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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...
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:
1.8K
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...
439
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

Yijiong Yang1

  • 1Florida State University, Tallahassee, FL, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
PubMed
概括

随着时间的推移,阿尔茨海默病和相关痴呆症 (ADRD) 和轻度认知障碍 (MCI) 患者的COVID-19疫苗的有效性显著下降. 补充剂注射对于维持这些脆弱人群的保护至关重要.

科学领域:

  • 免疫学和传染病的研究
  • 神经科学和神经病学 神经科学和神经病学
  • 公共卫生和流行病学

背景情况:

  • 患有阿尔茨海默氏症和相关痴呆症 (ADRD) 和轻度认知障碍 (MCI) 的人面临更高的COVID-19严重结果的风险.
  • 预防措施遵守和慢性疾病管理方面的挑战进一步增加了ADRD/MCI人群的风险.
  • 随着时间的推移,疫苗的有效性逐渐下降,因此需要持续制定战略,以保持对SARS-CoV-2的保护.

研究的目的:

  • 评估COVID-19疫苗的有效性和患有ADRD/MCI的个体的免疫持续时间.
  • 确定影响疫苗有效性的人口和临床因素,在这个脆弱群体.
  • 为公共卫生战略提供信息,以优化ADRD/MCI患者的保护.

主要方法:

  • 使用来自我们所有研究人员工作台 (2020年12月 - 2022年7月) 的数据进行了回顾性横截面研究.
  • 提取了人口统计,健康的社会决定因素和电子健康记录 (EHR) 数据,包括COVID-19疫苗接种细节.
  • 通过分析从第二剂疫苗接种到报告的SARS-CoV-2感染的时间来评估疫苗的有效性.

主要成果:

  • 与非西班牙裔白人相比,在患有ADRD/MCI的黑人和非洲裔美国人中观察到较低的全面接种率.

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  • 在ADRD/MCI患者中,疫苗的有效性显著下降,从96.7%在2周后降至76.4%在6个月后和54.2%在接种疫苗后1.5年.
  • 在老年人 (65岁以上) 和患有多种慢性疾病的人群中,疫苗有效性下降的程度更大.
  • 结论:

    • 慢性疾病,特别是ADRD/MCI,影响COVID-19疫苗的有效性,突出需要量身定制的策略.
    • 促进及时接种疫苗增强剂对于维持对脆弱人群中目前流传的SARS-CoV-2变种的保护至关重要.
    • 公共卫生倡议应专注于增加ADRD/MCI患者的增强剂吸收,以获得公平有效的COVID-19预防.