No abstract

No abstract

Because of demographic changes and epidemiological transition, the need for management of chronic diseases and long-term care for the frail elderly are dramatically increasing. Some needs involve socially-oriented services while others are more medically focused, for example, idiopathic Parkinson's Disease (IPD). Idiopathic Parkinson's Disease is a degenerative neurological condition characterized by muscle rigidity, uncontrollable tremor, and a slowing of physical movement ABSTRACT: Objective: To evaluate the effect of a group education program with personal rehabilitation for idiopathic Parkinson's disease (IPD). Methods: A single-blind, randomized, controlled clinical trial, with a pre-test/post-test quasi-experimental design. Fortyfour stable, non-demented patients with IPD were randomly assigned to an intervention group (n=23) and control group (n=21). Three group lectures on health education specific to IPD were delivered to the intervention group. The theme of lectures was "Not a lonely journey, as your friend, we---experts specializing in IPD---would love to join with you." Three domains of the management of IPD were mentioned: "How to manage your routine Meal, Moving and Mood after suffering from IPD" Each lecture was scheduled for 45 minutes (excluding breaks), and designed as an interactive dialogue rather than a traditional lecture. To strengthen the impact of the lectures, relevant information was published on a website: http://www.parkinsonism.cn/. Following the group lecture, individualized and tailored rehabilitation made up of 24 half-hour sessions over eight weeks were provided for the intervention group. Results: The program ran smoothly and IPD patients were satisfied with this program. After only eight weeks, the health-related quality of life (HR-QOL) in the intervention group improved significantly (p<0.001). Patients and their caregivers in this group also reported their mood elevations following the program. Conclusion: Group education combined with personal rehabilitation program appears to be a beneficial and practical intervention, not only complementing the medical treatment for IPD patients but also meeting the growing demand for long-term care. RÉSUMÉ: Enseignement de groupe avec réadaptation personnelle dans la maladie de Parkinson idiopathique. Objectif : Le but de cette étude était d'évaluer l'effet d'un programme d'enseignement de groupe avec réadaptation personnelle dans la maladie de Parkinson idiopathique (MPI).Méthodes : Il s'agit d'une étude clinique contrôlée, randomisée, à simple insu, avec un devis quasi expérimental prétest/posttest. Quarante-quatre patients atteints de MPI sans démence, dont la maladie était stable, ont été assignés au hasard au groupe intervention (n = 23) ou au groupe témoin (n = 21). L'intervention consistait en trois cours de groupe portant sur la santé, adaptés à la MPI, dont le thème était « Ce n'est pas un parcours solitaire, nous -les experts spécialistes de la MPI -aimerions nous joindre à vous en tant qu'amis ». Trois domaines de gestion de ...

The study shows significant association between biomass fuel use and respiratory involvement among rural women in Bangladesh, although the potential confounding of urban/rural residency could not be ruled out in the analysis. The use of smoke-free stoves and adequate ventilation along with health education to the rural population to increase awareness about the health effects of indoor biomass fuel use might have roles to prevent these involvements.

BackgroundAlthough Bangladesh has achieved tremendous success in health care over the last four decades, it still lagged behind in the areas of maternal and child malnutrition and primary health care (PHC). To increase access to PHC, the Bangladesh government established approximately 18,000 community clinics (CCs). The purpose of this study was to examine the associations of socioeconomic determinants of women aged 12–49 years with the CCs awareness and visitation.MethodsWe analyzed secondary data provided by Bangladesh Demographic and Health Survey-2011. A two-stage cluster sampling was used to collect the data. A total of 18,222 ever married women aged 12–49 years were identified from selected households and 17,842 were interviewed. The main outcome measures of our study were awareness and visitation of CCs. Bivariate logistic regression was used to calculate odds ratio (OR) and 95 % confidence interval (CI) to examine the associations between the awareness and visiting CCs with socioeconomic determinants.ResultsLow prevalence of awareness about CC (18 %) was observed among studied women and only 17 % of them visited CCs. Significant associations (P < 0.05) with CCs awareness and visitation were observed among aged 20–29 years (adjusted OR = 1.18; 95 % CI = 1.03–1.35 and adjusted OR = 1.49; 95 % CI = 1.05–2.11), primary education (adjusted OR = 1.20; 95 % CI = 1.08–1.34 and adjusted OR = 1.37; 95 % CI = 1.05–1.78), and poorest family (adjusted OR = 1.21; 95 % CI = 1.03–1.42 and adjusted OR = 2.36; 95 % CI = 1.56–3.55, respectively), after controlling potential confounders.ConclusionsAwareness and visitation of CCs were found to be positively associated with lower economic conditions, young age, and primary education. Awareness and access to CCs might be increased through community activities that involve health care workers. The government should also lower barriers to PHC access through CCs by providing adequate logistics, such as human resources and equipment.

No abstract

No abstract

No abstract