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1.
Prensa méd. argent ; 105(9 especial): 589-595, oct 2019.
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046686

RESUMO

Investigating various factors and trends that may influence youth's health is crucial to forecasting potential changes in the situation with national healthcare for the younger generation and developing integrated measures to improve it. The findings from relevant sociological research conducted in Kazakhstan and Russia have helped assess the current situation with youth's health and their knowledge of how to maintain it, and could also be employed in working out relevant recommendations in the area of youth policy and healthcare.


Assuntos
Humanos , Adolescente , Alfabetização em Saúde/tendências , Fatores de Proteção , Fatores Sociológicos , Estilo de Vida Saudável
2.
Sangyo Eiseigaku Zasshi ; 61(4): 123-132, 2019 Jul 25.
Artigo em Japonês | MEDLINE | ID: mdl-31155543

RESUMO

BACKGROUND: Globally, health literacy is considered important for healthy ageing. However, to our knowledge, no study has investigated comprehensive health literacy in Japanese employees. OBJECTIVE: This study aimed to examine comprehensive health literacy in employees of company A, a Japanese railway company, and to determine the association between health literacy and behavior regarding health checkups and health counseling in the employees. METHODS: A representative sample of company A with 541 employees was selected through random sampling. We divided the sample into 20 groups based on gender, age, night shift work, and administrative position. These groups were compared with the employee distribution of company A. The self-administered Japanese version of the 47-item European Health Literacy Survey Questionnaire was distributed to the participants via mail from May 1, 2017, to May 30, 2017. This questionnaire consists of three domains, each with its own index: health care health literacy (health care health literacy index [HC-HL]), disease prevention health literacy (disease prevention health literacy index [DP-HL]), and health promotion health literacy (health promotion health literacy index [HP-HL]). Additionally, general health literacy (general health literacy index [GEN-HL]) was also assessed. Statistical analyses were performed to identify the association between health literacy and behavior regarding health checkups and health counseling in the employees in company A. Furthermore, we compared the health literacy of the present sample with that of samples in past studies by Nakayama et al. (2015) and Goto et al. (2018). RESULTS: A total of 417 questionnaires were returned. The health literacy scores were calculated based on the valid responses of 381 participants. The mean health literacy scores in company A for GEN-HL, HC-HL, DP-HL, and HP-HL were 25.1, 24.6, 27.9, and 22.8, respectively. The mean health literacy scores in the survey by Nakayama et al. for GEN-HL, HC-HL, DP-HL, and HP-HL were 25.3, 25.7, 22.7, and 25.5, respectively, and those in the survey by Goto et al. were 29.79, 29.23, 32.52, and 27.60, respectively. There was no significant difference between participant characteristics and GEN-HL scores. In contrast, there was a significant difference in the association between GEN-HL and health counseling in terms of the number of times health counseling was provided in the workplace. However, there was no significant difference between those who did not wish to receive health counseling and GEN -HL scores. CONCLUSION: The health literacy in railway company A was low. The results of this study and those of past studies did not demonstrate similar trends for health literacy. Additionally, GEN-HL scores were likely to increase if the number of people who wished to receive health counseling increased.


Assuntos
Aconselhamento , Comportamentos Relacionados com a Saúde , Alfabetização em Saúde/estatística & dados numéricos , Saúde do Trabalhador , Exame Físico/psicologia , Transportes , Adolescente , Adulto , Idoso , Feminino , Alfabetização em Saúde/tendências , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
4.
Med Leg J ; 87(2): 73-76, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31107169

RESUMO

Delusional health beliefs can be difficult and costly for practitioners to diagnose and manage. Patients often deny that mental distress is the cause of their illness, when it may be the most significant factor. Such patients can be relentless in their pursuit of a physical cause and go from doctor to doctor to find one who agrees with them, using up significant NHS resources. The number of negative investigations increases year on year, with the patient being referred back to their general practitioner without a working diagnosis. The recent publication of Susanne O'Sullivan's book, "It's All in your Head - True Stories of Imaginary Illness", shines a bright and necessary light on the difficulties of getting these patients to accept that their problems originate in their minds. Doctors, alerted by fat files, may be well advised to question any previous diagnosis, if it is not borne out by physical evidence and does not conform to known diagnostic criteria and disease patterns. In this context, it is timely to consider the true cause of Stephen Hawking's illness, which he has called into question in his last book, published after his death. Allegedly, he had been suffering from motor neurone disease, diagnosed when he was a very young man.Yet he survived to the age of 76, albeit in his later years in an increasingly crippled and distressed state. Such longevity is totally inconsistent with MND. What then was the cause of Hawking's illness? Is there any firm evidence that a consultant neurologist ever made that diagnosis, and on what grounds? The interplay between mind and body is mysterious and complex, but we need to question every symptom, if it is not grounded in objective reality.


