MAIN DIRECTIONS OF PREVENTION OF INCREASED WEATHER SENSITIVITY AND TREATMENT OF WEATHER-DEPENDENT PATIENTS

2020 ◽  
pp. 45-48
Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Klepikov O.V. ◽  
Kulintsova Ya.V.
Keyword(s):  
Chronic Diseases ◽  
Climatic Factors ◽  
Weather Factors ◽  
Educational Work ◽  
Pathological Effect ◽  
Term Care ◽  
Cardiovascular Pathology ◽  
Therapeutic Work ◽  
Weather Sensitivity ◽  
Voronezh Region

Currently, and over the past decade, intensive research is being conducted in the field of organizational, preventive and therapeutic work with weather-sensitive and weather-dependent patients suffering from cardiovascular pathology. One of the most discussed issues in practical medicine is the application of climate conditions, with a fixed frequency and time of exposure. Conditions of influence of climatic factors, in some cases, can exceed the limits of the norm and, accordingly, have a pathological effect on the functional state of a person. Thus, we used data from statistically reliable results of 928 questionnaires processed and analyzed, reflecting the medical and social characteristics of patients with cardiovascular pathology. Direct results were evaluated by analyzing changes in the dynamics of indicators. According to a questionnaire survey, 62% of patients who have chronic diseases and seek medical help for diseases of the cardiovascular system believe that weather factors have a significant impact on their health. of the patients who do not have chronic diseases, 38% gave positive answers to the question about the weather sensitivity of their health. As part of the pilot project to create a system of long-term care for elderly and disabled citizens in the Voronezh region, patients are informed about the sources of obtaining specialized medical weather forecasts in the region; interaction between the parties is organized to conduct sanitary and educational work; medical examinations are organized and conducted; training sessions are organized for relatives of citizens who have lost the ability to self-service. Further organizational, preventive and therapeutic work with weather-sensitive and weather-dependent patients in the Voronezh region is characterized by an increase in the quality of medical care for patients with cardiovascular diseases.

scholarly journals Prevention of Meteopathic Reactions in Children with Bronchial Asthma in a Sanatorium

2021 ◽  
Vol 20 (4) ◽  
pp. 13-21
Keyword(s):  
Bronchial Asthma ◽  
Weather Forecasting ◽  
Climatic Factors ◽  
Weather Conditions ◽  
Climatic Conditions ◽  
Medical Rehabilitation ◽  
Automated System ◽  
Weather Factors ◽  
Rehabilitation Programs ◽  
Weather Sensitivity

The problems of medical rehabilitation of children with bronchial asthma are relevant for the national health care due to the high prevalence of the disease in the child population and the possibility of disability. Currently, the role of weather factors in the development of meteopathic reactions in children suffering from bronchial asthma is increasing. Meteopathological reactions can be manifested by increased symptoms of the disease and ventilation disorders, as well as they reduce the effectiveness of rehabilitation measures. In this regard, research devoted to the development of methods for the prevention and correction of manifestations of weather dependence using natural and climatic factors is of particular interest. Aim. The study aimed to assess the bioclimatic potential of the resort of Gelendzhik city and to develop methods for the prevention of meteopathic reactions in children with bronchial asthma. Material and methods. The research was conducted on the basis of the SRC “Vulan” (Gelendzhik). Features of biotropic weather conditions influence and meteopathic reactions development were studied in 119 children with bronchial asthma aged 5 to 15 years. Microclimatic features of the Sanatorium “Vulan” territory were studied using an automated system of medical and meteorological weather forecasting. Methods of climate therapy included dosed sun and air baths, which were prescribed taking into account the severity of the disease and the degree of child’s adaptation to the climatic conditions of the sanatorium. Results and discussion. The study of the bioclimatic potential showed that the territory of the Sanatorium “Vulan” can be attributed to the resort area with a sparing effect of the climate on the child’s body and with favorable microclimatic conditions that allow to widely include all types of climatotherapy in treatment and rehabilitation programs. Against the background of the dosed climate therapy, the majority of children (82.1%) had decreased manifestations of increased weather sensitivity, improved respiratory function and increased indicators of the psychoemotional status of children with bronchial asthma. Conclusion. Improved and scientifically-based technologies for dosing of the climate-related procedures, which are included in the programs of sanatorium-resort treatment of children with bronchial asthma, can significantly reduce the frequency of weather-related reactions.

