general health status
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2022 ◽  
pp. 101053952110724
Author(s):  
Phoebe Hone ◽  
Jim Black ◽  
Thirunavukkarasu Sathish ◽  
Nitin Kapoor ◽  
Yingting Cao ◽  
...  

The purpose of this study was to examine the determinants of health service utilization in a population at high risk of developing type 2 diabetes mellitus in India. Using Andersen’s behavioral model of healthcare utilization, multivariate logistic regression analysis was performed on baseline data of the Kerala Diabetes Prevention Program. We examined the association between predisposing, enabling, and need factors with outpatient health service use in the past four weeks and inpatient health service use in the past 12 months. More than a quarter (27.9%) and 12.9% of 1007 participants used outpatient services and inpatient services, respectively. Men were less likely to use outpatient services (odds ratio [OR] = 0.56; 95% confidence interval [CI] [0.39, 0.82]). Outpatient service utilization was positively associated with low social support (OR = 1.69; 95% CI [1.09, 2.62]), low general health status (OR = 5.71; 95% CI [2.42, 13.47]), and time off from work due to illness (OR = 8.01; 95% CI [5.32, 12.07]). Higher educational status (OR = 0.63; 95% CI [0.41, 0.95]), low general health status (OR = 3.59; 95% CI [1.54, 8.34]), and time off from work due to illness (OR = 1.21; 95% CI [0.76,1.93]) were associated with increased utilization of inpatient services. Although gender, educational status, and social support had important roles, health service utilization in this study population was largely dependent on general health status and presence of illness.


2022 ◽  
Vol 2 (1) ◽  
pp. 64-69
Author(s):  
Abdulmohsen Alhumayn ◽  
Ibrahim Alsaif ◽  
Joud Enabi ◽  
Sharafaldeen Bin Nafisah

Background: The declaration of the COVID-19 pandemic triggered a global inquiry into the transmission, mortality, risk factors, and management of the disease. Recently, however, attention has shifted toward its long-term consequences. There is a need for a better understanding of the predictors and symptoms of post-COVID syndrome, to ensure appropriate care for patients recovering from COVID-19 beyond the acute phase. Methods: We searched PubMed, Google Scholar, Cochrane databases, and available data in the PROSPERO databases. We also explored the reference lists of included articles and any systematic reviews identified therein. We searched the keywords "Post Covid", "Post COVID syndrome", "Post- Covid" and "PostCOVID", until July 2021. Results: Of 8167 articles, 13 were included. The syndrome affects several systems with variable prevalence. Fatigue and sleep disturbance is the most common symptom of acute post-COVID syndrome, observed in more than two-thirds of patients, while a reduction in quality of life and general health status was noted in up to 69%. Furthermore, a reduced aerobic and diffusion capacity was seen in 38% of patients up to one month after presumed recovery from infection. Radiologically, in up to 52% of patients, a ground-glass opacity (GGO) was noted beyond three months post-infection. The incidence of new psychiatric illness increased from as early as 14 days after infection and up to three or six months. Hearing impairment or loss, whether sensorineural or conductive, was noted in up to 8.3% of patients, and tinnitus was seen in up to 4.2%. Conclusion: Overall, given the variability in the manifestation of post-COVID syndrome, a multidisciplinary team is required to better serve these patients. We therefore urge the establishment of such teams, encompassing internal medicine, pulmonology, cardiology, and neurocognitive services.


Author(s):  
Asim Faraz ◽  
Syeda Maryam Hussain2 ◽  
Annamaria Passantino ◽  
Michela Pugliese

2021 ◽  
Vol 15 (58) ◽  
pp. 524-535
Author(s):  
Denise Medeiros Novais ◽  
Henrique Aguiar Silva Epitácio ◽  
Edite Novais Borges Pinchemel

