Questions related to Preventive Medicine
Sepsis is a pervasive problem in hospital and other care facilities that causes an alarming amount of preventable deaths. Please review the attached document for more information on this problem to generate awareness and develop more scientific interest in eliminating the problem.
I always read "the higher the score the better the health", however, it seems to me that it is not true by the way the two summary measures are constructed. Or maybe - highly plausible - I am missing something.
Following "Ware, J. E., Keller, S. D., & Kosinski, M. (1995). SF-12: How to score the SF-12 physical and mental health summary scales. Health Institute, New England Medical Center" and the Appendix in "González-Chica, D. A., Dal Grande, E., Bowden, J., Musker, M., Hay, P., & Stocks, N. (2017). Are we reducing the risk of cardiovascular disease and improving the quality of life through preventive health care? Results of a population-based study in South Australia. Preventive medicine, 99, 164-170." consequently, I can assume that the "healthiest" individual will get PCS= 56.57706 and MCS= 60.75781 since, for each item, indicator is not created for the response choice indicating the better health, thus s/he will have all the weights multiplied by zero and then the summary measures will coincide with the constant .
A second individual "less healthy", may have, however a higher PCS or MCS if, for instance, has for all the items the healthier answer except for one item (so all the weights will be multiplied by zero but one, assume MH3_1). This individual will have PCS = 3.46638 + 56.57706 .. Higher than the former individual the "healthiest" one .
In this situations of carona pandemic what would be the role of Nutrition and nutritionists to combat this ?? Plz enlight if some approches can be made??
Right now I'm working on Salvia Sclarea. But we can't get root cultures from 'em. Every time we try it, at first my protocol doesn't work but secondly cultures are getting rotten so easily. What can I add to the medium to prevent from that? Thank you!
In noticing the amount of products that contain calcium, as well as that calcium is easily purchased by the ton as a food additive, I began to wonder if the calcium oxide in the hot chocolate that I drink was making more cracks in my back when I do yoga. Our skeleton is known to dissolve a little bit during exercise and I wonder if diets high in calcium and low in exercise may have something to do with the high incidence of arthritis.
Historically, countries around the globe have spent more on healthcare than on preventive population health through investments in public health infrastructure. These spending patterns still persist.
Do you think it is the time for governments to put more financial resources into preventive care so that most people do not experience preventable illness?
Successful and advanced preventive medicine depends on availability of accessible, correct information, which represents a defined point of time and collected from different resources. This usually requires working with huge numbers and data specially when it deals with communicable disease control and surveillance systems.
So the question is: Can using computers and new information knowledge, equipment and software systems truly improve the quality of services provided to the community and eventually enhance better health status ?
My name is Asahi Hishida, MD, PhD, MPH, a senior assistant professor of Dept. of Preventive Medicine, Nagoya University, Japan.
We are now working on the imputed GWAS data (imputed based on 1000G P3 using Minimac3) from one of the Japan’s largest genome cohort studies GWAS data (The J-MICC Study: http://www.jmicc.com/en/).
I posted this question today because I tried running your DosageConverter with my imputed GWAS file, and encountered the following error:
“Variant [1: xxxx] does not have R2 in the INFO column, although it is NOT GENOTYPED_ONLY!”
Here I have one question: it seems that our .vcf file doesn’t have R2 column as the software points out; can we solve this problem by adding the "Info" file of Minimac3, or are there any other problems or solutions?
We are now planning to build up our pipelines for gene-environment interaction analysis by using ProbAbel (http://www.genabel.org/packages/ProbABEL), and thus may need to convert our Minimac3 imputed GWAS.vcf files to MACH formatted files.
We appreciate if any experts related to this field could kindly give us any clues/solutions for this issue.
All the Best,
Ayurveda, the ancient Indian System of Medicine based on the philosophy of total health and wellness is a science of life with a holistic approach considering physical, psychological, philosophical, ethical, and spiritual aspects of healthcare. Ayurveda is a very logical science based on basic scientific principles. The ancient wisdom of Ayurveda is based on time-tested theories proven by observation, trial and error and experimentation. Like most traditional medicine systems, it was developed and refined over thousands of years, using observation and experience. Ayurvedic therapies have been practiced for thousands of years much before the development of placebo controlled experiments. The science of Ayurveda does not only depend upon the symptoms but believes in a thorough examination to discover the root cause of the ailment and instead of suppressing the symptoms, Ayurvedic therapy focuses on finding the reasons for the underlying symptoms. Despite lack of much clinical research on Ayurveda, many of the system’s principles and practices are now recognized and used in conventional medical settings. Herbs used in Ayurvedic medicine, such as tumeric, ginger, and neem, are now recognized as beneficial for heart health and as antioxidant-boosters. There are many evidences, which support Ayurveda performances better than Western medicine, mainly in case of chronic diseases. In retrospection of these facts, do Ayurvedic medicines need modern scientific scrutiny and validation?
Nurse practitioners and physician assistants hold an important place in the healthcare system. Both nurse practitioners and physician assistants routinely serve the primary and preventative care needs of the patients.
Can a nurse practitioner do as a physician assistant if it is necessity? If not, why?
I am a WASH and urban development specialist living and working in East Africa. I am attempting to scope out “temporary” solutions to sanitation and waste challenges in large unplanned settlements in Dar es Salaam and Nairobi and am looking to receive feedback/critique/advice. I understand these solutions do not sound politically/technologically correct, but with local resource limitations, I seek to identify low-cost, non-motorised and intuitive methods that can be implemented quickly on the ground.
