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Abstract. As a follow-up to an earlier study demonstrating healthier cardiometabolic profiles among long-term multiple dietary supplement (LTMDS) users, we examined if cardiometabolic health benefits associated with LTMDS use persisted with aging. The study is based on LTMDS users from North America and 2007–2010 NHANES participants who were used for comparison to the LTMDS users. NHANES subjects were classified as non-dietary supplement (NS) users, single supplement/single purpose supplement (SS) users, multivitamin/mineral supplement (MVMS) users, and multiple dietary supplement (MDS) users. Supplement groups were compared for total, HDL and LDL cholesterol; triglycerides; glucose; insulin; CRP and HbA1c ≥ 6.5%, adjusting for age, sex, income, education, BMI, history of CVD, and medications for hypercholesterolemia and diabetes. Geometric mean (95% confidence interval) LDL cholesterol was significantly lower (P

Objectives: Intimate sexual partners’ disclosure of HIV positive status is vital in the control of HIV/AIDS pandemic globally. The disclosure rates vary from region to region. The aim of this study was to document the prevalence of HIV serodiscordance and partners disclosure rate; and also determine the associated factors among HIV positive married women living in Calabar region of Nigeria. Material and Methods: A cross-sectional survey was conducted among 260 married women, 18 years and above, receiving HIV care at various health institutions in the region. Data were analyzed using SPSS VERSION 23. Their demographic and health profile were presented in simple proportion and percentages while Chi-square test and logistic regression were used to determine the factors influencing patient’s HIV status disclosure with the level of significance set at 0.05. Results: A total of 254 compiled questionnaires were included in the analysis (response rate-97.7%). The serodiscordant rate was 50%. HIV status disclosure to partner was high, 89.4%. The main determinants of HIV status disclosure were good level of education (AOR = 2.2, 95% CI: = 1.75–2.53, P = 0.007) and long duration of ART use (AOR = 3.23, 95% CI = 2.78–4.15, P = 0.001) while women with high discordant rate were more likely to be divorced/separated (P = 0.012, OR = 1.67). Conclusion: Female education is an important factor in HIV control. Disclosure of HIV status is beneficial to the partner as it promotes safe sex practices and increases adherence to ART.

In this retrospective cohort study, we characterize the health profile of preterm males with Duchenne muscular dystrophy. Major clinical milestones (ambulation cessation, assisted ventilation use, and onset of left ventricular dysfunction) and corticosteroids use in males with Duchenne muscular dystrophy identified through a population-based surveillance system were analyzed using Kaplan-Meier survival curves and Cox proportional hazards modeling. The adjusted risk of receiving any respiratory intervention among preterm males with Duchenne muscular dystrophy was 87% higher than among the corresponding full-term males with Duchenne muscular dystrophy. The adjusted risks for ambulation cessation and left ventricular dysfunction were modestly elevated among preterm compared to full-term males, but the 95% confidence intervals contained the null. No difference in the start of corticosteroid use between preterm and full-term Duchenne muscular dystrophy males was observed. Overall, the disease course seems to be similar between preterm and full-term males with Duchenne muscular dystrophy; however, pulmonary function seems to be affected earlier among preterm males with Duchenne muscular dystrophy.

Introduction: Policemen are one of the important cadres for positive pace of development of any nation. They can work optimally if, they are physically and mentally fit. Objective: To assess socio-demographic and health profile, determinants of ill health and their correlates with work profile of male policemen at Ahmedabad city. Method: Study was carried out at Police headquarters, Ahmedabad where policemen from all over district reported for work. Calculated sample size was 416. List of all policemen was obtained, participants were selected through simple random sampling, and personal interview was carried out at Police Headquarters of the city. Result: The mean age of study participants was 42.50+9.32 years. In context to BMI,total75.3% policemen were either overweight or obese. Policemen with tobacco addiction were 186(45%).Of total, 11.29% and 7.69% were hypertensive and diabetics respectively. Around three-fourth (74%) policemen complained of perceived stress. Conclusion: Two thirds of the total participants were overweight or obese. Factors like improper dietary habits,presence of disease, disturbed sleep and tobacco addictions among Policemen had a significant association with their work profile. Majority were under perceived stress and its consequences.

Objective: To determine the acceptability and feasibility of acupuncture for the treatment of endometriosis-related chronic pelvic pain. Design: A prospective, randomized controlled feasibility study. Setting: Outpatient setting in Sydney, Australia. Subjects: Participants who were aged 18-45 years, had a confirmed laparoscopic diagnosis of endometriosis in the past 5 years, and had regular menstrual periods and mean pelvic pain scores ≥4/10. Interventions: Sixteen acupuncture treatments delivered by registered acupuncturists using a standardized point protocol over 8 weeks, twice per week plus usual care compared with usual care alone. Outcome measures: Primary outcome measures were feasibility, safety, and acceptability of the acupuncture intervention. Secondary outcomes were changes in self-reported pelvic pain scores, changes in quality of life as measured by the Endometriosis Health Profile (EHP-30), changes in descending pain modulation, and changes in systemic inflammation (plasma interleukin [IL-6] concentrations). Results: Twenty-nine participants were eligible to participate, with 19 participants completing the trial. There was unequal withdrawals between groups; the acupuncture group had a withdrawal rate of 14% compared with 53% in usual care. Adverse events were uncommon (6.7%) and generally mild. A 1.9 point decrease in median nonmenstrual pain scores and a 2.0 decrease in median menstrual pain scores between baseline and end of trial were observed in the acupuncture group only. Improvements in all domains of the EHP-30 were seen in the acupuncture group, with no changes seen in usual care. There was no difference between baseline and end of treatment in IL-6 concentrations for either group. Conclusions: Acupuncture was an acceptable, well-tolerated treatment and it may reduce pelvic pain and improve quality of life; however, usual care was not an acceptable control group. Trial Registration: anzctr.org.au: ACTRN12617000053325. Prospectively registered January 11, 2017.

Background: Endometriosis is a chronic and incurable condition associated with debilitating pain and sub fertility that affects approximately 176 million women worldwide. Aim: to evaluate effect of nursing strategies on alleviating endometriosis related symptoms. A quasi- experimental design was utilized. The study conducted at gynecological clinics at Ain shams University Maternity Hospital. A purposive sample of sixty women who meet the criteria of the study. Data were collected through three tools (Endometriosis Structured Interviewing Questionnaire& Endometriosis Health Profile Questionnaire) in addition follow up sheet. Results: there was highly statistical significant improvement in women knowledge regarding endometriosis after implementation of nursing strategy and at follow-up time compared to their knowledge before it. Also there was statistical significant improvement in women self-care practices for alleviating endometriosis related symptoms after implementation of nursing strategy compared to their self-care practices before it. Conclusion: The findings of the current study supported the hypothesis and aim of the present study which stated that women who received nursing strategies had highly statistical significant improvement on total EHP-30, pain & fatigue after implementation of nursing strategy (P value ≥ 0.001**), and also a positive correlation between Endometriosis Health Profile (endometriosis related symptoms), pain, fatigue of the studied sample and their compliance for nursing strategies" diet, exercises& stress management". Recommendation: awareness program should be developed to up raise women knowledge regarding endometriosis and self-care management.

Objective: High physical fitness (PF) level is a significant health determinant in children and adolescents so that it is important to identify the factors affecting PF in this population. Despite available studies highlighting the relationship between PF and characteristics of children, there is still a need to uncover how the health status and lifestyle of children impact different PF indicators. Thus, the purpose of this study is to investigate the relationship between physical fitness, and the health profile and lifestyle of children. Methods: This study was conducted with 110 (58 girls; age 11.85±0.35) adolescents between February and March 2020. The preditors of PF which were gender, body mass index, physical activity level (PAL) measured via Physical Activity Questionnaire (PAQ), motivation measured via Participation Motivation Questionnaire (PMQ), sleep time, and tablet usage time regressed against PF related outcome measured using 6 Minutes Walk test (6MWT), T-Test, vertical jump test and broad jump test (BJT). Results: There were significant associations between T-test performance, and gender, BMI (being obese), and PAL. PAL and gender were also significant predictors for 6MWT and BJT respectively. PF was not significantly associated with motivation, sleep, and table usage time. A high level of physical activity, being male, and low BMI score resulted in better PF performance. Conclusion: The health profile and lifestyle of adolescents may estimate the significant proportion of variabilities observed in physical fitness levels in adolescents.