scholarly journals The adaptive potential of workers in greenhouse farms in the Voronezh region

2021 ◽  
Author(s):  
L.A. Yatsenko ◽  
N.V. Dzen ◽  
N.V. Gabbasova ◽  
N.P. Mamchik
Keyword(s):  
Environmental Factors ◽  
Chronic Diseases ◽  
Human Body ◽  
The Body ◽  
External Factors ◽  
Adaptive Potential ◽  
Production Factors ◽  
Adaptive Capabilities ◽  
Voronezh Region ◽  
Integral Indicator

Adaptive potential is an indicator of the level of adaptability of the human body to various and changing environmental factors. The adaptive capabilities of the body are influenced not only by external factors, but also by internal - the state of the body as a whole, by the presence or absence of chronic diseases. Therefore, the adaptive potential was used as an integral indicator of a person's adaptability to production factors. The aim of the study was to assess the adaptive capabilities of the organism of workers in greenhouse farms in the Voronezh region. The study was carried out at the enterprises of the closed ground of the region by the method of questioning, the objects of the study were 125 women aged 27-45 years. In most cases, there are violations of the adaptive capabilities of the organism among the studied workers of greenhouse farms, and even a breakdown in adaptation was revealed in 0.8%. In less than half of the cases, the adaptive potential of the greenhouses was within the normal. The adaptive reserves of the greenhouses workers decrease with age.

scholarly journals Compound Sarcopenia in Hospitalized Patients with Cirrhosis Worsens Outcomes with Increasing Age

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 659
Author(s):  
Nicole Welch ◽  
Amy Attaway ◽  
Annette Bellar ◽  
Hayder Alkhafaji ◽  
Adil Vural ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Older Patients ◽  
Hospitalized Patients ◽  
Muscle Loss ◽  
Term Care ◽  
Old Patients ◽  
Younger Patients ◽  
Age Related ◽  
Number Of Patients ◽  
The Impact

Background: There are limited data on outcomes of older patients with chronic diseases. Skeletal muscle loss of aging (primary sarcopenia) has been extensively studied but the impact of secondary sarcopenia of chronic disease is not as well evaluated. Older patients with chronic diseases have both primary and secondary sarcopenia that we term compound sarcopenia. We evaluated the clinical impact of compound sarcopenia in hospitalized patients with cirrhosis given the increasing number of patients and high prevalence of sarcopenia in these patients. Design: The Nationwide Inpatients Sample (NIS) database (years 2010–2014) was analyzed to study older patients with cirrhosis. Since there is no universal hospital diagnosis code for “muscle loss”, we used a comprehensive array of codes for “muscle loss phenotype” in the international classification of diseases-9 (ICD-9). A randomly selected 2% sample of hospitalized general medical population (GMP) and inpatients with cirrhosis were stratified into 3 age groups based on age-related changes in muscle mass. In-hospital mortality, length of stay (LoS), cost of hospitalization (CoH), comorbidities and discharge disposition were analyzed. Results. Of 517,605 hospitalizations for GMP and 106,835 hospitalizations for treatment of cirrhosis or a cirrhosis-related complication, 207,266 (40.4%) GMP and 29,018 (27.7%) patients with cirrhosis were >65 years old, respectively. Muscle loss phenotype in both GMP and inpatients with cirrhosis 51–65 years old and >65 years old was significantly (p < 0.001 for all) associated with higher mortality, LoS, and CoH compared to those ≤50 years old. Patients >65 years old with cirrhosis and muscle loss phenotype had higher mortality (adjusted OR: 1.06, 95% CI [1.04, 1.08] and CoH (adjusted odds ratio (OR): 1.10, 95% confidence interval (CI) [1.04, 1.08])) when compared to >65 years old GMP with muscle loss phenotype. Muscle loss in younger patients with cirrhosis (≤50 years old) was associated with worse outcomes compared to GMP >65 years old. Non-home discharges (nursing, skilled, long-term care) were more frequent with increasing age to a greater extent in patients with cirrhosis with muscle loss phenotype for each age stratum. Conclusion: Muscle loss is more frequent in older patients with cirrhosis than younger patients with cirrhosis and older GMP. Younger patients with cirrhosis had clinical outcomes similar to those of older GMP, suggesting an accelerated senescence in cirrhosis. Compound sarcopenia in older patients with cirrhosis is associated with higher inpatient mortality, increased LoS, and CoH compared to GMP with sarcopenia.

