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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

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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

Shilpa Srinivasan1, Charlotte Imlach2, Julie J Royer3

  • 1Prisma Health-University of South Carolina School of Medicine Columbia, Columbia, SC, USA.

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概括
此摘要是机器生成的。

阿尔茨海默病和相关疾病 (ADRD) 在严重精神疾病 (SMI) 患者中很常见,增加了死亡率. 与其他SMI组相比,精神分裂症患者的ADRD患病率更高.

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科学领域:

  • 神经科学是一个神经科学.
  • 精神病学是一个精神病学.
  • 公共卫生 公共卫生

背景情况:

  • 流行病学研究表明,严重精神疾病 (SMI) 患者的认知能力下降和痴呆的风险可能更高.
  • 有限的数据存在于SMI人口中痴呆的流行率,特别是在美国公共精神病学部门.
  • 南卡罗来纳州阿尔茨海默氏症和相关疾病 (ADRD) 注册表为此调查提供了一个独特的资源.

研究的目的:

  • 为了评估ADRD在SMI的成年人的患病率.
  • 检查相关的临床结果,包括死亡率和医疗保健利用率.
  • 为了比较精神分裂症患者的ADRD患病率与其他SMI诊断.

主要方法:

  • 来自南卡罗来纳州精神卫生部 (SCDMH) 对55岁以上个人 (2018-2022财年) 的非身份患者数据的分析.
  • 将SCDMH数据与南卡罗来纳州阿尔茨海默病登记处和税收和财政事务 (RFA) 数据仓库联系起来.
  • 将SMI和ADRD个体与SMI没有ADRD的年龄/性别/种族匹配个体进行比较.

主要成果:

  • 共有24,291名SMI患者接受了服务;64.8%是女性,58%是白人,37.6%是黑人.
  • 在SMI人群中,每年的ADRD患病率在9.7-17%之间.
  • 与其他SMI诊断相比,精神分裂症患者的阿尔茨海默氏症 (AD) 患病率显著更高 (p < 0.0001).
  • 与SMI相比,SMI和ADRD患者的死亡率明显高于仅SMI患者 (p < 0.0001).

结论:

  • 阿尔茨海默病和相关疾病在SMI患者中普遍存在,并与死亡率增加有关.
  • 在被诊断为精神分裂症的个体中,ADRD比其他SMI的个体更常见.
  • 这些发现强调需要在SMI人群中进一步研究ADRD,以告知患者护理和服务提供.