Based on the Lampung Province Health Profile in 2017, the high incidence of emesis gravidarum in pregnant women was 50- 90%, while hyperemesis gravidarum reached 10-15% in Lampung Province from the number of pregnant women who were 182,815 people. The research objective was to determine the effect of peppermint inhalation with nausea and vomiting in TM I pregnant women at BPM Hodijah Rejo Mulyo Village, Pasir Sakti District, East Lampung Regency in 2021. This research is quantitative research, with a quasi-experimental research design or quasi-experimental research. The subjects in this study were all pregnant women at BPM Hodijah with the object of TM I pregnant women who experienced nausea and vomiting. The research was conducted in January - February 2021 at PMB Hodijah. The results showed that the average nausea and vomiting before being given peppermint inhalation intervention was 8.90 after being given peppermint inhalation was 6.55 with a standard deviation value of 1.538, a minimum value of 4 and a maximum value of 9. There was an effect of inhalation of peppermint with nausea and vomiting in TM I pregnant women. In BPM Hodijah Rejo Mulyo Village, Pasir Sakti District, East Lampung Regency in 2021 with a P-value of 0,000. Suggestions that can be used as a reference in the learning process in the discussion of pregnant women with nausea and can be used as study material in providing treatment for pregnant women with nausea and vomiting.

Diphtheria is an acute disease that attacks the airways and causes deaths. The risk factors for diphtheria are low Diphtheria-Pertussis-Tetanus (DPT) immunization coverage and an unhealthy home environment. One effort to control diphtheria is by providing information in the form of the patient's location that makes it easier to determine the target group of people intervened. The city of Surabaya experienced an increase of 50 diphtheria cases from 2017 to 2018. This study aimed to map and analyze diphtheria cases based on DPT immunization and healthy homes from 2017 to 2018 in the city of Surabaya. This study was classified descriptive analytic and used an ecological design. This study used the Pearson's correlation coefficient statistical test to analyze secondary data from the Surabaya City’s Health Profile of 2017 to 2018. This study employed the Health Mapper 4.3.0.0 application and SPSS software version 23. The study variables were diphtheria cases, DPT immunization coverage, and the percentage of healthy homes in 2017 and 2018 in Surabaya. The results of the statistical test indicated that there was a moderate relationship between DPT basic immunization coupon with the number of diphtheria cases in 2018 (p = 0.007; OR = 0.471); while the percentage of healthy homes and the number of diphtheria cases in 2018 showed a strong correlation (p = 0.002; OR = 0.544). The city experienced an increase in the number of diphtheria cases from 2017 to 2018, as well as the rise in DPT immunization coverage and the percentage of healthy homes, which tended to be stagnant. DPT immunization coverage and the percentage of healthy homes based on the 2018 data were related to the number of diphtheria cases in Surabaya. Counseling for the people in the city should be conducted to ensure that their children get DPT immunization and maintain environment cleanliness for a healthy home.

Objectives: to describe the clinical-epidemiological profile of children and adolescents notified by COVID-19 in Ceará. Methods: descriptive epidemiological study from open data repositories of the State Government of Ceará, about cases of OVID-19 in children and adolescents, from 03/15/2020 to 07/31/2020. For data analysis the tests χ2 Pearson, Fisher's exact and Poisson's regression with robust variance were used. Results: 48,002 cases of children and adolescents suspected of COVID-19 were reported, of which 18,180 (8.9%) were confirmed. The median of confirmed cases was 12 years old, 10.5% were newborns/lactants, 10.7% were pre-school children, 21.2% were school children and 57.7% were adolescents. They evolved to death 0.3% of the cases, of which 15% had comorbidities. They needed hospitalization 1.8% of the cases. The highest probability of hospitalization was found in newborns/lactants, male and with comorbidities. Conclusions: most of the confirmed cases occurred in adolescents, however, the evolution of the disease was more severe and with greater need for hospitalization in the age group of newborns/lactants, being the male gender and the presence of comorbidities additional factors for the need for hospitalization.

Immunization has proven to be one of the most important public health efforts. Immunization programs shown remarkable success funds are a very cost-effective effort in preventing infectious diseases. Immunization is influenced by several factors, including knowledge level, mother’s age, education level, occupation, number of children and family support. This aims to analyze the Relationship of Family Support with the completeness of Basic Immunization Balita in Village Mumbulsari of Sub-districts Mumbulsari - Jember. In 2015, East Java accounted for the largest diphtheria cases (63%) and has not met the target of SPM (Minimum Service Standards). According to the health profile of jember district 2014 Of 49 health centers, there are 4 other health centers that have not reached the target of UCI are Kalisat health center (92%), Pakusari (86%), Bangsalsari (86%) and Mumbulsari (75%). This research design use correctional with Cross Sectional approach.Population 90 mothers who have children under the age of two years.After slovin formula obtained 73 respondents as sample by using simple random sampling technique. The result showed Basic Immunization of complete 53 (73%) and Basic Immunization of incomplete 20(27%), good family support 58(79,5%), less family support 15 (20,5%). Data analysis test using Spearman Rank with p-value 0,000

Introduction: The composition of the elderly population is increasing rapidly in both developed and developing countries, which is caused by a decrease in fertility (birth) and mortality (death) rates as well as an increase in life expectancy, which changes the structure of the population as a whole. Stroke can generally occur in all age groups, but three quarters of strokes occur in people who are already 65 years old or older (the elderly) and result in the onset of disability or invalidity. Stroke is one of non-communicable diseases, which is the leading cause of death worldwide. Methodology: Data was taken from the integrated health service post (for the elderly) to obtain an overview of the risk of stroke in the elderly based on the available secondary health data of the elderly. Results: Two hundred and sixty-eight (268) elderly people with the available health data can be described by the following criteria: 56% of the elderly have low risk, 32% of the elderly have moderate risk, and 12% of the elderly have high risk. Conclusion: The elderly in the integrated health service post for the elderly have various risks of stroke from moderate to high. Keywords: Risk of stroke; Physiotherapy; Health status; Elderly

College students are among the educated parts of urban society and might be considered more resistant to food-borne illness due to higher immune function. The objective of this research was to assess the perceptions and practices of food hygiene among college students and determine their health profile. The method was using a structured questionnaire by cross-sectional survey on 222 college students in Central Java. The descriptive analysis used to describe their perception and food hygiene practices. The study found that more than 90% of participants tended to follow recommended food safety practices. More than 80% of college students reported consumption of potentially hazardous foods, while 36% and 26% reported experience of fever and diarrhea, respectivelyThese findings suggest that specific subsets of the student population are more likely to follow recommended food safety practices and are at lower risk of developing foodborne illnesses. This study will perform the next level analysis, which includes the profile of the gut microbiota.

BackgroundChronic diseases are responsible for over 70% of all deaths globally. While some self-management programs have been shown to be efficacious in preventing or altering trajectories for some chronic conditions, scaling-up and sustaining such programs beyond tightly-controlled study conditions remain a major challenge. CISSS-Laval partnered with the Cardiovascular Health Awareness Program team to co-develop Cible-santé/prévention and evaluate the first cohort of participants enrolled in the program, in order to better understand the program’s implementation and scope. The objective of the current study was to describe the profile of attendees and the level of engagement of participants in a new, region-wide cardiometabolic disease self-management program offered in Laval, Canada.MethodsThis was a prospective study with no comparison group. Potential participants were identified and referred to the program from April to December 2015 by their primary care health professional practicing in one of the city’s interdisciplinary primary care clinics. They had their blood pressure, waist circumference and body mass index measured by trained volunteers, and completed a questionnaire on health habits, level of activation and the risk of developing prediabetes and type 2 diabetes over the next 10 years.ResultsA descriptive analysis of the first cohort of 141 Cible-Santé/prévention participants showed very low attendance. Furthermore, only 1 in 10 of enrolled participants completed the full program. The program typically attracted adults with some risk factors associated with their conditions (high waist circumference, obesity), but with an already high level of knowledge, skills and confidence to participate in self-management activities.ConclusionThis study provides a portrait of new participants to a self-management cardiometabolic disease program, which highlights the potential of supporting patients ready to make changes but also exposes the difficulty of attracting a larger number and diversity of participants and in encouraging completion of the program.

