Afterword: Health, Care, Citizens

2018 ◽  
Author(s):  
Stuart Murray
Keyword(s):  
Health Care ◽  
Interpersonal Relationships ◽  
Health It ◽  
Time And Space ◽  
And Control

Care’ is a shifting, plural word when used in the context of discussions of health. It suggests attention and compassion when articulated as a verb, but has overtures of regulation and control when used as a noun – to be ‘in care’ is usually not unproblematic. Two chapters in this section – those by Sarah Atkinson and Lucy Burke – speak specifically to the complexities of this idea. As Atkinson makes clear in her chapter, care invokes questions of resource just as much as it outlines interpersonal relationships; it presents what she terms ‘dilemmas, paradoxes and challenges’ when conceived of as a totality and, especially in global contexts, suggests entangled modes of time and space.

Strengthening of occupational health promotion by the German Prevention Health Care Act

2019 ◽  
pp. 188-190
Author(s):  
Diana Hart
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Prevention ◽  
Occupational Health ◽  
Life Expectancy ◽  
Prevention And Control ◽  
Occupational Health Promotion ◽  
And Control

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.

THE RISK FACTORS OF MOLAR PREGNANCY

2017 ◽  
pp. 53-58
Author(s):  
Lam Huong Le
Keyword(s):  
High Risk ◽  
Gestational Trophoblastic Disease ◽  
Living Standard ◽  
Control Group ◽  
Uterine Perforation ◽  
Molar Pregnancy ◽  
Health It ◽  
Pregnancy Risk ◽  
History Of ◽  
And Control

Objectives: Molar pregnancy is the gestational trophoblastic disease and impact on the women’s health. It has several complications such as toxicity, infection, bleeding. Molar pregnancy also has high risk of choriocarcinoma which can be dead. Aim: To assess the risks of molar pregnancy. Materials and Methods: The case control study included 76 molar pregnancies and 228 pregnancies in control group at Hue Central Hospital. Results: The average age was 32.7 ± 6.7, the miximum age was 17 years old and the maximum was 46 years old. The history of abortion, miscarriage in molar group and control group acounted for 10.5% and 3.9% respectively, with the risk was higher 2.8 times; 95% CI = 1.1-7.7 (p<0.05). The history of molar pregnancy in molar pregnancy group was 9.2% and the molar pregnancy risk was 11.4 times higher than control group (95% CI = 2.3-56.4). The women having ≥ 4 times births accounted for 7.9% in molar group and 2.2% in control group, with the risk was higher 3.8 times, 95% CI= 1.1-12.9 (p<0.05). The molar risk of women < 20 and >40 years old in molar groups had 2.4 times higher than (95% CI = 1.1 to 5.2)h than control group. Low living standard was 7.9% in molar group and 1.3% in the control group with OR= 6.2; 95% CI= 1.5-25.6. Curettage twice accounted for 87.5%, there were 16 case need to curettage three times. There was no case of uterine perforation and infection after curettage. Conclusion: The high risk molar pregnancy women need a better management. Pregnant women should be antenatal cared regularly to dectect early molar pregnancy. It is nessecery to monitor and avoid the dangerous complications occuring during the pregnancy. Key words: Molar pregnancy, pregnancy women

COVID-19: The Importance of Adequate Personal Protective Equipment in Healthcare Medical Staff

2020 ◽  
Author(s):  
Anne Weissenstein
Keyword(s):  
Health Care ◽  
Personal Protective Equipment ◽  
Health Care Services ◽  
Infection Prevention And Control ◽  
Protective Equipment ◽  
Emotional Resilience ◽  
Healthcare Facilities ◽  
Care Services ◽  
Healthcare Settings ◽  
And Control

We present an update on infection prevention and control for COVID-19 in healthcare settings. This update focuses on measures to be applied in settings with increasing community transmission, growing demand for concern about COVID-19 patients, and subsequent staffing issues in the event of shortages of personal protective equipment for healthcare facilities worldwide. The comfort and emotional resilience of health care workers are key components in maintaining essential health care services during the COVID-19 virus (coronavirus) outbreak.

Prevention and Control of Trichotomy Infection in the Elderly Surgical Patient: An Umbrella Review

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Teresa Ferreira ◽  
Filipe Orfao ◽  
Cesar Fonseca ◽  
Lara Guedes de Pinho
Keyword(s):  
Health Care ◽  
Narrative Analysis ◽  
Data Extraction ◽  
Elderly Person ◽  
The Elderly ◽  
World Health ◽  
Surgical Patient ◽  
Risk Of Infection ◽  
Umbrella Review ◽  
And Control