Os primeiros efeitos da radioterapia e da quimioterapia antineoplásica acontecem sobre as células do epitélio oral, as quais sofrem rápida proliferação. O tamanho destes efeitos depende de muitos fatores ligados ao tratamento, ao paciente e ao tumor. No que se trata do paciente, interferem nesse processo o seu estado geral de saúde, presença de comorbidades, sexo, estado nutricional, idade, fatores sociais e psicológicos, além de hábitos deletérios e patologias orofaciais preexistentes. Esses adoecimentos na integridade bucal devem-se a veracidade de que a radioterapia e quimioterapia não são capazes de destruir as células tumorais sem lesionar células normais. O tratamento oncológico pode provocar reações adversas na cavidade oral, e é comum, em pacientes oncológicos submetidos ao tratamento antineoplásico, o desenvolvimento de agravamentos orais agudos ou tardios.---The first effects of radiotherapy and antineoplastic chemotherapy happen on the cells of the oral epithelium, which quickly notice proliferation. The size of these effects depends on many factors related to the treatment, the patient, and the tumor. With regard to the patient, this process interferes with their general health status, presence of comorbidities, gender, nutritional status, age, social and psychological factors, in addition to deleterious habits and pre-existing orofacial pathologies. These illnesses in the oral integrity are due to the veracity that radiotherapy and chemotherapy are not capable of destroying tumor cells without normal cells. Oncological treatment can cause adverse reactions in the oral cavity, and it is common, in cancer patients, to antineoplastic treatment, to develop acute or late oral aggravations.


2021 ◽  
Vol 7 ◽  
pp. 1-3
Author(s):  
Débora Cristina Coraça-Huber

The outcomes of a pathogen colonization and development of clinical infection can be strictly related to the general health status of a patient. The spread of the awareness about the dangers of underlying health conditions should be the main role of the conventional medicine, as well as the key to successful treatments and control of diseases.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
David Moriña ◽  
Pedro Puig ◽  
Albert Navarro

Abstract Background Zero-inflated models are generally aimed to addressing the problem that arises from having two different sources that generate the zero values observed in a distribution. In practice, this is due to the fact that the population studied actually consists of two subpopulations: one in which the value zero is by default (structural zero) and the other is circumstantial (sample zero). Methods This work proposes a new methodology to fit zero inflated Bernoulli data from a Bayesian approach, able to distinguish between two potential sources of zeros (structural and non-structural). Results The proposed methodology performance has been evaluated through a comprehensive simulation study, and it has been compiled as an R package freely available to the community. Its usage is illustrated by means of a real example from the field of occupational health as the phenomenon of sickness presenteeism, in which it is reasonable to think that some individuals will never be at risk of suffering it because they have not been sick in the period of study (structural zeros). Without separating structural and non-structural zeros one would be studying jointly the general health status and the presenteeism itself, and therefore obtaining potentially biased estimates as the phenomenon is being implicitly underestimated by diluting it into the general health status. Conclusions The proposed methodology is able to distinguish two different sources of zeros (structural and non-structural) from dichotomous data with or without covariates in a Bayesian framework, and has been made available to any interested researcher in the form of the bayesZIB R package (https://cran.r-project.org/package=bayesZIB).


2021 ◽  
Vol 2 ◽  
Author(s):  
Dario Kohlbrenner ◽  
Manuel Kuhn ◽  
Melina Stüssi-Helbling ◽  
Yves Nordmann ◽  
Marc Spielmanns ◽  
...  

Background: We aimed to longitudinally monitor the recovery in breathlessness, symptom burden, health-related quality-of-life, and mental health status in individuals hospitalised due to SARS-CoV-2 associated respiratory failure.Methods: Individuals hospitalised due to SARS-CoV-2 associated respiratory failure were recruited at hospital discharge in three participating centres. During the 90 day follow-up, European Quality of Life−5 Dimensions−5 Levels Instrument (EQ-5D-5L), modified Medical Research Council (mMRC) Dyspnoea Scale, COPD Assessment Test (CAT), and weekly Hospital Anxiety and Depression Scale (HADS) questionnaires were assessed using a smartphone application. The results were presented using descriptive statistics and graphics. Linear mixed models with random intercept were fitted to analyse differences of intensive-care unit status on the recovery course in each outcome.Results: We included 58 participants, 40 completed the study. From hospital discharge until 90 days post-discharge, EQ-5D-5L index changed from 0.83 (0.66, 0.92) to 0.96 (0.82, 1.0), VAS rating on general health status changed from 62 (50, 75) % to 80 (74, 94) %, CAT changed from 13 (10, 21) to 7 (3, 11) points, mMRC changed from 1 (0, 2) to 0 (0, 1) points, HADS depression subscale changed from 6 (4, 9) to 5 (1, 6) points, HADS anxiety subscale changed from 7 (3, 9) to 2 (1, 8) points. Differences in the recovery courses were observed between intensive-care and ward participants. Participants that were admitted to an intensive-care unit during their hospitalisation (n = 16) showed increases in CAT, mMRC, HADS scores, and decreases in EQ-5D-5L 30 days after hospital discharge.Conclusion: Being admitted to an ICU led to statistically significant reductions in recovery in the EQ-5D-5L and the CAT. Furthermore, the flare-up in symptom burden and depression scores, accompanied by an attenuated recovery in HrQoL and general health status in the ICU-group suggests that a clinical follow-up 1 month after hospital discharge can be recommended, evaluating further treatments.Clinical Trial Registration: [www.ClinicalTrials.gov], identifier [NCT04365595].


