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Although useful dataset has been provided for investigating the effect of individual policies against COVID-19, swiftness parameters on isolation are missing in the dataset. The effect of individual health policies among G20 is compared by the number of deaths due to the COVID-19. Remember that we currently have an only isolating-all-at-risk strategy with no vaccine and no effective treatment for mitigating the pandemic.

The global community needs to be aware of the potential psychosocial consequences that may be experienced by health care workers who are actively managing patients with coronavirus disease (COVID-19). These health care workers are at increased risk for experiencing mood and trauma-related disorders, including posttraumatic stress disorder (PTSD). In this concept article, strategies are recommended for individual health care workers and hospital leadership to aid in mitigating the risk of PTSD, as well as to build resilience in light of a potential second surge of COVID-19. Update citation details during checkdate report - ROR

The Smartline project is receiving up to £4,188,318 of funding from the England European Regional Development Fund (Grant No. 05R16P00305) as part of the European Structural and Investment Funds Growth Programme 2014–2020. The Ministry of Housing, Communities and Local Government (and in London the intermediate body Greater London Authority) is the Managing Authority for European Regional Development Fund. Additional funding is from the South West Academic Health Science Network. In general research demonstrates that deprivation, education, health, and well-being are determinants of volunteering, and that volunteering can play an important role in building stronger communities and provides many benefits for individual health and well-being. This study concentrates on the effects of physical and mental health and well-being as predictors when the aspect of socioeconomic impact has been minimised. It utilises a unique data-set from a UK Housing Association community with generally high levels of deprivation. Data were analysed using bivariate probit regression. In contrast to previous findings, physical health and mental health were not significantly related to volunteering. The key finding was that mental well-being was significantly related to informal volunteering. Publisher PDF

To present the evidence that describes what is being measured by upper-arm cuff blood pressure (BP) and the level of accuracy compared with invasive central aortic and brachial BP. Potential causes of inaccuracy and emerging methods are also discussed. On average cuff systolic BP systematically underestimates invasive brachial systolic BP, although in a given individual it may substantially under- or over-estimate central aortic systolic BP. Such errors may affect individual health management outcomes and distort population level data on hypertension prevalence and control. Oscillometric cuff BP is particularly susceptible to inaccuracy in people with high arterial stiffness and with pathophysiological BP waveform shapes. Emerging cuff-less BP methods will be susceptible to inaccuracy if oscillometric cuff BP is used for calibration. The original purpose of cuff BP was to estimate central aortic BP. Recent evidence has shown substantial inaccuracy of oscillometric cuff BP exists for the measurement of invasive central aortic and brachial BP. Thus, development of more accurate BP methods, through better understanding of oscillometric and BP waveform morphology, is needed to improve health outcomes related to high BP.

Misinformation or fake news may threaten our democracies, societies, and economies, even individual health and well-being. Humans are usually careful about the things they are being told. They check news or tweets against their knowledge or beliefs and estimate to what extent propositions contain information that is bogus. People have abstract representations of facts in mind. That help them to validate propositions and to search for information suitable for their validation. This paper presents design and prototypical implementation of the Contexter system that enables users to define and manage blueprints of facts or fake news. Contexter takes these blueprints as a schema to detect facts or fake news. It also starts to find variants of these blueprints to detect pieces of text that come semantically close to the propositions addressed by the original blueprint.

This study investigates the relationship between occupational status and health inequality in the working population by analyzing data from the 2012 China Labor Force Dynamics Survey. The results show that individual health varies substantially by occupational status, including self-assessed health, work-related injury, and self-reported occupational disease. Low occupational status is associated with poorer self-assessed health and increased incidences of work-related injuries, while people with the high occupational status report more occupational diseases. Further analysis indicates that working condition is the main mediator between occupational status and individual health. Based on the results from the Karlson–Holm–Breen decomposition, the disparities in working conditions, including working overtime, environmental and occupational hazards, job demand and control, and perceived rewards, account for approximately half of the effects of occupation status on individual health.

The present study examined the compliance of butcher shops to food safety practices. The study was done based on a survey of 61 respondents randomly sampled from 61 butchers in Rungwe district. Data were analyzed using IBM SPSS Statistics version 20 using descriptive statistics. The results indicated that the butcher environment and physical conditions had an average compliance score of 50.8%, the overall average awareness score on foodborne illnesses and hygienic practices was 65% whereas cleaning and sanitization had an overall average compliance score of 41.9%. Personal hygiene which was evaluated in terms of clothing, hands and individual health recorded 75.4% and 68.9% compliance scores for proper handwashing and drying respectively. The common hand drying practices involved the use of clean towels (62.8%) and disposable paper towels (11.5%), even so, 26.2% did not dry their hands at all. The use and cleanliness of aprons were adhered to by 93.7% of the respondents. Cross-contamination was deemed likely among 45.9% butchers due to non-separation and storage of spare clothes in the butchers. The common handling and storage practices was that of suspending meats on hooks at room temperatures (93.4%) with only 4.9% of butchers suspending on hooks at refrigeration temperature. This suggests none chilling of surplus meat at the end of the day sale by the majority of butchers. The compliance of butcher shops to food safety practices was generally modest which could be attributed to illiteracy in food safety and lack of proper meat handling and storage facilities.

