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関連する概念動画

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

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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

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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.
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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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公衆衛生

C Elizabeth Shaaban1,2, Ashley V Hill3, Alyssa Smith4

  • 1University of Pittsburgh, Pittsburgh, PA, USA.

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PubMed
まとめ
この要約は機械生成です。

差別経験は、中年期の女性における自己申告による認知機能の低下と関連している。特に記憶と実行機能における主観的な認知低下は、妊娠高血圧症候群とは独立して、差別に伴っていた。

キーワード:
差別認知機能中年期の女性公衆衛生妊娠高血圧症候群

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科学分野:

  • 神経科学; 公衆衛生; 心理学

背景:

  • 後期高齢者の脳の健康における持続的な格差は、性別および人種化された集団間で存在する。; 妊娠高血圧症候群(HDP)は、アルツハイマー病および関連認知症(ADRD)の中年期の危険因子として認識されている。; 差別は、HDPと認知機能低下の両方の新たな危険因子である。

研究 の 目的:

  • 中年期の女性における差別と認知機能との関連を評価すること。; この関連が妊娠高血圧症候群(HDP)とは独立しているかどうかを判断すること。; 差別によって影響を受ける特定の認知領域を調査すること。

主な方法:

  • 臨床コホートの580人の女性が、Everyday Discrimination Scale(EDS)、Telephone Montreal Cognitive Assessment(T-MoCA)、およびEveryday Cognition Scale(ECog)を完了した。; 収集されたデータには、人口統計、人種、およびHDPの既往歴が含まれていた。; 共変量を調整して関連をテストするために線形回帰モデルが使用された。

主要な成果:

  • EDSで報告された差が大きいほど、主観的な認知機能(ECogスコア)の低下と有意に関連していた。; EDSと客観的な認知パフォーマンス(T-MoCAスコア)との間には有意な関連は見られなかった。; 主観的な認知のすべての領域、特に整理能力、記憶、分割注意、計画立案は、差別と関連していた。

結論:

  • 主観的な認知測定値は、客観的な測定値よりも差別の影響に対して敏感である。; 差別は、実行機能および記憶領域の障害と関連している。; 差別は、日常生活の機能に影響を与え、後期高齢期以前の認知機能障害のリスクを高める可能性がある。