The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborr...The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborrheic dermatitis). Environmental, socio-professional, life events are representing external factors. Personality, previous experiences, traits of anxiety are individual factors influencing the state of stress. Perceived stress could be more harmful especially in "high reactors" to stress. Coping abilities to stress could be increased in social programs. There was a recent interest in measuring the quality of life in the last years. There are dermatology and disease specific questionnaires that could help. Out-patients have less time to wait for very sophisticated procedures. They expect faster results. For simple, acute diseases it is important to have a good communication and good understanding of the instructions to get results as soon as possible. For chronic diseases a strong long-term alliance is needed, so the patients should revisit for his benefit and not for giving up. Small questions regarding potential stressful events, impact on the quality of life, stigmatization, the level of symptoms(pruritus), psychiatric comorbidities(anxiety, depression), short questionnaires for quality of life give us a better picture, personalize the doctorpatient relationship and could influence the choice of treatment. Many skin disorders could be seen from a psychosomatic point of view and the final goal, especially for the chronic diseases, is to improve through our treatments the impact on the quality of patient's life.展开更多
The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a prof...The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a profound structural reorganization of ENT services in the clinic is mandatory for protecting both patients and healthcare workers. The present study focused on quantifying the cost involved in reorganizing the otolaryngology out-patient services in a third world country during the ongoing Covid-19 pandemic. Though the pandemic has increased the cost of running of an otolaryngology practice world over, the impact is huge in India as penetration of health insurance/social security is minimal. As out of pocket expenditure forms a significant proportion of healthcare spending by majority in India, any transfer of additional cost incurred because of Covid-19 pandemic to the patient will burn a bigger hole in their pocket.展开更多
This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities.The study's focus is an out-patient trip to a health care facility,and the source of ...This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities.The study's focus is an out-patient trip to a health care facility,and the source of data is the China Health and Retirement Longitudinal Study(CHARLS)for 2011.2013 and 2015.Based on a random utility framework,the study finds that making a rip to ureat an ilness or for a check-up increases the likelihood of an out-patient trip by 52 and 31 probability points,respectively.Out-patient visits for which in-surance is not relevant,When the individual pays most of the out:of-pocket costs and when the facility is a public facility are also important factors.Diagnosed and other per-sonal health factors have some but much more modest effects on one's trip choice.The analysis also identifies differential modal impacts of health indicators.A series of robustness tests generally confirm the results and identify areas for further research.Including a no-trip option,the biannual sunvey and infrequent out-patient trip-making mitigate endogeneity concerns.The analysis has broad health policy and transportation implications for an ageing population whose share is increasing.展开更多
目的通过范围综述,系统梳理数智技术在慢性心力衰竭患者院外体重管理中的应用现状,为临床实践提供参考。方法基于范围综述报告框架,检索The Cochrane Library、CINAHL、PubMed、Embase、Web of Science、中国生物医学文献数据库、中国...目的通过范围综述,系统梳理数智技术在慢性心力衰竭患者院外体重管理中的应用现状,为临床实践提供参考。方法基于范围综述报告框架,检索The Cochrane Library、CINAHL、PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普中文科技期刊数据库,检索时限为建库至2025年12月25日。通过主题词和自由词结合布尔逻辑词进行文献检索。两名研究者独立筛选并提取纳入文献特征,分析并归纳总结干预工具、干预流程、干预效果等。结果最终纳入10篇文献,包括5篇随机对照试验和5篇类实验研究。纳入文献分析了数智驱动下慢性心力衰竭患者院外体重管理的干预工具、流程、内容及效果等。结论数智化干预能够有效提升慢性心力衰竭患者院外体重管理的依从性与管理效能,是创新慢性病健康管理模式的重要路径。未来需在核心模块标准化、适老化设计以及人机协同融合等方面深化研究与实践。展开更多
目的调查老年患者生活空间移动性受限现状及其影响因素,并总结护理对策。方法采用便利抽样法,2025年3月—5月选取湖南省某三级甲等综合医院门诊415例老年患者为研究对象。采用一般资料调查问卷、生活空间评估量表(life space assessment...目的调查老年患者生活空间移动性受限现状及其影响因素,并总结护理对策。方法采用便利抽样法,2025年3月—5月选取湖南省某三级甲等综合医院门诊415例老年患者为研究对象。采用一般资料调查问卷、生活空间评估量表(life space assessment,LSA)、积极老龄化量表(active aging scale,AAS)和跌倒警觉度量表(self-awareness of falls in elderly scale,SAFE)进行调查,并通过单因素和Logistic回归分析其影响因素。结果415例老年患者完成研究。门诊老年患者生活空间移动性总体得分为(67.01±21.01)分,受限率23.13%。Logistic回归分析结果显示,家庭人均月收入高、职工医保、跌倒警觉度高以及中等偏上积极老龄化是老年患者生活空间移动性受限的保护因素,而年龄≥80岁、居住于农村及有跌倒史是其危险因素(均P<0.05)。结论门诊老年患者生活空间移动性处于中等水平。医护人员可从提升积极老龄化程度、增强其跌倒警觉度角度提高老年患者的生活空间移动性水平,改善其行动能力与生活质量。展开更多
文摘The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborrheic dermatitis). Environmental, socio-professional, life events are representing external factors. Personality, previous experiences, traits of anxiety are individual factors influencing the state of stress. Perceived stress could be more harmful especially in "high reactors" to stress. Coping abilities to stress could be increased in social programs. There was a recent interest in measuring the quality of life in the last years. There are dermatology and disease specific questionnaires that could help. Out-patients have less time to wait for very sophisticated procedures. They expect faster results. For simple, acute diseases it is important to have a good communication and good understanding of the instructions to get results as soon as possible. For chronic diseases a strong long-term alliance is needed, so the patients should revisit for his benefit and not for giving up. Small questions regarding potential stressful events, impact on the quality of life, stigmatization, the level of symptoms(pruritus), psychiatric comorbidities(anxiety, depression), short questionnaires for quality of life give us a better picture, personalize the doctorpatient relationship and could influence the choice of treatment. Many skin disorders could be seen from a psychosomatic point of view and the final goal, especially for the chronic diseases, is to improve through our treatments the impact on the quality of patient's life.
