Study of attitudes to own health patients of multiprofile institution: instruments and main results

Among the main determinants that form a holistic view of the health of the population are the following: lifestyle, influence of genetic factors, state of health care delivery system and socio-economic status of the country. In the article, we proposed a self-administered questionnaire on self-assessment of self-esteem, the importance of prevention and risk-taking behavior at primary level, and analyzed the main results that help characterize patients' perceptions of healthy lifestyles and health. Purpose – to study attitudes towards one's own health, to undergo periodic preventive examinations, to be responsible for one's own health among the contingent assigned to the service of the SIS “RPC PCM” SAD, and to identify the main factors of influence. Material and methods. Analysis of literary sources, sociological and system analysis. The survey was conducted at the pre-doctoral counseling stage on equal terms for all patients by way of active interviewing by the same interviewer. Results of the study and their discussion. 349 patients participated in the survey, including 159 (45.6%) men and 190 (54.4%) women. The average age of the respondents is 40.8±9.8 year (min 19 years, max 83 years). The survey questionnaires have 7 main blocks of questions, which are designed to determine the patient's level of awareness and identify him or her as accurately as possible. Conclusions. Analyzing the results of a sociological survey conducted among a contingent attached to the service of the State Institution of Science "Research and Practical Centre of Preventive and Clinical Medicine" State Administration Department, it was found that more than 95% of the respondents are aware of the concepts of "healthy lifestyle", "risk factors for chronic diseases", "foul" preventive medical checkup», etc. With regard to the assessment of one's own health, it should be noted that more than half (62.8%) of the respondents consider it satisfactory, while noting that they have one or more chronic diseases (mainly in the stage of persistent remission). The prospects for further research are to analyze the results of the questionnaire and to correlate it with the data of the objective study, which will allow to determine, besides the attitude to the medical prophylaxis and psychological type of person, the level of patient's commitment to the doctor's appointments.

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Forecasting the Future of Healthcare Democratization

Current Directions in Biomedical Engineering ◽

10.1515/cdbme-2021-2040 ◽

2021 ◽

Vol 7 (2) ◽

pp. 155-158

Author(s):

Beatrice Barbazzeni ◽

Holger Fritzsche ◽

Michael Friebe

Keyword(s):

Healthy Lifestyle ◽

Care Delivery ◽

Economic Status ◽

Global Teams ◽

Healthcare Provision ◽

Organization And Management ◽

Care Services ◽

The Future ◽

Holistic Vision ◽

Care Costs

Abstract Health longevity, cost reduction, prevention-based healthcare, personalized medicine, predictive diagnostic, transformed care delivery, de-aging, healthy lifestyle trends, and implementation of intelligent technologies should lead to a more democratized (availability for everyone on this planet) healthcare provision. Forecasting the future of healthcare and health policy certainly is imperfect but nevertheless a precious scientific approach that can lead to novel innovative approaches. In the last decade, the healthcare system faced several challenges, including the significant increase of care costs, demographic changes towards the older population, inability to prevent and overcome pandemics, increased chronic and non-communicable diseases, or resistance to adopting emerging technologies. The need to shift the focus from sickness to health becomes a critical mission. We developed a lecture titled "Healthtech Innovation Design" for graduate students from medicine, biomedical engineering, neuroscience and software engineering. The lecture's goal is to teach innovation methodologies, exponential technologies and methods to achieve healthcare democratization. A critical component is to promote initiatives with global teams focused on the future of health. The educational and initiative programs were impactful in growing interest toward innovation, focusing on disruption and healthcare democratization. Participants awareness towards the main issues and challenges was raised. Interdisciplinary participation was qualitatively processed to generate a holistic vision toward innovation. Through embracing digitalization to a patient-centric approach, affordable care services, and the expansion of precision medicine, the entire healthcare organization and management will likely undergo a worldwide change. Notably, digital technologies, the leverage of artificial intelligence and empathy would satisfy unmet clinical needs. With a future-oriented statement, the forecast of healthcare becomes more imaginable, in which democratization will allow the affordability of services in different countries and economic status.

