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Prenatal diagnosis and termination of pregnancy began as a reform eugenics project of the post-war decades to release families from the burden of having children with inherited diseases. Later in the new culture of choice, screening as well as an even wider range of diagnostic tests was introduced. Today routine antenatal care is a ‘structured pathway’ comprising numerous visits to GP, midwife or clinic at specified times during the pregnancy. These involve genetic screening tests and ultrasound scans. Women identified at risk of fetal abnormality are referred for diagnostic testing by CVS or amniocentesis.

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Health is a continuous state of physical, mental and social well being and not merely the absence of disease or infirmity, and the person should be able to lead socially and economically productive life (WHO definition). It is very much essential to maintain the health of all the people all the time to keep ourselves healthy, happy and long living. For example you cannot fly peace fully in the flight if someone tells that some people in the same flight is having H1N1 infection. Whether it is communicable disease or non communicable it is necessary to keep all the people healthy. For example a young driver getting painless myocardial infarction can consume the life of all the passengers of his bus or the bus can hit the VIP's car travelling in the same road. So the leaders of the nation / world should not have the attitude that why should I bother if someone is sick somewhere. I feel the leaders of the nation and the world will understand the importance of maintaining the health of all the people with this simple examples. In this chapter some of the facts and figures related to the health is mentioned and it tells that we have not achieved the goals in health, that, what we can achieve for whatever the reasons. The reason may point towards anything like the doctor, minister, staff of the hospital, availability of the facility, roads, infrastructure, transportation facility and so on. Let us try to make all the people healthy, young and energetic.

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1. Coalition Proposal Vaccination Policy for Infectious Disease Prevention and Control Scope of the Problem Vaccines have done an excellent job at preventing many diseases, some of which can be deadly if not prevented. When bacteria or viruses enter the body, they immediately begin to attack and multiply, which then causes an infection. The immune system will then fight off the infection and establish antibodies, which will help recognize and fight off the same disease in the future. For this very reason, it has been important for children to be vaccinated at an early age so that they may establish those antibodies their bodies need. Vaccines act as the disease so that the body may produce antibodies, but the good thing is that it won’t cause an infection (CDC, 2017). There are current policies that mandate vaccinations in the U.S., for example, all children are required to be up to date on their vaccines before beginning school. The problem is that there are many loopholes and exceptions to the rule, whether it’s due to religious reasons or other medical issues. Because of this, there are still many children and adults who have yet to be fully compliant with vaccine requirements Some important statistics to note (Johns Hopkins Medicine): · CDC estimated 2,700 new cases of hepatitis A in the U.S. · It is estimated that in 2011, 19,000 new cases of hepatitis B and 17,000 cases of hepatitis C occurred. · In 2012, nearly 10,000 new cases of tuberculosis were reported. · Approximately 36,000 people per year die from influenza and pneumonia. · 50,000 new cases of HIV infection occur annually. · In 2012, new cases of STD’s were reported, including HPV, Chlamydia, Gonorrhea, HIV, and Syphilis. Who is affected by this problem? Identify. Children are mainly affected by this problem due to parents’ hesitancy for vaccinations. Although law mandates for children to be vaccinated for school enrollment, parents have the option to use exemptions to avoid having their children vaccinated. Currently, medical exemptions are allowed for medical reasons in all states, and it is estimated that one to three percent of children are excused from vaccinations because of these exemptions. Parents have continued to use reasons to avoid vaccinations, for example, the belief that the decline in vaccine-preventable diseases is due to improved health care, hygiene, and sanitation (Ventola, C. L., 2016). Health disparities among Blacks, Hispanics, and Whites have played a huge role in terms of vaccination coverage. Studies have shown that health insurance has a direct impact on the vaccination coverage in adults, therefore, low-income families who can’t afford health insurance will most likely not get the vaccines they need. With that being said, uninsured prevalence was higher among non-Hispanic blacks (19.5%) and Hispanics (30.1%) compared with non-Hispanic whites (11.1%) (Lu, P., et al, 2015). What has been written on the issue and policy options? There ha.

