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Primary Healthcare Services01:30

Primary Healthcare Services

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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

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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:
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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

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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

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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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Updated: Jan 8, 2026

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

Rapas Samalapa1, Aisawan Petchlorlian1,2

  • 1Geriatric Excellence Center, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.

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

La hipertensión, la obesidad y el aislamiento social son factores de riesgo modificables clave que afectan la función cognitiva y el deterioro en adultos mayores. Abordar estos factores puede ayudar a promover la salud cognitiva en las poblaciones que envejecen.

Palabras clave:
envejecimientosalud públicadeterioro cognitivofactores de riesgohipertensiónobesidadaislamiento socialintervencionesTailandiaestudios de cohortes

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Área de la Ciencia:

  • Gerontología y Salud Pública
  • Neurociencia e Investigación sobre el Envejecimiento

Sus antecedentes:

  • La prevalencia de la demencia está aumentando, lo que representa un desafío significativo para la salud pública.
  • La función cognitiva es susceptible a varios factores de riesgo, lo que requiere la identificación de aquellos modificables para las estrategias de prevención.

Objetivo del estudio:

  • Identificar los factores de riesgo modificables asociados con la función cognitiva y el deterioro en adultos mayores en Tailandia.
  • Informar intervenciones específicas para promover la salud cognitiva en las poblaciones que envejecen.

Principales métodos:

  • Se realizó un estudio de cohortes de 8.949 adultos mayores de 60 años sin demencia en el Hospital King Chulalongkorn Memorial (octubre de 2018 - julio de 2024).
  • Los resultados cognitivos se evaluaron utilizando las puntuaciones de la Montreal Cognitive Assessment (MoCA) (continuas y categóricas).
  • Un modelo de bosque aleatorio analizó las relaciones entre los factores de riesgo y los resultados cognitivos, incluidos los factores asociados con la disminución del MoCA en 2.655 participantes con datos de seguimiento.

Principales resultados:

  • Los factores de riesgo clave para las puntuaciones bajas de MoCA en la línea de base incluyeron menor nivel educativo, obesidad, hipertensión y aislamiento social.
  • La hipertensión, la obesidad y la baja actividad física se asociaron con la disminución del MoCA con el tiempo.
  • Un menor nivel educativo, la hipertensión, la obesidad y el aislamiento social se relacionaron con el deterioro cognitivo en la línea de base (MoCA <25).

Conclusiones:

  • La hipertensión, la obesidad y el aislamiento social son factores de riesgo modificables significativos que afectan tanto el estado cognitivo en la línea de base como el deterioro cognitivo en adultos mayores tailandeses.
  • Un menor nivel educativo y la baja actividad física también son factores críticos relacionados con la salud cognitiva.
  • Las intervenciones específicas que abordan estos factores son cruciales para mejorar la salud cognitiva en las poblaciones que envejecen.