The aim of this systematic review was to synthesise the characteristics of older adults (OA) and to give an account of how and when multicomponent exercise (MCE) has been used to improve physical and psychological health, as well as their cognitive function. This systematic review was conducted on 21 articles published in PsycINFO, Medline, and Web of Science databases from 2009 to 2019, using the procedures set out in the PRISMA statement. The total sample consisted of 3,768 older adults with a mean age of 74.2. More than three-quarters (76%) of the articles studied older adults that lived in the community. evidenced Frailty was observed in the subjects in 23.8% of the articles. In 76% of the studies, a health professional was responsible for the program. Just under half (48%) of the studies were carried out in places equipped for exercise. The most frequent parameters used were two weekly 45 to 60-minute-long sessions for six months. The most frequent variables for physical health, psychological health, and cognitive function were muscle strength, social function, and memory, respectively. To assess physical health, psychological health, and cognitive function, the most frequent tools used were the timed up and go test (TUG), the geriatric depression scale (GDS), and the mini-mental state examination (MMSE), respectively. It was concluded that there is an age and health profile of OA who participate in MCE. The parameters and times most frequently used in MCE, along with the most frequently used parameters and times were recorded. In addition, the variables of interest, and the tools used to evaluate the effects of MCE on physical and psychological health and cognitive functions, were identified.

This article discusses the emergent biosensor technology focused on continuous biosensing of metabolites by non-invasive sampling of body fluids emphasized on physiological monitoring in mobility-constrained populations, resource-challenged settings, and harsh environments. The boom of innovative ideas and endless opportunities in healthcare technologies has transformed traditional medicine into a sustainable link between medical practitioners and patients to provide solutions for faster disease diagnosis. The future of healthcare is focused on empowering users to manage their own health. The confluence of big data and predictive analysis and the internet of things (IoT) technology have shown the potential of converting the abundant health profile data amassed from medical diagnosis of patients into useable information, whilst allowing caregivers to provide suitable treatment plans. The implementation of the IoT technology has opened up advanced approaches in real-time, continuous, remote monitoring of patients. Wearable, point-of-care biosensors are the future roadmap to providing direct, real-time information of health status to the user and medical professionals in this digitized era.

EFFECT OF GINGER WITH SELLING MEDICAL AND EVEN THOUGHT IN PREGNANT WOMAN TRIMESTER I IN PUBLIC HEALTH SUKARAME BANDAR LAMPUNG CITY Introduction: Data from the Provincial Health Office of Lampung that the incidence of hyperemesis gravidarum in 2015-2016 is 385 people from 2093 pregnant women. Based on Lampung Province Health Profile in 2016 the high incidence of emesis gravidarum in pregnant women is 50-90%, while hyperemesis gravidarum reaches 10-15% in Lampung Province from the number of pregnant women there are as many as 186,319 people. The purpose of this research is to know the effect of Ginger with the incidence of nausea and vomiting in first trimester pregnant women in public health sukarame Bandar Lampung City in 2018.Objective: It is know the effect of ginger extract consumption on first trimester pregnant women in reducing nausea and vomiting in public health sukarame Bandar Lampung city in 2019.Method: Quantitative research, quasi experimental design. The population was all pregnant women trimester 1 was 98. Samples was 30 women. Independent variable ginger extract. Dependent variable nausea vomiting in Pregnant Women. Data analysis was done by univariate (mean) and bivariate (t-test).Result: The results of the study found the average value of nausea and vomiting before given ginger extract is 13 times. The average value of nausea and vomiting after given ginger extract is 9 times. Effect of decreased nausea and vomiting in pregnant women trimester I (t-test> t arithmetic, p-value t hitung, p–value < 0,05). (t-test 13,135,p–value < 0,05) dengan selisih penurunan nilai rata-rata 3 kali. Diharapkan ibu hamil tidak lupa untuk mengkonsumsi obat untuk mengurangi mual dan muntah yang diberikan. Perlu diadakan suatu kegiatan oleh tenaga kesehatan seperti penyuluhan tentang manfaat ektrak jahe, pendeteksian secara dini tanda bahaya pada kehamilan muda, dan lain-lain. Kegiatan yang berjalan (posyandu) harus lebih ditingkatkan sehingga mampu mengontrol kesehatan ibu terlebih kepada ibu hamil. Kata kunci : ektrak jahe, mual muntah ibu hamil.

Fish consumption preferences vary with communities. The study aims to study the socio personal and fish consumption profile of the seven major tribes of Wayanad, Kerala. Species preferences, factors affecting the fish purchase and consumption, health profile and symptoms of tribes in relation with iron deficiency anaemia, association between fish consumption and health of tribes were investigated. Data were gathered through a questionnaire completed by 200 tribal households from different socioeconomic backgrounds. Results indicate that Sardine was the most consumed and preferred fish and percapita fish consumption of tribes was far below the state average. In conclusion, the price of fish ranked as the first and foremost important factor affecting the fish purchase and consumption of the tribes surveyed, and the fish consumption variables were highly associated with health values. Increasing awareness about the health benefits of fish consumption and building capacity of tribes to prepare fish-based products based on their taste and preferences can aid improved fish consumption among Wayanad tribes. Therefore, to establish and adopt fish consumption guidelines for the tribes of Wayanad, the factors mentioned in the study need to be integrated into the projects and policies.

Background:Endometriosis is a disease affect Women' health and Quality of life especially in child bearing age. Aim: Assess the Health- Related Quality of life among Endometriosis Women in Maternal and Child Health Centers in Damietta. Design: A descriptive study was used. Setting: Gynecology and Obstetrics out patient at three Maternal and Child Health centers; New Damietta MCH center, Shata MCH center and KaferShehata MCH center in Damietta city. Subjects: A total of 100 women with surgically diagnosed endometriosis were purposively selected. Tools: Include; structured interviewing questionnaire and the Endometriosis Health Profile (EHP-30+5). Results: shows that 83.0% of women had infertility. There was a delay in seeking treatment that ranged between 2-10 years. Endometriosis had a negative impact on woman's quality of life and there is statistically significant relation between stages of endometriosis and the negative aspect of women’s quality of life in terms of physical, psychological, sexual, educational and working life. Recommendations: there is a need for teaching patients to avoid the delay in seeking treatment. As well as how to cope with chronic pelvic pain and to teach patients how to strengthen relationships with their partner and friends, so they will be supportive in coping with the disease instead of drifting apart due to potentialmisunderstandings.Conclusion: There was a delay in seeking treatment for endometriosis despite its negative impact on woman's quality of life in terms of physical, psychological, sexual, educational and working life.

According to data from the Health Profile Book of Sidoarjo Regency in 2018 where in Sidoarjo regency, including in the Sukodono sub-district, Jumput Rejo village in 2018, the number of toddlers is 175,393 with toddlers weighing 118,464. From the weighing results, it can be seen that under-five under the red line (BGM) status is 733 (0.6%) with details of 344 boys under five and 388 girls. This indicates that there are still toddlers with poor nutritional status. Monitoring the physical growth of children is carried out using parameters including anthropometric measurements. In general, the anthropometric indices used are body weight for age (BW / U), height for age (TB / U). The purpose of this study was to group the anthropometric data of toddlers in determining their nutritional status in the Jumput Rejo Village, Sukodono District, Sidoarjo Regency. The method used is using data mining techniques with the K-Means algorithm. This research resulted in 5 clusters where the number of children under five in cluster1 = 37 under five where the toddlers at the ivory image posyandu need special attention because there are 11 toddlers who suffer from malnutrition. In cluster2, the number of children under five who suffer from malnutrition is 30 under five, especially those at the posyandu puri Sejahtera 3, which is 7 children under five. In cluster3 there are 28 children under five, where this cluster is included in the good nutrition cluster, especially for children under five at Posyandu Surya Asri 2 B, totaling 7 people. Whereas in cluster 4 which is included in the over nutrition cluster there are 33 toddlers where underfives who experience more nutrition, namely toddlers at the Kedung 1 posyandu. And in cluster 5 which is a cluster of toddlers with obesity there are 22 toddlers, especially at the posyandu jumput rejo indah a number of 3 toddlers. The results of grouping the anthropometric data for toddlers in the village of Jumput Rejo Sukodono show that there are 37 infants with malnutrition status, 30 under-fives with poor nutrition, 28 under-fives with good nutrition, 33 under-fives and 22 under-fives who are obese from a total of 150 under-five anthropometric data. Keywords : Clustering, algorithms, K-Means, Data Mining, Nutritional Status

Methods In this prospective study conducted during the COVID-19 pandemic, 105 SUS patients with CCS undergoing elective coronary angiography at a teaching hospital between March and May 2020 were evaluated. Four patients were excluded for not attending the test on the scheduled date. All patients were previously evaluated by a cardiologist in a medical appointment, including data on each patient’s clinical profile. During the appointment and when signing the informed consent form, patients were advised to make social isolation, and [...]