scholarly journals Intelligent Prediction and Optimization Algorithm for Chronic Disease Rehabilitation in Sports Using Big Data

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Xuelei Zhang ◽  
Xiaofeng Wang
Keyword(s):  
Big Data ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Care Service ◽  
Elderly Care ◽  
Chronically Ill ◽  
Medical Rehabilitation ◽  
Term Care ◽  
Rehabilitation Care ◽  
Fundamental Causes

This paper investigates chronic diseases in the older population in the Chinese province of Henan and analyzes the rehabilitation needs and the current supply of related services in different levels of medical and elderly care institutions. We explore the fundamental causes for the diversified needs and insufficient supply of chronic disease patients in professional medical services and daily care. Using big data and deep learning (DL) in the sports domain, we propose a novel and intelligent prediction system for chronic diseases. Our model explores effective sinking methods of high-quality medical resources, training and guidance practices, assistance and guidance measures, and the ability to improve the grassroots services so that more chronically ill populations can stay in the community family as long as possible. In such an environment, they can receive cheap, safe, and suitable services. It can also lead to further improvement in constructing the government’s regional medical rehabilitation care service system and can formulate long-term care relevant compensation policies.

Plant immunity and crop insurance

2021 ◽  
pp. 38-42
Author(s):  
K.A. Zhichkin ◽  
◽  
V.V. Nosov ◽  
L.N. Zhichkina ◽  
◽  
...  
Keyword(s):  
Crop Production ◽  
Climatic Factors ◽  
Plant Immunity ◽  
Spring Barley ◽  
Agricultural Crop ◽  
Agricultural Crops ◽  
State Support ◽  
Weather Factors ◽  
Agricultural Insurance ◽  
Genetic Characteristics

Agricultural insurance with state support (in crop production) creates conditions for stable and effective activity in the cultivation of basic agricultural crops, which is especially important in conditions of uncertain weather factors typical for the risky agriculture zone, which includes the Samara region. Dry summers, frosty winters with a minimum of precipitation make agricultural production largely dependent on natural and climatic factors. The study purpose is to substantiate the need to take into account the characteristics of individual varieties when insuring agricultural crops with state support. It is necessary to solve the following tasks: - to formulate the biological characteristics of individual varieties of agricultural crops; - to classify all emergencies according to the type of impact on plants; - substantiate (using the spring barley example) the need to correct the existing approach when signing agricultural insurance contracts with state support in crop production. When developing an insurance algorithm, it is necessary to take into account the breeding potential of both agricultural crops and individual varieties associated with their genetic characteristics. The widespread use of the achievements of genetics, realized in the form of the formation of plant immunity, makes it possible to achieve a significant degree of resistance to abiotic and biotic factors that have a compensated and uncompensated nature. As can be seen from the presented calculation, it cannot be said that the presence of a variety in the State Register of Breeding Achievements is a prerequisite for its successful cultivation. Therefore, it is necessary for each agricultural crop to identify a number of features, the presence of which makes this variety resistant to the totality of all factors of the given microregion.