“Printed by Parkinson’s” is an innovative project with the main aim to raise awareness for the many aspects of Parkinson’s disease and their implication for everyday life. In a cooperation of Innocean Worldwide GmbH and the Movement Disorder and Neuromodulation Section, Charité Universitätsmedizin Berlin, design and medical and neuroscientific expertise were combined to create unique artworks: Bronze sculptures were created when combining personal objects selected by each patient, and their neurophysiological individual health data. As a core element, patient interviews in an accompanying film shed light on the personal stories behind the art objects. Public presentations raised interest in the topic and very positive reactions by patients and relatives, and we think that the possibility to use art for improved communication in the field of medicine holds promise for the future.

There already have been many arguments about the possible relationship between individual health andpopulation health, and many studies argue that both of these two terms are identifiable or even are hard to define if therewas no informative contextualization. The opinion of this study is that they have a symbiotic relationship, which causesand influences each other. Furthermore, individual health should be the basement of the population health forever. In thisarticle, there are three challenges facing American public health: uneven distribution of medical resources; risinghealthcare cost; gun violence. The relationship between individual and population health and how to balance them arediscussed and studied in the article.

One of the Affordable Care Act’s (ACA) signature reforms was creating centralized Health Insurance Marketplaces to offer comprehensive coverage in the form of comprehensive insurance complying with the ACA’s coverage standards. Yet, even after the ACA’s implementation, millions of people were covered through noncompliant plans, primarily in the form of continued enrollment in “grandmothered” and “grandfathered” plans that predated ACA’s full implementation and were allowed under federal and state regulations. Newly proposed and enacted federal legislation may grow the noncompliant segment in future years, and the employment losses of 2020 may grow reliance on individual market coverage further. These factors make it important to understand how the noncompliant segment affects the compliant segment, including the Marketplaces. We show, first, that the noncompliant segment of the individual insurance market substantially outperformed the compliant segment, charging lower premiums but with vastly lower costs, suggesting that insurers have a strong incentive to enter the noncompliant segment. We show, next, that state’s decisions to allow grandmothered plans is associated with stronger financial performance of the noncompliant market, but weaker performance of the compliant segment, as noncompliant plans attract lower-cost enrollees. This finding indicates important linkages between the noncompliant and compliant segments and highlights the role state policy can play in the individual insurance market. Taken together, our results point to substantial cream-skimming, with noncompliant plans enrolling the healthiest enrollees, resulting in higher average claims cost in the compliant segment.

Integration of tuberculosis and HIV services in many resource-limited settings, including Ghana, has been far from optimal despite the existence of policy frameworks for integration. A previous study among programme managers and other stakeholders at the national level has documented tardiness in committing to the integration of services. In this paper, we aimed at unravelling pertinent challenges that confront TB-HIV integrated service delivery. Data were obtained from interviews with 31 individual health care providers operating under different models of TB-HIV service delivery. The study is framed around the Complexity Theory. We applied inductive and deductive techniques to code the data and validations were done through inter-rater mechanisms. The analysis was done with the assistance of QSR NVivo version 12. We found evidence of a convivial working relationship between TB-HIV service providers at the facility level. However, the interactions vary across models of care-the lesser the level of integration, the lesser the complexities for interactions that ensued. This had resulted in operational challenges on account of how the two-disease environment interacts with the other components of the health system. These challenges included; weak/inappropriate infrastructure, frail coordination between the two programmes and hospital administrators, under-staffing in comprehensive TB-HIV management, use of community facility under the Directly-Observed Treatment (DOT) protocols, and financial constraints. To fully appropriate the enormous benefits of TB-HIV service integration, there is a need to address these challenges.

Background. Smoking invariably has health, social, economic, and environmental consequences in Ethiopia. Reducing and quitting cigarette smoking improves individual health and increases available household funds for food, education, and better economic productivity. Therefore, this study is aimed at assessing cigarette smoking intensity and associated factors among male smokers in Ethiopia. Methods. The data were extracted from the 2016 national cross-sectional Ethiopian Demographic and Health Survey. Our study used data from the standardized and adapted men’s questionnaire. The study included a total of 391 (weighted) smokers who at least smoked one manufactured cigarette per day. The data were collected using a two-stage cluster design which includes selection of enumeration areas and then selection of households. The number of manufactured cigarettes smokers smoked per day was used to measure smoking intensity. Descriptive statistics were used to summarize the study findings. Bivariable and multivariable truncated negative binomial Poisson regression models were employed to determine smoking intensity. Results. The finding showed that on average men smoked weighted nine cigarettes per day. One in every five of the smokers (21.2%) smoked 10 cigarettes per day. Smokers living in rural areas (IRR=0.43, 95% CI: 0.244, 0.756), currently married (IRR=0.64, 95% CI: 0.46, 0.91), formerly married (IRR=0.54, 95% CI: 0.30, 0.96), richer men (IRR=0.63, 95% CI: 0.43, 0.90), and richest men (IRR=0.49, 95% CI: 0.28, 0.87) were associated with lower smoking intensity. Smokers in the Somali (IRR=2.80, 95% CI: 1.29, 6.11), Harari (IRR=3.46, 95% CI: 1.14, 10.51), and Dire Dawa (IRR=3.09, 95% CI: 1.23, 7.80) regions; older age (IRR=1.77, 95% CI: 1.31, 2.40); affiliated with Protestant religion (IRR=1.81, 95% CI: 1.12, 2.92); poorer men (IRR=1.64, 95% CI: 1.19, 2.27); watched television (IRR=1.18, 95% CI: 1.04, 1.35); drunk alcohol (IRR=1.37, 95% CI: 1.03, 1.82); and completed primary (IRR=1.15, 95% CI: 1.01, 0.317) and higher education (IRR=2.96, 95% CI: 1.88, 4.67) were positively associated with smoking intensity. Conclusion. Male smokers in Ethiopia smoked intensively with an average of nine manufactured cigarettes per day. Tobacco control interventions should target the following: Eastern Ethiopia regions, older aged, affiliated with Protestant religion, poorer men, watched television, drunk alcohol, and primary and higher educational level.

