-life, spatial density, quality of and access to health care facilities, and social stress conditions. From this perspective, geography matters in the field of human health. Although geographic differences in health conditions are not the only reason for people to reside or stay in a certain place, they are certainly an important decision parameter, often in combination with wellness conditions and environmental quality conditions. The aim of the present paper is to provide an overview of the literature on the geography of health and wellness, while the study is concluded with some lessons for research and policy.</p><p><strong>Purpose:</strong> The aim of the present paper is to provide an overview of the literature on the geography of health and wellness.</p><p><strong>Methodology/Approach:</strong> Literature review. We will outline the geography of human health, through a concise literature survey of the geographical patterns in human health outcomes to address the general research findings on spatial differences in health in relation to urban-rural patterns of life.</p><p><strong>Findings:</strong> The measurement of human health is fraught with many difficulties, as it is often not clear whether a correction is made for supply factors (such as health care facilities) or for individual characteristics of the people concerned (such as age or gender). In the social-medical research literature this has led to an increasing popularity of meta-analytic methods.</p><p><strong>Research Limitation/implication:</strong> Meta-analysis may be seen as a collection of quantitative research techniques that aim at providing a synthesis of previously undertaken impact studies in a given field. Clearly, and ideally, both the response and the moderator variables would have to be identical, but in reality this is not the case. Besides, the quality of the research may be difficult (often reflected in the quality of the journal in which the results are published), while also the contextual conditions may be completely different (such as physical-geographical conditions or socio-economic or poverty conditions). This makes the results of meta-analytic studies somewhat ambiguous, but nevertheless it is a valuable method that may shed more light on the determinants of health outcomes.</p><p>There is clearly a case for more detailed spatial data on individual health situations. There may be a self-selection (or sorting) mechanism in the locational decisions of households so that there is a need for a more systematic data collection and analysis in this area.</p><p><strong>Originality/Value of paper:</strong> The paper aims to unravel the various forces that determine human health, in particular from the spatial perspective of places of residence.</p>

Analysis and assessment of forensic medical examinations and studies of living individuals who have experienced acute intestinal infections for 2018–2019 according to the BSME of the subject of the Russian Federation

2020 ◽  
Author(s):  
Olga Gritskevich ◽  
Dmitriy Kadochnikov
Keyword(s):  
Human Health ◽  
Medical Examination ◽  
Modern Approach ◽  
Intestinal Infections ◽  
The Subject ◽  
The Russian Federation ◽  
Medical Examinations ◽  
Main Factor

To assess the modern approach in determining the severity of harm to human health in acute intestinal infections, an analysis of the acts of the forensic medical examination of living persons who have suffered acute intestinal infections was carried out on the basis of the forensic medical examination bureau of the southern region for 2018–2019. The analysis showed that today, children are more susceptible to acute intestinal infections, and according to the standards for assessing the degree of harm to human health, the main factor is taken into account, the number of days spent on inpatient or outpatient treatment, regardless of the severity of the infection. In this case, no attention is paid to the long-term consequences of the infection, which, in turn, lead to chronic diseases of the gastrointestinal tract and significantly reduce the quality of life. The findings indicate the need to develop criteria for assessing the severity of harm to health in acute intestinal infections. This will make it possible to systematize the approach and objectively assess the degree of harm caused to health.

scholarly journals Legal, Commercial, Medical, Ethical and Environmental Aspects of Granting Patents for Biotechnological Innovations

2016 ◽  
Vol 10 (1) ◽  
pp. 62
Author(s):  
Saeed Daryaee Bajhdad Abadi ◽  
Mohammad Hossain Ramazani Ghavam Abadi ◽  
Seyed Ghasem Zamani ◽  
Mehrzad Kiani
Keyword(s):  
Human Rights ◽  
Human Health ◽  
Food Industry ◽  
Oil Pollution ◽  
Strict Liability ◽  
New Drugs ◽  
International Regulations ◽  
The Right