Assuntos
Delusões/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Transtornos Mentais/complicações , Transtorno Conversivo , Alfabetização em Saúde/normas , Alfabetização em Saúde/tendências , Humanos , Transtornos Mentais/psicologia
5.
Cancer Control ; 26(1): 1073274819841609, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31010296

RESUMO

With the rise in the use of the Internet for health-related purposes, social networking sites (SNSs) have become a prominent platform for cancer communication and information exchange. Studies of cancer communication on SNS have mostly focused on understanding the quantity, content, quality, and user engagement (eg, likes and comments) with cancer-related information on SNS. There is less of an understanding of when and why people coping with cancer turn to SNS for cancer-related information, and how users appraise the credibility of cancer-related information obtained on SNS. In this study, we use data from in-depth qualitative interviews with 40 primary caregivers of pediatric patients with cancer to examine how cancer caregivers engage in information appraisal and credibility assessment of cancer-related information obtained on SNS. Findings show that cancer caregivers turned to SNS for cancer-related information because information on SNS was immediate, targeted in response to specific caregiver questions and concerns, and tailored to the specific information needs of cancer caregivers. Cancer caregivers evaluated the credibility of cancer-related information obtained on SNS through assessment of the SNS user who posted the information, frequency the same information was shared, and external corroboration. Findings have important implications for cancer communication and information interventions and point to elements of SNS cancer communication that can be integrated into health professional-facilitated communication and cancer information strategies.


Assuntos
Cuidadores , Disseminação de Informação/métodos , Comportamento de Busca de Informação , Neoplasias , Mídias Sociais/estatística & dados numéricos , Criança , Confiabilidade dos Dados , Feminino , Comunicação em Saúde/métodos , Comunicação em Saúde/tendências , Alfabetização em Saúde/estatística & dados numéricos , Alfabetização em Saúde/tendências , Humanos , Masculino , Redes Sociais Online , Pais , Pesquisa Qualitativa
6.
Health Info Libr J ; 36(2): 111-120, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30919558

RESUMO

BACKGROUND: The Goal 3 (SDG-3) of the United Nations' Sustainable Development Goals (SDG) incorporates 13 targets that cut across pressing health concerns globally. Health literacy has however been linked to achieving good health in the society, and its improvement in developing economies could aid the achievement of SDG-3. OBJECTIVE: The review focused on identifying actions that can be implemented by libraries to enhance health literacy and access to information among health care practitioners and consumers to support the achievement of SDG-3 in developing countries, especially Nigeria. METHOD: A literature search was conducted on reputable academic databases, namely sciencedirect, doaj, google scholar, pubmed and jstor. Similar keyword combinations were used to obtain articles, with filters set to search the keywords in article titles or abstract. Relevant criteria were used to screen the literature. RESULTS: Results from the literature searching were grouped under six themes that emerged from the literature. The value of libraries in health care was discussed, and suggestions were made for implementation in libraries. CONCLUSION: It was concluded that libraries in developing economies have to take actions to improve users' health literacy in order to become prominent stakeholders in the process of achieving SDG-3.


Assuntos
Metas , Alfabetização em Saúde/normas , Bibliotecas/tendências , Desenvolvimento Sustentável , Países em Desenvolvimento , Saúde Global/tendências , Alfabetização em Saúde/tendências , Humanos , Nigéria
7.
BMC Psychiatry ; 19(1): 20, 2019 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-30642305

