The document discusses models for understanding disease causation and predicting the impact of interventions. For communicable diseases, the traditional pathogenic model linking biological causes to disease outcomes works well. However, for non-communicable diseases, this model is insufficient as social and behavioral factors must be integrated into causation models. Additionally, predictive models of intervention for non-communicable diseases must view causal relationships as complex networks rather than simple linear paths and conceptualize the role of social factors in terms of their functions within people's lives.
Presentation from Andreas Cebulla, Research Director of the National Centre for Social Research about risk taking behaviour by young people and the relationship with the sorts of activities they are involved with.
KAFKAS ÜNİVERSİTESİ/KAFKAS UNIVERSITY
SOCIOLOGY
Course
LECTURE NOTES AND POWER POINT PRESENTATIONS
Prof.Dr. Halit Hami ÖZ
Kars, TURKEY
hamioz@yahoo.com
Presentation from Andreas Cebulla, Research Director of the National Centre for Social Research about risk taking behaviour by young people and the relationship with the sorts of activities they are involved with.
KAFKAS ÜNİVERSİTESİ/KAFKAS UNIVERSITY
SOCIOLOGY
Course
LECTURE NOTES AND POWER POINT PRESENTATIONS
Prof.Dr. Halit Hami ÖZ
Kars, TURKEY
hamioz@yahoo.com
The biomedical model of health has been dominant around the globe since several decades. The main content of shared document is to explain its actual meaning, its core principles and its claims about health and illness. At the end, some of the critical suggestions have been highlighted for the readers to create an awareness among the health professionals for adopting the other more appropriate models of health in order to exceed the longevity with health promotion.
PROVIDUS pētnieces Sanitas Sīles prezentācija 27.Baltijas Kriminologu konferencē, kas no 2014.gada 26.-27.jūnijam notika Viļņā, Lietuvā.
Plašāka informācija par pasākumu: http://www.kriminologija.lt/en/27th-baltic-criminological-conference-programme/
PROVIDUS pētnieces dalība pasākumā tika īstenota projekta „PROVIDUS – valsts partneris politikas plānošanas un veidošanas procesā” ietvaros.
Projektu finansiāli atbalsta Islande, Lihtenšteina un Norvēģija NVO darbības atbalsta programmas ietvaros. NVO darbības atbalsta programma tiek finansēta ar Eiropas Ekonomikas zonas finanšu instrumenta un Latvijas valsts finansiālu atbalstu.
www.sif.lv
www.eeagrants.org
www.eeagrants.lv
Prof. Frank Snyder presents at the Doctoral Midwifery Research Society Alcohol & Medication in Pregnancy Conference about 'Modifiable risk in Pregnancy & Health behaviour change: Utilising the Theory of Triadic Influence (TTI)'
This narrated powerpoint covers the Opioid Epidemic and harm reduction approaches to addressing problematic opioid use. This powerpoint is intended to help provide a baseline knowledge of harm reduction approaches for substance use treatment, including for the treatment of Opioid Use Disorder.
Target of public health approaches.
The shifting role of behaviour ( simple-complex)
Behavioural risk factors (itself- determinant-consequent)
determinants of behaviour
Public health strategies to influence determinants of behaviour
The interaction of socioeconomic status (SES), environments, and behaviour
Denormalizing behaviour
Public health interventions and conclusion
The biomedical model of health has been dominant around the globe since several decades. The main content of shared document is to explain its actual meaning, its core principles and its claims about health and illness. At the end, some of the critical suggestions have been highlighted for the readers to create an awareness among the health professionals for adopting the other more appropriate models of health in order to exceed the longevity with health promotion.
PROVIDUS pētnieces Sanitas Sīles prezentācija 27.Baltijas Kriminologu konferencē, kas no 2014.gada 26.-27.jūnijam notika Viļņā, Lietuvā.
Plašāka informācija par pasākumu: http://www.kriminologija.lt/en/27th-baltic-criminological-conference-programme/
PROVIDUS pētnieces dalība pasākumā tika īstenota projekta „PROVIDUS – valsts partneris politikas plānošanas un veidošanas procesā” ietvaros.
Projektu finansiāli atbalsta Islande, Lihtenšteina un Norvēģija NVO darbības atbalsta programmas ietvaros. NVO darbības atbalsta programma tiek finansēta ar Eiropas Ekonomikas zonas finanšu instrumenta un Latvijas valsts finansiālu atbalstu.
www.sif.lv
www.eeagrants.org
www.eeagrants.lv
Prof. Frank Snyder presents at the Doctoral Midwifery Research Society Alcohol & Medication in Pregnancy Conference about 'Modifiable risk in Pregnancy & Health behaviour change: Utilising the Theory of Triadic Influence (TTI)'
This narrated powerpoint covers the Opioid Epidemic and harm reduction approaches to addressing problematic opioid use. This powerpoint is intended to help provide a baseline knowledge of harm reduction approaches for substance use treatment, including for the treatment of Opioid Use Disorder.
