Mostrando recursos 141 - 160 de 251

  1. Preventive health care for the elderly : hearing before the Subcommittees on Health and Long-Term Care, and Federal, State, and Community Services of the Select Committee on Aging, House of Representatives, Ninety-fourth Congress, second session, April 14, 1976.

    United States. Congress. House. Select Committee on Aging. Subcommittee on Health and Long-Term Care.; United States. Congress. House. Select Committee on Aging. Subcommittee on Federal, State, and Community Services.
    Cover title.

  2. The Waterman Ecological Treatment System (WETS)

    Martin, Jay F.; Hoet, Armando; Monahan, Clifton M.; Quigley, Martin F
    Author Institution (Martin): Department of Food Agricultural and Biological Engineering, The Ohio State Universitiy; Author Institution (Hoet and Monahan): Department of Veterinary Preventive Medicine, The Ohio State University; Author Institution (Quigley): Department of Horticulture and Crop Science, The Ohio State University

  3. Continuity of Care: Literature review and implications

    Alazri, Mohammed; Heywood, Philip; Neal, Richard D; Leese, Brenda
    Continuity of care is widely regarded as a core value of primary care. The objective of this article is to explore the literature about the concept of continuity of care focusing on factors that influence continuity; advantages and disadvantages of continuity and the effect of continuity on outcomes, hence on the quality of care. Electronic databases and other websites were searched for relevant literature. The results of this review showed that continuity of care is influenced by demographic factors, factors related to patients and healthcare professionals, patient-healthcare professional relationship, inter-professional factors, role of receptionists and organisational factors. Several advantages were...

  4. Lessons Learned From a 5-Year Experience With a 4-Week Experiential Quality Improvement Curriculum in a Preventive Medicine Fellowship

    Varkey, Prathibha; Karlapudi, Sudhakar Prakash

  5. Waist Circumference Threshold Values for Type 2 Diabetes Risk

    Friedl, Col. Karl E.
    Adult gains in body weight, excess adiposity, and intra-abdominal fat have each been associated with risk for type 2 diabetes mellitus (T2DM), forming the basis for preventive medicine guidelines and actuarial predictions using practical indices of weight (e.g., body mass index [BMI]) and waist circumference (WC). As obesity-related disease spreads beyond affluent western countries, application of WC thresholds to other populations has highlighted issues of their generalizability. For example, U.S. national health goals based on BMI < 25 kg/m2 and WC < 89 cm (women) and <102 cm (men) differ considerably with a recent law in Japan mandating intervention for...

  6. Panis populi-bread and public health in Australia

    Pearn, John H.
    The ‘standard loaf, 680 gm, white, supermarket-purchased’ as expressed in the Consumer Price Index, is but the basic form of bread sold to the Australian public. In the public health context, three themes have been intimately associated with bread - quality control, price control and bread used as a vehicle for supplementary nutritive agents important in preventive medicine. Price control, through assizing, has been a feature of bread marketing in western communities for seven centuries; and bread remains the last item on which price control (although seldom enforced) exists in Australia. Quality control, for public health, is determined both by...

  7. Surgeon-superintendents on convict ships

    Pearn, John H.
    Surgeon-superintendents on the convict ships transporting convicted men, women and youths to Australia played a key role in the evolution of medical standards in Australia. The British Transportation Acts of 1717 and 1825 added the punishment of exile and banishment to the prevailing penology of the era, that of retribution and deterrence. The surgeon-superintendents formed a bulwark during the sea voyages (between 88 and 258 days), protecting the convicts against the potential abuses of the time. Between 1787 and 1868, some 160 000 convicts were transported to the open air gaols at Sydney, Norfolk Island, Van Diemen's Land (Hobart, Macquarie...

  8. Narrative review of changing medical and feminist perspectives on menopause: Implications for decision-making in medical practice

    Murtagh, Madeleine J.; Hepworth, Julie
    Meanings and descriptions of menopause have shifted focus over the past century and a half; more particularly the past sixty years has seen a shift from descriptions of hormone decline and its relation to ageing, femininity and symptoms of menopause since the 1960's to the possibility for preventive medicine afforded by menopause. Medicine is not a static field in its construction of menopause. It has changed, not least by its engagement (positively or negatively) with critique from both within (epidemiological) and without (feminist and social sciences). In this review we identify three recent changes: (1) Increasing concern with women's decision-making....

