scholarly journals Mass Gathering Medicine in Soccer Leagues: A Review and Creation of the SALEM Tool

2021 ◽  
Vol 18 (19) ◽  
pp. 9973
Author(s):  
Anas A. Khan ◽  
Abdulrahman Y. Sabbagh ◽  
Jamie Ranse ◽  
Michael S. Molloy ◽  
Gregory R. Ciottone
Keyword(s):  
Well Being ◽  
Healthcare Systems ◽  
Assessment Tools ◽  
Mass Gathering ◽  
Association Football ◽  
Preventative Measures ◽  
Mass Gathering Medicine ◽  
Trained Personnel ◽  
Provision Of Services ◽  
Potential Risks

Potential risks for public health incidents, outbreaks, and casualties are inferred at association football events, especially if event organizers have not taken appropriate preventative measures. This review explores the potential risks imposed by mass gathering (MG) football events, with particular emphasis on tools and methodologies to manage the risks of football MG events. Effective planning and implementation of MGs along with the mitigation of risks related to people’s health require special attention to all potential threats, especially in frequent and recurring MG events such as football leagues. The well-being of all participants can be compromised by ignoring a single risk. Healthcare systems should cooperate with all stakeholders and organizations who are involved in MG management and response. Provision of services during MG or a disaster must be performed by trained personnel or entities that have full access to available resources in accessible publicly known locations at the MG event site. Several MG assessment tools were developed worldwide; however, to adapt to the Saudi context, SALEM tool was developed to provide a guide for MG planning and assessment. SALEM assesses the risks of MG events with scores that help to categorize the risk of MG events by offering recommendations for required resources.

Trajectory of Performance Status and Symptom Scores for Patients With Cancer During the Last Six Months of Life

2011 ◽  
Vol 29 (9) ◽  
pp. 1151-1158 ◽  
Author(s):  
Hsien Seow ◽  
Lisa Barbera ◽  
Rinku Sutradhar ◽  
Doris Howell ◽  
Deborah Dudgeon ◽  
...  
Keyword(s):  
Performance Status ◽  
Symptom Assessment ◽  
Well Being ◽  
Assessment System ◽  
Assessment Tools ◽  
Future Research ◽  
Patients With Cancer ◽  
Average Pain ◽  
Observational Cohort ◽  
Over Time

Purpose Ontario's cancer system is unique because it has implemented two standardized assessment tools population-wide to improve care: the Edmonton Symptom Assessment System (ESAS) measures severity of nine symptoms (scale 0 to 10; 10 indicates the worst) and the Palliative Performance Scale (PPS) measures performance status (scale 0 to 100; 0 indicates death). This article describes the trajectory of ESAS and PPS scores 6 months before death. Patients and Methods Observational cohort study of cancer decedents between 2007 and 2009. Decedents required ≥1 ESAS or PPS assessment in the 6 months before death for inclusion. Outcomes were the decedents' average ESAS and PPS scores per week before death. Results Ten thousand seven hundred fifty-two (ESAS) and 7,882 (PPS) decedents were included. The mean age was 65 years, half were female, and approximately 75% of assessments occurred in cancer clinics. Average PPS score declined slowly over the 6 months before death, starting at approximately 70 and ending at 40, declining more rapidly in the last month. For ESAS symptoms, average pain, nausea, anxiety, and depression scores remained relatively stable over the 6 months. Conversely, shortness of breath, drowsiness, well-being, lack of appetite, and tiredness increased in severity over time, particularly in the month before death. More than one third of the cohort reported moderate to severe scores (ie, 4 to 10) for most symptoms in the last month of life. Conclusion In this large outpatient cancer population, trajectories of mean ESAS scores followed two patterns: increasing versus generally flat. The latter was perhaps due to available treatment (eg, prescriptions) for those symptoms. Future research should prioritize addressing symptoms that worsen over time.

scholarly journals A Novel Educational Smartphone Application for Cognitively Healthy Seniors: A Pilot Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6601
Author(s):  
Blanka Klimova ◽  
Lukas Sanda
Keyword(s):  
Pilot Study ◽  
Mobile Application ◽  
Empirical Studies ◽  
Well Being ◽  
Smartphone Application ◽  
Assessment Tools ◽  
Pedagogical Practice ◽  
Older Individuals ◽  
Individual Needs ◽  
Instructional Manual