Target of public health approaches.
The shifting role of behaviour ( simple-complex)
Behavioural risk factors (itself- determinant-consequent)
determinants of behaviour
Public health strategies to influence determinants of behaviour
The interaction of socioeconomic status (SES), environments, and behaviour
Denormalizing behaviour
Public health interventions and conclusion
Causation. A number of models of disease causation have been proposed. Among the simplest of these is the epidemiologic triad or triangle, the traditional model for infectious disease. The triad consists of an external agent, a susceptible host, and an environment that brings the host and agent together.
SYSTEMATIC REVIEWElder abuse a systematic review of risk .docxperryk1
SYSTEMATIC REVIEW
Elder abuse: a systematic review of risk factors
in community-dwelling elders
MARK JOHANNESEN1, DINA LOGIUDICE2
1
Aged Care, Western Health, Sunshine, Victoria, Australia
2
Aged Care, Melbourne Health, Melbourne, Victoria, Australia
Address correspondence to: M. A. Johannesen. Tel: 613 8345 1246; Fax: 613 8345 1806, Email: [email protected]
Abstract
Objective: to undertake a systematic literature review of risk factors for abuse in community-dwelling elders, as a first step
towards exploring the clinical utility of a risk factor framework.
Search strategy and selection criteria: a search was undertaken using the MEDLINE, CINAHL, EMBASE and
PsycINFO databases for articles published in English up to March 2011, to identify original studies with statistically signifi-
cant risk factors for abuse in community-dwelling elders. Studies concerning self-neglect and persons aged under 55 were
excluded.
Results: forty-nine studies met the inclusion criteria, with 13 risk factors being reproducible across a range of settings in
high-quality studies. These concerned the elder person (cognitive impairment, behavioural problems, psychiatric illness or
psychological problems, functional dependency, poor physical health or frailty, low income or wealth, trauma or past abuse
and ethnicity), perpetrator (caregiver burden or stress, and psychiatric illness or psychological problems), relationship (family
disharmony, poor or conflictual relationships) and environment (low social support and living with others except for finan-
cial abuse).
Conclusions: current evidence supports the multifactorial aetiology of elder abuse involving risk factors within the elder
person, perpetrator, relationship and environment.
Keywords: elders, abuse, risk factors, geriatric syndromes, older people
Introduction
Increasingly, elder abuse is emerging as a priority area for
governments and health service providers [1]. Despite a
variety of definitions, two key concepts are that elder abuse
involves an act or omission which results in harm to the
older person, and that this occurs within a relationship of
trust [1, 2]. Subtypes are described in Box 1.
Overall prevalence studies indicate that 6% of older
persons in the community are likely to have experienced
significant abuse in the last month [3]. Typically, however,
these studies produce widely divergent estimates, influenced
by definition, culture and methodological issues.
Theoretical explanations draw on the family violence litera-
ture and emphasise caregiver stress in the context of depend-
ency, abuser psychopathology, inter-generational transmission
of violence, external stress and social isolation [4, 5].
These theories highlight factors associated with the
elder person, perpetrator, relationship and environment.
Schiamberg and Gans [6, 7] advocate a model synthesising
inter-relating factors, focusing on the ageing parent and
child within environments ranging from the micro system
(relationshi.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
The integration of social and biological mechanisms for healthcare prediction and intervention
1. The integration of
social and biological mechanisms
for healthcare prediction and intervention
A follow up from:
The integration of social, behavioural and biological mechanisms
in models of pathogenesis
Mike Kelly, Rachel Kelly, and Federica Russo
3. Overview
The pathogenic approach for communicable diseases
Causal models of disease and Predictive models of interventions
Non-communicable diseases
Why the pathogenic model does not work
The contribution of ‘the social’
The role of human behaviour in disease aetiology
Predictive models of intervention
Regress analysis and the means-end relation
3
5. Causes and mechanisms
The conceptualisation of disease
The outcome of exposure to a pathogen or other noxious factor
Pathogens
Cause disease
Initiate complex mechanisms that lead to disease
Complications
Multiple pathogens at work
Factors that mediate interactions
Individuals experience multiple morbidities
etc
5
6. Intervening on the pathogens
T1: enough knowledge about good health state, biopathogenesis of
disease, risk of getting disease, etc
Action A: treatment of disease, alleviation, protection from risk
protecting people from microorganisms through isolation,
providing clean water,
removing sewage,
immunisation and improving nutritional status and housing conditions
T2: predict evolution of disease, prevention, etc.