  9. Predictors of Lower Extremity Injury Among Recreationally Active Adults

    Hootman, Jennifer; Macera, Carol; Ainsworth, Barbara; Martin, Malissa; Addy, Cheryl; Blair, Steven
    Objective: To identify gender-specific predictors of lower extremity injury among a sample of adults engaging in running, walking, or jogging (RWJ) for exercise. Design: Prospective cohort study. Setting: Cooper Clinic Preventive Medicine Center, Dallas, Texas. Participants: Participants were 2,481 men and 609 women who underwent a physical examination between 1970 and 1981 and returned a follow-up survey in 1986. Predictor variables measured at baseline included height, weight, and cardiorespiratory fitness. At follow-up, participants recalled information about musculoskeletal injuries, physical activity levels, and other predictors for lower extremity injury over two time periods, 5 years and 12 months. Main Outcome Measures:...

  10. Issues of death and dying: the perspective of critical care nurses

    Cartwright, Colleen; Steinberg, Margaret; Williams, Ged; Najman, Jake; Williams, Gail
    A major shift in the care of terminally ill people, due to advances in technology, and the development of legislation regarding patient self-determination and autonomy, has occurred over recent years. Critical care nurses (CCNs) are involved daily in issues of death and dying and are very aware of the needs, fears and psychosocial issues of patients and their families. Professional associations see a legitimate role for nurses in assisting the dying to achieve a dignified death. For legislation, policies and guidelines surrounding end-of-life issues to be effective, and to assist nursing staff with these sensitive, often difficult concerns, it is...

  11. Potential for genetics to promote public health: genetics research on smoking suggests caution about expectations

    Carlsten, C.; Burke, W.
    The number of DNA-based tests available for use in clinical care has rapidly increased over the past decade, and this trend has implications for public health and preventive medicine. In the 1990s, Coughlin1 described an "emerging paradigm of disease prevention—the identification and modification of environmental risk factors among persons susceptible to disease due to genotype." This optimistic vision of genetically based prevention was applied to lung cancer when Collins introduced "John," who joins a support group of persons at genetically high risk of complications of smoking and thereby kicks the habit.2 Yet a closer look raises questions about public health...

  12. General practitioners' role in preventive medicine: scenario analysis using alcohol as a case study

    Doran, C. M.; Shakeshaft, A. P.; Fawcett, J. E.
    The purpose of this analysis is threefold: first, to extract from the literature, current levels of GP detection of at-risk drinking by their patients, rates at which general practitioners (GPs) offer an intervention; and the effectiveness of these interventions; secondly, to develop a model based on this literature to be used in conjunction with scenario analysis; and thirdly, to consider the cost implications of current efforts and various scenarios. This study deals specifically with Australian general practice. A two-step procedure is used in the scenario analysis, which involves identifying opportunities for detection, intervention, effectiveness and assigning probabilities to outcomes. The...

  13. Physical activity promotion in primary care: Bridging the gap between research and practice

    Eakin, E. G.; Brown, W. J.; Marshall, A. L.; Mummery, K.; Larsen, E.
    Background: Aflifle a growing literature supports the effectiveness of physical activity interventions delivered in the primary care setting, few studies have evaluated efforts to increase physician counseling on physical activity during routine practice (i.e., outside the context of controlled research). This paper reports the results of a dissemination trial of a primary care-based physical activity counseling intervention conducted within the context of a larger, multi-strategy, Australian community-based, physical activity intervention, the 10,000 Steps Rockhampton Project. Methods: All 23 general practices and 66 general practitioners (GPs, the Australian equivalent of family physicians) were invited to participate. Practice visits were made to...

  14. Behavioral determinants of healthy aging

    Peel, NM; McClure, RJ; Bartlett, HP
    With global trends in population aging, many nations are developing and implementing healthy aging policies to promote quality as well as years of healthy life. To broaden the evidence base for such policy development, a review of the literature was conducted to summarize the existing evidence regarding the behavioral determinants of health), aging. Such research is needed so that the efficacy of modes of intervention can be better understood. The Outcome of: healthy or successful aging was selected for this review since this nomenclature dominates the literature describing a global measure of multidimensional functioning at the positive end of the...