Abstract. Background: consumers of dietary supplements (DS) or vitamin-mineral supplements (VMS) have a better health profile than nonconsumers; whether this also applies to healthier dietary patterns has seldom been assessed. We aimed to assess the dietary intake of subjects according to their consumption of DS or VMS. Methods: Cross-sectional, population-based studies conducted in 2009–2012 (3773 participants, 52.4% women, 57.0 ± 10.0 years) and 2014–2017 (2536 participants, 52.4% women, 60.0 ± 10 years) in Lausanne, Switzerland. Dietary intake was assessed via a 97-item food frequency questionnaire. Nutrients, consumption of specific food groups, dietary scores, and compliance with the Swiss nutritional guidelines were compared between VMS/DS consumers and nonconsumers. Results: In 2009–2012, after multivariable adjustment for gender, age, body mass index, education, smoking, country of birth, sedentariness, diet and total energy intake, VMS/DS consumers had a higher score for the “Fruits & vegetables”(−0.09 ± 0.02 vs. 0.15 ± 0.05) dietary pattern and a lower score for the “Fatty & sugary” dietary pattern (0.02 ± 0.02 vs. −0.14 ± 0.04) and had a lower likelihood to comply with the guideline on total fat [odds ratio and 95 %CI: 0.72 (0.57–0.89)] than nonconsumers. In 2014–2017, after multivariable adjustment, no differences (at p

In this study, we aimed to evaluate the level of central sensitization (CS) and its relationship with health profile, including neuropathic pain and sleep quality in Behçet's disease (BD).Eighty-eight patients with BD and 60 healthy controls (HCs) were included in the study between May 2018 and February 2019. Nottingham health profile (NHP), pain DETECT, Pittsburgh sleep quality index (PSQI) questionnaires and the central sensitization inventory (CSI) were administered to all participants. To evaluate the correlations of the NHP, PSQI, and PDQ scores with the CSI score, the CSI was modified for each questionnaire. The activity of BD was determined by the Behçet's disease current activity form (BDCAF).CSI scores were significantly higher in patients with BD than HCs (BD: 41.2 ± 21.1 vs HCs: 20.4 ± 16.9,CS is more frequent and more severe in patients with BD than in HCs. There is a strong correlation between the severity of CS and poor health profile in patients with BD.

Background: Individuals with sickle cell disease (ISCD) are often subject to various changes in crucial health profiles with a consequent need for reduced physical activities, which could be as a result of their declining pulmonary functions. Few studies have systematically attempted to examine the changes in the pulmonary function of ISCD comprehensively. Objective: The purpose of this review is to explore the changes in pulmonary functions of ISCD. Methods: A scoping review comprising 36 studies was conducted to identify and examine the literature related to changes in the pulmonary functions of ISCD, and to compare how they correlate with their health profile. Results: Most common changes cited were demographic factors (26 papers), followed by haematological indices (18 papers) followed by pulmonary complications (16 papers), and anthropometric values (13 papers), with the most common themes overall being age while FEV1, FVC, and FEV1/FVC where the most outcome measures examined. Conclusion: With current advances in medicine, the life expectancy of ISCD is on the increase. We conclude that an evidence-based therapy for pulmonary functions maintenance will be a valid and valuable care for ISCD. Further research must be done, mainly to focus on each health profile holistically.

Malnutrition is a nutritional problem determined based on anthropometric indicators of body weight according to height or body length (BW / TB) with a z-score of

Introduction: These days, living a good quality life has become a luxury rather than a necessity and investigating the quality of life (QoL) across teaching professionals seems to be beneficial. This study aimed to determine the association between demographic and socioeconomic variables and the QoL among pharmacy academics. Methods: Stratified random sampling was applied to collect data using a pre-validated and self-administered questionnaire the Duke Health Profile (DHP). Statistical Package for Social Science (SPSS) ver. 22.0 was used to analyze the descriptive and inferential data. Results: One hundred and fifty-five pharmacy academics were included in this study where majority 98 (63.2%) were males and 57 (36.8%) were females. The majority 74.2% weremarried and 68.4% were having more than 5 years of teaching experience. A total of 123 ofthe pharmacy academics were more than 35 years old which accounted for 79.4% of the respondents. Various determinants like age, residence, gender, administrative position, marital status, monthly income, and teaching experience are the main factors affecting QoL among pharmacy academics. Conclusion: From the present study it could be concluded that QoL among pharmacy academics was significantly influenced by numerous socio-economic and demographic determinants.

Objetivo: describir los diferentes perfiles, en términos de calidad de vida relacionada con la salud, en pacientes con enfermedades crónicas en una institución de salud de alta complejidad. Metodología: estudio transversal descriptivo. Se evaluó la calidad de vida relacionada con la salud mediante el instrumento EQ-5D en pacientes con enfermedades crónicas que consultaron a medicina interna y sus subespecialidades, en el servicio de consulta externa de una institución de salud de alta complejidad de la ciudad de Medellín durante el año 2017.Resultados: fueron encuestados 158 pacientes. La mediana de la edad fue 58 (46-68) años. El tiempo aproximado de evolución entre la edad de realización del diagnóstico principal y la edad del paciente al momento de la encuesta fue de 8.7 años, un total de 117 pacientes (74.1%) eran de sexo femenino. El estado de salud general de los pacientes de endocrinología y reumatología fue de 80 puntos, siendo los factores que afectaron la calidad de vida los denominados “dolor o malestar” y “ansiedad o depresión”. Además, en los pacientes con patologías infecciosas el estado de salud general fue el más bajo, 62.5, donde el factor “dolor o malestar” fue el más común. Conclusiones: se identifica mayor alteración en las variables del EQ-5D de “dolor o malestar” y “ansiedad o depresión” en la población general, así mismo, cuando se trata del sexo femenino y de las áreas de endocrinología y reumatología.

Objetivo: Identificar as características clínicas de pacientes submetidos a intervenção coronária percutânea (ICP) entre os anos de 2014 a 2019. Métodos: Estudo transversal retrospectivo, com abordagem quantitativa. Incluíram-se prontuários de pacientes adultos, de ambos os sexos, com idade igual ou superior a 18 anos, submetidos ao procedimento de ICP diagnóstico e/ou terapêutico em um serviço de hemodinâmica localizado na Fronteira-Oeste do Rio Grande do Sul. A análise deu-se por meio de estatística descritiva simples. Resultados: Dos 344 prontuários de pacientes submetidos a ICP, distribuídos nos seis anos, verificou-se que a amostra ficou composta de (n=225; 65,4%), sexo masculino com média de idade de 62,98 anos (Dp ±10,03). No que se refere às características clínicas, 110(31,97%) pacientes internaram por angina pectoris seguido de 107 (31,10%) para Infarto Agudo do Miocárdio (IAM). O principal sintoma relatado pelos pacientes na chegada ao atendimento de saúde foi a angina (n=240; 69,76%). Um pouco mais da metade (n=200; 58,13%) foi submetida apenas à angioplastia com a colocação de um, dois ou três stents. O desfecho clínico foi alta hospitalar (n=331; 96,22%). Conclusão: O conhecimento das características dos pacientes submetidos a ICP torna-se fundamental para otimizar o processo de trabalho e de cuidado possibilitando, ao enfermeiro, implementar intervenções de cuidado de modo articulado com a rede de atenção à saúde Objective: To identify the clinical characteristics of patients undergoing percutaneous coronary intervention (PCI) between 2014 and 2019. Methods: Retrospective cross-sectional study with a quantitative approach. We will include medical records of adult patients, of both sexes, with adiet of 18 years or more, undergoing diagnostic and/or therapeutic PCI procedures in a hemodynamic service located in the West Border of Rio Grande do Sul. simple descriptives. Results: Two 344 medical records of patients undergoing PCI, distributed over six years, it was found that it was composed of (n = 225; 65.4%), male with a mean age of 62.98 years (SD ± 10.03). Not referring to clinical characteristics, 110 (31.97%) patients were hospitalized for angina pectoris, followed by 107 (31.10%) for Acute Myocardial Infarction (AMI). The main symptom reported in patients after healthcare or care for angina (n = 240; 69.76%). A little more than the target (n = 200; 58.13%), only angioplasty was performed with the placement of one, two or three stents. Either clinical failure or hospital discharge (n = 331; 96.22%). Conclusion: The knowledge of the characteristics of two patients undergoing PCI is essential to optimize the work and care process, enabling, as a nurse, to implement assistance interventions in an articulated manner as a health care network

