scholarly journals HOW LIFESTYLE AFFECTS HEALTH─CHANGES IN HEALTH STATUS BEFORE AND AFTER THE EARTHQUAKE

2014 ◽  
Vol 60 (2) ◽  
pp. 211-212 ◽  
Author(s):  
TETSUYA OHIRA ◽  
MITSUAKI HOSOYA ◽  
SEIJI YASUMURA ◽  
HIROAKI SATOH ◽  
HITOSHI SUZUKI ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Helena Eri Shimizu ◽  
Josierton Cruz Bezerra ◽  
Luciano José Arantes ◽  
Edgar Merchán-Hamann ◽  
Walter Ramalho

Abstract Background Since 2004, Brazil has had a national policy for occupational health and safety. This policy means companies’ tax burden is altered according to the numbers of work-related accidents and ill-health amongst their workers. In 2010, a multiplication factor was introduced to this policy, called the Accident Prevention Factor. The idea of this new multiplication factor is to encourage individual employers to take initiatives to prevent accidents and ill health in the workplace. This study was designed to investigate the incidence of work-related accidents and ill-health in Brazil according to their causes, their severity, and the economic activity in which they occur, and to compare the data before and after the introduction of the Accident Prevention Factor. Methods An ecological study was conducted by analyzing the time series of work-related accidents/ill-health between 2008 and 2014 from the Brazilian social security system (Previdência Social) statistical yearbooks. Incidences were calculated per cause, economic activity, and severity of the accident/ill-health. Data from before and after the introduction of the Accident Prevention Factor were compared using the Mann-Whitney test per cause and per economic activity. Statistical analyses were made using the SPSS software, with significance set at 5%. Results A reduction in the incidence of work-related accidents/ill-health was found across all the groups of causes analyzed, except for the groups “external causes of morbidity and mortality” and “factors influencing health status and contact with health services.” Greater reductions were found for diseases of the musculoskeletal system and connective tissue and diseases of the nervous system. Reductions in work-related accidents/ill-health were found in the different economic activities and in the different severity groups. The highest reduction after the introduction of the Accident Prevention Factor was in manufacturing and production (p < 0.05). Conclusions Overall, the incidence of accidents/ill-health was found to be on decline, except those with external causes of morbidity and mortality and those involving factors influencing health status and contact with health services. The biggest reduction was found in manufacturing and production. However, generally speaking progress still needs to be made in accident prevention and occupational health across a whole range of work environments.


2018 ◽  
Vol 14 (2) ◽  
pp. 56-64
Author(s):  
Dwi Suyatmi ◽  
Dwi Eni Purwati

Service Activities Dental and Oral Health Care is part of the School Dental Health Enterprises (UKGS) which aims to improve the knowledge, attitude and the ability to behave in the field of healthy living oral health. These activities include outreach, shared toothbrushes and dental examinations, but oral health care has no knowledge, so the researchers are interested to know the difference before and after the service activities of oral health care on knowledge, attitude, oral health status elementary students. The purpose of this research is to know the difference before and aftercare service activities against oral health knowledge, attitudes, and oral health status of elementary school students. This study used a quasi-experimental method with the design of One Group Pre-test - Post-test Design. The population in this study were elementary school students in the area of ​​Gamping Sleman Yogyakarta with a sample of 179 students. Sampling techniques using saturation sampling. Results: Based on the analysis of different test (paired sample t-test) showed significant differences in knowledge, attitudes, oral hygiene, decay and Decay students between the before and after care service oral health (p<0.05). Conclusions: 1). Knowledge, attitude and degree of oral hygiene students after health care services increased oral better 2). There was a decrease in rate-test decay (teeth better ) and Decay (permanent teeth ) on the student after the service of oral health care.


2018 ◽  
Vol 10 (1) ◽  
pp. 089-097
Author(s):  
Kiki Angreancy Aghnita

Children who experience malnutrition disorder will experience less physicalgrowth and mental disorders. Restore additional feeding program is one of the efforts intackling the problem of poor nutrition and lack of nutrition. This study aims to evaluatethe intake of nutrients, nutritional status and health status in toddlers who get PMTRecoveryin the working area in Bengkulu City Clinics 2016. This research is descriptiveresearch with cross sectional approach. Sampling purposive sampling technique was donewith as many as 43 samples. Data were collected through a questionnaire that has beenfilled by the mother of a toddler through the interview process which was then in theanalysis are univariate and bivariat. The results showed that intake of nutrients (energy,protein, fat and carbohydrates) toddler respondents have earned PMT-P average includescategories less than a number of nutritional adequacy. Toddler health status ofrespondents have earned PMT-P was almost entirely never experienced pain during thelast month. Based on the results of the statistical tests are known that there is ameaningful difference between the nutritional status before and after nutrition status on atoddler who has been getting PMT-P in the city of Bengkulu. P-PMT program that hasbeen running should be more optimized so that nutritional problems in toddlers can behandled. The need for monitoring back on intake of nutrients, nutritional status and healthstatus of toddlers who have been getting PMT-P in an attempt to increase the success ofthe program.


