scholarly journals A Short-Term Medical Mission in Rural Nepal: Chief Complaints, Medications Dispensed, and Unmet Health Needs

Cureus ◽  
2021 ◽  
Author(s):  
Cindy C Bitter ◽  
Carine Dornbush ◽  
Cyrus Khoyilar ◽  
Charlotte Hull ◽  
Heather Elsner-Boldt ◽  
...  
Keyword(s):  
Health Needs ◽  
Short Term ◽  
Medical Mission ◽  
Unmet Health Needs ◽  
Chief Complaints ◽  
Rural Nepal

Malaria Diagnosis by U.S. Providers on Short-term Medical Mission Trips to Uganda

2021 ◽  
Vol 32 (2) ◽  
pp. 830-842
Author(s):  
Lacey P. MenkinSmith ◽  
Elizabeth Tenney ◽  
Dean Gebler ◽  
Christina K. Zigler ◽  
Edward C. O'Bryan
Keyword(s):  
Malaria Diagnosis ◽  
Short Term ◽  
Medical Mission ◽  
Mission Trips

Unmet Health Needs in Early Childhood in South Korea

2020 ◽  
Vol 37 (2) ◽  
pp. 103-111
Author(s):  
Hyunsook Shin ◽  
Kaka Shim ◽  
Wonju Hwang
Keyword(s):  
Early Childhood ◽  
South Korea ◽  
Health Needs ◽  
Unmet Health Needs

Providing Comprehensive Health Care to Children With Chronic Illness

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 602-607
Author(s):  
Dorothy Jones Jessop ◽  
Ruth E. K. Stein
Keyword(s):  
Health Care ◽  
Inner City ◽  
Chronic Conditions ◽  
Health Needs ◽  
Comprehensive Care ◽  
Outreach Program ◽  
Comprehensive Health Care ◽  
Unmet Health Needs ◽  
Comprehensive Health ◽  
Randomized Control

Objectives. To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care. Design. A pretest-posttest randomized control trial. Setting. An inner-city municipal teaching hospital. Sample. Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions. Interventions. A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care. Measurements and Results. Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care. Conclusions. These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.

School Absence: A Problem for the Pediatrician

PEDIATRICS ◽  
1982 ◽  
Vol 69 (6) ◽  
pp. 739-746
Author(s):  
Michael Weitzman ◽  
Lorraine V. Klerman ◽  
George Lamb ◽  
Jean Menary ◽  
Joel J. Alpert
Keyword(s):  
Teenage Pregnancy ◽  
Mental Health Problems ◽  
Health Problems ◽  
Maladaptive Behavior ◽  
Drop Out ◽  
Health Needs ◽  
Physical And Mental Health ◽  
School Absence ◽  
Large Numbers ◽  
Unmet Health Needs

Children who are frequently or persistently absent from school tend to perform poorly in school and are likely to drop out before graduation from high school. Excessive school absence has significant implications in terms of maladaptive behavior, wasted opportunities, and future unemployment and welfare costs. Epidemiologic information about this problem suggests that physical and mental health problems of students or their families are the sole or contributing cause of this behavior in more than 50% of cases. Excessive school absence may signal such health problems as poor coping with or management of chronic illness, masked depression, teenage pregnancy, substance abuse, inappropriate responses to minor illnesses, or severe family dysfunction. School absence patterns appear to be a readily available, easy-to-use marker of childhood dysfunction which lends itself to screening large numbers of children for unmet health needs. Attention to this area of child behavior as part of routine health care will frequently uncover previously unrecognized health problems in children and their families.

scholarly journals A Qualitative View of Homecare Support Workers on Unmet Health Needs of People with Dependency

2020 ◽  
Vol 17 (9) ◽  
pp. 3166
Author(s):  
Jose Manuel Martínez-Linares ◽  
Francisco Antonio Andújar-Afán ◽  
Rocío Martínez-Yébenes ◽  
Olga María López-Entrambasaguas
Keyword(s):  
Technical Assistance ◽  
Point Of View ◽  
Health Needs ◽  
Psychosocial Needs ◽  
Continuous Training ◽  
Disability Status ◽  
Unmet Health Needs ◽  
Psychological Assistance ◽  
Spanish Province

Background: Longevity and population growth generate an increase in the number of people with dependency, who require homecare assistance to meet their health needs. Homecare support workers provide this care in Spain, and they may have unique insights into the unmet health needs of those receiving homecare assistance. The aim of this study was to determine the unmet health needs of people with dependency based on the perspective of homecare support workers. Methods: Qualitative exploratory-descriptive study. Through convenience sampling, homecare support workers from a Spanish province were selected, following inclusion and exclusion criteria. Four focus groups, transcription and thematic analyses were performed using Atlas.ti. Coding triangulation was carried out, applying criteria for scientific rigour. Results: The six themes obtained were classified into the material, psychoemotional, socioeconomical and psychosocial needs of people with dependency from the point of view of homecare support workers, along with the contributions of improvements and the need of these professionals for continuous training. Conclusions: People with dependency need complex technical assistance, materials, psychological attention due to their situation, and more effective assessments of their health and disability status. Homecare support workers perceive themselves to be essential in these assessments. They ask for psychological assistance, due to the emotional burden of their work, and believe this help would contribute to improving the quality of their service. Homecare support workers perceive that they are capable of performing their job, although they believe that some delegated activities are beyond their levels of competency.

