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Primary Healthcare Services01:30

Primary Healthcare Services

1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.8K
Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Video Experimental Relacionado

Updated: Jan 8, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children

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Salud Pública

Akarin Hiransuthikul1,2, Thanapoom Taweephol3, Netchanok Timachai1

  • 1HIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
PubMed
Resumen
Este resumen es generado por máquina.

La Montreal Cognitive Assessment (eMoCA) basada en tableta muestra una validez moderada en comparación con la versión en papel para personas mayores que viven con el VIH. Sin embargo, la experiencia con la pantalla táctil afecta significativamente las puntuaciones de la eMoCA, lo que requiere una cuidadosa consideración por parte de los médicos.

Palabras clave:
Salud PúblicaEvaluación Cognitiva DigitalPersonas Mayores con VIHTailandiaExperiencia en Pantalla Táctil

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Área de la Ciencia:

  • Gerontología; Neurociencia; Enfermedades Infecciosas

Sus antecedentes:

  • La evaluación cognitiva es vital para la intervención temprana en la atención cognitiva.
  • La evaluación de herramientas de salud digital es crucial para las poblaciones de edad avanzada, especialmente aquellas con afecciones crónicas como el VIH.
  • Este estudio se centra en personas tailandesas de edad avanzada que viven con el VIH (PWH).

Objetivo del estudio:

  • Determinar la validez y el acuerdo de una herramienta de evaluación cognitiva basada en tableta (eMoCA) en comparación con una versión tradicional basada en papel.
  • Evaluar el rendimiento de la Montreal Cognitive Assessment (MoCA) validada en Tailandia en formato digital para personas mayores con PWH.
  • Investigar la influencia de la experiencia en pantalla táctil en los resultados de la evaluación cognitiva.

Principales métodos:

  • Se utilizó un diseño de estudio cruzado con 46 PWH tailandeses de edad avanzada (≥50 años).
  • Los participantes fueron asignados aleatoriamente para completar primero la MoCA basada en papel o la eMoCA, y luego la versión alternativa dos semanas después.
  • Se utilizaron correlación de Pearson, coeficientes de correlación de concordancia (CCC) y gráficos de Bland-Altman para analizar el acuerdo de las puntuaciones.

Principales resultados:

  • El coeficiente de correlación de Pearson fue de 0,54 (p=0,001) y el CCC fue de 0,47, lo que indica un acuerdo moderado entre las versiones en papel y tableta de la MoCA.
  • Se observó una diferencia media de puntuación de -1,33 (DE 3,22), con límites de acuerdo del 95 % entre -7,63 y 4,98.
  • Los participantes sin experiencia previa en pantalla táctil obtuvieron puntuaciones significativamente más bajas en la eMoCA en comparación con la MoCA basada en papel (diferencia media -1,56).

Conclusiones:

  • La eMoCA demuestra una validez moderada en comparación con la MoCA basada en papel entre los PWH tailandeses de edad avanzada.
  • La experiencia previa con pantallas táctiles en tabletas influye significativamente en la comparabilidad de las puntuaciones entre las dos versiones de MoCA.
  • Los médicos deben evaluar la alfabetización digital y la experiencia en pantallas táctiles de los pacientes para garantizar evaluaciones cognitivas precisas con la eMoCA.