2015 ◽  
Author(s):  
◽  
Cai Hu

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] Essay 1 analyzes the married couples' retirement decision using the PSID data. I employ the proportional hazard model to examine the factors that influence the retirement decision of husband and wife, and focus on examining the correlation of husband and wife's retirement status. This essay finds that an individual is more likely to retire if his or her spouse has retired. The retirement hazard is higher if an individual is in worse health. The worse health status also affects the spouse's retirement hazard, but the spouse effect is asymmetry. With the wife in worse health, the husband's retirement hazard decreases. With the husband in worse health, the wife's retirement hazard increases. I also find that the greater the social security income or pension, the higher the retirement hazard. But for the spouse effect, the husband's social security income or pension has impact on the retirement schedule of his wife, while I find no significant impact of wife's retirement benefit on husband's retirement timing. Essay 2 explores the transitions of health status using PSID data from 1984 to 2011 with the ordered logit model and the Cox proportional hazards model. The result shows that the impact of current health status on future health status is relatively large. A worse current health status would lead to a smaller probability for health deterioration, but it is less likely to be in a good health status in the future. There is strong health persistence. Social economics factors' impact on latent health status is also significant, although the magnitude is relatively small. Higher income level and education level would decrease the likelihood of health deterioration, and individuals with high income and high education would be more likely to be in better health status. When comparing different occupations, white-collar job is less associated with health deterioration, and this type of worker is more likely to be in better health status. Essay 3 applies the competing risks model to estimate the movement of corporate credit ratings using WRDS COMPUSTAT data. The credit rating variable is the Standard and Poor's long-term domestic issuer credit rating. The explanatory variables contain measures of leverage, liquidity, current profitability and future profitability. I estimate the impacts of these financial ratios on the upward and downward of credit rating. In addition, I estimate samples before and after the 2008 subprime crisis to study the influence of financial crisis on the credit rating. The result shows that firms with a higher liquidity are more likely to be upgraded and less likely to be downgraded. The impact of liquidity is weaker after the crisis. I find that when the current level of profitability increases, the firm is more likely to be upgraded than to be downgraded. The effect of current profitability is larger after the crisis. Firms with higher leverage ratio are more likely to be upgraded and less likely to be downgraded. And the effect of leverage is similar before and after the crisis.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Rahul Myadam ◽  
Ali O Malik ◽  
Matthew Pflederer ◽  
Kensey Gosch ◽  
Suzanne V Arnold ◽  
...  

Introduction: Pulmonary hypertension (PH) was shown in multiple studies to be associated with an increased risk of mortality after transcatheter aortic valve replacement (TAVR). However, it is unclear if echocardiogram derived right ventricular systolic pressure (RVSP) is associated with health status outcomes in surviving patients after TAVR. We explored for an association between baseline RVSP and quality of life in patients before and after undergoing TAVR. Methods: We estimated RVSP by echocardiography using the modified Bernoulli equation in a single-center cohort of patients undergoing TAVR from 2012-2017 . Disease-specific health status was assessed at baseline and 1-month and 12-months after TAVR with the Kansas City Cardiomyopathy Questionnaire-Overall Summary Score (KCCQ-OS). We then explored the association between baseline RVSP and KCCQ-OS before and after TAVR using a linear mixed model with an interaction for time and baseline RVSP and adjusted for baseline mitral valve regurgitation and systolic blood pressure. Results: Among 485 patients who underwent TAVR (mean age 81.7±7.9 years, 54.8% men), baseline RVSP was 42±15 mmHg, and 73% had RVSP >34 mmHg. After TAVR, mean RVSP decreased to 37±13 mmHg at 1 month and 36±14 mmHg at 12 months. Baseline KCCQ-OS was 46±25 and improved to 66.9±23.6 at 1 month and 69.5± 22.6 at 12 months. In the linear mixed model, there was a significant cross-sectional association between baseline RVSP and baseline KCCQ-OS, with higher RVSP associated with worse health status. However, baseline RVSP was not significantly associated with KCCQ-OS at 1 month or 12 months (Figure). Conclusions: RVSP is not associated with worse health status after TAVR. This suggests that while patients with high RVSP are at an increased risk for mortality after TAVR, surviving patients appear to have similar health status as those with normal RVSP.


2020 ◽  
Vol 9 (9) ◽  
pp. 2946 ◽  
Author(s):  
Anouk W. Vaes ◽  
Felipe V.C. Machado ◽  
Roy Meys ◽  
Jeannet M. Delbressine ◽  
Yvonne M.J. Goertz ◽  
...  

Background: A large sample of “mild” COVID-19 patients still experience multiple symptoms months after being infected. These persistent symptoms are associated with many clinically relevant outcomes, including poor health status and impaired functional status. To date, no information is available about care dependency. Therefore, we aimed to explore the level of care dependency and the need for assistance with personal care in non-hospitalized COVID-19 patients. Methods: Members of two Facebook groups for COVID-19 patients with persistent complaints in The Netherlands and Belgium, and from a panel of people who registered at a website of the Lung Foundation Netherlands, were assessed for demographics, pre-existing comorbidities, health status, and symptoms. In addition, patients were asked about their dependence on others for personal care before and after the infection. The level of care dependency was assessed with the Care Dependency Scale (CDS) in members of the Belgian Facebook group (n = 210). Results: The data of 1837 non-hospitalized patients (86% women; median (IQR) age: 47 (38–54)) were analyzed. Only a small proportion of patients needed help with personal care before COVID-19, but the care need increased significantly after the infection (on average 79 ± 17 days after the onset of symptoms; 7.7% versus 52.4%, respectively; p < 0.05). The patients had a median (IQR) CDS score of 72 (67–75) points, and 31% of the patients were considered as care-dependent (CDS score ≤ 68 points). Conclusions: COVID-19 has an important impact on care dependency in non-hospitalized patients. About three months after the onset of symptoms, a considerable proportion of non-hospitalized patients were to some degree dependent on others for personal care. This indicates that the impact of COVID-19 on patients’ daily lives is tremendous, and more attention is needed to identify optimal treatment strategies to restore patients’ independency.


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