Neighborhood social capital is argued to influence individual health. However, many studies do not make the distinction between individual level and group level social capital. Furthermore, many studies on this topic are cross-sectional studies based in Western countries. In this study I will examine health and neighborhood social capital by measuring social capital on both the individual and the aggregated neighborhood level. Data from two waves of the Taiwan Youth Project give a longitudinal perspective into the development of health of adolescents from northern Taiwan. The data consist of 2207 adolescents, with measures at ages 14 and 15. The adolescents are clustered within 39 neighborhoods. The results show that adolescents' individual level neighborhood social capital is related to their baseline health status, but not to changes in health status. Only neighborhood level social capital is related to changes in health status. More social capital in the neighborhood is related to positive changes in health status. To test whether the effect of neighborhood social capital changes, depending on how important the neighborhood context is in someone's life, I studied differential effects for adolescents with more or less alternative contacts outside of the neighborhood and the years adolescents resided in the neighborhood. The original results were not affected by these factors, suggesting that the relation between neighborhood social capital and health is pervasive, despite individuals' integration in the neighborhood.

Background: In recent years the use of time to death (TTD) variables in the modeling of individual health expenditures has been of interest to health economics researchers. The aim of this study was to investigate the effect of age and TTD on hospital inpatient expenditure (HIE). Methods: We used a claims database from Iran Health Insurance Organization of Tehran city that includes considerable proportion of Tehran residents and contains information on insured individuals’ HIE. We included HIE of all insured decedents (30 to 90 years old) who died during March 2013 and March 2014 (n=1018). No sampling was required. According to the decedents’ date of death, we extracted their last 24 months HIE. The period of time March 30, 2011 until March 30, 2014 (3 years) was used to guarantee a full 24 months of observations for decedents. A two-part econometric model was employed to investigate the effect of age, TTD, and some demographic variables on probability and conditional amount of individuals’ hospital expenditure. Stata software (version 16.0) was used for data processing and analysis. Results: Our results demonstrated that the month-based TTDs especially near months before death of decedents (TTD1 to TTD10) significantly affected both probability and conditional amount of HIE. One month before death incurred more HIE than the rest of the months. A further interesting finding is that after including TTD, age variable as a conditional driver of HIE loses its direct effect on decedents’ HIE, but age TTD interaction effect on HIE is still positive and statistically significant. Conclusion: The results confirm that TTD as a proxy of mortality indicator has a considerable effect on decedents’ HIE. The age variable has not directly affected decedents’ HIE but indirectly and through its interaction with TTD has a statistically significant effect on HIE. In addition to age, policy-makers should consider TTD to make better predictions of future HIE.

A culture of oral health neglect and one chipped tooth led Christine Collins to a devastating series of conditions that affected her physical and emotional well-being. The costs of this culture on a person's individual health - and the health-care system as a whole - demonstrate the true value of preventive oral health care.

Getting pregnant and having children is a reality for some trans men who resist the construction of pregnancy associated with cisgender women. However, forms of discrimination, especially in healthcare, result in the avoidance of these services and have an impact on individual health of the trans person and the baby. To deal with the visibility of pregnancy, a set of strategies are adopted but none of them protects these people. In this sense, this theoretical review intends to reflect on the oppression perpetuated by the cisnormative culture that affects trans pregnant men, alerting to the need of thinking about these experiences and creating conditions that contemplate the diversity and well-being of all people.

Given concerns over the public and individual health status of modern society and the scarcity of research on mobility and the health nexus, taking a personalist perspective grounded in spillover theory integrated with broaden-and-build theory, this study uses preventive science ideology and explores the links between tourism and public health through the illustration of the effects of travel on people’s personal, mental, and social wellbeing (PMS-web). A comprehensive review of the literature which is based on themes initiated from WHO (1948) statement: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” was adopted. Physical, mental, and social (PMS) well-being and tourism/travel keywords were used to search top tier journal articles via the Web of Science and google scholars’ search engines. Findings revealed that a positive linkage exists between travel/tourism and the PMS well-being of individuals that contribute considerably to their state of health per se and is vital to the public health in societies. Although the reviewed tourism literature includes plentiful studies on health/medical tourism or the health issues of host/guests, the lack of focus on the nexus of tourism and public health is sensible.