Introduction: The World Health Organization creates norms and guidelines for the adoption of good practices in health care that are provided to the surgical patient. In order to prevent and control infections associated with health care, the nurse must follow the guidelines for preparing the surgical patient for success. These infections can be particularly harmful to the elderly person given their vulnerability. The preoperative preparation, includes the trichotomy as one of the interventions to be performed, however, is one of the most controversial interventions that has caused in clinical practice, by the potential risk of infection in the surgical patient. Aim: To investigate the need for trichotomy, or removal of hair, in the preparation of the skin of the surgical patient, clarifying which is the most appropriate technique in the prevention of infection. Methodology: we conducted an umbrella review. The documentary research followed the consultation of bibliographic sources in the Cumulative Index to Nursing & Allied Health (CINAHL) and Public/Publisher Medline (PubMed) databases. The researched articles were grouped in a time horizon between 2011 and 2020. Afer data extraction, a narrative analysis was performed. Results: We found 40 articles from which 8 were selected. Conclusion: Trichotomy should be avoided by increasing the risk of infection of the surgical site. Innovative haircut and vacuum technologies can help in hair removal, mitigating the risk of contaminating the surgical incision. The timing of the trichotomy is not consensual among researchers.

scholarly journals Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Olumuyiwa A. Olowe ◽  
Andrew J. Ross
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Health ◽  
Validated Questionnaire ◽  
Study Population ◽  
And Control

Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.

scholarly journals Expectations and desires of palliative health care personnel concerning their future work culture

2013 ◽  
Vol 2 (3) ◽  
pp. 46 ◽  
Author(s):  
Beate Andre ◽  
Endre Sjøvold ◽  
Marte Holmemo ◽  
Toril Rannestad ◽  
Gerd I. Ringdal
Keyword(s):  
Health Care ◽  
Reference Group ◽  
Health Care Personnel ◽  
Future Perspective ◽  
Work Culture ◽  
Care Workers ◽  
Positive Work Culture ◽  
And Control ◽  
Future Work ◽  
Positive Work

Introduction: Exploring the work culture of health care personnel is important in order to understand the challenges they face and the issues they experience. Believing in and shaping their futures indicates a working culture influenced by promoting factors. The aims of this study were to explore how health care workers at a Palliative Medicine Unit perceive their future work culture would be and whether they perceive that their expectations and desires will be fulfilled. Design: A correlational study. Methods: Health care personnel, physicians, nurses, physiotherapists, and others (N = 26) at a PMU in Norway completed a questionnaire according to the two perspectives, expectations (future) and desire (wish). The findings in these two perspectives were compared. The method seeks to explore what aspects dominate the particular work culture and identifying challenges, limitations, and opportunities. The findings were also compared with a reference group of 347 ratings of well-functioning Norwegian organizations, named the “Norwegian Norm”. Results: The findings for the wish perspective showed significant (p<0.05; p<0.01) higher rates for nurturing and synergy dimensions and significant lower rates (p>0.05; p>0.05) for opposition and control dimensions than the findings for the future perspective. Conclusions: It appears that the health care personnel wish for changes that they don’t believe they will achieve. The changes the respondents wish for are fewer negative work culture qualities, such as assertiveness and resignation, and more positive work culture qualities, such as engagement and empathy. Changes must be made to give the health care personnel improved working conditions and empowerment in order to change their situations to reflect what they wish for. The present findings can give an indication as to the direction that research ought to follow in subsequent studies.

scholarly journals Penurunan Perilaku Kekerasan Orangtua Pada Anak Usia Sekolah Melalui Latihan Asertif

2012 ◽  
Vol 15 (3) ◽  
pp. 201-206
Author(s):  
Abdul Gowi ◽  
Achir Yani S Hamid ◽  
Tuti Nuraini
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Intervention Group ◽  
Violent Behaviors ◽  
Significant Difference ◽  
And Control ◽  
Assertive Training

AbstrakPenelitian ini bertujuan untuk memperoleh gambaran pengaruh latihan asertif terhadap perilaku kekerasan orang tua pada anakusia sekolah di Kabupaten Karawang. Sampel pada kelompok intervensi dan kontrol masing-masing 32 orang. Latihan asertifdilakukan selama 6 sesi. Hasil penelitian menunjukkan terjadi peningkatan kemampuan komunikasi asertif orangtua padakelompok intervensi dibanding kelompok kontrol secara bermakna (p< 0,05). Kemampuan anak dalam mengendalikan emosipada kelompok intervensi meningkat, sedangkan pada kelompok kontrol menurun secara bermakna (p< 0,05). Latihan asertifmembantu orangtua menurunkan perilaku kekerasan pada anak melalui komunikasi asertif. Terapi ini direkomendasikan padaorangtua, guru, dan pemberi pelayanan kesehatan.Kata kunci: kemampuan komunikasi asertif orangtua, latihan asertif, mengendalikan emosiAbstractThis research aimed to describe the influence of assertive training on violence behavior of parents towards children in Karawangdistrict. Samples in the intervention group and control were 64 parents, 32 respondent for each group. Assertive training hasconducted in 6 sessions. The results showed increased assertive communication skills of parents on the group that receivedassertive training. There was significant difference among those groups (p< 0.05). The group of parents who did not receiveassertive training, showed a significant decreased communication of skills (p< 0.05). The was increased ability of children incontrolling their emotions of intervention group parents, while there was significant decreased children ability of controlgroup parents (p< 0.05). Assertive training was proven to decrease parents’ violent behaviors towarsd children. It wasrecommended that this training to be regularly conducted to parents, teachers, and health care provider.Keywords: parent’s assertive comunication ability, assertive training, managing emotions

scholarly journals Abordagem conceitual sobre a sífilis na gestação e o tratamento de parceiros sexuais