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ASSESSMENT OF ACHIEVING TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH CORONARY HEART DISEASE AND HYPERTENSION

Клінічна та профілактична медицина ◽

10.31612/2616-4868.4(14).2020.01 ◽

2020 ◽

Vol 4 (14) ◽

pp. 26-32

Author(s):

I.M. Hidzynska ◽

G. Z. Moroz ◽

A.V. Hriva ◽

V.P. Rozanova ◽

O.G. Trofimova

Keyword(s):

Blood Pressure ◽

Coronary Heart Disease ◽

Heart Disease ◽

Medical Records ◽

Clinical Medicine ◽

Science Research ◽

State Institution ◽

Target Level ◽

The Mean

Purpose: To evaluate the achievement of target blood pressure (BP) level in patients with coronary heart disease and hypertension who were under follow-up of cardiologists of the State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department Materials and methods: We evaluated 1120 electronic medical records (medical software program “ESCUL’ap”) and carried out an analysis of target BP level’s achievement in 512 patients with coronary heart disease and hypertension who were under follow-up of cardiologists of the Therapeutic department of our institution and were reviewed by a cardiologist in 2019. The percentage of female patients was 30,1±2,0%. Patient`s age ranged from 37 to 91 years, the mean age was 72,1±0,4 years, 72,8±0,6 years in woman and 71,8±0,4 years in mans. We used statistical software programs (Statistica v. 6.0) and Microsoft Excel 2007 applications for data analysis. Categorical data were presented as absolute and relative (%) frequency. To enable comparisons, we calculated the mean value (M), and the the standard error of the mean (m). Student's t-test was used to compare the mean of data for groups. Results and discussion: According to data of the medical records the target level of BP (<140/90 mm Hg) was attained in 343 of 512 patients (67,0±2,1%) – in 70,1±2,4% of male patients and 59,7±4,0% of women (р>0,05). The highest rate of target BP achievement – 83,3±6,8% – was in 50-59 years old, the lowest – 61,5±3,2% – in 70-79 years old. Our results were significantly better than in the EUROASPIRE IV survey – according to the results of this study the target BP levels were achieved only by 38% of men and 47% of women in Ukraine and by 35% of men and 48% of women in other European countries. Conclusions. Our study demonstrates that 67,0±2,1% (70,1±2,4% of mans and 59,7±4,0% of women) of patients with coronary heart disease and hypertension who were under follow-up of cardiologists achieved the target level of BP (<140/90 mm Hg). These data confirms the effectiveness of the model of medical care for patients with hypertension, introduced in the State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department

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MEDICAL AND SOCIOLOGICAL RATIONALE FOR OPTIMIZATION OF CONTINUING PROFESSIONAL DEVELOPMENT OF MEDICAL DOCTORS IN THE FIELD OF TREATMENT OF PATIENTS WITH CORONARY HEART DISEASE AND COMORBIDITIES

Клінічна та профілактична медицина ◽

10.31612/2616-4868.1(11).2020.01 ◽

2020 ◽

Vol 1 (1) ◽

pp. 10-17

Author(s):

T. S. Lasytsia ◽

G. Z. Moroz ◽

I. M. Hidzynska

Keyword(s):