This paper examines the impact of the New Rural Pension Scheme (NRPS) in China. Exploiting the staggered implementation of an NRPS policy expansion that began in 2009, we use a difference-in-difference approach to study the effects of the introduction of pension benefits on the health status, health behaviors, and healthcare utilization of rural Chinese adults age 60 and above. The results point to three main conclusions. First, in addition to improvements in self-reported health, older adults with access to the pension program experienced significant improvements in several important measures of health, including mobility, self-care, usual activities, and vision. Second, regarding the functional domains of mobility and self-care, we found that the females in the study group led in improvements over their male counterparts. Third, in our search for the mechanisms that drive positive retirement program results, we find evidence that changes in individual health behaviors, such as a reduction in drinking and smoking, and improved sleep habits, play an important role. Our findings point to the potential benefits of retirement programs resulting from social spillover effects. In addition, these programs may lessen the morbidity burden among the retired population., arXiv admin note: text overlap with arXiv:2006.01185

Suicide is a major societal challenge globally, with a wide range of risk factors, from individual health, psychological and behavioral elements to socio-economic aspects. Military personnel, in particular, are at especially high risk. Crisis resources, while helpful, are often constrained by access to clinical visits or therapist availability, especially when needed in a timely manner. There have hence been efforts on identifying whether communication patterns between couples at home can provide preliminary information about potential suicidal behaviors, prior to intervention. In this work, we investigate whether acoustic, lexical, behavior and turn-taking cues from military couples' conversations can provide meaningful markers of suicidal risk. We test their effectiveness in real-world noisy conditions by extracting these cues through an automatic diarization and speech recognition front-end. Evaluation is performed by classifying 3 degrees of suicidal risk: none, ideation, attempt. Our automatic system performs significantly better than chance in all classification scenarios and we find that behavior and turn-taking cues are the most informative ones. We also observe that conditioning on factors such as speaker gender and topic of discussion tends to improve classification performance., submitted to ICASSP 2020

Indigenous boys and men in Canada face adverse social and structural circumstances that affect their ability to achieve and maintain sexual health. Research about Indigenous sexual health, however, is largely limited to matters relating to women and statistics on sexually transmitted infections. A rapid review of research was conducted to determine what is currently known about Indigenous boys' and men's sexual health in Canada. Given the prevalence of research documenting quantitative disparities, the current review included qualitative research only. Thirteen included studies explored a wide range of topics relating to sexual health and an overarching intersection between social conditions and individual health outcomes was observed. The results of this review reveal significant gaps in the literature relating to the holistic sexual health of Indigenous boys and men and highlight important domains of sexual health to consider in future research. Findings suggest that sexual health programmes that promote traditional Indigenous knowledge and intergenerational relationships may be effective for promoting sexual health among Indigenous boys and men.

Lowering dietary intake of sodium is currently an important public health goal, and a major driver of food product development. Reducing the salt content of food while maintaining the same structure and sensory quality is, however, no easy feat. While several strategies for reformulation exist, the available literature indicates that their effectiveness is highly product-dependent. The present research focused on different salt reduction strategies for potato chips (crisps), drawing on two studies focusing on young (18–30) consumers.In Study 1 (N = 200), the effect of simple salt reduction and two salt replacers (KCl and MSG) on consumer perception was investigated, using a reference product as basis for systematic reformulation. Study 1 also addressed the issue of how information labeling affects consumer perception by comparing results in blind and informed conditions (N = 100 each). The results indicated that sodium can be reduced up to 30% while maintaining the same palatability, and that replacement (up to 30%) by either KCl and MSG even increased liking in the blind condition. A strong labelling effect was found, however, whereby consumers significantly preferred the reference product than any of the reformulation when informed of its content, whereas the opposite was observed (reference was least liked) when tested in blind.Study 2 (N = 100) extended the range of experimental conditions by focusing on how salt reduction is affected by texture and seasoning type. The main result of Study 1 – that sodium can be reduced up to 30% while maintaining the same palatability (in blind) – was confirmed across different seasoning types, thus enabling a more robust basis for generalization. Contrary to expectations, the presence of a wavy (vs. smooth) texture increased liking only for a single seasoning type, and the effect was not dependent on salt content.

Food is the first requirement of the human being, which cannot be dispensed with. Through it, he can obtain energy and the ability to resist diseases and thus be able to work and produce, which will positively affect the development of society as a whole, and proper nutrition is considered the main pillar of the health of the individual, and given the close link between the life of the individual and the quality Its food, and the nature of its nutrition, so it is extremely important that individuals in general, and those in charge of preparing food in particular, have sufficient information about food in terms of its concept, components, sources, functions, and safety, as well as with regard to nutrition in terms of its concept, as well as malnutrition And diseases of malnutrition, whereby following the principles of proper nutrition becomes an individual less susceptible to disease and enjoys good health and becomes able to work and enjoy his life, and proper nutrition affects the level of individual health and reduces diseases of malnutrition which leads to increased production and provision of what is spent on treatment and medication As a result of malnutrition, a healthy diet helps prevent some diseases and helps to cure other diseases.