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Mirko Vranić

The paper examines the impact of medieval mining upon the environment, based upon the present state of the historiographical, archaeological, and geological research. By the middle of the 13th century a massive increase in the exploitation of precious metals is noted, inducing the appearance of settlements in the vicinity of the locations of extraction and production of ores. The problems of water and air pollution occurred, raised by the operation of smelteries inside these settlements or in their immediate vicinity. Although the presence of slag indicates certain metallurgical activity, it is hard to discern the precise purpose and the period of their activity without archaeological excavations. The increase in demand for fuel may have induced deforestation, so the rights to exploit forests were legally regulated. The scope of wood exploitation in the region of Šumadija has been judged by the research estimating the presence of potassium in the previously registered old slag deposits. It is hard to discern the general health status of the inhabitants of the mining regions, since a small portion of skeletal material is examined, not including the one from the most important mining center of Novo Brdo. The anthropological analysis indicates the problems caused by hard physical activity and poor hygiene. The present knowledge on the influence of heavy metals indicates the impact of past mining practices upon the environment and human health. Decomposition of sulphides in the discard deposits and old slag, as well as the leak of acid waters from old shafts, still affect the present pollution of water and soil in the vicinity of mining centres such as Rudnik and Srebrenica. These same reasons may have presented dangers for the population living there during the period of 15th to 17th century. The future archaeological research, with the inclusion of other disciplines, will bring more detailed understanding of the relationship between people and their environment in the mining regions of the Medieval Serbia.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ferdos Pelarak ◽  
Maryam Radmehr ◽  
Hamed Sanjari ◽  
Amin Abdalvand ◽  
Faraz Forouzesh

Background: Having disabled children can definitely hurt the mental health status of parents, especially mothers, and even directly affect children’s behaviors as well as their adaptability and progress during all care and rehabilitation programs. Objectives: The main purpose of this study was to investigate general health status of mothers having children with hearing disabilities and reflect on children’s quality of life (QoL). Methods: This descriptive-analytical study was performed on all children with hearing disabilities covered by the State Welfare Organization (SWO) of Iran in northern Khuzestan province in 2019. Accordingly, a total of 44 children aged 1 - 6 years and their mothers were included. The data were collected using a demographic characteristics information form, the 28-item General Health Questionnaire (GHQ) and the Netherlands Organization for Applied Scientific Research Academic Medical Centre (TNO-AZL) Preschool Children Quality of Life (TAPQOL) questionnaire. The data were entered into the SPSS Statistics software (ver. 22) and analyzed using descriptive statistics, Pearson correlation coefficient, Spearman’s rank-order correlation coefficient, and chi-square test. Results: According to the results, 79% of the mothers had severe general health problems. The severity of such problems had further elevated in the dimensions of “physical symptoms”, “anxiety and sleep disorders”, “depression”, and “social functioning”, respectively. The mean score of the children’s QoL was 79.13 ± 14.48, which was at a moderate level. The study findings showed a significant relationship between some demographic characteristics and the mothers’ general health status and the children’s QoL. Moreover, there was a reciprocal correlation between mothers’ general health and children’s QoL scores (P = 0.049, r = -0.29). Conclusions: Although QoL in the children having hearing disabilities was at a moderate level, the majority of mothers had severe general health problems. The study results could be useful for health system officials in terms of the promotion of children’s QoL by designing and implementing programs to improve the general health status of the mothers of these children.


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