Since the end of the twentieth century the epidemiological discourse has acquired a more and more undeniable value. This universal symbolic authority of epidemiology of risk factors has become emblematic with the incorporation of lifestyle rhetoric [1-3]. In advocating such
an approach, the area has departed from its historical and epistemological assumptions (population and social context of illness) over the valuation of individual perspective inherent to the emergence of a new globalized economic order, which has gradually shifted the collective concerns of health public to a marginal position [4,5] especially in peripheral capitalist countries [6].
Latin american critical ('social') epidemiology new settings for an old dreamJim Bloyd, DrPH, MPH
Breilh, J. (2008). Latin american critical ('social') epidemiology: New settings for an old dream. International Journal of Epidemiology, 37(4), 745-50. doi:10.1093/ije/dyn135
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Latin american critical ('social') epidemiology new settings for an old dreamJim Bloyd, DrPH, MPH
Breilh, J. (2008). Latin american critical ('social') epidemiology: New settings for an old dream. International Journal of Epidemiology, 37(4), 745-50. doi:10.1093/ije/dyn135
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
it is uploaded to help medics, paramedics and nursing educators to teach their students about dynamic of disease. it also help to create awareness in general people about it.
Epidemiology, Triad of epidemiology, Brief epidemiology, Terminology used in Epidemiology, Epidemiology, traid, modes of disease transmission, disease control and prevention, Basic epidemiology, John Snow and Cholera with Epidemiology
Just take a look at this rn capstone project example, you can use this example for writing yours .For more samples visit . https://www.capstonepaper.net/our-capstone-papers/capstone-nursing-paper-writing-services/
Baral et al. BMC Public Health 2013, 13482httpwww.biomed.docxjasoninnes20
Baral et al. BMC Public Health 2013, 13:482
http://www.biomedcentral.com/1471-2458/13/482
DEBATE Open Access
Modified social ecological model: a tool to guide
the assessment of the risks and risk contexts of
HIV epidemics
Stefan Baral1*, Carmen H Logie2, Ashley Grosso1, Andrea L Wirtz1 and Chris Beyrer1
Abstract
Background: Social and structural factors are now well accepted as determinants of HIV vulnerabilities. These
factors are representative of social, economic, organizational and political inequities. Associated with an improved
understanding of multiple levels of HIV risk has been the recognition of the need to implement multi-level HIV
prevention strategies. Prevention sciences research and programming aiming to decrease HIV incidence requires
epidemiologic studies to collect data on multiple levels of risk to inform combination HIV prevention packages.
Discussion: Proximal individual-level risks, such as sharing injection devices and unprotected penile-vaginal or
penile-anal sex, are necessary in mediating HIV acquisition and transmission. However, higher order social and
structural-level risks can facilitate or reduce HIV transmission on population levels. Data characterizing these risks is
often far more actionable than characterizing individual-level risks. We propose a modified social ecological model
(MSEM) to help visualize multi-level domains of HIV infection risks and guide the development of epidemiologic
HIV studies. Such a model may inform research in epidemiology and prevention sciences, particularly for key
populations including men who have sex with men (MSM), people who inject drugs (PID), and sex workers. The
MSEM builds on existing frameworks by examining multi-level risk contexts for HIV infection and situating individual
HIV infection risks within wider network, community, and public policy contexts as well as epidemic stage. The
utility of the MSEM is demonstrated with case studies of HIV risk among PID and MSM.
Summary: The MSEM is a flexible model for guiding epidemiologic studies among key populations at risk for HIV
in diverse sociocultural contexts. Successful HIV prevention strategies for key populations require effective
integration of evidence-based biomedical, behavioral, and structural interventions. While the focus of epidemiologic
studies has traditionally been on describing individual-level risk factors, the future necessitates comprehensive
epidemiologic data characterizing multiple levels of HIV risk.