Objective: To characterize the sociodemographic profile of the population undergoing antiretroviral treatment in the state of Paraná, Brazil, to investigate the proportion of people undergoing treatment among all those diagnosed, and to analyze the proportion of patients with suppressed viral load in different regions of the state. Methods: Observational descriptive and analytical study carried out with information referring to the period from January 2018 to January 2019. Data were obtained from the Sistema Informatizado de Monitoramento Clínico das Pessoas Vivendo com HIV/AIDS [Computerized System for Clinical Monitoring of People Living with HIV/AIDS] and Sistema de Controle Logístico de Medicamentos[Drug Supply Control System]. The proportion of people on antiretroviral treatment in the state and the proportion of patients with viral load ≤1,000 copies/mL and ≤50 copies/mL were calculated. The results were compared with the corresponding parameters of the World Health Organization goal 90-90-90. Results: The state of Paraná managed to reach the second and third parameters of the 90-90-90 goal of the World Health Organization. Among those diagnosed, 93.12% were on antiretroviral treatment, and 90.0% of them had a viral load below 50 copies of viral RNA/mL of blood, indicating virologic success. Conclusion: The health policy aimed at the population living with HIV/AIDS, and the health services available in Paraná have been successful in parameters relevant to the control of the epidemic. However, it is necessary to ensure the diagnosis of people infected with HIV in the population. RESUMO Objetivo: Caracterizar o perfil sociodemográfico da população em tratamento antirretroviral no estado do Paraná, investigar a proporção de pessoas em tratamento entre todos os diagnosticados e analisar a proporção de pacientes com carga viral suprimida nas diferentes regiões do estado. Métodos: Estudo observacional descritivo e analítico realizado com informações referentes ao período de janeiro de 2018 a janeiro de 2019. Os dados foram obtidos do Sistema Informatizado de Monitoramento Clínico das Pessoas Vivendo com HIV/AIDS e do Sistema de Controle Logístico de Medicamentos. Foram calculadas as proporções de pessoas em tratamento antirretroviral no estado e de pacientes com carga viral ≤1.000 cópias/mL e ≤50 cópias/mL. Os resultados foram comparados com os parâmetros correspondentes da meta 90-90-90 da Organização Mundial da Saúde. Resultados: O estado do Paraná alcançou o segundo e o terceiro parâmetros da meta 90-90-90 da Organização Mundial da Saúde. Entre os diagnosticados, 93,12% encontravam-se em tratamento antirretroviral, e 90,0% destes apresentavam carga viral abaixo 50 cópias do RNA viral/mL de sangue, indicando sucesso virológico. Conclusão: A política de saúde voltada à população vivendo com HIV/AIDS e os serviços de saúde disponibilizados no Paraná têm obtido êxito em parâmetros relevantes para o controle da epidemia. Entretanto, é necessário assegurar o diagnóstico das pessoas infectadas por HIV na população.

Applying a Subpopulation Lens to Population Health Populations are composed of myriad subpopulations, each with its own health profile. A key subpopulation that must be considered in efforts to enh...

The Healthy Indonesia Program is one of the programs of Nawa Cita's 5th agenda, which is to Improve the Quality of Life of Indonesian People. The purpose of this research is to improve the access of families and their members to comprehensive health services, including promotive and preventive services as well as basic curative and rehabilitative services. The benefits are increasing family access along with their members to comprehensive health services, including promotive and preventive services as well as basic curative and rehabilitative services. Collecting and processing data, including general data and special data, general data is data concerning the working area of Gantrung Health Center, population data and program goals. Special data is data on improving health status, health program coverage, and family and family member data. Identifying health problems and their potential solutions, analyzing and identifying health problems from existing data. At rt levels found some problems on the coverage of low healthy family indicators, this affected the index of healthy families rt levels, the average index of healthy families was on Pre-Healthy.The value is greater if the level of urgency is urgent, or the level of seriousness, or the level of development is increasingly concerning. Then multiply the level of urgency (U) by the level of Seriousness (S) and the level of Development (G). Problem priorities are sorted by multiplication results. Follow-up plans are drawn up jointly between program implementers/efforts with low healthy family indicator achievements. This is the cooperation of health workers and the community in realizing community empowerment in health development. In the follow-up plan still uses the family approach, with the survey data it can be known starting from rw targets, RT, families and individuals

RESUMO Objetivo Estimar a prevalência e caracterizar o perfil de saúde, e a queixa de zumbido, da população adulta de um distrito de saúde do município de Campinas, no estado de São Paulo. Método Foi realizado um inquérito em serviço em todos os centros de saúde do distrito com abordagem aleatória da população adulta que entrasse na unidade. A amostra contou com 1.720 pessoas, sendo que 1.569 concordaram em participar da pesquisa e responderam a um questionário contendo perguntas de saúde em geral e sobre zumbido. Para a análise estatística, foram realizados dois modelos de regressão de acordo com as variáveis e o nível de significância considerado foi igual a 5%. Resultados 496 pessoas referiram queixa de zumbido, configurando uma prevalência de 31,6%. A maioria da amostra pertence ao gênero feminino, tem pelo menos uma doença crônica e faz uso contínuo de alguma medicação. Os entrevistados relataram queixa auditiva e o zumbido mais referido foi unilateral, intermitente e agudo. Nos modelos de regressão realizados, observou-se maior chance de zumbido com o avançar da idade e com a ocorrência de diabetes e alteração de tireoide. Conclusão O zumbido apresenta relação com a ocorrência de doenças crônicas e o avançar da idade, tem potencial de gerar incômodo para o indivíduo e é motivo para a busca por tratamento nos serviços de saúde. São necessários mais estudos populacionais em diferentes contextos no cenário brasileiro. Abstract: Purpose To estimate the prevalence and characterize the health profile, and tinnitus complaint, of the adult population of a health district in Campinas, in the State of São Paulo. Methods A in-service survey was conducted in all health centers in the district with a random approach to the adult population seeking care at the unit. The sample consisted of 1,720 people, including 1,569 subjects who agreed to participate in the survey and answered a questionnaire including questions on general health and tinnitus. Two regression models were performed according to the variables and a 5% significance level was was adopted for the statistical analysis. Results 496 people reported tinnitus, representing a prevalence of 31.6%. Most of the sample was female, had at least one chronic disease and made continuous use of some medication. Respondents reported hearing complaints and the most common type of tinnitus was reported as unilateral, intermittent and acute. The regression models performed showed a higher chance of tinnitus with advancing age and with the occurrence of diabetes and thyroid disorder. Conclusion Tinnitus is related to the occurrence of chronic diseases and advancing age, may cause discomfort and is a reason for seeking treatment. Further population studies are required in different contexts in the Brazilian scenario.

Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France.Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex.Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%).Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care.