Investing in a “Rehabilitation Model” to Improve the Decision-Making Process in Long-Term Care

2013 ◽  
pp. 37-47
Author(s):  
Connie D’Astolfo
Keyword(s):  
Decision Making ◽  
Health System ◽  
Chronic Diseases ◽  
Long Term Care ◽  
Hospital Costs ◽  
Cost Savings ◽  
System Transformation ◽  
Term Care ◽  
Rehabilitation Model

An aging population is a primary factor associated with escalating healthcare costs due to increased drug spending, chronic diseases and co-morbidities, physician visits, and hospital costs (TD Report, 2010). There has already been a marked increase in the number of Long-Term Care (LTC) residents with co-morbidities, and chronic diseases will be more prevalent in future years (Conference Board of Canada, 2011). The chapter explores the use of a rehabilitation model to improve the current decision-making processes that impact the health outcomes of seniors across the Ontario LTC continuum. Improved clinical management of this population through rehabilitation could result in not only enhanced quality of care but also significant cost savings for both the Long-Term Care (LTC) industry and the health system at large. The chapter highlights the need for the LTC sector to identify strategies for harnessing innovation to improve its own activities and outcomes and become a leader in health system transformation.

scholarly journals Understanding ageing: fear of chronic diseases later in life

2017 ◽  
Vol 46 (1) ◽  
pp. 175-184 ◽  
Author(s):  
Halimah Awang ◽  
Norma Mansor ◽  
Tey Nai Peng ◽  
Nik Ainoon Nik Osman
Keyword(s):  
Chronic Diseases ◽  
Online Survey ◽  
Healthy Lifestyle ◽  
Multinomial Logistic Regression ◽  
Term Care ◽  
Convenience Sample ◽  
Chi Squared ◽  
Long Time ◽  
Life Threatening

Objectives Ageing is often associated with deteriorating mental and physical health and the need for long-term care, creating a fear of ageing. We investigated what people fear most in terms of disabling chronic diseases and their concerns regarding having long-term illnesses. Methods Data were obtained from an online survey of 518 respondents aged 40 years and older residing in Malaysia, which was based on a convenience sample collected in May 2015 to January 2016. Data were analyzed using chi-squared tests and multinomial logistic regression. Results Of the most dreaded diseases, heart disease and cancer are life-threatening; however, dementia, diabetes, and hypertension persist and have a disabling effect for a long time. While there were variations in the diseases feared most across sex, ethnicity, and place of residence, the biggest worry for all respondents with regard to having a long-term illness was that they would become a burden to their family, a concern that superseded fear of dying. Conclusions We found our survey respondents had a fear of chronic diseases and placing a burden on others. Thus, there is a need to provide motivation for people to adopt a healthy lifestyle, to remain healthy.

Disease–weather relationships for wheat powdery mildew under climate change in China

2017 ◽  
Vol 155 (8) ◽  
pp. 1239-1252
Author(s):  
L. ZHANG ◽  
B. Y. YANG ◽  
S. LI ◽  
A. H. GUO
Keyword(s):  
Climate Change ◽  
Powdery Mildew ◽  
Climatic Factors ◽  
Wheat Yield ◽  
Disease Process ◽  
Assessment Method ◽  
Climatic Variables ◽  
Weather Factors ◽  
Wheat Powdery Mildew ◽  
Multiple Stepwise Regression Analysis

SUMMARYLittle is known about the quantitative relationships between wheat powdery mildew (Blumeria graminis f.sp. tritici) epidemics and climatic variables at the provincial scale in China, particularly under climate change. The present study assesses the actual disease process and corresponding impact on wheat yield and addresses climatic-driven variables that affect a powdery mildew epidemic. Powdery mildew increased in frequency from 1981 to 2010, and wheat yield decreased in most regions. It was clear that differences in disease and yield loss occurred temporally and spatially. Although particular weather variables were positively or negatively related to the disease, multiple stepwise regression analysis indicated that mostly fewer than three variables affected prevalence and severity of powdery mildew in each province. In most cases, some combination of higher temperature, humidity, rainfall and wind led to higher disease severity. These weather factors had different effects on disease development. The influence of climatic variables on powdery mildew tended to decrease from 1981 to 2010, whereas the effect of non-climatic factors increased and was attributed mainly to the use of fungicides and resistant cultivars. Therefore, the results of the current study suggest that wheat powdery mildew in China will not increase consistently in the future. In addition, the quantitative assessment method used in the current study can generally provide a good way to identify disease epidemics under climate change.