Risk Factors ◽

Coronary Heart Disease ◽

Heart Disease ◽

Clinical Medicine ◽

Science Research ◽

State Institution ◽

Medical Doctors ◽

Sociological Study ◽

Alcoholic Fatty Liver ◽

Study Results

State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department, Kyiv, Ukraine Purpose: to evaluate the awareness about the coronary heart disease (CHD), associated with comorbidities, amongst the internists of the State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department (SIS «RPC PCM» SAD), with the consequent working out of the study module «Comorbidities in patients with CHD: up-to-date treatment requirements». Material and methods. This integrated medical and sociological study was based on data derived from the anonymous survey of 48 medical doctors (MDs) of SIS «RPC PCM» SAD (7 males and 41 females), performed by the use of dedicated questionnaire. The age of respondents varied from 32 to 72 years; the average age was 53,1±1,17 years; the average length of service was 27,8±1,35 years. Statistical data analysis was performed by the use of standard statistical package (Statistica v. 6.0). Results and discussion. On the whole, the SIS «RPC PCM» SAD MDs pointed at the comprehensive approach to the assessment of patients` health status: 97,9±2,1 % of respondents payed attention to the presence of comorbidities while planning the examination and treatment of patients with CHD. The most prevalent comorbidities were as follows: arterial hypertension, diabetes mellitus, chronic cholecystitis, non-alcoholic fatty liver disease and osteochondrosis. We established that MDs had the high competence in the risk factors modification in CHD patients: 95,8±2,9 % of doctors pointed to the fact that they discussed with their patients the issues regarding the risk factors modification. The principal items the MDs payed attention at were as follows: smoking cessation (93,8±3,5 %), body mass control (93,8±3,5%), adherence with the proper level of physical activity (87,5±4,8 %), nutrition (83,3±5,4 %), the necessity of the control of blood pressure (87,5±4,8 %) and total cholesterol level (66,7±6,8 %). Conclusion. According to the sociological study results, we ascertained the principal statements of the parts of the study module «Comorbidities in patients with CHD: up-to-date treatment requirements», and 95,8±2,9 % of MDs considered it as such to be implemented in the study process.

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Workplace nutrition habits in Slovenian small and middle sized enterprises

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.438 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Percic ◽

M Stubelj

Keyword(s):

Chronic Diseases ◽

Online Survey ◽

Healthy Lifestyle ◽

Productivity Loss ◽

Premature Death ◽

Average Score ◽

Workplace Health ◽

Nutritional Habits ◽

Healthy Nutrition ◽

Nutrition Habits

Abstract Background Premature death, chronic diseases, productivity loss and other social and economic concerns can be influenced by healthy lifestyle workplace promotion programs, including healthy nutrition habits. In Slovenia a project called >>STAR-VITAL-healthy ageing at workplace << has been going on since September 2017. Methods The survey results are based on an analysis of 805 respondents from 20 different small and middle sized enterprises in Slovenia. The survey was carried out via both a paper questionnaire and an online survey during the period from June 2019 to February 2020. The screening questionnaire was completed before interventions. We estimated the average score for the eight questions concerning nutritional habits. Results Nutritional habits are the following: 62% respondents eat three or more meals a day, 64% respondents eat vegetables each day, 59,8% respondents eat fruits each day, 31,9% respondents eat fish or see fruits at least once a week, 45,7% respondents eat whole wheats at least once a week, 54,1% respondents eat red meat not more than twice a week, 62,1% respondents eat fried food not more than three times a month and 79,1% respondents drink sweet drinks less than three times a week. The results on question >>What is the most common form of meal you eat while at work? << are the following: purchase meal at restaurant 45,3%, bring from home 32,7%, delivery/carry out 6,2%, do not eat 5,2%, other 4,7%, employer cafeteria 3,9% and vending machine 1,2%. Conclusions The results of our survey show that a significant percentage of the workers in Slovenia still has unhealthy nutritional habits. Assessment of nutritional habits before workplace promotion program interventions allow us to compare which combinations of interventions are the most effective. The results will indicate the strength and weakness of each intervention and how it could be improved. Key messages The population is growing old and chronic diseases increases, which is part of the bad nutritional habits. Healthy lifestile promotion is needed to improve quality of life. The workplace health promoting programs have been shown to be an efficient way of improving workerś health. Implementing promotional program of nutritional habits are proper for Slvenian enterprises.