Background
There is an increasing recognition of the importance of
the social and structural drivers of acquisition and trans-
mission of HIV [1,2]. While there is no singular defin-
ition, structural drivers can be conceptualized as those
social, economic, organizational, and political power and
domination factors which contribute to social inequities
[2-4]. These structural drivers do not directly cause the
acquisition or onward transmission of HIV; rather they
* Correspondence: [email protected]
...
Abstract—Theories of sociology of health and illness defy the biomedical model of disease as many of them are ‘concerned with the social origins and influence on disease’ rather than pathological reasons only. There are five sociological perspectives of health and illness: Social Constructionism, Marxism, Feminism, Foucaulian analysis, and Functionalism. These different sociological perspectives were critically analyzed through this article as for better understanding of conceptualize management of health services Social Constructionism is a sociological perspective focus on the sociology of knowledge and reality. Marxism focuses on equity between social classes and emphasizes inequality in capitalist society. According to Marxism inequality of distribution healthcare services in capitalist society arise from the marginalization of some categories of the population who do not contribute to economic system. Feminist theory is to understand and explore the multiple and various reasons for inequalities between the genders. In the healthcare sector, feminists believe that healthcare organizations are hierarchical systems, where doctors (usually men) are at the top level while nurses (usually women) have a lower level of importance. Main areas that Foucault theory emphasizes are power, knowledge and discourse. Foucault believes that there is a relationship between power and knowledge. This relationship appears clearly in the health field, as medical professionals comprise a group of people who have special knowledge (medical knowledge) and they gain the power from this knowledge. Finally, functionalism is a sociological perspective that describes society as a system made up of ‘interconnected and interrelated parts’ and it highlights the relationships between different parts of society In conclusion, the five sociological perspectives provide holistic picture about conceptualization of healthcare systems.
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
it is uploaded to help medics, paramedics and nursing educators to teach their students about dynamic of disease. it also help to create awareness in general people about it.
Epidemiology, Triad of epidemiology, Brief epidemiology, Terminology used in Epidemiology, Epidemiology, traid, modes of disease transmission, disease control and prevention, Basic epidemiology, John Snow and Cholera with Epidemiology
Just take a look at this rn capstone project example, you can use this example for writing yours .For more samples visit . https://www.capstonepaper.net/our-capstone-papers/capstone-nursing-paper-writing-services/
Baral et al. BMC Public Health 2013, 13482httpwww.biomed.docxjasoninnes20
Baral et al. BMC Public Health 2013, 13:482
http://www.biomedcentral.com/1471-2458/13/482
DEBATE Open Access
Modified social ecological model: a tool to guide
the assessment of the risks and risk contexts of
HIV epidemics
Stefan Baral1*, Carmen H Logie2, Ashley Grosso1, Andrea L Wirtz1 and Chris Beyrer1
Abstract
Background: Social and structural factors are now well accepted as determinants of HIV vulnerabilities. These
factors are representative of social, economic, organizational and political inequities. Associated with an improved
understanding of multiple levels of HIV risk has been the recognition of the need to implement multi-level HIV
prevention strategies. Prevention sciences research and programming aiming to decrease HIV incidence requires
epidemiologic studies to collect data on multiple levels of risk to inform combination HIV prevention packages.
Discussion: Proximal individual-level risks, such as sharing injection devices and unprotected penile-vaginal or
penile-anal sex, are necessary in mediating HIV acquisition and transmission. However, higher order social and
structural-level risks can facilitate or reduce HIV transmission on population levels. Data characterizing these risks is
often far more actionable than characterizing individual-level risks. We propose a modified social ecological model
(MSEM) to help visualize multi-level domains of HIV infection risks and guide the development of epidemiologic
HIV studies. Such a model may inform research in epidemiology and prevention sciences, particularly for key
populations including men who have sex with men (MSM), people who inject drugs (PID), and sex workers. The
MSEM builds on existing frameworks by examining multi-level risk contexts for HIV infection and situating individual
HIV infection risks within wider network, community, and public policy contexts as well as epidemic stage. The
utility of the MSEM is demonstrated with case studies of HIV risk among PID and MSM.