文摘The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a profound structural reorganization of ENT services in the clinic is mandatory for protecting both patients and healthcare workers. The present study focused on quantifying the cost involved in reorganizing the otolaryngology out-patient services in a third world country during the ongoing Covid-19 pandemic. Though the pandemic has increased the cost of running of an otolaryngology practice world over, the impact is huge in India as penetration of health insurance/social security is minimal. As out of pocket expenditure forms a significant proportion of healthcare spending by majority in India, any transfer of additional cost incurred because of Covid-19 pandemic to the patient will burn a bigger hole in their pocket.
文摘This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities.The study's focus is an out-patient trip to a health care facility,and the source of data is the China Health and Retirement Longitudinal Study(CHARLS)for 2011.2013 and 2015.Based on a random utility framework,the study finds that making a rip to ureat an ilness or for a check-up increases the likelihood of an out-patient trip by 52 and 31 probability points,respectively.Out-patient visits for which in-surance is not relevant,When the individual pays most of the out:of-pocket costs and when the facility is a public facility are also important factors.Diagnosed and other per-sonal health factors have some but much more modest effects on one's trip choice.The analysis also identifies differential modal impacts of health indicators.A series of robustness tests generally confirm the results and identify areas for further research.Including a no-trip option,the biannual sunvey and infrequent out-patient trip-making mitigate endogeneity concerns.The analysis has broad health policy and transportation implications for an ageing population whose share is increasing.
文摘目的通过范围综述,系统梳理数智技术在慢性心力衰竭患者院外体重管理中的应用现状,为临床实践提供参考。方法基于范围综述报告框架,检索The Cochrane Library、CINAHL、PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普中文科技期刊数据库,检索时限为建库至2025年12月25日。通过主题词和自由词结合布尔逻辑词进行文献检索。两名研究者独立筛选并提取纳入文献特征,分析并归纳总结干预工具、干预流程、干预效果等。结果最终纳入10篇文献,包括5篇随机对照试验和5篇类实验研究。纳入文献分析了数智驱动下慢性心力衰竭患者院外体重管理的干预工具、流程、内容及效果等。结论数智化干预能够有效提升慢性心力衰竭患者院外体重管理的依从性与管理效能,是创新慢性病健康管理模式的重要路径。未来需在核心模块标准化、适老化设计以及人机协同融合等方面深化研究与实践。
文摘目的调查老年患者生活空间移动性受限现状及其影响因素,并总结护理对策。方法采用便利抽样法,2025年3月—5月选取湖南省某三级甲等综合医院门诊415例老年患者为研究对象。采用一般资料调查问卷、生活空间评估量表(life space assessment,LSA)、积极老龄化量表(active aging scale,AAS)和跌倒警觉度量表(self-awareness of falls in elderly scale,SAFE)进行调查,并通过单因素和Logistic回归分析其影响因素。结果415例老年患者完成研究。门诊老年患者生活空间移动性总体得分为(67.01±21.01)分,受限率23.13%。Logistic回归分析结果显示,家庭人均月收入高、职工医保、跌倒警觉度高以及中等偏上积极老龄化是老年患者生活空间移动性受限的保护因素,而年龄≥80岁、居住于农村及有跌倒史是其危险因素(均P<0.05)。结论门诊老年患者生活空间移动性处于中等水平。医护人员可从提升积极老龄化程度、增强其跌倒警觉度角度提高老年患者的生活空间移动性水平,改善其行动能力与生活质量。