Objective To analyze the sociodemographic and clinical profile of tuberculosis cases with Diabetes Mellitus in Brazilian municipalities in the states of São Paulo, Paraná and Rio Grande do Norte. Method This is a cross-sectional study, whose population consisted of tuberculosis cases notified between 2010 and 2014. Data were collected from secondary sources. In the data analysis, descriptive analysis and multiple correspondence analysis techniques were used. Results The prevalence of diabetes among tuberculosis cases ranged from 4.5% to 13.4% in the municipalities. Evidence of an association was observed between tuberculosis/diabetes comorbidity and female population, age of 61 years or more, low schooling, negative HIV/AIDS, longer treatment time, self-administered treatment and cure. Conclusion The study showed a greater cure outcome in the profile of people with tuberculosis/diabetes comorbidity, even among those on a self-administered regime, which could favor the development of specific guidelines for the management of tuberculosis in these people. RESUMEN Objetivo Analizar el perfil sociodemográfico y clínico de los casos de tuberculosis con Diabetes Mellitus en municipios de tres estados brasileños. Método Estudio transversal, cuya población consistió en casos de tuberculosis notificados entre 2010 y 2014. Se recopilaron datos de fuentes secundarias. En el análisis de datos, se utilizaron análisis descriptivos y técnicas de análisis de correspondencia múltiple. Resultados La prevalencia de diabetes entre los casos de tuberculosis osciló entre el 4,5% y el 13,4%. Se observaron pruebas de una asociación entre la comorbilidad de la tuberculosis/diabetes y la población femenina, edad de 61 años o más, baja escolarización, VIH/SIDA negativo, tiempo de tratamiento más largo, tratamiento autoadministrado y curación. Conclusión El estudio mostró un mayor porcentaje de resultado cura en el perfil de las personas con tuberculosis/diabetes, incluso entre los que están en régimen autoadministrado, lo que puede favorecer el desarrollo de directrices específicas para el manejo de la tuberculosis en estas personas. RESUMO Objetivo Analisar o perfil sociodemográfico e clínico dos casos de tuberculose com Diabetes Mellitus em municípios brasileiros dos estados de São Paulo, Paraná e Rio Grande do Norte. Método Estudo transversal, cuja população constituiu de casos de tuberculose notificados entre os anos de 2010 a 2014. Foram coletados dados de fontes secundárias. Na análise dos dados, foram utilizadas técnicas de análise descritiva e análise de correspondência múltipla. Resultados A prevalência de diabetes entre os casos de tuberculose variou de 4,5% a 13,4% nos municípios. Foram observadas evidências de associação entre comorbidade tuberculose/diabetes e população feminina, idade de 61 anos ou mais, baixa escolaridade, HIV/Aids negativo, maior tempo de tratamento, tratamento autoadministrado e cura. Conclusão Estudo mostrou maior desfecho cura no perfil das pessoas com comorbidade tuberculose/diabetes mesmo entre aquelas em regime autoadministrado, o que poderia favorecer a elaboração de diretrizes específicas para o manejo da tuberculose nessas pessoas.

To evaluate the epidemiological profile of motorcycle accident victims in a metropolis with more than one million inhabitants attended in a university hospital of reference in 2017.a retrospective study through the analysis of medical records of 105 motorcycle accident victims in Campinas (SP) attended in a university hospital of reference and who needed surgical procedure in 2017.87 patients (82.9%) were men. Multiple fractures were observed in 61 patients (58.1%) and polytrauma was found in 14 patients (13.3%). Tibial fracture was the most frequent, present in 65 cases (61.9%). Exposed fractures occurred in 68 patients (64.7%). Among the polytrauma victims, the most frequent injury was traumatic brain injury (TBI), present in seven patients (6.6%). The mean age was 29.8 years (range 6-63 years). The average length of hospital stay was 14 days (1-87).It is essential to investigate and evaluate the victims' epidemiological profile, as well as the resulting injuries, in order to provide adequate support for the implementation of measures aimed at primary prevention and awareness of the most affected groups.Avaliar o perfil epidemiológico das vítimas de acidentes motociclísticos ocorridos em uma metrópole com mais de 1 milhão de habitantes atendidas em um hospital universitário de referência no ano de 2017.Estudo retrospectivo através da análise de prontuários de 105 vítimas de acidentes motociclísticos ocorridos em Campinas, SP, Brasil, no ano de 2017 atendidas em um hospital universitário de referência que necessitaram de procedimento cirúrgico.Oitenta e sete pacientes (82,9%) eram do sexo masculino. Foram verificadas polifraturas em 61 pacientes (58,1%) e politraumatismo em quatorze (13,3%). A fratura de tíbia foi a mais frequente, presente em 65 casos (61,9%). Fraturas expostas ocorreram em 68 pacientes (64,7%). Entre as vítimas de politraumatismo, a lesão mais recorrente foi o traumatismo cranioencefálico (TCE), presente em sete pacientes (6,6%). A média de idade foi 29,8 anos (variando de 6-63 anos). O tempo de internação médio foi 14 dias (1-87).É fundamental investigar e avaliar o perfil epidemiológico das vítimas, assim como os agravos resultantes, de modo a propiciar subsídio adequado para implementação de medidas de prevenção primária e conscientização, especialmente direcionadas para os grupos mais acometidos.

Background: Seafarers in international trade are today recruited world-wide based on qualifications and costs. Health is another aspect. In this study, two cohorts of seafarers from the Philippines and Denmark undergoing pre-employment health examinations were compared. The purpose is to investigate differences in the outcome of the examinations and compare basic parameters. Materials and methods: Two cohorts of equal number of seafarers from the Philippines and Denmark were established. A total of 9,654 consecutive health examinations at a large clinic in the Philippines were compared with a group with the same size examined in a number of clinics in Denmark. The Filipino seafarers were screened according to different company standards whereas the Danish seafarers were examined according to statutory standards. Results: The age structure was different. Only 18% of seafarers from the Philippines were 45 years of age or above whereas almost 43% of the Danish seafarers were in this age category. Obesity was frequent in both cohorts although depending on the standard used as reference. Extreme obesity (body mass index, above 35) was 10 times more frequent among the Danish seafarers. A total of 4.4% of the Filipino seafarers were declared unfit whereas only 0.5% were found unfit among the Danish seafarers. Among the latter, 5.2% were found fit with limitations, which is a category not used in the Philippines. Conclusions: The two groups are inhomogeneous and the health examinations the seafarers underwent differ. Comparisons should be done with caution. The difference in the age distribution of the two groups of seafarers is important factor due to the strong impact of age on health. Obesity was of major concern in both groups, although there were more with severe overweight and especially with extreme overweight among the Danish seafarers. Smoking frequency seems to be on the same level.

Infant growth is largely determined by the amount of breast milk obtained including the energy and other nutrients contained in breast milk. Breastfeeding in Indonesia has decreased, especially in West Sumatra based on Indonesia Health Profile in 2014. This study aims to determine the Influence of Exclusive Breastfeeding on the growth and development of infants aged 6-24 months in Nagari Sariak Laweh Working Area Batu Hampar Puskesmas, District Akabiluru. The measured growth consists of body weight, body length and Head Circumference. Progress was seen through KPSP (Pre-Growth Questionnaire Developments). This type of research is an observational research that is analytic with Cross-Sectional research design. Data analysis used was univariate and bivariate (Independent T test). The study period was from October 2017-February 2018. The population in the study were infants aged 6-24 months in Nagari Sariak Laweh. The sample in this study amounted to 30 babies. Data collection was done by using questionnaire and direct measurement. The statistical results show that there is no Influence of Exclusive Breastfeeding on Infant Growth (body weight, body length, head circumference) and no Influence of Exclusive Breast Feeding on Infant Development (based on KPSP questionnaire).

Background: Tuberculosis in children is still found in East Java Province at 2017 with 2,749 cases of paediatric tuberculosis. The Bacille Calmette-Guérin (BCG) immunisation coverage and healthy houses in East Java Province increase every year. Purpose: This study aims to analyse the correlation between BCG immunisation and healthy houses with paediatric tuberculosis discovery in East Java Province during 2015–17. Methods: This study is observational with a correlation study design. The population in this study were children aged 0–14 years who suffered from tuberculosis in a district or city in East Java Province in 2015–17. Sampling of this study uses aggregate data on paediatric tuberculosis discovered in children aged 0–14 years, coverage of BCG immunisation and coverage of healthy houses in districts/cities in East Java in 2015–17 found in Health Profile of East Java Province 2015–17. The variables studied were paediatric tuberculosis in children aged 0–14 years, BCG immunisation coverage and healthy house; the analysis techniques were the Kolmogorov-Smirnov normality test and Pearson correlation. Results: This study shows that there is correlation between BCG immunisation and paediatric tuberculosis (p = 0.01, p

This article investigates basic parameters of health, namely health profile, health infrastructure, health expenditure and health care utilization in Northeast India and provides an analysis of regional disparities in health care sector. Health profile is represented through different health indicators like crude birth rate, infant mortality rate, total fertility rate and so on in the region. The status of Sub Centres, Primary Health Centres and Community Health Centres with their various facilities and manpower resources indicates better performance of most Northeastern states compared to the rest of India. However, in practice, the health centres in Northeast India do not fulfil some of the objectives and norms of Indian Public Health Standards. Further, the coefficient of variation shows the regional disparities is widening and worsening for health workforce in Northeast India. The geographic condition and inaccessible terrain of Northeast India seems to be a constraint, among others, in providing health infrastructure in the region.