Summary: The MSEM is a flexible model for guiding epidemiologic studies among key populations at risk for HIV
in diverse sociocultural contexts. Successful HIV prevention strategies for key populations require effective
integration of evidence-based biomedical, behavioral, and structural interventions. While the focus of epidemiologic
studies has traditionally been on describing individual-level risk factors, the future necessitates comprehensive
epidemiologic data characterizing multiple levels of HIV risk.
Background
There is an increasing recognition of the importance of
the social and structural drivers of acquisition and trans-
mission of HIV [1,2]. While there is no singular defin-
ition, structural drivers can be conceptualized as those
social, economic, organizational, and political power and
domination factors which contribute to social inequities
[2-4]. These structural drivers do not directly cause the
acquisition or onward transmission of HIV; rather they
* Correspondence: [email protected]
...
Abstract—Theories of sociology of health and illness defy the biomedical model of disease as many of them are ‘concerned with the social origins and influence on disease’ rather than pathological reasons only. There are five sociological perspectives of health and illness: Social Constructionism, Marxism, Feminism, Foucaulian analysis, and Functionalism. These different sociological perspectives were critically analyzed through this article as for better understanding of conceptualize management of health services Social Constructionism is a sociological perspective focus on the sociology of knowledge and reality. Marxism focuses on equity between social classes and emphasizes inequality in capitalist society. According to Marxism inequality of distribution healthcare services in capitalist society arise from the marginalization of some categories of the population who do not contribute to economic system. Feminist theory is to understand and explore the multiple and various reasons for inequalities between the genders. In the healthcare sector, feminists believe that healthcare organizations are hierarchical systems, where doctors (usually men) are at the top level while nurses (usually women) have a lower level of importance. Main areas that Foucault theory emphasizes are power, knowledge and discourse. Foucault believes that there is a relationship between power and knowledge. This relationship appears clearly in the health field, as medical professionals comprise a group of people who have special knowledge (medical knowledge) and they gain the power from this knowledge. Finally, functionalism is a sociological perspective that describes society as a system made up of ‘interconnected and interrelated parts’ and it highlights the relationships between different parts of society In conclusion, the five sociological perspectives provide holistic picture about conceptualization of healthcare systems.
From diagnosis to social diagnosisAuthor Phil Brown Mercedes Lys.docxshericehewat
From diagnosis to social diagnosis
Author Phil Brown Mercedes Lyson, Tania Jenkins
Abstract
In the past two decades, research on the sociology of diagnosis has attained considerable influence within medical sociology. Analyzing the process and factors that contribute to making a diagnosis amidst uncertainty and contestation, as well as the diagnostic encounter itself, are topics rich for sociological investigation. This paper provides a reformulation of the sociology of diagnosis by proposing the concept of ‘social diagnosis’ which helps us recognize the interplay between larger social structures and individual or community illness manifestations. By outlining a conceptual frame, exploring how social scientists, medical professionals and laypeople contribute to social diagnosis, and providing a case study of how the North American Mohawk Akwesasne reservation dealt with rising obesity prevalence to further illustrate the social diagnosis idea, we embark on developing a cohesive and updated framework for a sociology of diagnosis. This approach is useful not just for sociological research, but has direct implications for the fields of medicine and public health. Approaching diagnosis from this integrated perspective potentially provides a broader context for practitioners and researchers to understand extra-medical factors, which in turn has consequences for patient care and health outcomes.
Highlights
► “Social diagnosis” recognizes interplay between social structures and illness manifestations. ► Case study shows how Mohawk Akwesasne dealt with rising obesity. ► Provides broad context for practitioners and researchers to understand extra-medical factors.
