scholarly journals Community Health Profile of Four VDCs of North-West Part of Kathmandu

2013 ◽  
Vol 12 (1) ◽  
pp. 32-36
Author(s):  
Lochana Shrestha ◽  
Shambhu Nath Pant ◽  
Sanjeev Das Rajbhandari ◽  
Sudha Sen Malla ◽  
Sabin Bahadur Zoowa
Keyword(s):  
Community Health ◽  
Nuclear Family ◽  
Health Indicators ◽  
Feasibility Studies ◽  
Health Problems ◽  
Health Profile ◽  
North West ◽  
Health Related ◽  
The Impact ◽  
Health Diagnosis

Introduction: There are different hidden health related problems in community. These needs to be identify and adhered by effective, efficient tools to bring the better outcomes. One of the effective tools for the identification and quantification of the health problems in a community is Community Health Diagnosis. The aim of this study was to find out the common health problems in community, describe the related demographic, education, socio –economic and environmental factors and to convey health message to improve health profile of community. Methods: Four weeks Community Health Diagnosis was conducted in four selected VDCs after feasibility studies in 16 VDCs. Sample size households (HH) were calculated based on morbidity status of each VDCs. Students covered allocated number of Households in each VDCs by selecting household with convenience sampling method. Results: In all studied VDCs, nuclear family was the commonest, CBR and literacy rate were good compared to national figure. Population pyramid showed that active age group was more in these VDCs. There was lack of government tap for drinking water and latrine. Maternal parameters were found to be better than national fi gure. Conclusions: Though there is more illiteracy rate in all studied VDCs compare to national figure, maternal parameters, child health indicators and fertility rates are better which may be the impact of effective health education.  Medical Journal of Shree Birendra Hospital; January-June 2013/vol.12/Issue1/32-36DOI: http://dx.doi.org/10.3126/mjsbh.v12i1.9090     

THE IMPACT OF HEALTH CENTRES IN BRISBANE ON SOME COMMUNITY HEALTH INDICATORS

2010 ◽  
Vol 5 (1) ◽  
pp. 11-21 ◽  
Author(s):  
J. M. Najman ◽  
J. Jones ◽  
D. Gibson ◽  
G. Lupton ◽  
S. Payne ◽  
...  
Keyword(s):  
Community Health ◽  
Health Indicators ◽  
Health Centres ◽  
The Impact

Yoga in the Pediatric Oncology Population: A Review of the Literature

2021 ◽  
pp. 104345422110110
Author(s):  
Denise Spector
Keyword(s):  
Children And Adolescents ◽  
Pediatric Oncology ◽  
Randomized Clinical Trials ◽  
Feasibility Studies ◽  
Retention Rates ◽  
Psychological Benefits ◽  
Qualitative Feedback ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Background: The purpose of this review was to evaluate the current body of literature on yoga in the pediatric oncology population. Considering the increasing number of studies on yoga indicating improvements in health-related quality of life (HRQL) among the adult oncology population, it is important to explore whether similar benefits have been found in pediatric oncology patients. Methods: CINAHL, Ovid MEDLINE, PsycINFO, PubMed, and Scopus were searched from the years 2010 through 2020 for studies assessing the use of yoga in children and adolescents affected by cancer. Considering the benefits of yoga on HRQL in the adult oncology population, the aim of this review was to evaluate the current body of literature on yoga in the pediatric cancer population. Results: Eight studies, all nonrandomized with single-arm designs, were reviewed. Five of the studies were designed as feasibility studies and while recruitment rates ranged from 34% to 55%, retention rates were ∼70%. Qualitative feedback from participants was very positive and themes related to both physical and psychological benefits. Certain measures of HRQL (i.e., anxiety, pain, and physical functioning) were found to be significantly improved following a yoga intervention. Discussion: Although no randomized clinical trials have been conducted to date on this important topic, the studies reviewed showed that delivering yoga to this population is feasible and safe. Additionally, preliminary findings on the impact of yoga for some of the common symptoms and treatment-related side effects experienced by children and adolescents affected by cancer are promising.

scholarly journals Major risk factors for sexual minority young people’s mental and physical health: findings from a county-wide school-based health needs assessment