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Identifying undernutrition and obesity on students and propose public policies of health are urgent issues. This paper presents a study with weight and stature from students collected by physical education teachers (PEF) in schools of a city near São Paulo. The PEF collected the data and they were inserted in a program especially developed for each school Department (AENE Project). The datas were analyzed by software and evaluation done based on a World Health Organization (WHO_2007) table, that develops health programs worldwide. The results evaluations were used to raise the students and family, teachers and responsibles for treatment search (when required).

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Think of your local community. What health-related issue currently affects a large number of people within your community? How could research help address this issue? How would you go about obtaining more data on the health-related issue you identified? This is an opportunity for you to explore the practical application of how to create a plan to obtain data on a health-related topic, specifically in your community. Please respond in first person, share personal experiences to further develop your understanding of how evidence-based practice can affect health-related issues at the community level. Use as references: National Center for Health Statistics (NCHS) - National and state data sets as well as statistic reports. Information about ordering data sets that cannot be downloaded. CDC Data and Statistics page - much more than NCHS CDC WONDER - WONDER provides a single point of access to a wide variety of reports and numeric public health data. Agency for Healthcare Research and Quality - Data and Surveys Statewide Planning and Research Cooperative System (SPARCS) - Data dictionaries, documentation and request forms. No searchable data online. U.S. Census Bureau , Current census data including information broken down by state, city, and region. WHOSIS -- WHO Statistical Information System In two different paragraph give your personal opinion to Valencia Matilus and Malika Nelson, them do not need a different referents use the same as them. Valencia Matilus In the community in Florida many people are infected by the chronic illness hypertension is a common disease cholesterol, fatigues, and stress. Patients are major risks cardiovascular, stokes, and leading causes of death, respectively in the community. In 2016, 80,722 deaths were caused by high blood pressures. In 2014, high blood pressures were five times more deaths than it was in 2016. Hypertension has referred to high blood pressures. Hypertension is a big major cause of premature death worldwide (Benjamin, 2016). Hypertension very often had no signs or symptoms. Once the primary care doctor has diagnosed the patient had high blood pressures as a medication. Patients can lower their blood pressures by changing their diet, and exercises. In 2015-2016, in the communities 1/3 patients have controlled high blood pressures. 2017, recent revised guidelines more than one patient have unknown or undiagnosed if they have high blood pressures. In 2016, the total costs directed for high blood pressures were $54.8 billion. It’s projected for the year 2035, the total costs will be reach $221.8 billion. I’ll suggest implementing public health to have more programs to help to reduce the hypertension problems. Healthcare providers have provided more information, have classes for the patient, and show them how to eat, have nutrition in the clinic or private doctor offices to reduce mortality. (Benjanmin, 2016).Florida, adults ages 18-39; 45 to 79, nearly half of patients can .

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8 Week 1 Project Identifying a Public Health Issues Daysha Snipes South University Human Immunodeficiency Syndrome (HIV) and obesity is running ramped in the state of Virginia. HIV is a virus that can lead to AIDS if it is not properly diagnosed and treated. Unlike many viruses, the human body cannot rid itself completely of the virus, even when treated with proper care (HIV, n.d.). Once a person has the virus they have it for life! It is truly a life sentence. There is no cure for the virus, only medications that allow one to be comfortable as they live with the virus. HIV attacks the body’s immune system, specifically T Cells. Overtime, the destruction of these cells causes one to not be able to fight of infection or other illnesses. Oxford Dictionary, defines obesity as, the condition of being grossly overweight (Oxford, n.d.) This can be caused by poor eating habits, thyroid complications, or lack of exercise. Each one of these issues have been brought to health care providers as a major concern for the Hamptons Roads area and the state of Virginia as a whole. HIV effects many different communities and is not specific to any race, gender, ethnicity, and or age group. It is known to widely effect the Lesbian-Gay-Bisexual-Transgender-Queer (LGBTQ) community yet is still a problem for all people. The reason this community takes a heavy hit to the illness is due to homosexual sexual interactions, with most of the contraction rates being male to male relationships. This is a sexually transmitted disease yet it can also be presented in one’s life through other sources, such as, birth, heterosexual relationships, and injection drug use. If sex is a part of any person life old or the risk of contracting HIV is there. As of 2015, it said that 21,607 people are living with AIDS in Virginia (AIDSSVU, n.d.). 73.6 percent of these people were male and 26.4 percent of this population were female. If broken down by race, 58.3 percent were black, 8.8 percent were Hispanic/Latino, and about 28.4 percent were white. The rate of black men living with the disease was 5.6 times that of their white counterparts, along with women, coming in at 16.1 times higher than white females. In 2016, there were 893 new cases of persons diagnosed with AIDS (AIDSSVU, n.d.) In Virginia, the estimated percent of AIDS diagnoses within three months of initial HIV diagnosis in 2015, was 82.3 percent diagnosed with HIV and 17.7 percent diagnosed with AIDS (AIDSSVU, n.d.). In 2015, in the male transmission category of people living with diagnosed HIV, 8.1 percent contracted the virus through drug use, 11.1 percent with heterosexual contact, 74.1 percent male-to-male sexual contact, and 5.6 percent both male-to-male contact and injection drug use, with 1.1 percent through other sources. Female transmissions were 16.5 percent injection drug use, 80.5 percent heterosexual contact, and 3.0 percent through other methods. The state if Virginia offers many programs both on.