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Keywords
Diagnosis
Risk
Social movements
Environment
Public health
USA
Canada
Reservations
Introduction
Sociological analysis of diagnosis has achieved considerable influence in the last two decades, providing important insight into how we understand health, disease, and illness. It has also expanded how we view the social and cultural influences that shape our knowledge and practice on health and illness. This includes studies of diagnosis that have gone beyond the interaction between physician and patient, to take into account the larger social, structural, and temporal forces that shape diagnosis (see, for example, the categorization of homosexuality as a mental disorder and the role of gay rights activists in the American Psychiatric Association’s deliberations) (Cooksey & Brown, 1998).
Recently we have also seen the emergence of diseases whose etiologies, symptoms, and, therefore, diagnoses, are often contested or uncertain. This combination of medical and social uncertainty leads us to propose a reformulation of the concept social diagnosis as a new way of thinking about the sociology of diagnosis. This paper explores social diagnosis by first, outlining a conceptual framework of social diagnosis; second, discussing the different acto ...
Discussion 1-3 EPid ( two pages)Because it draws from other fielhuttenangela
Discussion 1-3 EPid ( two pages)
Because it draws from other fields such as biostatistics and social sciences, epidemiology is described as being interdisciplinary. From which aspects of other disciplines do you feel epidemiology borrows? In what ways does epidemiology differ from those disciplines? When responding to your classmates, provide additional connections between epidemiology and other disciplines. Support your response with specific examples.
Response one
Epidemiology and Other Disciplines
Epidemiology is the “study of the distribution and determinants of health and disease, morbidity, injuries, disability, and mortality in populations” (Friis & Sellers, 2014, p. 743). Epidemiology was first developed to understand causes of certain diseases such as smallpox and polio among humans. It now also includes the study of factors associated with non-transmissible diseases like cancer. It is described as interdisciplinary as it borrows elements from many other disciplines including microbiology and sociology. Epidemiology utilizes microbiology to help understand specific disease agents and modes of transmission. Microbiological techniques are borrowed to help in revealing sources of outbreaks and to determine sources. Sociology is equally important in epidemiology to aid in the study of social conditions and disease processes. Social sciences also assist epidemiologists in providing different methods on sampling such as measurement, questionnaire development, design, and delivery (Friis & Sellers, 2014). “Social factors have become more important precisely because epidemiological and biomedical knowledge has shifted the causes and consequences of disease from fate, accident, and bad luck to factors that are under some human control” (Link, 2008, p. 367).
Epidemiology differs from other disciplines in its perspective on groups or populations rather than individuals. It contrasts diseases and characteristics relative to different time periods, different places or different groups. It also differs from the physical sciences because it does not investigate the biological mechanism leading from exposure to disease. Epidemiologists can identify modifiable conditions that contribute to the health outcome without also identifying the biological mechanism or agent that lead to the outcome. An example of this is the improvements of environmental hygiene that reduced infectious diseases like cholera, that was possible before the identification of the actual bacteria (Ahrens, Krickeberg, & Pigeot, 2005).
Epidemiological studies are crucial to preventing, controlling and eradicating diseases. The research helps us to understand the incidence and prevalence of diseases, the cost of illness, and the burden of disease on society (Friis & Sellers, 2014). I have attached an article that I read about the role of mathematical modeling and prediction in infectious disease epidemiology that I felt was interesting and relevant to our Epidemiology course.
Mat ...
COMMENTARY ‘ What we ’ ve tried, hasn ’ t worked ’ : the politics of assets b...Jim Bloyd
It is a paradox of recent epidemiology that as material inequalities grow, so
the pursuit of non-material explanations for health outcomes proliferates. At
one level, a greater recognition of psycho-social factors has deepened the
understanding of the societal determinants of health, the links between mental
and physical health and the social nature of human need. Too often however,
psycho-social factors are abstracted from the material realities of people
’
s lives
and function as an alternative to addressing questions of economic power and
privilege and their relationship to the distribution of health. The growing in
fl
u-
ence of salutogenesis and asset-based approaches is one example of this trend.
This paper re
fl
ects on the theories of public health that lie behind the dis-
course of assets, together with some of the reasons for, and consequences of,
its popularity and in
fl
uence, notably in Scotland.