Modern technologies surround people every day, including seniors. The aim of this pilot study was to create a maximally user-friendly mobile application in order to meet older users’ individual needs. The research sample consisted of 13 older individuals at the age of 55+ years with a mean age of 67 years, living in the Czech Republic. The key assessment tools of this pilot study were the developed application and usability testing. The findings confirmed that the newly developed mobile application for teaching English met the needs of cognitively healthy seniors, and was acceptable and feasible. In addition, it indicated what technical (e.g., visual interface or easy navigation) and pedagogical (e.g., an instructional manual or adjusting to seniors’ learning pace or clear instructions) aspects should be strictly followed when designing such an educational smartphone application. In addition, the authors of this pilot study provide several implications for pedagogical practice. Further research should include more empirical studies aimed at the exploration of educational mobile applications for older generation groups with respect to meeting their individual needs in order to enhance their overall well-being. However, such studies are, nowadays, very rare.

scholarly journals Morbidity and mortality amongst Indian Hajj pilgrims: A 3-year experience of Indian Hajj medical mission in mass-gathering medicine

2018 ◽  
Vol 11 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Inam D. Khan ◽  
Shahbaz A. Khan ◽  
Bushra Asima ◽  
Syed B. Hussaini ◽  
M. Zakiuddin ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Mass Gathering ◽  
Medical Mission ◽  
Mass Gathering Medicine

Assessing the Psychosocial Elements of Crowds at Mass Gatherings

2011 ◽  
Vol 26 (6) ◽  
pp. 414-421 ◽  
Author(s):  
Alison Hutton ◽  
Kathryn Zeitz ◽  
Steve Brown ◽  
Paul Arbon
Keyword(s):  
Health And Safety ◽  
Pilot Project ◽  
Assessment Tools ◽  
Future Research ◽  
Mass Gathering ◽  
Crowd Behavior ◽  
Descriptive Data ◽  
Data Set ◽  
Mass Gatherings ◽  
Psychosocial Domain

AbstractIntroduction: The environmental aspects of mass gatherings that can affect the health and safety of the crowd have been well described. Although it has been recognized that the nature of the crowd will directly impact the health and safety of the crowd, the majority of research focuses on crowd behavior in a negative context such as violence or conflict. Within the mass gathering literature, there is no agreement on what crowd behavior, crowd mood and crowd type actually mean. At the same time, these elements have a number of applications, including event management and mass gathering medicine. These questions are worthy of exploration.Methods: This paper will report on a pilot project undertaken to evaluate how effective current crowd assessment tools are in understanding the psychosocial domain of a mass gathering event.Results: The pilot project highlighted the need for a more consistent descriptive data set that focuses on crowd behavior.Conclusions: The descriptive data collected in this study provide a beginning insight into the science of understanding crowds at a mass gathering event. This pilot has commenced a process of quantifying the psychosocial nature of an event. To maximize the value of this work, future research is required to understand the interplay among the three domains of mass gatherings (physical, environmental and psychological), along with the effects of each element within the domains on safety and health outcomes for participants at mass gatherings.

scholarly journals Travel, Pilgrimage and Health Hazards

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 87-90
Author(s):  
Shariq Rashid Masoodi
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
The Elderly ◽  
Health Hazards ◽  
Health Conditions ◽  
Anticipatory Guidance ◽  
Health Issues ◽  
Preventative Measures ◽  
Safety And Health ◽  
Potential Risks

Today more people are travelling than ever before. Travel uWith more people travelling, health care professionals should become more familiar with some of the unique health issues associated with travel and pilgrimage.Travel has some unique safety and health issues, especially for the young and the elderly. Physicians need to be aware of the health issues related to travelling, identify people at risk for health problems during travel, and provide appropriate anticipatory guidance. Many guidelines have been developed to help inform physicians about some of the health issues of people travelling. These guidelines are to provide information on the risks of travel to people, determine which pre-existing health conditions may be complicated by a particular mode of travel, and offer preventative measures that can minimize potential risks to people during the travel. sed to be a leisure which could only be afforded by a few.... JMS 2012;15(2):87-90

scholarly journals Parasites of Zoonotic Interest Detected in Felis catus domesticus in Midwestern Brazil

2021 ◽  
Vol 25 (1) ◽  
pp. 29-33
Author(s):  
Stephanie Ballatore Holland Lins ◽  
Maria Elizabeth Cavalheiros Dorval ◽  
Elenir Rose Jardim Cury Pontes ◽  
Ana Paula Antunes Nogueira ◽  
Eduardo de Castro Ferreira ◽  
...  
Keyword(s):  
Urban Areas ◽  
Well Being ◽  
Capital City ◽  
Mato Grosso ◽  
Aelurostrongylus Abstrusus ◽  
Parasitic Species ◽  
Dipylidium Caninum ◽  
Parasitic Zoonoses ◽  
Potential Risks ◽  
Mato Grosso Do Sul