  15. Understanding environmental influences on walking - Review and research agenda

    Owen, Neville; Humpel, Nancy; Leslie, Eva; Bauman, Adrian; Sallis, James F.
    Background: Understanding how environmental attributes can influence particular physical activity behaviors is a public health research priority. Walking is the most common physical activity behavior of adults; environmental innovations may be able to influence rates of participation. Method: Review of studies on relationships of objectively assessed and perceived environmental attributes with walking. Associations with environmental attributes were examined separately for exercise and recreational walking, walking to get to and from places, and total walking. Results: Eighteen Studies were identified. Aesthetic attributes, convenience of facilities for walking (sidewalks, trails); accessibility of destinations (stores, park, beach); and perceptions about traffic and busy...

  16. Forced emigration, favourable outcomes

    Pearn, John
    The discipline of public health and preventive medicine in Australia and New Zealand had its genesis in the advocacy of 18th and 19th century military pioneers. Military (Royal Navy and British Army) surgeons were posted to Australia as part of their non-discretionary duty. Civilian doctors emigrated variously for adventure, escapism and gold fever. One group, a particularly influential group disproportionate to their numbers, came in one sense as forced emigrants because of chronic respiratory disease in general, and tuberculosis in particular. Tuberculosis was an occupational hazard of 19th century medical and surgical practice throughout western Europe. This paper analyses six...

  17. Interactive health communication in preventive medicine - Internet-based strategies in teaching and research

    Fotheringham, M. J.; Owies, D.; Leslie, E.; Owen, N.
    Interactive health communication using Internet technologies is expanding the range and flexibility of intervention and teaching options available in preventive medicine and the health sciences. Advantages of interactive health communication include the enhanced convenience, novelty, and appeal of computer-mediated communication; its flexibility and interactivity; and automated processing. We outline some of these fundamental aspects of computer-mediated communication as it applies to preventive medicine. Further, a number of key pathways of information technology evolution are creating new opportunities for the delivery of professional education in preventive medicine and other health domains, as well as for delivering automated, self-instructional health behavior-change programs...

  18. Tailored advice on exercise - Does it make a difference?

    Bull, FC; Jamrozik, K; Blanksby, BA
    Objectives: A controlled trial to compare the effectiveness of verbal advice from a family physician (FP) combined with either standard or tailored written information on physical activity in increasing the levels of physical activity in sedentary patients. Design: Sedentary patients (n = 763) were recruited through ten family practices and allocated to a control group or one of two intervention groups, Brief advice on physical activity was given by the FP during the consultation and either a standard or tailored pamphlet was mailed to the home address of patients assigned to the intervention groups within two days of their visit...

  19. Health online: the future isn't what it used to be

    Yellowlees, P. M.; Brooks, P. M.
    Healthcare will be very different by 2010; the focus will be on the patient at home rather than the provider in the institution. There are three major drivers for this change. The first is the economic imperative to restrain healthcare costs in a setting of an ageing community and escalating costs of institutional care and technology. The second is increasing consumerism, and the evolution of the "informed patient". The third is the extraordinary changes in communication technology, and the evolution of the Internet. For some years, clinical care has been increasingly delivered electronically via telemedicine, as well as telephonically. Over...

  20. Medical Ethnobotany of Australia: Past and Present

    Pearn, John
    Medical ethnobotany is that relationship between individuals and small social groups and their use of local indigenous flora for medicinal purposes. This specialty comprises an important and enduring aspect of ethnobotany more generally. Medical ethnobotanical practices may persist long after the local use of flora as sources of traditional food, weaponry, totemic identity and religious rites have disappeared. Medical ethnobotany is a living science practised by tens of thousands of Aboriginal Australians today. Some selected botanical "cures" were early adopted by European settlers and a number of such relict uses have become part of mainstream Western life today, particularly as...

Aviso de cookies: Usamos cookies propias y de terceros para mejorar nuestros servicios, para análisis estadístico y para mostrarle publicidad. Si continua navegando consideramos que acepta su uso en los términos establecidos en la Política de cookies.