The Varieties of the Epidemiological Experiences and the Contribution of the ...asclepiuspdfs
This article aims to reflect and show the importance of the epidemiological experience of general medicine. Family doctor is in a rare position that allows him to develop an epidemiological intelligence for the characterization of actors at the local level, which combines individual, family, and community care, and which uses quantitative and qualitative data. This epidemiological experience of the family doctor, for pedagogical purposes, could be systematized in three levels: (1) Individual or personal basis: The continuity of care that allows the knowledge of the natural history of diseases and the pattern of accumulation of health problems and diseases during life; the method of identifying pre-symptomatic diseases and screening is done by “case-finding,” taking advantage of patient visits; (2) Relational base: The epidemiological method of family medicine is a bio-psychosocial method health is a property that emerges from the person understood as a complex life system, and the integral system includes the doctor-patient relationship and the family as an important influence on health, which can be characterized by genogram as an instrument or tool of the biopsychosocial model, and that gives information about the patient, their family and context; and (3) Local community base: The great accessibility of patients to their family doctor, and its role as the first contact with the patient, means from the epidemiological point of view the access to the “numerator,” and the care to defined population with geographic base, means the access to the “denominator;” a as family doctor works in small geographical bases, the knowledge of these health data can show important or news epidemiological characteristics.
This article from the Economic and Political Weekly, a peer-reviewed journal, discusses India’s various medical systems and the historical conditions under which allopathy or modern medicine (usually a synonym for ‘western’ medicine) assumed dominance. British rule in India, it says, was responsible for allopathic medicine becoming the backbone of independent India’s health services. The article adds that India’s ruling classes and upper castes advocated the cause of biomedical science because they saw it as a sign of ‘modernisation’. All of this contributed to the entrenchment of three streams of health providers in independent India. The articles lists these as: ‘qualified’ allopathic doctors (who have dominance over the other streams), ‘qualified’ ayurvedic, unani and homeopathic doctors (who have been relegated to a secondary position) and ‘unqualified’ health providers (who sometimes become the mainstay of health services in rural areas).
A radiology report serves as an intermediary between a radiologist and referring clinician for suggesting
appropriate treatment to the patients, aimed at better healthcare management. It is essentially a tool
that assists radiologists in conveying their input to the patients and clinicians regarding positive or negative findings on a case. The objective of this paper is to discuss and propose Radiology Information & Reporting System (RIRS), highlight challenges governing its implementation and suggest way forwards
towards its effective implementation across the public sector tertiary care institutions of Pakistan. In the end, it is concluded that the proposed RIRS would potentially offer enormous benefits in terms of cost
savings, reporting accuracy, faster processing and operational efficiency as opposed to the conventionally available manual radiology reporting procedures and systems.
Presently, there are two categories of cigarettes, namely, combustible cigarette and noncombustible or electronic cigarettes (EC). While combustible cigarettes release smoke,
electronic cigarettes produce vapor or aerosol mist. To address the concerns of harm from tobacco smoke, which contains over 100 potentially harmful chemicals to human health. Exposure to those chemicals is the known cause of smoking-related diseases, such as, chronic bronchitis, pulmonary emphysema, and bronchial cancers. On the other hand, without
combustion or burning, electronic cigarettes, either the nicotine liquid, or the heat-notburn tobacco sticks, produce no tar and emit less toxicants. In this regard, both types of the
less harm e-cigarettes have been recommended for using as alternative solution as harm reduction strategies for addicted cigarette smokers. It is becoming more popular worldwide,
especially in the USA.
A radiology report serves as an intermediary between a radiologist and referring clinician for suggesting appropriate treatment to the patients, aimed at better healthcare anagement. It is essentially a tool that assists radiologists in conveying their input to the patients and clinicians regarding positive or negative findings on a case. The objective of this paper is to discuss and propose Radiology Information & Reporting System (RIRS), highlight challenges governing its implementation and suggest way forwards towards its effective implementation across the public sector tertiary care institutions of Pakistan. In the end, it is concluded that the proposed RIRS would potentially offer enormous benefits in terms of cost
savings, reporting accuracy, faster processing and operational efficiency as opposed to the conventionally available manual radiology reporting procedures and systems.