Underlying conception:
Necessary and sufficient conditions
6
T1 A T2
8. Why the pathogenic model
does not work
NCDs: non-infectious, non-transmittable among people
T1 A T2 often fails
Actions:
reduce exposure to some environmental factors;
advice about physical activity, nutrition, smoking habits, …
How much control do we have?
On environmental factors – to some extent
On human behaviour – much less
8
9. Asymmetry between
aetiology and prediction in NCDs
Aetiology
Biopathogenesis of CDs
Biological causes and
mechanisms
Behaviour does contribute to
risk in NCDs
Aetiology: bio-psycho-social
pathogenesis
Prediction
Public health interventions
T1AT2 model has been
largely successful
Intervention models did not
shift to a bio-psycho-social
approach
Or, if if it did, it happened very
late
9
11. Sociology. And health.
Sociology attempts to explain and predict
human behaviour
Societies manifest observable patterns of change
Humans are thinking acting beings
Their thought and action take place within the constraints imposed by
social structures
What links behaviour and health?
11
12. Social causes are proximal
The proximal – distal distinction
Biological causes are proximal, social causes are distal
Distal causes do not exert direct influence on health
Hence, social causes are at best ‘classificatory devices’,
but not active causes in disease aetiology
Against the proximal – distal distinction
12
13. The ‘lifeworld’
Relationships with significant
others, neighbours, friends
Local services, shops
Communities and workplaces
The immediate physical and
microbiological
environments
Mediates exposure to toxins,
hazards, pathogens, etc
Drives health states of
individuals and populations
Is the product of the
interaction between human
agency and social structure
13
14. An integrated pathogenic approach
The ‘social’ and the ‘biological’ are integrated in the
aetiology
Behavioural factors are active parts of disease
mechanisms
An integrated pathogenic approach leads us
to rethink models of intervention
14
16. Communicable diseases
Causal model of disease Predictive Model of intervention
Recovery /
improved health
status
Biological
mechanisms
Treatment /
public health
intervention
Exposure to
pathogens
Biological
mechanisms
Disease
Cause-effect
Means-end
16
17. Non-Communicable diseases
Causal model of disease Predictive model of intervention
Recovery /
improved health
status
Biological
mechanisms
Public health
intervention
Life world
Bio-psycho-
social
mechanisms
Disease
Multiple
bio-
psycho-
social
paths
17
Multipl
e
means-
end
relation
s
18. Some remarks
The ‘bio-psycho-social paths’ and ‘means-end relations’
complex networks
not linear causal relations
Models of interventions are conceptualised
in terms of means-end:
Identify the function of a psycho-social factor
Intervening on the function may lead to intervene on something
different than the corresponding cause
The function of psycho-social factor is highly context dependent
18
19. What is function?
In the context of a causal mechanism:
Functions are role-functions
The theoretical underpinnings of causal factors
They are part of the description of the functioning
of a component part of a mechanism
A strong conceptual link between functions and causes
19
21. In the pathogenic approach
Alcohol consumption is a
‘single’, ‘homogeneous’
behaviour
Reduce exposure to the
pathogen ( = ethanol)
To reduce liver diseases,
cancer, obesity, accidents,
injury, violence
Actions: change in prices,
licensing regimes, education
campaign
21
T1 A T2
22. Alcohol consumption is
a social structure
It varies across friends,
family, social groups,
populations, age
groups, etc
Alcohol consumption is
part of the lifeworld
of individual and of
groups
Targeted groups
Function of alcohol
consumption in their
lifeworld
Targeted interventions
22
In an integrated pathogenic approach
24. For communicable diseases
The pathogenic approach is largely
successful
Causal model of disease
Predictive model of intervention
For non-communicable diseases
The pathogenic approach is wanting
on both sides
Causal model of disease
Integrate bio-social mechanisms
Predictive model of intervention
Recast causal paths in terms of
means-end relation, according to
the functions of social factors in the
lifeworld
24
25. Classic Pathogenic Approach
Causal model of disease Predictive model of intervention
Recovery /
improved health
status
Biological
mechanisms
Treatment /
public health
intervention
Exposure to
pathogens
Biological
mechanisms
Disease
Cause-effect
Means-end
26. Complex Pathogenic Model
Causal model of disease Predictive model of intervention
Recovery /
improved health
status
Biological
mechanisms
Public health
intervention
Life world
Bio-psycho-
social
mechanisms
Disease
Multiple
bio-
psycho-
social
paths Multiple
means-
end
relations
Editor's Notes
Note about change of title – better represent our ideas, which is work in progress
Follow up paper with Mike and with Rachel Kelly on integration of biological and social mechs of disease. Will see during the presentation in what ways it builds on that.
Work in progress about different models for aetiology and prediction
Increased complexity in aetiology, but not quite in prediction