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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

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...
14.1K
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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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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Salud Pública

Jillian S Baker1, Lauren P MacConnachie1, Alexis Reeves2

  • 1University of Michigan, Ann Arbor, MI, USA.

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

La mayor velocidad al caminar en mujeres mayores se asocia con una mejor función cognitiva a lo largo del tiempo. Este estudio encontró una relación bidireccional, enfatizando la necesidad de tener en cuenta la deserción de los participantes en la investigación.

Palabras clave:
Salud PúblicaEstudios LongitudinalesEstudios ProspectivosEstudios de CohorteVelocidad al CaminarFunción CognitivaMenopausiaGerontologíaNeurociencia

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Área de la Ciencia:

  • Gerontología
  • Neurociencia
  • Salud Pública

Sus antecedentes:

  • La función física, específicamente la velocidad de la marcha, disminuye en las mujeres después de la menopausia.
  • Existe un vínculo conocido entre la velocidad de la marcha y la cognición, pero los datos longitudinales son limitados.
  • Los estudios prospectivos en adultos mayores corren el riesgo de sufrir sesgos debido a la deserción de participantes del estudio.

Objetivo del estudio:

  • Cuantificar las asociaciones longitudinales entre la velocidad de la marcha y la función cognitiva en mujeres.
  • Tener en cuenta el sesgo de pérdida de seguimiento en estudios prospectivos.
  • Analizar datos del Estudio de Salud de la Mujer a lo largo de la Nación (SWAN).

Principales métodos:

  • Se utilizaron datos de la cohorte multiétnica SWAN.
  • Se evaluó la velocidad de la marcha y la función cognitiva (memoria de trabajo, velocidad de procesamiento, memoria verbal) en dos momentos (V13 y V15).
  • Se emplearon regresiones lineales y ponderación de probabilidad inversa para ajustar por covariables y pérdida de seguimiento.

Principales resultados:

  • Una mayor velocidad de la marcha en V13 predijo puntuaciones z cognitivas más altas en V15 (β=0.20).
  • Las puntuaciones z cognitivas más altas en V13 predijeron una mayor velocidad de la marcha en V15 (β=0.022) en modelos ponderados.
  • Los modelos ponderados, que tienen en cuenta la pérdida de seguimiento, mostraron asociaciones bidireccionales más fuertes que los modelos no ponderados.

Conclusiones:

  • Existe una relación bidireccional entre la velocidad de la marcha y el rendimiento cognitivo a lo largo del tiempo en mujeres.
  • La falta de consideración del sesgo de selección puede subestimar la fuerza de estas asociaciones.
  • Se necesita más investigación sobre dominios cognitivos específicos y medidas de función física.