scholarly journals Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure

10.2196/14483 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e14483
Author(s):  
Leandra Falck ◽  
Marco Zoller ◽  
Thomas Rosemann ◽  
Nahara Anani Martínez-González ◽  
Corinne Chmiel
Keyword(s):  
Primary Care ◽  
Chronic Diseases ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Chronic Conditions ◽  
Evidence Based ◽  
Term Care ◽  
Delphi Procedure ◽  
User Friendly

Background Long-term care for patients with chronic diseases poses a huge challenge in primary care. There are deficits in care, especially regarding monitoring and creating structured follow-ups. Appropriate electronic medical records (EMR) could support this, but so far, no generic evidence-based template exists. Objective The aim of this study is to develop an evidence-based standardized, generic template that improves the monitoring of patients with chronic conditions in primary care by means of an EMR. Methods We used an adapted Delphi procedure to evaluate a structured set of evidence-based monitoring indicators for 5 highly prevalent chronic diseases (ie, diabetes mellitus type 2, asthma, arterial hypertension, chronic heart failure, and osteoarthritis). We assessed the indicators’ utility in practice and summarized them into a user-friendly layout. Results This multistep procedure resulted in a monitoring tool consisting of condensed sets of indicators, which were divided into sublayers to maximize ergonomics. A cockpit serves as an overview of fixed goals and a set of procedures to facilitate disease management. An additional tab contains information on nondisease-specific indicators such as allergies and vital signs. Conclusions Our generic template systematically integrates the existing scientific evidence for the standardized long-term monitoring of chronic conditions. It contains a user-friendly and clinically sensible layout. This template can improve the care for patients with chronic diseases when using EMRs in primary care.

scholarly journals Changing social burden of Japan’s three major diseases including Long-term Care due to aging

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Koki Hirata ◽  
Kunichika Matsumoto ◽  
Ryo Onishi ◽  
Tomonori Hasegawa
Keyword(s):  
Heart Disease ◽  
Chronic Diseases ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Content Type ◽  
Social Burden ◽  
The Social ◽  
Mortality Cost

PurposeThe purpose of this article is to clarify the social burden of Japan’s three major diseases including Long-term Care (LTC) burden.Design/methodology/approachA modification of the Cost of Illness (COI)—the Comprehensive-COI (C-COI) was utilized to estimate three major diseases: cancer, heart disease, and cerebrovascular diseases (CVD). The C-COI consists of five parts: medical direct cost, morbidity cost, mortality cost, formal LTC cost and informal LTC cost. The latter was calculated by two approaches: opportunity cost approach (OC) and replacement approach (RA), which assumed that informal caregivers were substituted by paid caregivers.FindingsThe C-COI of cancer, heart disease and CVD in 2017 amounted to 10.5 trillion JPY, 5.2 trillion JPY, and 6.7 trillion JPY, respectively (110 JPY= 1 US$). The mortality cost was preponderant for cancer (61 percent) and heart disease (47.9 percent); while the informal LTC cost was preponderant for CVD (27.5 percent). The informal LTC cost of the CVD in OC amounted to 1.8 trillion JPY; while the RA amounted to 3.0 trillion JPY.Social implicationsThe LTC burden accounted for a significant proportion of the social burden of chronic diseases. The informal care was maintained by unsustainable structures such as the elderly providing care for the elderly. This result can affect health policy decisions.Originality/valueThe C-COI is more appropriate for estimating the social burden of chronic diseases including the LTC burden and can be calculated using governmental statistics.

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