RESUMO

BACKGROUND: In the wake of China's massive economic development, attention has only recently turned to the enormous treatment gap that exists for mental health problems. Our study is the first comprehensive, national examination of the levels and correlates of the public's ability to recognize mental illness in the community and suggest sources of help, setting a baseline to assess contemporary Chinese efforts. METHODS: Data were collected in China as part of the Stigma in Global Context - Mental Health Study (SGC-MHS) through face-to-face interviews using vignettes meeting clinical criteria for schizophrenia and major depression. Our analysis targets the Han Chinese participants (n = 1812). Differences in the recognition of mental health problems were assessed using a chi-square test and further stratified by vignette illness type and urban vs. rural residence. Adjusted regression models estimated the effects of each predictor towards the endorsement three types of help-seeking: medical doctor, psychiatrist, and mental health professional. RESULTS: As expected, recognition of mental health problems is low; it is better for depression and most accurate in urban areas. Perceived severity increases endorsement of the need for care and for treatment by all provider types. Recognition of a mental health problem specifically decreases endorsement of medical doctors while increasing recommendations for psychiatrists and mental health professionals. Neurobiological attributions decrease recommendations for mental health professionals as opposed to general or specialty physicians. CONCLUSIONS: Continued efforts are needed in China to promote mental illness recognition within rural areas, and of schizophrenia specifically. Promoting recognition of mental illness, while balancing the special challenges among individuals who understand the neurobiological roots of mental illness, may constitute a key strategy to reduce the sizeable mental health treatment gap in China.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Alfabetização em Saúde/tendências , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Saúde Mental/tendências , Adulto , Idoso , China/epidemiologia , Feminino , Pessoal de Saúde/psicologia , Pessoal de Saúde/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Psiquiatria/métodos , Psiquiatria/tendências , População Rural/tendências , Estigma Social
8.
PLoS One ; 14(1): e0209675, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30650100

RESUMO

RATIONALE: Adolescent pregnancy in Lao PDR is the highest in Southeast Asia. It leads to negative health and social consequences in young people. It is anticipated that this problem is partly caused by limited sexual and reproductive health literacy (SRHL), leading to poor sexual and reproductive health (SRH) decisions. Based on the concept of health literacy, SRHL goes beyond knowledge and behavior and is the self-perceived ability of an individual to access the needed information, understand the information, appraise and apply the information into informed decision making for a good way to contribute to sexual and reproductive health. It is not only knowing (knowledge) and doing (behavior), but it is the process of individual's thought on an SRH problem before taking an action. The aim of this study was to measure SRHL among school-going adolescents aged 15-19 and to determine factors associated with SRHL. METHOD: We conducted a cross-sectional study in rural and urban areas of Lao PDR in 2017. Respondents completed a self-administered questionnaire with five parts: socio-demographic, personal health, SRH knowledge and behavior, SRHL, and functional literacy. We calculated the SRHL score based on the HL-EU index and used descriptive statistics to determine the score and levels. Then we used bivariate statistics and multiple linear regression to identify factors associated with SRHL in these adolescents. RESULT: Among 461 respondents, 65.5% had inadequate SRHL. Scores were positively and significantly associated with several factors, including: school location (ß: 3.218; p<0.001), knowledge on SRH and attending SR class in school (p:0.010-p<0.001), and functional literacy on condoms, which reflected how respondents understood the use of condoms (ß: 0.871; p<0.001). CONCLUSION: Because most school adolescents had inadequate SRHL, comprehensive sexual education and enabling information as well as service access for adolescents are essential to ensure that adolescents can access, understand, appraise and apply good SRH knowledge in decision-making to benefit their own health.


Assuntos
Alfabetização em Saúde/métodos , Saúde Reprodutiva/educação , Saúde Sexual/educação , Adolescente , Preservativos , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Alfabetização em Saúde/tendências , Humanos , Laos/epidemiologia , Masculino , Gravidez , Gravidez na Adolescência/prevenção & controle , Saúde Reprodutiva/tendências , População Rural , Instituições Acadêmicas , Comportamento Sexual/ética , Comportamento Sexual/psicologia , Inquéritos e Questionários , População Urbana , Adulto Jovem
9.
Matern Child Health J ; 23(5): 597-602, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30600522

RESUMO

Purpose Describe the development of an innovative teaching activity that applies organizational health literacy to maternal and child health (MCH). Description Health literacy is a strong predictor of health behavior and outcomes. While the study of health literacy has traditionally been confined to skills and capacities of individuals, the significant role of the social and physical environmental contexts in facilitating or hindering one's ability to obtain, understand, and make informed decision about their health has been recognized. MCH organizations play a critical role in influencing health literacy across system levels. This teaching activity aims to equip students with knowledge and skills needed to foster organizational health literacy. Assessment The teaching activity is assembled within a toolkit which includes the following: (1) instructor lesson plan; (2) interactive PowerPoint presentation with instructor notes; (3) field assignment description; (4) health literacy attribute assessment worksheets; and (5) grading rubric. The teaching tool was pilot tested by a student research team member to assess the educational value and assignment logistics, resulting in minor edits (i.e., addition of interviewer probes, and option of a group project-format to permit triangulation of multiple organizational interviews). Conclusion The field of MCH is expanding in complexity, and the demands of health systems on women, children, and families must be mediated by conscious efforts within organizations. Through teaching the importance and function of organizational health literacy to students in MCH, educators can prepare an emerging workforce to improve health literacy, and ultimately the quality of healthcare for women, children, and families.


