scholarly journals Medical Provision of the Population within an Outbreak of a Traumatic Defeat an Earthquake: A Fundamental Tool of the Staged Health Risk Management

2021 ◽  
Author(s):  
Diana Dimitrova
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Management ◽  
Health Risk ◽  
Health Care System ◽  
Resource Constraints ◽  
Earthquake Scenario ◽  
Secondary Disasters ◽  
Health Risk Management ◽  
Care System

The most destructive and unpredictable disasters around the world are determined earthquakes. Various consequences are reported as possible negative effects and therewithal health-related of them. The identification and classification of the different types of health risk factors is an initial goal in an uncomplicated earthquake setting and a fundamental tool to a good understanding and effective organization of the health care system (HCS) in case of complicated medical situation. The health care system works at high tension with considerable difficulties due to the calamity of a large magnitude outbreak of a traumatic defeat such as an earthquake. In conditions of the worst-case earthquake scenario with the subsequent provoked multi-secondary disasters and with multi-secondary risk factors possibilities to take accurate solutions is a real challenge for the health risk manager. They are available critically low resource constraints. Two main critical points are formed. On the one hand the description of a structure of mass victim and achievement high quality medical triage in complicated setting due to earthquakes is a conceptual medical stage of health risk management. On the other hand it is a main step of medical provision of the population and a step of risk reduction strategy.

Comprehensive Assessment of Behavioral Risk Factors within the Health Risk Management System for Oil Refinery Operators

2021 ◽  
pp. 16-21
Author(s):  
NI Latyshevskaya ◽  
VV Mirochnik ◽  
LA Davydenko ◽  
AI Kireeva ◽  
AV Belyaeva
Keyword(s):  
Risk Factors ◽  
Risk Management ◽  
Health Risk ◽  
Oil Refinery ◽  
Behavioral Risk Factors ◽  
Behavioral Risk ◽  
Age Group ◽  
Volgograd Region ◽  
Comprehensive Health ◽  
Health Risk Management

Summary. Introduction: Comprehensive risk management considering behavioral risk factors is a possible way to minimize adverse health effects of occupational factors. The purpose of the study was assess behavioral risk factors and to develop appropriate measures for preventing occupational diseases in oil refinery operators. Materials and methods: The observation groups included crude oil treatment operators of Ritek LLC in the Volgograd Region located in the subarid climatic zone. The first group consisted of 100 workers under the age of 35 while the second group consisted of 106 workers aged 36-60. Previously published studies were used to substantiate priority occupational risk factors for the operators. To assess lifestyle habits, we conducted a questionnaire-based survey and analyzed data in terms of their statistical significance and real controllability using a multidimensional confirmatory factor analysis. Results: We established that the priority occupational health risks of operators in the climatic conditions of the Volgograd Region included labor severity and intensity (3.1) and hot environment (3.2) posing a high occupational risk of disrupting the thermal state (overheating) of workers. We also identified typical behavioral risk factors, the prevalence and quantitative burden of which was age-specific. In the younger age group, bad habits and poor healthcare activity (reluctance to seek medical advice) generated the highest burdens (943 conditional units each) while in the older age group, major burdens were generated by bad habits and malnutrition (849 and 501 units, respectively). The developed mathematical model proved that a comprehensive health risk management for workers exposed to occupational hazards is feasible by correcting certain behavioral risk factors: a 10 % and 50 % decrease in the burden of bad habits and poor healthcare activity led to a 1.1 and 1.5-fold decrease in the extent of health risk, respectively. Conclusion: The study revealed the most significant behavioral risk factors affecting health of oil refinery operators and substantiated options of the most optimal interaction between the elements of the system reducing the overall risk to human health. Comprehensive health risk management based on optimal interaction of system elements (both occupational and behavioral risk factors) reduces health risks for oil refinery operators.

Risk factors for drug dependence among out-patients on opioid therapy in a large US health-care system

Addiction ◽  
2010 ◽  
Vol 105 (10) ◽  
pp. 1776-1782 ◽  
Author(s):  
Joseph A. Boscarino ◽  
Margaret Rukstalis ◽  
Stuart N. Hoffman ◽  
John J. Han ◽  
Porat M. Erlich ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care System ◽  
Drug Dependence ◽  
Opioid Therapy ◽  
Care System

scholarly journals Dependent Adolescent Pregnancy Rates and Risk Factors for Pregnancy in the Military Health Care System

2013 ◽  
Vol 178 (4) ◽  
pp. 412-415 ◽  
Author(s):  
Jean E. Burr ◽  
Timothy A. Roberts ◽  
Jay R. Bucci
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Adolescent Pregnancy ◽  
Health Care System ◽  
Pregnancy Rates ◽  
Military Health ◽  
Military Health Care ◽  
The Military ◽  
Care System

scholarly journals Early mortality after neonatal surgery: analysis of risk factors in an optimized health care system for the surgical newborn