2018 ◽  
Vol 41 (3) ◽  
pp. e274-e282 ◽  
Author(s):  
A Clarke ◽  
J Beenstock ◽  
J N Lukacs ◽  
L Turner ◽  
M Limmer
Keyword(s):  
Sexual Orientation ◽  
Physical Health ◽  
Sexual Minority ◽  
Health Indicators ◽  
Adult Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
North West ◽  
The Impact ◽  
Mental And Physical Health

Abstract Background Childhood health is an important adult health predictor. Sexual orientation is increasingly recognized as influential on children and young people’s (CYP) mental and physical health. Methods Data came from a cross-sectional survey of year 9 children attending schools in two local authorities in the north-west of England, including mental and physical health indicators, and demographic characteristics including sexual orientation. The sample of 8058 represented 67.8% of the eligible population. Data were analysed by sexual orientation, sexual majority or sexual minority. Results Children reporting their sexual orientation as sexual minority reported worse mental and physical health outcomes and behaviours than sexual majority peers; had higher odds of being lonely (odds ratios (OR) = 8.24, 95% C.I.: 6.56–10.37), having self-harmed (OR = 7.28, 95% C.I.: 5.78–9.15), being bullied (OR = 4.76, 95% C.I.: 3.74–6.05) or perceiving themselves as overweight (OR = 2.40, 95% C.I.: 1.89–3.06). Conclusions It is important to identify and support children in a sexual minority. Research is required to understand differences between children within sexual minorities and the impact on outcomes and rights. Health and social policy and services, should respond to the vulnerabilities of sexual minority CYP.

scholarly journals What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies

2014 ◽  
Vol 45 (1) ◽  
pp. 11-27 ◽  
Author(s):  
S. Clement ◽  
O. Schauman ◽  
T. Graham ◽  
F. Maggioni ◽  
S. Evans-Lacko ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Qualitative Studies ◽  
Deterrent Effect ◽  
Related Stigma ◽  
Health Related ◽  
The Impact

BackgroundIndividuals often avoid or delay seeking professional help for mental health problems. Stigma may be a key deterrent to help-seeking but this has not been reviewed systematically. Our systematic review addressed the overarching question: What is the impact of mental health-related stigma on help-seeking for mental health problems? Subquestions were: (a) What is the size and direction of any association between stigma and help-seeking? (b) To what extent is stigma identified as a barrier to help-seeking? (c) What processes underlie the relationship between stigma and help-seeking? (d) Are there population groups for which stigma disproportionately deters help-seeking?MethodFive electronic databases were searched from 1980 to 2011 and references of reviews checked. A meta-synthesis of quantitative and qualitative studies, comprising three parallel narrative syntheses and subgroup analyses, was conducted.ResultsThe review identified 144 studies with 90 189 participants meeting inclusion criteria. The median association between stigma and help-seeking was d = − 0.27, with internalized and treatment stigma being most often associated with reduced help-seeking. Stigma was the fourth highest ranked barrier to help-seeking, with disclosure concerns the most commonly reported stigma barrier. A detailed conceptual model was derived that describes the processes contributing to, and counteracting, the deterrent effect of stigma on help-seeking. Ethnic minorities, youth, men and those in military and health professions were disproportionately deterred by stigma.ConclusionsStigma has a small- to moderate-sized negative effect on help-seeking. Review findings can be used to help inform the design of interventions to increase help-seeking.

scholarly journals Falling through the cracks’ – the role of assertive alcohol outreach teams in treating comorbid mental health problems in people with addictions

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S277-S277
Author(s):  
E. Naomi Smith ◽  
Emily Finch ◽  
Colin Drummond
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Hospital Admissions ◽  
Health Problems ◽  
Mental Health Needs ◽  
Health Related ◽  
History Of ◽  
The Impact ◽  
Drug And Alcohol