In Australia, free-range layer pullets are typically reared indoors, but adult layers go outdoors, and this mismatch might reduce adaptation in laying environments. Enrichments during rearing may optimise pullet development and subsequent welfare as adult free-range hens. In the outdoor environment, hens may have greater opportunities for exercise and natural behaviours which might contribute to improved health and welfare. However, the outdoor environment may also result in potential exposure to parasites and pathogens. Individual variation in range use may thus dictate individual health and welfare. This study was conducted to evaluate whether adult hens varied in their external and internal health due to rearing enrichments and following variation in range use. A total of 1386 Hy-Line Brown® chicks were reared indoors across 16 weeks with three enrichment treatments including a control group with standard housing conditions, a novelty group providing novel objects that changed weekly, and a structural group with custom-designed structures to increase spatial navigation and perching. At 16 weeks of age the pullets were moved to a free-range system and housed in nine identical pens within their rearing treatments. All hens were leg-banded with microchips and daily ranging was assessed from 25 to 64 weeks via radio-frequency identification technology. At 64–65 weeks of age, 307 hens were selected based on their range use patterns across 54 days up to 64 weeks: indoor (no ranging), low outdoor (1.4 h or less daily), and high outdoor (5.2–9 h daily). The external and internal health and welfare parameters were evaluated via external assessment of body weight, plumage, toenails, pecking wounds, illness, and post-mortem assessment of internal organs and keel bones including whole-body CT scanning for body composition. The control hens had the lowest feather coverage (p P = 0.03) than the novelty hens. The high outdoor rangers had fewer comb wounds than the indoor hens (P = 0.04), the shortest toenails (p p p p P = 0.01) but neither group differed from the structural hens. The high outdoor hens showed the highest spleen (P = 0.01) and empty gizzard weights (P = 0.04). Both the rearing enrichments and ranging had no effect on keel bone damage (all P ≥ 0.19). There were no significant interactions between rearing treatments and ranging patterns for any of the health and welfare parameters measured in this study (P ≥ 0.07). Overall, rearing enrichments had some effects on hen health and welfare at the later stages of the production cycle but subsequent range use patterns had the greatest impact.

Assessing the non-lethal effects of disturbance and their population-level consequences is a significant ecological and conservation challenge, because it requires extensive baseline knowledge of behavioral patterns, life-history and demography. However, for many marine mammal populations, this knowledge is currently lacking and it may take decades to fill the gaps. During this time, undetected population declines may occur. In this study we identify methods that can be used to monitor populations subject to disturbance and provide insights into the processes through which disturbance may affect them. To identify and address the knowledge gaps highlighted above, we reviewed the literature to identify suitable response variables and methods for monitoring these variables. We also used existing models of the population consequences of disturbance (PCoD) to identify demographic characteristics (e.g., the proportion of immature animals in the population, or the ratio of calves/pups to mature females) that may be strongly correlated with population status and therefore provide early warnings of future changes in abundance. These demographic characteristics can be monitored using established methods such as visual surveys combined with photogrammetry, and capture-recapture analysis. Individual health and physiological variables can also inform PCoD assessment and can be monitored using photogrammetry, remote tissue sampling, hands-on assessment and individual tracking. We then conducted a workshop to establish the relative utility and feasibility of all these approaches for different groups of marine mammal species. We describe how future marine mammal monitoring programs can be designed to inform population-level analysis.

Summary Background Acute infections can cause an individual to have an elevated resting heart rate (RHR) and change their routine daily activities due to the physiological response to the inflammatory insult. Consequently, we aimed to evaluate if population trends of seasonal respiratory infections, such as influenza, could be identified through wearable sensors that collect RHR and sleep data. Methods We obtained de-identified sensor data from 200 000 individuals who used a Fitbit wearable device from March 1, 2016, to March 1, 2018, in the USA. We included users who wore a Fitbit for at least 60 days and used the same wearable throughout the entire period, and focused on the top five states with the most Fitbit users in the dataset: California, Texas, New York, Illinois, and Pennsylvania. Inclusion criteria included having a self-reported birth year between 1930 and 2004, height greater than 1 m, and weight greater than 20 kg. We excluded daily measurements with missing RHR, missing wear time, and wear time less than 1000 min per day. We compared sensor data with weekly estimates of influenza-like illness (ILI) rates at the state level, as reported by the US Centers for Disease Control and Prevention (CDC), by identifying weeks in which Fitbit users displayed elevated RHRs and increased sleep levels. For each state, we modelled ILI case counts with a negative binomial model that included 3-week lagged CDC ILI rate data (null model) and the proportion of weekly Fitbit users with elevated RHR and increased sleep duration above a specified threshold (full model). We also evaluated weekly change in ILI rate by linear regression using change in proportion of elevated Fitbit data. Pearson correlation was used to compare predicted versus CDC reported ILI rates. Findings We identified 47 249 users in the top five states who wore a Fitbit consistently during the study period, including more than 13·3 million total RHR and sleep measures. We found the Fitbit data significantly improved ILI predictions in all five states, with an average increase in Pearson correlation of 0·12 (SD 0·07) over baseline models, corresponding to an improvement of 6·3–32·9%. Correlations of the final models with the CDC ILI rates ranged from 0·84 to 0·97. Week-to-week changes in the proportion of Fitbit users with abnormal data were associated with week-to-week changes in ILI rates in most cases. Interpretation Activity and physiological trackers are increasingly used in the USA and globally to monitor individual health. By accessing these data, it could be possible to improve real-time and geographically refined influenza surveillance. This information could be vital to enact timely outbreak response measures to prevent further transmission of influenza cases during outbreaks. Funding Partly supported by the US National Institutes of Health National Center for Advancing Translational Sciences.