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ICDS Scheme to the Growth Development in Preschoolers: A Systematic Review of Literature

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v3i2.4679 ◽

2014 ◽

Vol 3 (2) ◽

pp. 87

Author(s):

Jemy Elizabeth Joseph

Keyword(s):

Health Knowledge ◽

Economic Status ◽

Child Outcomes ◽

Review Of Literature ◽

Holistic View ◽

The Public ◽

Child Bearing ◽

Public Health Challenges ◽

Feeding Program ◽

Postnatal Environment

The health scenario in our country is rapidly changing, both in terms of the public health challenges that we face as well as our response to these challenges. As India becomes more and more developed and we have greater means at our disposal, our response to our health challenges must reflect our changing health and socio-economic status. India faces enormous challenges in the area of women’s and children’s health. These findings point to the importance of investing in various growth factors and sanitation, and educating the public about hygiene to promote health knowledge and better child outcomes. As importantly, such investments have the potential of making the feeding program more effective. ICDS therefore takes holistic view of the development of the child and attempts to improve both his/her prenatal and postnatal environment. Accordingly, besides children in their formative years (0-6 years), women between 15 to 45 years are also covered by the programme as these are child bearing years in the life of a women and her nutrition and health status has a bearing on the development of the child.

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Valeological support of library-information activities in school libraries

Bibliosphere ◽

10.20913/1815-3186-2017-4-71-78 ◽

2017 ◽

pp. 71-78

Author(s):

V. Y. Sokolov

Keyword(s):

General Education ◽

Social Life ◽

Information Technologies ◽

System Analysis ◽

Healthy Lifestyle ◽

School Library ◽

School Libraries ◽

Educational Work ◽

Health Culture ◽

Effective Work

The article outlines general characteristics of the originality of forming valeological functions in a school library. The paper objective is to study peculiarities of the valeological support of library-information activities in school libraries, as well as the specifics analysis of their library and cultural-educational work aimed at developing the health culture of this activity subjects The author consistently reveals the peculiarities of forming the valeological function of school libraries under conditions of the information society development and dissemination of information-telecommunication technologies in libraries. The article describes cultural-educational activities of libraries directed to develop the health culture not only in readers (schoolchildren, their parents, teachers), but in librarians themselves. The author applies both general scientific methods of research (analysis, synthesis, deduction, induction, generalization, abstraction, comparative, structural-functional methods, method of system analysis, etc.) and special ones (method of analysis of analog objects, information processing, grouping). While researching the author concludes about necessity of the the following: to equip educational libraries technically; to update and strengthen the information base and book stocks of school libraries; to ensure the access of libraries to information resources, in particular the Internet; to form a unified electronic database of school library collections; to develop a form of resource integration with other educational libraries; to create a standing order on the status of libraries in basic schools; to develop a system for improving the skills of school library staff; to organize special training for school librarians to master their knowledge and skills of a healthy lifestyle. Therefore, the school librarian must be trained according to a separate professional specialization. The social life development requires librarians to know not only the valeology bases, but the ability to navigate in information technologies, school curricula and training courses diversitys. Modern problems of information education and forming a high level of valeological culture can be solved only by combining the efforts of general education institutions and school libraries, teachers and librarians. Pedagogical experience shows that knowledge on the health formation and preservation is a necessary and insufficient factor in students' personality development. To influence the behavior, informative methods should be combined with life skills of effective work and rest, physical activity, rational nutrition, an ability to analyze health issues and make appropriate decisions. Thus, forming health culture through library-information activities provides arming school readers and librarians with knowledge on social and individual health and applying certain information technologies in their activities.