Interactions between humans and animals can be considerably beneficial to human well-being, and the demand for domestic cats as pets has increased in recent years. Despite these benefits, however, cats may  contribute to environmental dissemination of zoonotic pathogens, with potential risks to human health. The purpose of this study was to investigate the prevalence and diversity of feline parasites of zoonotic interest in Campo Grande, the capital city of Mato Grosso do Sul state, Midwestern Brazil, where studies on feline parasitic fauna remain scarce. Fecal samples from 210 male and female cats of varying ages, sheltered at the local Center for Zoonosis Control, were examined. Spontaneous and ether centrifugal sedimentation were used to detect the parasites, found in 149 animals (71.0%), 93 (62.4%) of which were infected with a single parasitic species and 56 (37.6%) with two or more species. Ten parasitic species were detected, where Ancylostoma sp. was the most frequent (65.2%), followed by Platynosomum concinnum (21.0%), Cystoisospora sp. (7.1%), Aelurostrongylus abstrusus (1.9%), Strongyloides sp. (1.9%), Dipylidium caninum (1.4%), Giardia sp. (1.0%), Toxocara sp. (1.0%), Physaloptera praeputialis (1.0%), and Sarcocystis sp. (0.5%). The results obtained are relevant to human and veterinary public health policies and demonstrate the cats’ role in the transmission chain of parasitic zoonoses, particularly in urban areas. The findings can also serve to raise awareness among veterinarians and cat owners on the importance of preventive interventions to ensure healthier cohabitation with pets by reducing human exposure to cat borne parasites in urban areas.   Keywords: Zoonoses. Felines. Helminths. Protozoa. One Health. Resumo As interações entre humanos e animais podem ser consideravelmente benéficas para o bem-estar humano, e a demanda por gatos domésticos como animais de estimação aumentou nos últimos anos. Apesar desses benefícios, no entanto, os gatos podem contribuir para a disseminação ambiental de patógenos zoonóticos, com riscos potenciais para a saúde humana. O objetivo deste estudo foi investigar a prevalência e diversidade de parasitos de interesse zoonótico em felinos de Campo Grande, capital do estado de Mato Grosso do Sul, no Centro-Oeste do Brasil, onde estudos sobre a fauna parasitária felina permanecem escassos. Foram examinadas amostras fecais de 210 gatos machos e fêmeas de idades variadas, abrigados no Centro de Controle de Zoonoses local. Sedimentação espontânea e sedimentação por centrifugação em éter foram utilizadas para detectar os parasitos, encontrados em 149 animais (71,0%), 93 (62,4%) dos quais foram infectados com uma única espécie parasitária e 56 (37,6%) com duas ou mais espécies. Foram detectadas dez espécies parasitárias, sendo Ancylostoma sp. o mais frequente (65,2%), seguido por Platynosomum concinnum (21,0%), Cystoisospora sp. (7,1%), Aelurostrongylus abstrusus (1,9%), Strongyloides sp. (1,9%), Dipylidium caninum (1,4%), Giardia sp. (1,0%), Toxocara sp. (1,0%), Physaloptera praeputialis (1,0%) e Sarcocystis sp. (0,5%). Os resultados obtidos são relevantes para as políticas de saúde pública humana e veterinária e demonstram o papel dos gatos na cadeia de transmissão das zoonoses parasitárias, principalmente nas áreas urbanas. As descobertas também podem servir para conscientizar os veterinários e donos de gatos da importância de intervenções preventivas para garantir uma coabitação mais saudável com animais de estimação, reduzindo a exposição humana a parasitos transmitidos por gatos em áreas urbanas.   Palavras-chave:  Zoonoses. Felinos. Helmintos. Protozoários. Saúde Única.

scholarly journals How Rating Systems Support Regenerative Change in the Built Environment

2021 ◽  
pp. 131-144
Author(s):  
Melinda Orova ◽  
András Reith
Keyword(s):  
Built Environment ◽  
New Technologies ◽  
Negative Impact ◽  
Positive Impact ◽  
Well Being ◽  
Assessment Tools ◽  
Extensive Literature ◽  
Main Question ◽  
Rating Systems ◽  
Living Building Challenge

AbstractUrban development principles have evolved from sustainability, where the focus was on limiting the negative impact of urban environment, to restorative and regenerative sustainability, where positive impact is needed on global social and ecological systems. This recent paradigm shift requires the development of new tools for practitioners, like design methodologies, new technologies, and assessment methods.To measure the impact of sustainability on the built environment, several building-scale assessment tools exist. The question is how these widespread rating systems support restorative change in the built environment.The main question of the research is answered in three methodological steps. First, the goals of restorative sustainability are summarized from the available extensive literature, including the topics of Place, Energy, Water, Well-being, Carbon, Resources, Equity, Education, and Economics. Then different rating tools (Living Building Challenge, WELL, LEED, BREEAM, DGNB) are analysed how the considered issues and indicators in these rating tools are connected to restorative goals. Then these indicators are assessed how they serve that goal.The result of this study shows the main strengths and gaps in current wide-spread international rating tools regarding their support of restorative sustainability.