Assuntos
Alfabetização em Saúde/normas , Serviços de Saúde Materno-Infantil/normas , Cultura Organizacional , Alfabetização em Saúde/métodos , Alfabetização em Saúde/tendências , Humanos , Serviços de Saúde Materno-Infantil/tendências , Ensino
10.
J Ment Health ; 28(3): 238-242, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29436864

RESUMO

BACKGROUND: Mental health literacy (MHL) is one increasingly researched factor thought to influence mental health behaviors. Researchers have argued for expanding the definition of MHL to include additional constructs, but no consensus has yet been reached on what constructs should be included as part of MHL. AIMS: The purpose of this paper is to (i) elucidate how the expansion of the MHL construct has impeded the growth of MHL research and (ii) through the lens of construct and theory development, highlight how these challenges might be remedied. METHODS: An inclusive search of the literature was undertaken to identify MHL studies. The principles of construct and theory development guided a critical analysis of MHL. RESULTS: The review of the literature found that MHL violates many principles of what constitutes an acceptable construct definition. To address these concerns, we proposed conceptualizing MHL as a theory and recommended principles of theory development that should be taken into consideration. CONCLUSION: A theory of MHL can guide future researchers to clearly delineate important constructs and their interrelationships. For practitioners, a theory of MHL can help inform how to improve MHL at both the individual and community level.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Alfabetização em Saúde , Saúde Mental/educação , Alfabetização em Saúde/tendências , Humanos , Saúde Mental/tendências , Teoria Psicológica , Psicometria , Estigma Social
11.
J Nurs Res ; 27(1): 1-8, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30130272

RESUMO

BACKGROUND: Illness and hospitalization are situations that increase the need for assistance and education. Poor education is currently the most common source of patient complaints in the health sector in Iran. PURPOSE: The aim of this study was to explore the perspectives and recommendations of nurses to improve patient education. METHODS: This research followed a qualitative exploratory design with a qualitative content analysis approach. The study participants, including eight head nurses and 16 staff nurses, were selected through purposive sampling. The data were collected through semistructured interviews, focus group sessions, and observations during 2016. RESULTS: Coding and analysis of the data generated one main theme, two subthemes, and four categories. The subthemes were "strengthen total commitment" and "reconstructing the infrastructure," and the categories were "developing motivational factors," "facilitating change by every impetus," "systematizing activities," and "contextual promotion." CONCLUSIONS: Study findings provide a complete picture of patient education and challenge managers to develop new strategies to plan and implement appropriate changes.


Assuntos
Escolaridade , Alfabetização em Saúde/normas , Papel do Profissional de Enfermagem , Adulto , Feminino , Grupos Focais/métodos , Alfabetização em Saúde/tendências , Humanos , Entrevistas como Assunto/métodos , Irã (Geográfico) , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/normas , Pesquisa Qualitativa
12.
Genet Med ; 21(4): 994-1000, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30214064

RESUMO

PURPOSE: Adolescents increasingly need to be "genomics literate," and may engage more with video educational formats than traditional written formats. We conducted a pilot study to assess and compare the impact of two modes of education about genome sequencing (GS) on adolescents' genomic knowledge and genomic-related decisions. METHODS: Using an online survey, 43 adolescents ages 14-17 years were randomly assigned to watch a video or read a pamphlet about GS. Measures included pre- and postintervention assessment of genomic knowledge, perceived utility of these materials for decisions about participating in genetic research, interest in receiving GS results, and overall satisfaction with these materials. Analyses described results for all participants and compared results between intervention groups. RESULTS: Self-reported genomic knowledge increased overall (p < 0.001). Postintervention knowledge about GS limitations was higher among video group than pamphlet group participants (p = 0.038). More video group than pamphlet group participants expressed satisfaction with the material's understandability (45% vs. 29%) and suitability (91% vs. 76%). Interest in receiving personal GS results was significantly associated with being female (p = 0.01) and younger (14-15 years vs. 16-17 years) (p = 0.002). CONCLUSION: A video format may be preferable for increasing genomic literacy among adolescents. Further research with adolescents is needed to better understand how gender and age may impact genomic decisions and preferences.


