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相关概念视频

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...
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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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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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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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公共卫生 公共卫生

Leslie Grasset1, Geneviève Chêne2, Carole Dufouil1

  • 1Univ. Bordeaux, INSERM, BPH, U1219, Bordeaux, France.

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PubMed
概括
此摘要是机器生成的。

痴呆症风险概况揭示社会经济地位显著影响大脑衰老和痴呆症风险,独立于遗传. 较低的社会经济地位与更高的痴呆风险和大脑体积减少有关.

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科学领域:

  • 神经科学是一个神经科学.
  • 公共卫生 公共卫生
  • 老年学是一门学科.

背景情况:

  • 痴呆症是由终身暴露引起的,因此需要采用综合方法来了解病理性大脑衰老.
  • 确定因素之间的多因素相互作用有助于痴呆风险.
  • 建议进行探索性分析,以确定痴呆症风险概况和相关的大脑MRI标记.

研究的目的:

  • 根据痴呆症风险因素识别不同群体的个人.
  • 在五年内调查这些群体与痴呆风险之间的关联.
  • 检查集群和脑MRI标记物之间的关系,包括结构体积和白质超强度 (WMH).

主要方法:

  • 隐性类分析应用于Memento研究中的2257名没有痴呆症的参与者.
  • 基于可修改的痴呆风险因素进行聚类:社会经济地位 (SES),血管风险和生活方式.
  • 对于痴呆风险的Cox比例风险模型和脑MRI标记器 (结构和WMH) 演变的线性混合模型.

主要成果:

  • 确定了四个风险因素集群:低SES/高血管/次优生活方式 (n=275),混合SES/高血管/公平生活方式 (n=635),高SES/中血管/混合生活方式 (n=856),和中间SES/低血管/健康生活方式 (n=491).
  • 与高SES相比,低SES的痴呆风险明显更高 (HR=2.02) 和较低的大脑/海马体积.
  • 较低的SES概况与大脑体积减少有关,而血管风险概况影响了脑血管病变.

结论:

  • 社会经济地位是影响痴呆风险的主要因素,独立于遗传倾向 (APOE-ε4状态).
  • 大脑的结构体积受到较低的社会经济地位的重大影响.
  • 脑血管病变主要受到血管风险概况的影响.