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Exploring, modelling, and simulating the Feeling of Comfort in residential settings

10.26686/wgtn.17085467.v1 ◽

2021 ◽

Author(s):

◽

German Molina

Keyword(s):

New Zealand ◽

Science Research ◽

Personal Factors ◽

Building Science ◽

Holistic View ◽

Research And Practice ◽

Making Sense ◽

The People ◽

The Subject ◽

The Mind

The fact that comfort is a subjective state of the mind is widely accepted by engineers, architects and building scientists. Despite this, capturing all the complexity, subjectivity and richness of this construct in models that are useful in building science contexts is far from straightforward. By prioritizing usability, building science has produced models of comfort (e.g., acoustic, visual and thermal) that overly simplify this concept to something nearly objective that can be directly associated with people’s physiology and measurable and quantifiable environmental factors. This is a contradiction because, even if comfort is supposed to be subjective, most of the complexity of “the subject” is avoided by focusing on physiology; and, even if comfort is supposed to reside in the mind, the cognitive processes that characterize the mind are disregarded. This research partially mitigates this contradiction by exploring people’s non-physical personal factors and cognition within the context of their comfort and by proposing a way in which they can be incorporated into building science research and practice. This research refers to these elements together—i.e., people’s non-physical personal factors and cognition—as “the mind”. This research proposes a new qualitative model of the Feeling of Comfort that embraces “the mind”. This model was developed from the results of a first study in which 18 people—from Chile and New Zealand—were asked to describe “a home with good daylight” and “a warm home” in their own words. These results were then replicated in a second study in which another group of 24 people—also from Chile and New Zealand—described “a home with good acoustic performance”, “a home with good air quality” and “a pleasantly cool home”. The Feeling of Comfort model not only was capable of making sense of the new data (gathered in this second study) but also proved to be simple enough to be useful in the context of comfort research and practice. For instance, it guided the development of a quantitative Feeling of Comfort model and also of a prototype building simulation tool that embraces “the mind” and thus can potentially estimate people’s Feeling of Comfort. This research concludes that embracing “the mind” is not only possible but necessary. The reason for this is that “the mind” plays a significant role in the development of people’s comfort. Thus, theories and models of comfort that ignore it fail to represent properly the concept of comfort held by the people for whom buildings are designed. However, incorporating “the mind” into building science’s research and practice implies embracing tools, research methods and conceptual frameworks that have historically not been used by such a discipline. Specifically, it concludes that building science should normalize a more holistic view of comfort and perform more exploratory and qualitative research.

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Do Economic Circumstances and Family Structures Affect Young Girls' Healthy Living Behaviors and Menstrual Symptoms?

10.21203/rs.3.rs-63035/v1 ◽

2020 ◽

Author(s):

hulya - erbaba ◽

Esra - Karaca Ciftci

Keyword(s):

Chronic Disease ◽

Nuclear Family ◽

Healthy Lifestyle ◽

Economic Status ◽

Family Type ◽

Full Time ◽

Lifestyle Behaviors ◽

Young Girls ◽

Menstrual Symptoms ◽

Healthy Lifestyle Behaviors

Abstract BackgroundDemographic features such as low income, low education, and living in a crowded or single-parent family increase young girls' premenstrual and menstrual symptoms such as pain, anxiety, and bleeding and negatively affect their healthy lifestyle. The purpose of the study was to analyze the relationship between healthy lifestyle behaviors and menstrual symptoms among young girls and their sociodemographic characteristics. MethodsThis descriptive study was conducted on 1,130 students from four high schools providing full-time education in the Beylikduzu district of Istanbul between February 3, 2020, and March 1, 2020. Volunteer students whose families gave consent participated in the study. A personal identification form, the Menstrual Symptom Scale and the Healthy Lifestyle Behavior Scale-II (HLBS-II) were used to collect data in the study. All statistical analyses were performed using SPSS Statistics version 23.ResultsIt was found that economic status and painful menstruation negatively affected healthy lifestyle behaviors, while living with one’s nuclear family positively affected healthy lifestyle behaviors; furthermore, chronic disease, painful menstruation, and family types other than the nuclear family negatively affected menstrual symptoms. ConclusionsPoor economic status and painful menstruation negatively affected healthy lifestyle behaviors, and chronic disease, painful menstruation and family type other than the nuclear family negatively affected menstrual symptoms.

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