AimsInput from Assertive Alcohol Outreach Teams (AAOTs) reduces the ‘burden’ on already overstretched community mental health teams (CMHTs).AAOTs are specialist addictions services. This project focuses on an AAOT based in the London, which engages with people with severe alcohol and illicit substance misuse problems.Previous research has shown that input from AAOTs reduces hospital admissions. This project examined the impact of AAOT input on reducing the ‘burden’ on CMHTs.MethodThe full caseload of the Southwark-based AAOT was reviewed, including mental health records, general practitioner notes, hospital notes and discharge summaries. We collected data on diagnoses and previous hospital admissions. Patients were assessed to determine whether they met criteria to be open to a CMHT (the presence of complex or serious mental health problems, in addition to addictions).ResultThe caseload was made up of 39 patients, 85% of patients were deemed to meet criteria for being under the care of a CMHT. Only 15% of patients are currently under the care of a CMHT. 87% of patients had at least one comorbid psychiatric diagnosis. 72% of patients had had at least one emergency department or medical hospital admission due to mental health-related problems. 39% had previous admissions to mental health wards. 21% of patients has been admitted under Section of Mental Health Act.ConclusionThe majority of AAOT patients have severe mental health problems in addition to addictions. The patients are complex and often have a history of disengagement from standard mental health services. Formal diagnosis and treatment of comorbid mental health problems is challenging in the presence of protracted drug and alcohol misuse. AAOT input appears to address a serious ‘gap’ in supporting patients with complex mental health needs who are often ineligible for CMHT input or disengage from CMHT support.

scholarly journals Assessment of Health Related Quality of Life in Patients with Epilepsy

2019 ◽  
Vol 9 (5-s) ◽  
pp. 30-33
Author(s):  
Reenoo Jauhari ◽  
Aarti Sati ◽  
Nuvera Aqeel
Keyword(s):  
Quality Of Life ◽  
Nuclear Family ◽  
Lower Class ◽  
Full Time ◽  
Health Related Quality ◽  
Epileptic Patients ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Background: Estimation of Quality of life is a useful outcome measure to know about epilepsy care from patient’s perspective. Assessing QOL of epileptic patients is important so as to manage the epilepsy and to implement some interventional programs in order to improve the quality of life of these patients. The study aims to find out the impact of epilepsy on quality of life of epileptic patients Material and method: This was a cross-sectional, questionnaire-based study, conducted from March to August 2019 for a period of 6 months, after approval from Institutional Ethics Committee. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 25. The quality of life in epilepsy (QOLIE-31) was used for collecting data on health-related QOL. Result: The study group consisted of 65 patients of whom 48 were males (73.84%) and 17 were females (26.15%). Their ages ranged from 19 to 60 years. (mean age: 35.65). Majority of the patients were in the age range of 30-41 (40%). 50.8% participants were from nuclear family and 49.2% were from joint family system. Most of the patients had lower class socioeconomic status (61.5%). As regard to the employment status, 38.4% of patients were full time employed, 13.8% were part time employed. 29.2% were unemployed and 9.23% were retired and 9.23% were students.  The medication analysis revealed that 30.6% of the participants were on monotherapy whereas 69.0% were on polytherapy. The mean total QOLIE-31 score was 39.12 (SD-5.00). Conclusion: Epileptic patients had poor QOL with low total QOLIE-31 score, unemployment, use of combination therapy and people belonging to lower class were associated with lower quality of life in individuals with epilepsy. Keywords: Health Related Quality of life, Epilepsy, Quality of Life in Epilepsy (QOLIE-31) questionnaire

Once BITTEN, Twice Shy: An Applied Trauma-Informed Healthcare Model

2019 ◽  
Vol 32 (4) ◽  
pp. 291-298 ◽  
Author(s):  
Chrystal L. Lewis ◽  
Jennifer Langhinrichsen-Rohling ◽  
Candice N. Selwyn ◽  
Emma C. Lathan
Keyword(s):  
Healthcare Providers ◽  
Health Indicators ◽  
Trauma Symptoms ◽  
Vulnerable Patients ◽  
Health Related ◽  
Healthcare Model ◽  
Treatment Plans ◽  
Trauma Informed ◽  
Trust In Healthcare Providers ◽  
The Impact

Nurses need a pragmatic theory to understand and respond to the impact of vulnerable patients’ previous healthcare experiences, as these are likely to influence response and adherence to treatment plans. The authors of this paper present the new BITTEN (Betrayal history by health-related institutions, Indicator for healthcare engagement, Traumas related to healthcare, Trust in healthcare providers, patient Expectations and Needs) Model of Trauma-Informed Healthcare. BITTEN identifies patients’ current healthcare expectations and needs as a function of their previous betrayal by healthcare systems, which operates in conjunction with their current health indicators to potentially trigger trauma symptoms and impact trust in healthcare providers.

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