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Primary Healthcare Services01:30

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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.
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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.
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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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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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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.
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公共卫生 公共卫生

Carly Rose1, William S Bush2, Dana C Crawford3

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概括

冠状病毒疾病2019 (COVID-19) 感染增加了晚发性阿尔茨海默病 (LOAD) 诊断的风险,特别是在黑人或非洲裔美国患者中. 进一步的研究正在探索先进的模型,以预测COVID-19后的LOAD风险.

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科学领域:

  • 神经科学是一个神经科学.
  • 流行病学 流行病学
  • 传染性疾病 传染性疾病

背景情况:

  • 随着COVID-19的流行,晚期阿尔茨海默氏症 (LOAD) 的潜在新风险因素出现.
  • 了解COVID-19和LOAD之间的关系,特别是在非洲裔美国人中,至关重要.
  • 来自国家COVID队列协作 (N3C) 的电子健康记录 (EHR) 数据使这项调查成为可能.

研究的目的:

  • 调查COVID-19感染和LOAD诊断之间的关联.
  • 检查COVID-19感染后LOAD风险中的种族差异.

主要方法:

  • 一项回顾性队列研究,使用来自N3C的非识别的EHR数据.
  • 纳入标准:65岁以上的患者,在1/20/2019-1/20/2020之间进行了临床访问,并且没有先前的AD诊断.
  • 分析涉及到由种族分层的逻辑回归模型,根据年龄和性别进行调整.

主要成果:

  • 在种族群体中,COVID-19感染与LOAD风险有关.
  • 黑人或非洲裔美国患者在COVID-19后显著增加了LOAD诊断的风险 (RR=1.07).
  • 白人患者在COVID-19后的LOAD诊断风险略有降低 (RR=0.97).

结论:

  • 在不同种族群体中,COVID-19感染似乎会对LOAD风险产生不同的影响.
  • 目前正在进行的工作包括为LOAD开发先进的预测模型 (随机森林,神经网络).
  • 未来的研究将分析模型准确性,并确定COVID-19后LOAD的关键预测特征.