Assuntos
Genômica/tendências , Conhecimentos, Atitudes e Prática em Saúde , Alfabetização em Saúde/tendências , Adolescente , Adulto , Meios de Comunicação , Feminino , Educação em Saúde , Humanos , Masculino
14.
Rev. Rol enferm ; 41(11/12,supl): 270-274, nov.-dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-179974

RESUMO

The maintenance of good health levels is strongly related to personal, cognitive and social skills that compose the concept of health literacy (HL) (Soellner, Lenartz & Rudinger, 2017). Since low HL levels are associated with vulnerable groups (Pedro, Amaral & Escoval, 2016), we intend to analyze the social, economic and social characteristics of a group of unipersonal families with an elder person as well as to identify needs in nursing care. An exploratory and descriptive study was conducted in unipersonal families with members over 65 years of age, users of primary care. The sample consisted of clients that had the characteristics of the population who used a health unit in the northern part of Portugal requesting a nursing consultation, between March and April 2017. The data collection was performed based on the structural dimension of the MDAIF (Figueiredo, 2012). Data analysis was done through descriptive sta-tistics. In the sample composed of 15 families, 80% pertained to the lower middle class. All individuals suffer of one or more chronic diseases. The most common nursing interventions were directed to the residential building, safety precaution and water supply. The assessment of the structural dimension of unipersonal households is an essential resource in identifying potentialities or vulnerabilities, in order to guide nursing interventions to improve patients' levels of HL, or proactively preventing complications arising from their limitations


No disponible


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Compreensão/classificação , Alfabetização em Saúde/tendências , Educação em Saúde/organização & administração , Múltiplas Afecções Crônicas/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Educação de Pacientes como Assunto/tendências , Características da Família , Portugal/epidemiologia , Renda/estatística & dados numéricos , Condições Sociais/estatística & dados numéricos , Epidemiologia Descritiva
15.
Int J Cardiol ; 273: 249-251, 2018 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-30193793

RESUMO

Knowledge and education is foundational to an individual receiving care, and health literacy is the ability of patients to understand and act on health information. Cardiovascular disease and diabetes are complex conditions that require active participation on the part of the patient. Lack of understanding on the condition and participation in self-care behaviors limits the effectiveness of treatment. An effective model is needed to better understand how patients with cardiovascular disease and diabetes acquire the knowledge and skills necessary to manage their health. In working together, the authors have created multiple programs that have been delivered at medical offices and corporations, resulting in a model for building functional and critical health literacy skills. This model is a progression that begins with health literacy, including the knowledge and understanding of the condition. Functional literacy includes numeracy, which is the ability to understand and manipulate numbers, and navigation, which is an understanding of what to do with the information. Finally, critical health literacy includes communication skills, including knowing what questions to ask and what information to share, and decision making, which can include shared decision making. These five levels of health literacy form a progression in the ability of the patient to become an active participant in their care, and inform the healthcare provider on effective educational methods.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Alfabetização em Saúde/métodos , Pessoal de Saúde , Educação de Pacientes como Assunto/métodos , Doença Crônica , Tomada de Decisões , Alfabetização em Saúde/tendências , Pessoal de Saúde/tendências , Humanos , Educação de Pacientes como Assunto/tendências
17.
Psychiatry Res ; 267: 73-79, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29885557

RESUMO

Despite the improving mental health literacy of the public over recent years, people's attitudes towards people with the diagnosis of mental illness do not appeared to have changed. Long-term studies are scarce and mainly limited to Northwestern Europe. Given that no study has ever been carried out in Hungary, the present study examined attitudinal trends towards mentally ill people in the country, and evaluated its determinants using one item of the Social Distance Scale to assess social rejection towards others. National representative surveys of Hungarian adults were conducted in 2001, 2003, 2007 and 2015 (n = 7605). By means of interview and a self-administered questionnaire, socio-demographic information, preferences for social distance, and familiarity with mental illnesses were assessed. Trend analysis demonstrated that no meaningful change had occurred in the desire for social distance over a period of 15 years. Being a woman, having low education level, and lower familiarity with mental illnesses were all related to higher preferences for social distance. However, the explanatory power of these factors was very small (4.2%). As found in other countries, attitudes towards mentally ill people have not changed in Hungary. More effort is needed to understand better and overcome social rejection concerning mental illness.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Alfabetização em Saúde/tendências , Transtornos Mentais/psicologia , Pessoas Mentalmente Doentes/psicologia , Distância Social , Adolescente , Adulto , Atitude , Feminino , Humanos , Hungria/epidemiologia , Estudos Longitudinais , Masculino , Transtornos Mentais/epidemiologia , Saúde Mental/tendências , Pessoa de Meia-Idade , Estereotipagem , Inquéritos e Questionários , Adulto Jovem
18.
Rev. pesqui. cuid. fundam. (Online) ; 10(3, n. esp): 114-118, jun. 2018.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-905723