We study the impact of school smoking bans on individual health behavior in Germany. Using a multiple difference-in-differences approach in combination with randomization inference, we find that for individuals affected by a smoking ban during their school time, the propensity toward smoking declines by 14–22 percent, while the number of smoked cigarettes per day decreases by 19–25 percent. After elaborating on treatment effect heterogeneity and intensity, we evaluate spillovers to smoking behavior of nontreated individuals living in the same household. [ABSTRACT FROM AUTHOR]

This chapter will provide a historical background on the Pacific Islanders and will examine some of the similarities within this broad group and then more specifically describe Native Hawaiians. Discussion of the cultural and belief system of Native Hawaiians is essential in working with Native Hawaiians in therapy. Most importantly, Native Hawaiians believe that their individual health is directly connected to nature (ʻāina), family (ohana), and spirits (akua). This chapter will also discuss the negative impact of colonization and statehood had on the Hawaiian people and how that continues to affect the population today. Additional factors contributing to many Hawaiians views and culture are the many migrations from other Asian and Pacific Islander cultures. Finally, this chapter will discuss cultural competency with some general suggestions to keep in mind while providing therapy to Native Hawaiians. Evidence-based literature on culturally based treatment with Native Hawaiians has been scant, but is continuing to be published with increasing speed. This chapter will review some of the culturally based treatments that have been published for Native Hawaiians for different disorders and then culturally based interventions for other Pacific Islander groups.

Globalization has led to critical influence of air pollution on individual health status. Insights to the menace of air pollution on individual's health can be achieved through a decision support system, built based on air pollution status and individual's health status. The wearable internet of things (wIoT) devices along with the air pollution monitoring sensors can gather a wide range of data to understand the effect of air pollution on individual's health. The high-level feature extraction capability of deep learning can extract productive patterns from these data to predict the future air quality index (AQI) values along with their amount of risks in every individual. The chapter aims to develop a secure decision support system that analyzes the events adversity by calculating the temporal health index (THI) of the individual and the effective air quality index (AQI) of the location. The proposed architecture utilizes fog paradigm to offload security functions by adopting deep learning algorithms to detect the malicious network traffic patterns from the benign ones.

Health professionals have the responsibility of involving parents in decision-making regarding children’s healthcare. This is to ensure that healthcare is customised to meet children’s and families’ needs and preferences. There is inadequate knowledge about health professionals’ role in involving parents in these decisions in interprofessional practice in hospital settings. The aim of this study was to explore health professionals’ construction of the phenomenon of parental involvement in decision-making about children’s healthcare at the hospital and to identify how parental involvement can be improved. This explorative, descriptive qualitative study within a constructivist research paradigm selected a purposive sample of 12 health professionals who participated in individual semi-structured interviews. This qualitative data was used to construct a description of this phenomenon. The health professionals described ethical dilemmas and challenges related to parental involvement in decision-making while also providing technically safe, justifiable healthcare. Individual health professionals’ involvement of parents in decision-making and the intra- and interprofessional collaboration between health professionals seemed to be of great importance to increase parents’ active involvement in the co-production of children’s healthcare. Further research is required to confirm the findings for generalisation. acceptedVersion

Reinsurance can complement risk adjustment of health plan payments to improve fit of payments to plan spending at the individual and group level. This paper proposes three improvements in h...

Between 2007 and 2016, there were 144,002 HAZMAT incidents on US highways, with damage totaling nearly $600 M. The top two incident types in the past three years involved flammable-combustible liquids and corrosive materials. In 2016, 38% of firefighter fatality was a result of sudden cardiac death, making it one of the two leading causes of death among firefighters. Heat-related illness is directly linked to adverse cardiovascular events [5], but when detected early, recovery is likely. We propose a new system called REaCH: Real-Time Emergency Communication System for HAZMAT Incidents. The REaCH system will include real-time health monitoring of first responders through wearable devices that capture individual health parameters and exposure to hazardous materials. Individual health data and HAZMAT exposure data will be transmitted to a dashboard that integrates all of the information for the Incident Commander to monitor. The Incident Commander can evaluate if individuals need to be removed from the scene when his/her health status is being compromised.

Primary care and pediatric specialists participate in managing school-age children with food allergies. The pillars of food allergy management are prevention of and emergency preparedness to manage allergic reactions. These must be maintained at all times and in all circumstances. The school environment is no exception and necessitates thoughtful planning and support of students with food allergy. Clinicians play an important role whether directly or indirectly in the management of food allergies in school. Clinicians provide patient/family medical education and management that is specific to their particular food allergies, comorbidities, and developmental capabilities. Some of these responsibilities include providing medical orders, including allergy and anaphylaxis emergency plans, prescriptions for epinephrine auto-injectors, and participation in the establishment of individual health care plans or 504s. In addition, many clinicians participate in school wide/policy-driven activities and not only take responsibility for their own patients in school, but also work and volunteer directly with schools and government agencies where they play key roles in creating and guiding food allergy policies. They prescribe stock epinephrine, provide school community education, and can work on the creation and implementation of school policy and/or legislation pertaining to school policy. All clinicians, whether involved in the care of the individual student or general school health–related issues, will need a solid understanding of practical food allergy management.

This chapter examines the concept of what may constitute a healthy environment. It discusses current understandings of adaptation and acquired resilience across both lifespan and generations. This analysis will be framed within an evolutionarily-based dose response evaluative setting of biological adaptation and its quantitative dose response features which are typically hormetic-like biphasic dose responses. Moreover, using this evolutionary adaptive response-hormetic dose response approach, this chapter illustrates how modest environmental stresses can often enhance biological resiliency, protect organismal health via the upregulation of adaptive mechanisms and act as a vehicle for enhancing health from a holistic (i.e., physical, psychological, and social) point of view across lifespans and generations. However, the concept of a healthy environment is not a static one, since there is considerable interindividual variation in response to environmental and other health stressors and that susceptibility will markedly vary over the lifespan. This creates an enormous challenge for both governmental regulatory agencies and individuals attempting to reduce risks from environmental contamination as well as trying to optimize both public and individual health.