Urinary tract infections are infections are characterized by the presence of bacteria that grow and multiply in the urinary tract in excess of the normal amount. Based on the Indonesian Health Profile, urinary tract infections (UTI) are the 10 most common causes of death. Improper use of antibiotics can cause no therapeutic effect and resistance. This study aims to evaluate the accuracy of antibiotic use in patients with urinary tract infections in central hospital Klaten in 2017 covers the right indication, right patient, right medication, and right dosage. Research with non-experimental methods of data retrieval retrospectively and analyzed descriptively. The inclusion criteria in this study were adult patients 18-64 years old, inpatients suffering from urinary tract infections including cystitis and pyelonephritis, receiving antibiotics and complete medical record data. The results showed that patients with urinary tract infections in RSUP in Klaten 2017 had 72 patients with 76 antibiotic prescriptions. Based on the number of patients, the evaluation results showed the right indication is 100% and the right patients is 100%, while the exact evaluation results of the right drug is 96.05% and the right doses is 27,63%.

As intoxicacoes alimentares resultam da ingestao de toxinas formadas nos alimentos e podem acarretar diversos danos a saude. No Brasil, a consolidacao e a divulgacao anual dos dados referentes as intoxicacoes sao realizadas pelo Sistema Nacional de Informacoes Toxico-Farmacologicas (SINITOX). O objetivo deste estudo foi avaliar os dados presentes no SINITOX sobre intoxicacoes por alimentos, dimensionando o numero de casos e a evolucao e, comparar os resultados nas diversas regioes do Brasil entre os anos 1999 e 2017. Os dados mostraram que, no periodo analisado 20.361 casos de intoxicacoes por alimentos foram notificados, sendo demonstrado um maior aumento das notificacoes entre os anos 2005 e 2012, com queda do numero de casos registrados, a partir de 2013. No periodo analisado houve prevalencia da Regiao Sudeste em percentual de casos notificados (52,14%). A cura foi a evolucao predominante (87,6%) e a Regiao Nordeste foi a que registrou maior numero de obitos (8). Acoes preventivas continuam sendo realizadas, sendo a medida mais eficaz para reduzir a incidencia de intoxicacoes alimentares, com destaque para a educacao em saude. Alem disso, o perfil epidemiologico deve ser continuamente atualizado e melhorado, pois se constitui uma importante ferramenta para o planejamento de acoes em saude. Palavras-chave: Alimentacao. Perfil de Saude. Contaminacao de Alimentos. Abstract Food poisoning results from toxins ingestion formed in food and can lead to several health hazards. In Brazil, the annual consolidation and dissemination of poisoning data is performed by the National Toxic-Pharmacological Information System (SINITOX). The objective of this study was to evaluate SINITOX data on food poisoning, number of cases and evolution, and to compare results in several regions of Brazil among 1999 and 2017. The data showed that in the analyzed period 20,361 cases of food poisoning were reported, showing a greater increase in notifications between 2005 and 2012, with a decrease in the number of cases registered after 2013. In the period prevalence of the Southeast region in percentage of reported cases (52.14%). Cure was the predominant evolution (87.6%) and the Northeast region recorded the highest number of deaths (8). Preventive actions continue to be the most effective measure to reduce the incidence of food poisoning, with emphasis on health education. In addition, the epidemiological profile must be continually updated and improved, since it constitutes an important tool for planning health actions. Keywords: Feeding. Health Profile. Food Contamination. As intoxicacoes alimentares resultam da ingestao de toxinas formadas nos alimentos e podem acarretar diversos danos a saude . No Brasil, a consolidacao e a divulgacao anual dos dados referentes as intoxicacoes sao realizadas pelo Sistema Nacional de Informacoes Toxico-Farmacologicas (SINITOX). O objetivo deste estudo foi avaliar os dados presentes no SINITOX sobre intoxicacoes por alimentos, dimensionando o numero de casos e a evolucao e, comparar os resultados nas diversas regioes do Brasil entre os anos 1999 e 2017 . Os dados mostraram que, no periodo analisado 20.361 casos de intoxicacoes por alimentos foram notificados, sendo demonstrado um maior aumento das notificacoes entre os anos 2005 e 2012, com queda do numero de casos registrados, a partir de 2013. No periodo analisado houve prevalencia da Regiao Sudeste em percentual de casos notificados (52,14 %). A cura foi a evolucao predominante (87,6%) e a Regiao Nordeste foi a que registrou maior numero de obitos (8). Acoes preventivas continuam sendo realizadas, sendo a medida mais eficaz para reduzir a incidencia de intoxicacoes alimentares, com destaque para a educacao em saude. Alem disso, o perfil epidemiologico deve ser continuamente atualizado e melhorado, pois se constitui uma importante ferramenta para o planejamento de acoes em saude. Palavras-chave: Alimentacao. Perfil de Saude. Contaminacao de Alimentos. Abstract Food poisoning results from toxins ingestion formed in food and can lead to several health hazards. In Brazil, the annual consolidation and dissemination of poisoning data is performed by the National Toxic-Pharmacological Information System (SINITOX). The objective of this study was to evaluate SINITOX data on food poisoning, number of cases and evolution, and to compare results in several regions of Brazil among 1999 and 2017. The data showed that in the analyzed period 20,361 cases of food poisoning were reported, showing a greater increase in notifications between 2005 and 2012, with a decrease in the number of cases registered after 2013. In the period prevalence of the Southeast region in percentage of reported cases (52.14%). Cure was the predominant evolution (87.6%) and the Northeast region recorded the highest number of deaths (8). Preventive actions continue to be the most effective measure to reduce the incidence of food poisoning, with emphasis on health education. In addition, the epidemiological profile must be continually updated and improved, since it constitutes an important tool for planning health actions. Keywords: Feeding. Health Profile. Food Contamination.

Resumo O objetivo do estudo foi identificar perfis sociodemográficos de mulheres com câncer de mama em Belo Horizonte e verificar a associação com o intervalo entre o diagnóstico e o tratamento. Estudo transversal realizado com dados dos registros hospitalares de câncer de 715 mulheres em tratamento de 2010 a 2013. Os perfis foram delineados a partir das variáveis: idade, raça/cor da pele, escolaridade e custeio do tratamento com uso do método Two-Step cluster. A associação independente entre os perfis e o intervalo diagnóstico/tratamento foi estimada por regressão logística multinomial. Identificaram-se cinco perfis: A (raça/cor branca, escolaridade ≥ 15 anos, tratamento rede privada); B (raça/cor branca; escolaridade = 11 anos, tratamento Sistema Único de Saúde/SUS); C e D (raça/cor parda, escolaridade = 11 anos e < 8 anos respectivamente, tratamento SUS); E (raça/cor preta, escolaridade < 8 anos, tratamento SUS). Os perfis B, C, D e E foram associados a maiores intervalos diagnóstico/tratamento independentemente do estágio do câncer no diagnóstico, sendo que E apresentou chance 37 vezes maior de intervalo ≥ 91 dias (OR: 37,26; IC95%:11,91-116,56). Mesmo após vencer as barreiras de acesso à unidade oncológica perfis de vulnerabilidade social apresentaram maior espera para o tratamento.