RESUMO

A literacia em saúde preocupa-se com o aprendizado resultante das estratégias educativas em saúde, avaliando não apenas a efetividade do ensino, mas principalmente o impacto do conteúdo apreendido e utilizado na prática por cada pessoa, sua aplicabilidade nas atividades da vida diária. É considerada uma importante ferramenta no empoderamento da pessoa idosa, porém ainda é incipiente sua utilização como método de capacitação para autogestão da saúde. Assim, percebe-se que a literacia em saúde avalia as multidimensões da pessoa quanto ao acesso à informação, a habilidade de apreensão e compreensão, e a competência para tomada de decisão, enxergando seus saberes multifacetados que nos obrigam a estar conscientes do 118 cunho singular que é o cuidado em saúde. Sugere-se, portando incremento das investigações e desenvolvimento de literacia direcionadas as carências da população idosa no cenário nacional de saúde


Assuntos
Humanos , Masculino , Feminino , Idoso , Alfabetização em Saúde/tendências , Alfabetização em Saúde/estatística & dados numéricos , Envelhecimento Saudável
19.
Intern Med J ; 48(4): 457-461, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29623980

RESUMO

Doctor-patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP.


Assuntos
Alfabetização em Saúde/tendências , Multilinguismo , Intervenção Coronária Percutânea/tendências , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Infarto do Miocárdio com Supradesnível do Segmento ST/cirurgia , Tempo para o Tratamento/tendências , Idoso , Estudos de Coortes , Eletrocardiografia/tendências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
20.
World Neurosurg ; 115: e59-e66, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29631083

RESUMO

BACKGROUND: Glioblastoma is a fatal brain cancer with low median and yearly survival rates. Standard of care for treating glioblastoma is gross total resection (GTR) coupled with the Stupp protocol, but various factors influence the interventions undertaken and survival achieved. As health disparities exist in rural areas, survival in these areas needs to be assessed to understand which factors detract from the successes of these standard medical interventions. METHODS: We retrospectively determined impact of age at diagnosis, number of lesions, the molecular marker O6-methylguanine methyltransferase (MGMT), extent of surgery, and completion of the Stupp protocol on survival in patients treated at West Virginia University Hospitals. We also compared our findings with a pre-Stupp protocol study done in West Virginia in 1996. RESULTS: Age <60 years at diagnosis, having the MGMT gene methylated, having a unifocal tumor, receiving GTR, adhering to the Stupp protocol, and undergoing a treatment course of GTR followed by the Stupp protocol significantly increased survival. Comparison with the 1996 study showed that although overall median survival has not increased, all interventions involving GTR have resulted in a significantly higher survival. CONCLUSIONS: We can serve our patient population by offering GTR to all adult patients with glioblastoma when no contraindications exist and ensuring that patients follow the Stupp protocol. After discharge, the Stupp protocol may not be followed or completed for a variety of reasons. In the future, we aim to assess these reasons and analyze other significant interventional and socioeconomic factors that influence survival.


Assuntos
Neoplasias Encefálicas/mortalidade , Glioblastoma/mortalidade , Alfabetização em Saúde/tendências , Disparidades em Assistência à Saúde/tendências , Centros de Atenção Terciária/tendências , Adulto , Idoso , Idoso de 80 Anos ou mais , Protocolos Antineoplásicos , Região dos Apalaches/epidemiologia , Biomarcadores Tumorais/genética , Neoplasias Encefálicas/genética , Neoplasias Encefálicas/terapia , Estudos de Coortes , Metilases de Modificação do DNA/genética , Enzimas Reparadoras do DNA/genética , Feminino , Glioblastoma/genética , Glioblastoma/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Taxa de Sobrevida/tendências , Resultado do Tratamento , Proteínas Supressoras de Tumor/genética , West Virginia/epidemiologia , Adulto Jovem
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