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Yol Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response. Objective: Increase the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions (Healthy People 2020). Chronic conditions may be difficult to manage based on the complexities of a disease. Additionally, managing one or more chronic conditions may be time consuming. Time consuming tasks may take the form of monitoring (e.g. checking blood glucose), keeping a diary, scheduling appointments, sorting and taking medications, exercising, meal planning, etc.. The Agency for Healthcare Research and Quality (2015) suggests the burden of these tasks significantly impact how patients manage their chronic conditions, and that patients often find it difficult to complete all these tasks in order to manage their condition effectively. Personally, I see examples of this every day at the hospital: Patients are not confident in their self-management ability and are therefore unable to demonstrate skill or awareness in regards to their condition. Despite receiving adequate medical attention from outstanding multidisciplinary teams, patients continue to show little interest in self-management, ultimately resulting in an overwhelming number of older adults who lack the confidence to manage one or more chronic conditions (Bodenheimer, 2005). Healthcare providers are being forced to seek new and innovative ways to connect with patients and reinforce educational material in order to give patients the confidence and skill to manage their care. I believe this objective to be most important because self-management is clinically proven to result in better outcomes. It is proven that support for patients and caregivers improve confidence in managing conditions. Recently, my hospital has added to its emphasis on education and follow up... Simply providing information to patients is not enough to build confidence, skill, nor the knowledge to manage their health. Therefore, nursing must collaborate to reinforce behaviors and promote better health outcomes in patients. There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges. Based on recent events that have transpired in the news, one might acknowledge that refugees and immigrants are a vulnerable population... many of whom are struggling with chronic illness, and undeniably experiencing challenges related to our healthcare delivery system. Several barriers exist for this group, including language and technology barriers, expectations of medical care, cultural differences, as well as unique ...

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UNICEF works to improve the health and nutrition of children in Europe and Central Asia. Together with our partners, we are strengthening health systems, expanding immunization coverage, supporting health programs and funding The Europe and Central Asia region has outperformed the rest of the world in the rate of decline in child mortality, with deaths of children under five and infants more than halved since the 1990s. As the situation of the poorest households improves, the difference in the health status of the richest and poorest populations decreases. However, persistent inequalities reflect a failure to effectively invest in child-centred universal health systems. For example, in South-Eastern Europe, the mortality of Roma children is two to three times higher than the national average.

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A "Academy of Breastfeeding Medicine" é uma organização mundial de médicos dedicados à promoção, proteção, e apoio da amamentação e lactação humana. Nossa missão é unir em uma associação membros das várias especialidades médicas com este propósito comum. Gostaria que a SBP - Sociedade Brasileira de Pediatria firma-se um MANIFESTO com esse mesmo conteúdo, principalmente em relação ao conflito de interesses. Prof. Marcus Renato de Carvalho, IBCLC

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