2011 ◽  
Vol 2 (2) ◽  
pp. 108-111 ◽  
Author(s):  
Dayanne Rakelly De Oliveira ◽  
Mayanne Santana Nóbrega De Figueiredo
Keyword(s):  
Public Health ◽  
Sexual Partners ◽  
Control Measures ◽  
Health It ◽  
The Public ◽  
And Control ◽  
In Pregnancy

Este texto tem como objetivo trazer considerações epidemiológicas e conceituais sobre a sífilis, o tratamento de parceiros sexuais e a inserção do enfermeiro em ações de prevenção e controle desse importante agravo à saúde pública. Enfatiza os aspectos relacionados às medidas de controle dos casos, à terapêutica da doença e à magnitude das complicações visando a contribuir para o aprofundamento da temática e reflexão da prática profissional.Descritores: Sífilis, Parceiros Sexuais, Enfermagem, Saúde Pública.Conceptual approach on syphilis in pregnancy and the treatment of sexual partnersThis text aims to bring epidemiological and conceptual considerations on syphilis, the treatment of sexual partners and the insertion of the nurse in prevention actions and control of this relevant grievance to the public health. It emphasizes the aspects related to control measures of the cases, to the therapeutics of disease and the magnitude of the complications seeking to contribute to the deepening of the theme and the reflection of professional practice.Descriptors: Syphilis, Sexual Partners, Nursing, Public Health.Abordaje conceptual sobre la sífilis en la gestación y lo tratamiento de las parejas sexualesEnfoque conceptual de la sífilis en el embarazo y el tratamiento de las parejas sexuales. Este texto tiene como objetivo integrar consideraciones conceptuales y epidemiológicas sobre la sífilis, el tratamiento de las parejas sexuales y la inclusión de los enfermeros en la prevención y control de este importante agravio de salud pública. Destaca los aspectos relacionados con los casos, con la terapéutica de la enfermedad y con la magnitud de las complicaciones con el objetivo de contribuir a la profundización de la temática y la reflexión de la práctica profesional.Descriptores: Sífilis, Las Parejas Sexuales, Enfermería, Salud Pública.

scholarly journals Prevention and Control of COVID-19 by Primary Health Care Facilities in China: A Field- Survey-Based Qualitative Study in Three Typical Cities

2021 ◽  
Author(s):  
Yunyun Yan ◽  
Teng-yang Fan ◽  
Yan-ling Zheng ◽  
Hai-qin Yang ◽  
Tian-shu Li ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Prevention And Control ◽  
Field Survey ◽  
Risk Levels ◽  
Face To Face ◽  
Primary Health ◽  
Community Residents ◽  
And Control

Abstract Background In fulfilling the COVID-19 containment, primary health care (PHC) facilities in China played an important role. We sought to investigate the exact tasks performed at the PHC facilities and the processes of COVID-19 prevention and control.Methods Semi-structured face-to-face interviews for primary care physicians (PCPs) and a simple survey for residents were conducted in the field survey. Based-on purposive stratified sampling, 32 PCPs were selected from 22 PHC facilities in Wuhan as a high-risk city, in Shanghai as medium-risk city and in Zunyi as low-risk city. In the field survey, semi-structured face-to-face interviews were conducted with PCPs to summarize the tasks of COVID-19 prevention and control at the PHC facilities. A simple survey was used to investigate the local residents’ awareness about COVID-19 prevention and control.Results In pre-outbreak period, the PHC facilities mainly engaged in storing medical supplies; in out-break period, they were responsible for screening, transferring, quarantine and treatment; in regular prevention and control period, attention was given to the employees and items of cold-chain & fresh food markets, etc. In Wuhan, PHC facilities focused on graded diagnoses and treatments of patients; in Shanghai, they were mainly engaged in at-home/centralized quarantine; in Zunyi, they focused on the screening of high-risk individuals. In urban areas, COVID-19 were more likely to be transmitted; in urban-rural areas, it was difficult to perform screening on the migrant populations; in rural areas, the risk was much lower. The community residents had satisfactory compliance with the preventive measures.Conclusion We identified differences in the prevention and control tasks performed at the PHC facilities in China. During the different phases of the pandemic, the tasks were adjusted depending on the gradually comprehensive understanding of COVID-19. Among the cities at different risk levels, screening, quarantine, transferring or treatment was chosen to be a priority accordingly. Located in different intra-city geographic locations at different risk levels, the PHC facilities conducted their own tasks accordingly. Additionally, compliance on the part of the local community residents could not be overemphasized in COVID-19 prevention and control.

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