Objective: The objective of our study is to evaluate the individual health literacy level among patients who received health servicesfrom different types of hospitals in Istanbul.Materials and Methods: This cross-sectional study was conducted among inpatients of a public, private and university hospital inIstanbul. Data were collected by the application of a questionnaire to 1500 adult inpatients who were discharged between February-July2017. The study questionnaire included questions to determine the health literacy competency and sociodemographic characteristicsof patients. Rapid Estimate of Adult Literacy in Medicine (REALM) scale was used to measure the health literacy level.Results: The mean REALM score was higher among females than males (p

Our goal is to better understand what a professional person thinks about the current hot topics such as Artificial Intelligence (AI), wearable devices, and individual health. We designed a questionnaire to survey the professionals. The questionnaire focused on three main subjects, AI, and its effects on individual health and wearable device. In the AI-related questions, since AI can play an extremely important role in signal processing, it is widely used by respondents in the field of biological signal processing. In the individual health-related questions, the view that the local residents in the city where they live have healthy dietary habits is accepted by 43.75% of the respondents, and 21.88% of the respondents consider that the dietary habits of the local residents in the city where they live is not healthy. In the wearable devices-related questions, 59.38% of the respondents think the current wearable devices are far from meeting the need for the early disease detection and health monitoring, and only 7.81% of the respondents believe the current wearable devices are very useful. The societal impact of the AI revolution will be significant as it is beginning to affect most aspects of our lives and work, shaped our shopping and entertainment habits, as well as our employment patterns.

Our research examines the effect Moroccan Health Insurance (MHI) on individual’s healthcare utilization and expenditures. We analyzed a random sample of 8000 households produced by the National Observatory of Human Development and found that the RAMED plan insures about 21.1% of them and that the Compulsory Health Insurance (AMO) covers 22.2 %. We found that the MHI is a positive influence on the utilization among beneficiaries and reduces the individual health costs, especially among the RAMed recipients.

In Western societies, health is closely associated with body weight and weight loss, achieved through individual health behaviour. I examined such associations in constructions of weight-loss motiv...

Background Older adults with advanced CKD have significant pain, other symptoms, and disability. To help ensure that care is consistent with patients’ values, nephrology providers should understand their patients’ priorities when they make clinical recommendations. Methods Patients aged ≥60 years with advanced (stage 4 or 5) non–dialysis-dependent CKD receiving care at a CKD clinic completed a validated health outcome prioritization tool to ascertain their health outcome priorities. For each patient, the nephrology provider completed the same health outcome prioritization tool. Patients also answered questions to self-rate their health and completed an end-of-life scenarios instrument. We examined the associations between priorities and self-reported health status and between priorities and acceptance of common end-of-life scenarios, and also measured concordance between patients’ priorities and providers’ perceptions of priorities. Results Among 271 patients (median age 71 years), the top health outcome priority was maintaining independence (49%), followed by staying alive (35%), reducing pain (9%), and reducing other symptoms (6%). Nearly half of patients ranked staying alive as their third or fourth priority. There was no relationship between patients’ self-rated health status and top priority, but acceptance of some end-of-life scenarios differed significantly between groups with different top priorities. Providers’ perceptions about patients’ top health outcome priorities were correct only 35% of the time. Patient-provider concordance for any individual health outcome ranking was similarly poor. Conclusions Nearly half of older adults with advanced CKD ranked maintaining independence as their top heath outcome priority. Almost as many ranked being alive as their last or second-to-last priority. Nephrology providers demonstrated limited knowledge of their patients’ priorities.

Background Epigenetics is a burgeoning field of contemporary biosciences, which has attracted a lot of interest both in biomedical and in social sciences. Sources of data Unsystematic literature analysis and retrospective mapping of highly cited work (source: Web of Science core collection) in the social sciences and humanities engaging with epigenetics. Areas of agreement Epigenetics poses no new ethical issue over and above those discussed in relation to genetics. Areas of controversy However, it encourages a different framing and reflexivity on some of the commonly held categories in the moral uptake of scientific discoveries. Growing points Epigenetics presents us with normative questions that touch upon privacy, responsibility for individual health and for the well-being of future generations, as well as matters of health justice and equality of opportunities. Areas timely for developing research Epigenetic thinking could help us adjust and refine the problem frames and categories that inform our ethical and political questions with a complex biosocial description of situations, of persons or actions.

The paper analyses the problem of how health preservation is perceived by teenagers, adolescents and youths, demonstrating the need for research of students’ perceptions of individual health and its preservation at different stages of life. An empirical study conducted with 522 students of the Moscow Polytechnic University (3 age groups, average age 17, 19 and 21 years) used a custom questionnaire aimed at examining their perceptions regarding the greatest value of the health factor at different stages of life from infancy to elderly age. The study revealed an unfortunate downward trend of individual health value with respect to the age when systematic health problems appear. Some gender differences in attitude towards individual health were discovered; for instance, women place a higher value on it for every stage of life and attach greater importance to it in early ontogeny. Men were found to overestimate the age associated with the onset of system health issues. The paper shows the possibilities for practical application of obtained data.