2013 ◽  
Vol 16 (4) ◽  
pp. 943-952 ◽  
Author(s):  
Dora Catré ◽  
Maria Francelina Lopes ◽  
Angel Madrigal ◽  
Bárbara Oliveiros ◽  
Joaquim Silva Viana ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care System ◽  
Early Mortality ◽  
Neonatal Surgery ◽  
Care System

scholarly journals Comorbidity in cardioneurology

2018 ◽  
pp. 14-19
Author(s):  
N. Kravchuk ◽  
N. Svyrydova ◽  
T. Parnikosa ◽  
V. Sereda ◽  
I. Dovgiy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Cardiovascular Disease ◽  
Health Care ◽  
Cause Of Death ◽  
Health Care System ◽  
Severe Form ◽  
Cerebrovascular Pathology ◽  
Modern Health Care ◽  
Care System

The problem of comorbidity in cardioneurology is one of the urgent problems of modern health care system. When comorbidity main cause of death in the vast majority of patients is cardiovascular and cerebrovascular pathology. The most severe form of disease is stroke. Heart failure - a new epidemic of cardiovascular disease, which manifests itself as one of the major risk factors for stroke.

Sex and Labor Trafficking in Paraguay: Risk Factors, Needs Assessment, and the Role of the Health Care System

2018 ◽  
pp. 088626051878836 ◽  
Author(s):  
Kimberly Stanford ◽  
Alyssa Cappetta ◽  
Roy Ahn ◽  
Wendy Macias-Konstantopoulos
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Needs Assessment ◽  
Health Care System ◽  
Labor Trafficking ◽  
Care System

EVALUATION OF QUALITY OF LIFE OF PATIENTS WITH PRIMARY BRONCHIAL ASTHMA IN THE HEALTH CARE SYSTEM

2021 ◽  
Vol 2 (4) ◽  
pp. 51-54
Author(s):  
Dilrabo Alikulova ◽  
◽  
Rixsi Salikhodjaeva
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Bronchial Asthma ◽  
Primary Health ◽  
Close Relatives ◽  
Care System

The study of risk factors leading to the development of asthma, conducted in the form of a survey and interviews. 52% of patients with a diagnosis of asthma noted the presence of the disease among close relatives. Among the risk factors leading to bronchial asthma, the most common are pollen and tobacco (49.1%). 59.2% of patients diagnosed with asthma do not follow the diet. Keywords:asthma, nurses, primary health care, prevention, risk factors

"Risk" Factors Affecting Readmission of the Elderly Into the Health Care System

Medical Care ◽  
1986 ◽  
Vol 24 (5) ◽  
pp. 429-437 ◽  
Author(s):  
Carol C. Fethke ◽  
Ian M. Smith ◽  
Nancilee Johnson
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care System ◽  
The Elderly ◽  
Factors Affecting ◽  
Care System

scholarly journals Patient and health care system characteristics are associated with delayed treatment of tuberculosis cases in Taiwan

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chien-Chou Chen ◽  
Po-Huang Chiang ◽  
Yen-Hsu Chen ◽  
I-Chun Fan ◽  
Ta-Chien Chan
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Initial Visit ◽  
System Delay ◽  
Tuberculosis Patients ◽  
Health System Delay ◽  
Treatment Services ◽  
Care System

Abstract Background The decline of the incidence rate of tuberculosis in Taiwan has been partly attributed to the launch of the directly observed therapy short course (DOTS) program in 2006, followed by the DOTS-Plus in 2007. However, with the phasing out of the specialized tuberculosis care system and the declining incidence, clinical workers in Taiwan might become less familiar with the presentation of tuberculosis. Complementing the patient-pathway analysis with health system delay estimates, the objective of this study is twofold: to estimate the alignment between patient care initiation and the availability of prompt diagnostic and treatment services, and to identify the risk factors of delayed tuberculosis treatment. Methods The study population included all Taiwanese patients with incident tuberculosis in 2013. We (1) identified 11,507 incident tuberculosis patients from the 2013 National TB Registry, and (2) linked 10,932 Taiwanese from the registry to the 2012–2013 National Health Insurance Research Database. We assessed patient’s care-seeking pathways and associated the determinants of health system delay in a Cox model. Results The overall health system delay was 46 days. We found that 20.5 and 3.5% of 10,932 tuberculosis patients were diagnosed and treated respectively at the initial visit to seek care for TB-related symptoms. Risk factors related to the prolonged health system delay included female gender (adjusted HR = 0.921, 95% CI: 0.884, 0.960), age > =65 years (adjusted HR = 0.720, 95% CI: 0.692, 0.750), non-severe (chest X-ray without cavities) (adjusted HR =0.721, 95% CI 0.683–0.760), chronic respiratory diseases (adjusted HR = 0.544, 95% CI: 0.522, 0.566), living in long-term care facilities (adjusted HR = 0.580, 95% CI: 0.525,0.640), an initial visit at a primary care clinic (adjusted HR = 0.588, 95% CI: 0.565, 0.612), and living in southern Taiwan (adjusted HR = 0.887, 95% CI: 0.798, 0.987). Conclusions The low access to TB diagnostic and treatment services at the initial visit and the prolonged health system delay indicate inefficiency in the health care system. Strengthening training of physicians at public hospitals and health workers at nursing homes might improve the efficiency and timeliness of tuberculosis diagnosis and treatment in Taiwan.

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