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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...
14.1K
Preventive Healthcare Services01:30

Preventive Healthcare Services

1.8K
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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Updated: Jan 8, 2026

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

Henrique Werner Balbinot1

  • 1Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.

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|December 23, 2025
PubMed
まとめ

認知症の家族歴(FHD)は、クリニックを受診する患者の認知機能低下の増大と関連しています。しかし、FHDは発症時期や病気の期間の長さとは相関しませんでした。

科学分野:

  • 神経学
  • 遺伝学
  • 公衆衛生

背景:

  • 認知症の家族歴(FHD)は、認知症の確立された危険因子です。
  • FHDの臨床的意義を理解することは、患者管理とリスク層別化にとって重要です。

研究 の 目的:

  • 認知症の家族歴(FHD)と認知症患者の臨床像との関連を調査すること。
  • ブラジルの外来患者の設定において、FHDが発症年齢、病気の期間、認知機能(MMSE)、および修飾可能な危険因子とどのように相関するかを分析すること。

主な方法:

  • 137人の認知症患者を対象に横断研究を実施しました。
  • 患者をFHDのある群とない群に分類しました。
  • ミニメンタルステート検査(MMSE)スコアや修飾可能な危険因子を含む臨床データを、マン・ホイットニー検定およびカイ二乗検定を用いて分析しました。

主要な成果:

  • 認知症の家族歴(FHD)があると回答した患者は25.54%でした。
  • FHDのある患者は、MMSEスコアが有意に低く、初診時の認知機能低下が大きいことを示していました(p=0.0437)。
  • 病気の期間、発症年齢、または修飾可能な危険因子の全体的な割合に有意な差は観察されませんでしたが、FHD群では外傷性脳損傷の有病率が高いという例外がありました(p=0.0107)。
キーワード:
認知症家族歴認知機能低下公衆衛生疫学

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結論:

  • 認知症の家族歴(FHD)は、初期の臨床評価におけるより顕著な認知機能低下と関連しています。
  • このコホートでは、FHDは病気の早期発症、病気の期間の長さ、または修飾可能な危険因子の数の増加とは関連がないことがわかりました。