I am interested in what role a mix of powder soap, sand and ash could play in enabling schools to supply affordable options to their pupils to wash their hands. This is already a common practice in East Africa, but it is unclear what the optimal mix/composition of these three items should be. Does anyone else have recommendations on the optimal composition or an alternative item, that is free/locally sourced that could be mixed?
Have you ever heard of medical or paramedical operators who are performing heart ultrasound scan ? I search about the best postures they can hold during this kind of medical exams ? Do you know of any survey ?
Aging is the natural process our bodies go through. Old people have many difficulties in their life. How can we delay the aging complications by a preventive nursing?
I am just wondering if there have been any further developments since this paper, as this is fascinating and highly applicable on a population level.
The fierce controversy now is that there should have been a wet lab experiment component to investigate the fate of donated anti-malaria drugs.
I am a current MD/PhD student and enjoy doing database research (basic stats, writing, editing, literature review, etc) and have used various databases to work from.
I would love to speak with experts in the field who do preventive medicine or primary care research and are looking for additional help or just even someone to speak with.
The ambiguity and variability in existing literature on the magnitude of socio-economic inequality in self-reported morbidities makes it difficult to set priorities in health policies.
The primary reason for tension headache is the exertion in the masticatory muscles. NTI appliances are contemporary devices for alleviating tension in the masticatory muscles and are very popular among the clinicians mostly because of the elaborate marketing propaganda. The stabilization splints are old fashioned appliances for treatment of tension in the masticatory muscles and have proven to be very effective. The NTI appliance is easy to use and requires little readaptation, the stabilization splint requires regular readjustments. The NTI appliances are factory made while the stabilization splints are manufactured individually for each patient.
Computer vision syndrome (CVS) is a temporary condition resulting from focusing the eyes on a computer display for protracted, uninterrupted periods of time. Some symptoms of CVS include headaches, blurred vision, neck pain, redness in the eyes, fatigue, eye strain, dry eyes, irritated eyes, double vision, vertigo/dizziness, polyopia, and difficulty refocusing the eyes. These symptoms can be further aggravated by improper lighting conditions (i.e. glare or bright overhead lighting) or air moving past the eyes (e.g. overhead vents, direct air from a fan). [Source: Wikipedia]
With the increasing access to digital devices, Computer Vision Syndrome is becoming a common ailment
Nowadays ours eyes do not get adequate rest as most of the time we are either on our computer, laptop, i-pad, mobile or watching television. Eye strain caused by excessive use of computer is called Computer Vision Syndrome or digital vision syndrome. It manifests as tiredness, inability to work for long hours, blurring of vision, double vision, watering, redness, itching and pain in eyes. These symptoms will be present in 95 per cent of people who use the computer for more than three hours a day.[Source: The Hindu]
Some Excerpts from the second article:
What To Do
Posture and Exercises
Good posture and regular exercises of back and cervical muscles are a must if you use the computer for more than three to four hours a day.
The room should be well illuminated with the light source positioned in a way that light does not fall directly on your eyes or on the screen The light source should be behind the screen or on the ceiling and partially covered. anti-glare screens and spectacles can also help.
Normally we blink 10 to 12 times a minute. When we watch TV our blink rate is 5 to 6 a minute and while working on the computer it further goes down to 3 to 4 times a minute. Reduced blinking causes evaporation of tears thereby increasing the osmolarity (concentration) of the tears. The hyperosmolar tears induce inflammation and tear film instability which in turn cause increase reflex lacrimation. In other words, the dry eye caused by Computer Vision Syndrome may present not only as dry eye but may present as watering and inflamed eye.
To overcome this, it is better to have the computer screen 20 to 40 degrees below the eye level. This causes partial closure of the eyes by the lids thereby decreasing the evaporative surface.
Your comments and views are welcome. Muchas Gracias !!
The SCORE tables for the year 2011 only based on total cholesterol (and other risk factors) despite recognizing the huge impact of the concentrations of HDL in cardiovascular risk estimation. Moreover, for a given concentration of total cholesterol, LDLc calculation (therapeutic target) can change greatly depending on the concentration of HDL in the time.
It is well understood that mosquitos lays eggs in stagnant water, I wonder if it can use wet surfaces for their reproduction.
I am very interested in the reasons of preference for particular theoretical models /(combination of) theories in carrying out research on lifestyle counseling given by PCPs/ practice nurses/dieticians.
Which tools and messages had you used and do you have a report of the process or the results?
Using general theories from social science and medical science I want to work on a nursing research that could explore the relationship of disrupted circadian rhythm of shift workers in the Philippines and the interrelated factors that could increase the risk of having cardiovascular disease.
I am thinking of starting the tobacco cessation program that encourages the people to quit smoking and also help the person who wants to quit. In our country there are lots of rehabilitation centers for alcohol and other drugs but not a single clinic for tobacco cessation.
Can anybody suggest me some prototype of this kind of program so I can replicate it in my country or any program who will be interested in helping to establish such program in a resource poor country like mine?
Several researchers from developing countries are not knowledgeable in Epidemiology and Research Methodology. It will result in a poorly conducted trial. Several important research questions are proved in wrong study designs and analysis.