Biotechnology has many applications in environment (clean up or prevent its degradation), agriculture (increased efficiency and productivity), medical (new methods of treatment or new drugs) and various industries, including Oil industry (elimination of oil pollution), textile products (increasing the quality of textiles) and food industry (raising the quantity and quality of food). But there are also concerns relating to some unknown aspects, effects and consequence of biotechnology in a way that the long-term effects are not so clear on human health or on the environment in the agriculture and in the food industry on the health of consumers. For example, gene therapy and genetic drugs, can cause some genetic complications or biotechnological product may cause growth of useless or harmful like weeds resistant to pesticides and even pollute the environment by disrupting the function in agriculture. Of course to address this concern, there are some principles such as biological safety and the necessity assess the risks arising from the use of this product, and prudent use of these innovations on the domestic and international level. Ethical considerations and objections have been raised by the moralists in terms of loss of intrinsic value of life due to manipulate by biotechnology or threaten the dignity of living creatures with dominance and monopoly over them. These considerations will be strongly when we are confronted with the fact that the granting of monopoly to biotechnology can lead to the misuse of this knowledge against humans and other organisms. Of course, there are ways to prevent or address these abuses, including the abolition of the patent or parallel import of product or granting licenses to others. In addition, human rights lovers also believe that the granting of monopoly and patent to the achievements of this science is In some cases contrary to human rights So have objected to it. Like threaten the right to health and healthy food (in terms of risk to human health resulting from biotechnology. Threaten the right to work (due to market monopolization by big companies and unemployment and the gradual elimination of small farmers) and threaten the right to a healthy environment (due to possible adverse effects on the environment and biodiversity). Of course, these concerns can be reduced by international regulations such as the Cartagena Protocol on Biosafety. Another challenge is on how to prove damages resulting from biotech crops to the environment, people and their property and also proving the causal relationship between the biotech and damage is difficult because their harmful and unknown effects usually becomes apparent in long-term and this makes it hard to prove a causality relationship. Also in such damages, the best way of compensation (i.e. restore the former state) is difficult or impossible. Because the reproducibility of biotechnology can reduce the ability to control on extent of damage and the harmful effects. However, concerns have been reduced slightly by stipulating strict liability for the damage in international regulations.

scholarly journals Addressing the quality of paediatric primary care: Health worker and caregiver perspectives from a process evaluation of PACK Child, a health systems intervention in South Africa

2020 ◽  
Author(s):  
Robyn Leigh Curran ◽  
Jamie Murdoch ◽  
Max Bachmann ◽  
Eric Bateman ◽  
Ruth Cornick ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Health Worker ◽  
Health Workers ◽  
Health Conditions ◽  
Individual Interviews ◽  
Paediatric Primary Care ◽  
Child Intervention

Abstract Background: The WHO’s Integrated Management of Childhood Illness (IMCI) has resulted in progress in addressing infant and child mortality. However, unmet needs of children continue to present a burden upon primary healthcare services. The capacity of services and quality of care offered require greater support to address these needs by extending and integrating curative and preventive care for the child with a long-term health condition and the child older than 5, not prioritised in IMCI. In response to these needs, the PACK Child intervention was developed and piloted in 2017-2019 in the Western Cape Province of South Africa,. We report health worker and caregiver perspectives of the existing paediatric primary care context as well as the extent to which PACK Child functions to address perceived problems within the current local healthcare system. Methods: This process evaluation involved 52 individual interviews with caregivers, 10 focus group discussions with health workers, 3 individual interviews with trainers, and 31 training observations. Interviews and focus groups explored participants’ experiences of paediatric primary care, perspectives of the PACK Child intervention, and tensions with implementation in each context. Inductive thematic analysis was used to analyse verbatim interview and discussion transcripts.Results: Perspectives of caregivers and health workers suggest an institutionalised focus of paediatric primary care to treating children’s symptoms as acute episodic conditions. Health workers’ reports imply that this focus is perpetuated by interactions between contextual features such as, IMCI policy, documentation-driven consultations, overcrowded clinics and verticalised care. Whilst these contextual conditions constrained health workers’ ability to translate skills developed within PACK Child training into practice, the intervention initiated expanded care of children 0-13 years and those with long-term health conditions, enhanced professional competence, improved teamwork and referrals, streamlined triaging, and facilitated probing for psychosocial risk.Conclusion: PACK Child appears to be catalysing paediatric primary care to address the broader needs of children, including long-term health conditions and the identification of psychosocial problems. However, to maximise this requires primary care to re-orientate from risk minimisation on the day of attendance towards a view of the child beyond the day of presentation at clinics.

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