Issues, Claims and Concerns of Different Stakeholders of Healthcare Systems

2008 ◽  
pp. 792-802
Author(s):  
Herwig Ostermann ◽  
Bettina Staudinger ◽  
Magdalena Thöni ◽  
Roland Staudinger
Keyword(s):  
Health Service ◽  
Health Systems ◽  
Service Providers ◽  
Well Being ◽  
Healthcare Systems ◽  
Complex Structures ◽  
General Terms ◽  
Health Service Providers ◽  
Economic Well Being

Adopting a holistic sociotechnical perspective, healthcare systems do not merely exhibit complex structures and functionalities but are also affected by the differing expectations, claims, and concerns of the systems’ stakeholders (Guba & Lincoln, 1989; Haux, Winter, & Ammenwerth, 2004). Furthermore, the issues addressed at healthcare systems are not limited to the concerns and requirements of health service providers, whose primary and most fundamental concerns in general terms represent the assurance of their own economic well-being and ability to proactively operate as well as the development of sustainable strategies in order to realize their own interests whatever they may be (Carsten, Hankeln, & Lohmann, 2004; Kappler, 1994). Furthermore, the objectives of other health systems stakeholders such as hospital operators and financiers as well as (health) politicians, which may well be in contradiction to the objectives of mere health service providers, have to be incorporated when systematically analyzing healthcare systems (Horev & Babad, 2005; Peltier, Kleimenhagen, & Neidu, 1996; Staudinger, 2004a ).

Assessment

2019 ◽  
pp. 461-472
Keyword(s):  
Family Relationships ◽  
Subjective Experience ◽  
Well Being ◽  
Objective Evaluation ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Emotional Reactions ◽  
Assessment Tools ◽  
Health Related ◽  
The Many

Assessment is one of the most complex nursing activities. It involves interpersonal and communication skills and decision-making skills. The purpose of assessment can be related to the diagnosis of specific conditions; however, assessment is often focused on the assessment of needs or health-related goals. The context and timing of assessment are important. Assessment as a process involves both non-verbal observation and verbal exchange of information, or conversation. Holistic needs assessment and care planning are an important aspect of care, particularly as patients rebuild their lives after treatment. In assessment, it is necessary to achieve a balance between objective evaluation of the patient’s problems and their subjective experience of illness or symptoms. Among the many assessment tools available, Patient-Reported Outcome Measures (PROMs) measure outcomes of treatment or care, as they are reported by the patients themselves, and may assess health needs, monitor patient progress, or evaluate services. Quality of life (QoL) is a key element of assessment. It is a complex, multifactoral concept in the context of cancer and involves the individual’s appraisal of their position in life, relative to their expectations. It includes physical (symptoms such as fatigue, pain, and side effects of treatment), functional (activities of living, including eating, sleeping, and washing), emotional (positive and negative emotional reactions to cancer), social (social support, family relationships, and sexuality), and spiritual (sense of meaning and purpose in life, faith) well-being.

Sustainability in Brazilian HEI: practices overview

2019 ◽  
Vol 20 (5) ◽  
pp. 832-841 ◽  
Author(s):  
Manoela Maria Caron Moura ◽  
Fernanda Frankenberger ◽  
Ubiratã Tortato
Keyword(s):  
Well Being ◽  
Great Opportunity ◽  
Content Type ◽  
The Public ◽  
Strategic Plans ◽  
Provision Of Services ◽  
Sustainability Practices ◽  
The University ◽  
Selective Collection ◽  
Practical Implications

Purpose The purpose of this paper is to verify how Brazilian HEIs apply sustainability practices, as means to improve their effects towards society, making clear to the public, including current and future students, what the university is doing and how it is concerned with sustainability. Design/methodology/approach Based on the Brazilian Education Ministry evaluation, 123 HEIs were selected as sample for the study. The websites of these HEI were verified to check for sustainability practices. Findings In general, the HEI focuses on helping people who live around the campus with social projects, health and work preparation. Further practices areas are new forms of energy, selective collection and new standards of plastic consumption. HEI with higher evaluations from the Education Ministry focuses mainly on educational programs and projects to improve sustainability inside and outside the campus. Research limitations/implications With the methodology used, not all HEIs in Brazil were analyzed, which gives a great opportunity for further studies. Practical implications HEIs may use the findings of this research to develop their sustainability practices, either in the curriculum, projects, strategic plans or even organizational structure. Social implications Communities are positively supported by universities applying sustainability practices. Such support includes education, health, guidance and provision of services to the community, financial aid and social well-being. Originality/value Focusing on sustainability practices of HEI located in Brazil, the research finds, besides the practices, gaps in several of the researched universities.

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