Path analysis was a statistical analysis technique which was developed from multiple regression analysis. This method was used to analyze the causal relationship that involve many variables such as maternal mortality rate (MMR). Many variables influenced the MMR but it was not easy to find the dominant variable because it will create problems multicolinearity. Therefore it used path analysis to analyze the direct and indirect effects in the incidence of MMR based on the model of causal relationship.The purpose of this study to apply path analysis on factors that affect maternal mortality rate in East Java province. This study was a non-reactive using data SUSENAS and East Java Provincial Health Profile 2014 on maternal mortality rate in all districts in East Java using path analysis. The results of path analysis showed that there was influence between the variables of women who married at age

Objectives The main aim of this study was to examine the health behavior patterns of soldiers in the Hungarian Defense Forces and to introduce health behavior profiles according to the cluster analysis of lifestyle factors. Material and Methods The soldiers (N = 5475) who underwent health tests in 2011–2015 participated in this cross-sectional study. The factors included in the analysis are the following: age, sex, diseases diagnosed, the body mass index, eating habits, the smoking status, daily physical activity, sporting habits, the presence of psychosomatic symptoms, mental toughness and sleep apnea. The response options for each factor were scored on a linear scale; the minimum number of points available was –47.5 pts and the maximum number was 48.5 pts according to the 24 factors. Finally, the authors created health profiles typical of the pattern with the cluster analysis of the data. Results As a result of the cluster analysis, 16 distinct profiles were found, 10 of which differed significantly (p < 0.05) from each other. The lowest point value achieved was 3.1 pts and the highest was 26.2 pts. The lowest number of points was achieved by the cluster, 1.8% of the sample, with the highest average age (43.5±7.2 years) in which women showed the highest participation (46%). The 2 clusters with the highest numbers of points, 2.9% and 5.5% of the sample, were the 2 groups with the lowest average age (33.7±7.1 years and 34.3±7.9 years). Conclusions The significance of the health profiles obtained during this examination with the Hungarian Defense Forces is that the health promotion intervention opportunities may be determined by clusters, the health behavior factor with which the authors can reach higher health benefits can be chosen and the effectiveness of the interventions carried out can be traced easily. Int J Occup Med Environ Health. 2019;32(1):99–114

Objective: To understand the epidemiological and clinical profile of snakebite victims in a public teaching hospital. Method: Exploratory, descriptive, cross-sectional study with a quantitative approach conducted in a public hospital in the Triângulo Sul region of Minas Gerais state, Brazil. The data were collected from medical records and compulsory case report forms of patients admitted in the Emergency Service from June 2018 to May 2019. The data were descriptively analyzed and presented in tables. Results: The 137 patients were predominantly male (74.5%), rural workers (33.4%), in their working age (mean of 43.49 years), and in rural areas (87.6%). Bothrops was the most common genus (70.8%), and most occurrences were classified as mild (53.3%). The most performed treatment was snake antivenom administration (73%). Conclusion: Snakebite victims were mostly men in their working age and rural workers. Bothrops bites and mild occurrences were prevalent. Most treatments employed the appropriate snake antivenom. These occurred mostly in rural areas. The prevalent bitten body parts were feet, legs, and hands. Care was provided in less than six hours. RESUMEN Objetivo: Conocer el perfil epidemiológico y clínico de las víctimas de accidentes ofídicos en un hospital público docente. Método: Estudio exploratorio, descriptivo, transversal, con enfoque metodológico cuantitativo, realizado en un hospital público de la región del Triângulo Sul del estado de Minas Gerais, Brasil. Los datos se recogieron de las historias clínicas y formularios de notificación obligatoria de los pacientes ingresados en los Servicios de Urgencia desde junio de 2018 hasta mayo de 2019. Los datos se analizaron de forma descriptiva y se presentaron en forma de tablas. Resultados: De un total de 137 pacientes, predominaron el sexo masculino (74,5%), los trabajadores rurales (33,4%), los individuos en edad productiva (media de 43,49 años) y la zona de ocurrencia rural (87,6%). El género más implicado en los accidentes fue el Bothrops (70,8%) y la clasificación de la mayoría fue leve (53,3%). El tratamiento más común fue la administración del suero antiofídico (73%). Conclusión: Los accidentes ofídicos se produjeron sobre todo en hombres en edad productiva y en trabajadores rurales. Prevalecieron los accidentes por el género Bothrops y los que se clasifican como leves. La mayoría de los tratamientos utilizaron el antiofídico adecuado. La zona más común de ocurrencia fue la rural. Las zonas corporales más afectadas por las mordeduras fueron los pies, las piernas y las manos, y los tratamientos se realizaron en menos de 6 horas. RESUMO Objetivo: Conhecer o perfil epidemiológico e clínico das vítimas de acidente ofídico em um hospital público de ensino. Método: Estudo exploratório, descritivo, transversal, de abordagem metodológica quantitativa, realizado em um hospital público do Triângulo Sul de Minas Gerais. A coleta de dados foi realizada em prontuários e fichas de notificação compulsória de pacientes admitidos no Pronto Socorro de junho de 2018 a maio de 2019. Os dados foram analisados descritivamente e apresentados em forma de tabelas. Resultados: De um total de 137 pacientes, foram predominantes o sexo masculino (74,5%), trabalhadores rurais (33,4%), indivíduos em idade produtiva (média de 43,49 anos) e zona de ocorrência rural (87,6%). O gênero mais envolvido nos acidentes foi o Bothrops (70,8%) e a classificação da maioria foi leve (53,3%). O tratamento mais realizado foi a administração do soro antiofídico (73%). Conclusão: Os acidentes ofídicos aconteceram majoritariamente em homens em idade produtiva e trabalhadores rurais. Prevaleceram os acidentes pelo gênero Bothrops e classificados como leves. A maioria dos tratamentos utilizou soro antiofídico adequado. A zona de maior ocorrência foi a rural. As áreas corporais prevalentes de mordedura foram pé, perna e mão e os atendimentos foram realizados em menos de 6 horas.

Introduction: The health profile of older adults places them at risk of infirmity and death from COVID-19 which may induce anxiety or exacerbate pre-existing anxiety. We examined COVID-19 related anxiety in men undergoing treatment for prostate cancer (CaP). Method: This study was conducted between July and September 2020. Sixty participants from a larger prospective, longitudinal study assessing depression, anxiety and health related quality of life in men with localized prostate cancer (DAHCaP) were included. COVID-19 related anxiety was measured at a single time point using, the Corona Virus Anxiety Scale (CAS). In addition, the following, the State-Trait Anxiety Inventory (STAI-S), the Connor-Davidson Resilience (CD-RISC) scale and Multidimensional Scale of Perceived Social Support (MSPSS) that form part of the DAHCaP study were used in the analysis. We extracted pre-pandemic data for the STAI-S. Results: Twenty-one percent had diabetes, 62.3% had hypertension and 24.6% had cardiac diseases, all known risk factors for severe COVID-19. Only 3% scored ≥9 on the CAS, indicating COVID 19 anxiety dysfunction. Half knew of family or friends that had contracted COVID-19 especially those scoring higher on the CAS ( P = 0.042). There was a significant decrease in STAI-S scores pre-pandemic to the pandemic phase (34.7 to 29.8, P = 0.003). No correlation was observed between CAS and STAI-S (rho = 0.08), CD-RISC (rho = −0.06) or MSPSS (rho = −0.15). There was a weak positive correlation between the CAS and monthly income (rho = 0.33; P = 0.010). Conclusion: COVID-19 did not induce significant anxiety in men being treated for CaP nor did it place an additional psychological burden, nor was there any correlation with state anxiety, resilience or social support.

Objetivo: caracterizar o perfil epidemiológico de idosos cadastrados na Atenção Primária à Saúde do município de Pombal, Paraíba. Método: estudo transversal, com 307 idosos cadastrados na Atenção Primaria à Saúde, utilizou-se do instrumento de coleta elaborado pelo Grupo de Pesquisa do Núcleo de Estudos e Pesquisas em Cuidado e Desenvolvimento Humano, da Universidade Federal de Minas Gerais. Resultados: prevaleceu idosos do sexo feminino (28,3%), casado/união estável (47,9%), católicos (85,3%), que não trabalham (90,6%), aposentados (91,2%), alfabetizados (57,0%), sem consumir bebida alcoólica (90,2), sem fumar (87,6%) e com problemas de saúde (90,9%). Conclusão: notoriamente, torna-se imprescindível a realização de medidas voltadas a promoção da saúde e prevenção de danos e agravos, bem como manutenção e reabilitação da saúde, de acordo com os princípios da equidade e integralidade do cuidado, principalmente no tocante a Atenção Primária à Saúde.

Variability in the performance of self-care behaviours have been reported in the cardiovascular surgical population. Theoretical evidence suggest that demographic characteristics and health profile influence patients’ engagement in self-care behaviours. However, the influence of these variables on performance of self-care has not been examined. The purpose of this quantitative, non-experimental study was to determine how much variance in performance of self-care behaviours is accounted for by demographic characteristics, as well as the health profile of patients who underwent heart surgery. Data from a sample of 248 study participants, recruited from two cardiovascular surgical units, were collected. Descriptive statistics were used to characterize the sample on demographics and health profile, while multiple regression analysis was conducted to determine the relationship between variables. Findings suggest these factors have a minimal influence on self-care behaviour performance. Alternative factors influencing self-care behaviour performance were identified along with implications for future nursing practice.