Hepatitis C prevalence in prison populations is much higher than in the community. Effective hepatitis C treatment within this population does not only have a direct individual health benefit, but may lead to substantial community dividend. We reviewed available evidence on hepatitis C treatment in prison settings, with a focus on the European Union/European Economic Area. A systematic review of the literature (PubMed, EMBASE, Cochrane library) was performed and complemented with searches for conference abstracts and grey literature. Thirty-four publications were included reporting on the effectiveness, acceptability and economic aspects of hepatitis C virus treatment models of care to achieve treatment completion and sustained viral response in prison settings. Available evidence shows that hepatitis C treatment in prison settings is feasible and the introduction of direct-acting antivirals will most likely result in increased treatment completion and better clinical outcomes for the prison population, given the caveats of affordability and the need for increased funding for prison health, with the resulting benefits accruing mostly in the community.

Environmental pollution and its health risks to human beings have been becoming increasingly serious in China, and the health status of the individuals is not only affected by their environment but also by their own characteristics and socio-economic status. Based on the survey data of China Family Panel Studies (2014), three hierarchical linear models at three levels of individual, family, and community were developed to investigate the influencing factors of individual health status. The results indicate that: (1) there exists significant difference among individual health status, of which 16% and 9.11% are caused by the family and community levels, respectively; (2) the average health status of men is better than that of women by 6.95%. As for the difference in health effects produced by gender, total household income can reduce this difference; (3) age has significant negative health effects, while the level of education has positive effect on individual health status; and (4) the health effects of pollution is mainly reflected by its interaction with gender; in particular, when men and women face the same level of pollution exposure, men are more susceptible.

Bridges and colleagues offer important insight into how elements of context can be identified and mobilized in planned improvement efforts targeted at health care coordination and delivery. Their analysis of the implementation journey of a compassionate care intervention targeted at hospital ward nursing teams highlights the implications for intervention design and implementation. The authors show how the degree of impact and sustainability of such interventions is highly context-specific and mediated by factors across micro- and meso-level boundaries. They conclude that design and implementation of care interventions should include the identification and mobilization of contextual elements that bear directly on individual health care professionals’ capacity to provide the nature and quality of care desired.

To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status. To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status.

Longitudinal methods aggregate individual health histories to produce inferences about aging populations, but to what extent do these summaries reflect the experiences of older adults? We describe the assumption of gradual change built into several influential statistical models and draw on widely used, nationally representative survey data to empirically compare the conclusions drawn from mixed-regression methods (growth curve models and latent class growth analysis) designed to capture trajectories with key descriptive statistics and methods (multistate life tables and sequence analysis) that depict discrete states and transitions. We show that individual-level data record stasis irregularly punctuated by relatively sudden change in health status or mortality. Although change is prevalent in the sample, for individuals it occurs rarely, at irregular times and intervals, and in a nonlinear and multidirectional fashion. We conclude by discussing the implications of this punctuated equilibrium pattern for understanding health changes in individuals and the dynamics of inequality in aging populations.

This data brief gives an overview of the background, design, and content of the multi-actor OKiN survey (Ouders en Kinderen in Nederland; Parents and Children in The Netherlands). The purpose of OKiN is to examine the individual consequences of family complexity for intergenerational relations, intergenerational reproduction, and individual health and well-being. Another goal of OKiN is to generate detailed and nationally representative descriptive information on the types and degrees of family complexity that contemporary adult generations in The Netherlands (adults born between 1971 and 1991) have experienced when they were growing up. Unique features of the OKiN data are (i) the oversample of persons who grew up with separated and/or widowed parents, and persons who grew up with a step-parent; (ii) the double multi-actor design (i.e. primary respondents (anchors) report about multiple parent figures and parent figures (alters) report about multiple children); and (iii) the systematic probing of relations to and characteristics of all parent figures in the respondent’s life. The brief provides the first descriptive findings about the OKiN respondents.

Introduction Tobacco has been known to contain radioactive polonium and lead for 50 years but the literature is divided as to the public health significance. I review the data on tobacco radioactivity and its internalization by smokers. Methods Data sources: Reports of lead-210 and polonium-210 content of tobacco leaf, cigarettes, cigarette smoke, and human respiratory tissues, published between 1964 and September 2017. Study selection: Any identified study that reported values for lead-210 and polonium-210 content. Data extraction: Data quality was addressed by comparative review of analytic methods. Results The data about radiation content of tobacco and smoke are robust. Early reports suggesting microsievert lifetime doses of inhaled radioactivity to smokers were not borne out. The results remain sensitive to pharmacological assumptions around absorption and redistribution of inhaled radionuclides, and radiobiological assumptions about interaction with human tissues. Conclusions Literature on tobacco radioactivity has not fully contended with pharmacological and radiobiological uncertainty, and is therefore divided as to health significance. This does much to explain regulatory inaction over the last half century. Before radiation safety law can offer a vehicle for tobacco control, more must be learnt about the pharmacology and radiobiology of inhaled radionuclides in tobacco smoke. Implications This work makes it apparent that the study of tobacco smoke radioactivity has been scientifically stagnant for the last 40 years. The field cannot advance until we improve understanding of the pharmacology and radiobiology of inhaled radionuclides in tobacco smoke. Despite this, a subset of contemporary authors is still suggesting individual health risks about 1000 times higher than can be supported by internationally accepted models.