scholarly journals Risk factors for delayed negative conversion of SARS-CoV-2 in patients with COVID-19 pneumonia: a retrospective cohort study

2020 ◽  
Vol 148 ◽  
Author(s):  
Pingzheng Mo ◽  
Liping Deng ◽  
Xiaoping Liu ◽  
Shicheng Gao ◽  
Ke Liang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Short Term ◽  
Factors Associated ◽  
Single Centre Study ◽  
Chief Complaints ◽  
Area Under Roc Curve ◽  
Conversion Time ◽  
To Receive ◽  
Negative Conversion

Abstract The epidemic of coronavirus disease 2019 (COVID-19) began in China and had spread rapidly to many other countries. This study aimed to identify risk factors associated with delayed negative conversion of SARS-CoV-2 in COVID-19 patients. In this retrospective single-centre study, we included 169 consecutive patients with confirmed COVID-19 in Zhongnan Hospital of Wuhan University from 15th January to 2nd March. The cases were divided into two groups according to the median time of SARS-CoV-2 negative conversion. The differences between groups were compared. In total, 169 patients had a median virus negative conversion time of 18 days (interquartile range: 11–25) from symptom onset. Compared with the patients with short-term negative conversion, those with long-term conversion had an older age, higher incidence of comorbidities, chief complaints of cough and chest distress/breath shortness and severer illness on admission, higher level of leucocytes, neutrophils, aspartate aminotransferase, creatine kinase and erythrocyte sedimentation rate (ESR), lower level of CD3+CD4+ lymphocytes and albumin and more likely to receive mechanical ventilation. In multivariate analysis, cough, leucocytes, neutrophils and ESR were positively correlated with delayed virus negative conversion, and CD3+CD4+ lymphocytes were negatively correlated. The integrated indicator of leucocytes, neutrophils and CD3+CD4+ lymphocytes showed a good performance in predicting the negative conversion within 2 weeks (area under ROC curve (AUC) = 0.815), 3 weeks (AUC = 0.804), 4 weeks (AUC = 0.812) and 5 weeks (AUC = 0.786). In conclusion, longer quarantine periods might be more justified for COVID-19 patients with cough, higher levels of leucocytes, neutrophils and ESR and lower levels of CD3+CD4+ lymphocytes.

scholarly journals Potential predictors of unmet health needs among the elderly: a population-based study in Serbia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Šantrić Milićević ◽  
M Kostadinović ◽  
D Nikolić ◽  
J Todorovic ◽  
Z Terzic-Supic
Keyword(s):  
Mental Health ◽  
Waiting Times ◽  
Wealth Index ◽  
The Elderly ◽  
Health Needs ◽  
Daily Activities ◽  
Personal Care ◽  
Mental Health Needs ◽  
Unmet Health Needs ◽  
Unmet Mental Health

Abstract Background This study assessed the prevalence of unmet health needs of the elderly and the associated factors regarding socioeconomic, health and functional status. Methods A secondary analysis of the 2013 National Health Survey data was conducted on a representative sample of 3540 persons aged sixty-five and older (the lowest response rate was 99.7%). Participants characteristics such as socioeconomic status, health self-perception, diagnosed chronic disease, physical functional limitations, performing essential daily activities in the home and daily personal care were explored with logistic regression analysis (Odds Ratio - OR and 95% Confidence Interval) in relation to five aspects of unmet health needs. Results 15.8% participants had unmet health needs due to the long waiting times, 16.1%, had unmet needs for medical care, 17.7% for dental care, 15.2% for drugs prescription and 96.9% participants for mental health care. Common predictors exist for medical, dental drug prescription and due to long waiting times unmet needs including older age years, middle education, rural residence, lower wealth index, single persons, with average or bad self-perceived health, chronic disease and difficult daily performance of personal care and of home activities. Unmet mental health needs by 61% less likely had participants with average wealth index, while a greater likelihood had participants with average and bad self-perceived health by 3.7 times and 8.4 times (p = 0.035, p = 0.001) respectively, by 6.2 times those with difficulties (p < 0.001) and by 5.9 times unable (p = 0.045) to perform daily activities of personal care and by 1.7 times those with difficulties (p = 0.037) to perform home activities. Conclusions Unmet health needs reported less than 20% of the elderly but almost all have unmet mental health needs. Unmet health needs are associated with negative health outcomes, age, low education level, single persons, rural settings, poorer households, and limited daily activities. Key messages Unmet mental health needs of the elderly are an extremely important problem for the health system and healthy ageing in Serbia. A strong association of unmet health needs of old, low educated elderly without partners, from rural settings and poor households with health and functional outcomes, requires responsive policies.

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