Advanced age, having comorbidities, and vitamin D deficiency are three most important reasons for increased vulnerability to COVID-19 and also worsen complications and increase the risk of death.
Despite the vast amount of information available and lessons learned, many countries are still not fully utilizing these to manage secondary peaks of COVID-19 infection. Factors associated with worse COVID-19 prognosis include, older age, ethnicity, male sex, having comorbidities, obesity, diabetes, hypertension, and smoking; all these are associate with vitamin D deficiency. COVID-19 symptomatology varies from
mostly asymptomatic, to, up to 2% fatality. The latter is characterized by cytokine storm, an immune reaction, diffuse arterial thromboembolism, acute respiratory distress syndrome, pulmonary oedema,and death.
Myiasis is the infestation by larvae of flies. Myiasis may involve the skin, eyes, nasal passages, gastrointestinal and enitourinary tracts. Cases of urinary myiasis are very rare mostly occurs in immunocompromised hosts, those with previous urologic instrumentation or those with poor socioeconomic status. We present a case of successful outpatient treatment of urinary myiasis in two immunocompetent females without prior urological history
A radiology report serves as an intermediary between a radiologist and referring clinician for suggesting appropriate treatment to the patients, aimed at better healthcare management. It is essentially a tool that assists radiologists in conveying their input to the patients and clinicians regarding positive or negative findings on a case. The objective of this paper is to discuss and propose Radiology Information & Reporting System (RIRS), highlight challenges governing its implementation and suggest way forwards towards its effective implementation across the public sector tertiary care institutions of Pakistan.
Advanced age, having comorbidities, and vitamin D deficiency are three most important reasons for increased vulnerability to COVID-19 and also worsen complications and increase the risk of death. Despite the vast amount of information available and lessons learned, many countries are still not fully utilizing these to manage secondary peaks of COVID-19 infection. Factors associated with worse COVID-19 prognosis include, older age, ethnicity, male sex, having comorbidities, obesity, diabetes, hypertension, and smoking; all these are associate with vitamin D deficiency. COVID-19 symptomatology varies from mostly asymptomatic, to, up to 2% fatality.
Myiasis is the infestation by larvae of flies. Myiasis may involve the skin, eyes, nasal passages, gastrointestinal and genitourinary tracts. Cases of urinary myiasis are very rare mostly occurs in immunocompromised hosts, those with previous urologic instrumentation or those with poor socioeconomic status. We present a case of successful outpatient treatment of urinary myiasis in two immunocompetent females without prior urological history.
Advancements in modern imaging techniques such as ultrasound, magnetic resonance imaging, computer tomography and other radiological procedures have improved the diagnosis of gynecological conditions to a great extent. However, the establishment of a final diagnosis and the initiation of appropriate treatment requires direct viewing of the uterine cavity as in hysteroscopy. In many cases, the patient can be treated during the initial hysteroscopy.
The Acceptance and Cognitive Restructuring Intervention Program (ACRIP) has been proven efficacious in existing studies to reduce the symptoms of Internet Gaming Disorder (IGD) and improve the psychological well-being of adolescents. IGD has recently been recognized as a mental health condition by the World Health Organization as it becomes an emerging issue of significant public health concern. Empirical evidences associating IGD with poor psychological well-being are increasing.
Since the implementation of the “Unified Health System (SUS)” in Brazil in 1990 (public system that offers universal access to any citizen, whether employed or not), there have been
significant and diversified advances in the formulation of structural policies and programmatic actions of the health sector, directed to the three levels of complexity of the system, with a view to its operationalization/expansion in the country [1].
Telemedicine, E health and other technologies promise change that can profoundly affect patients and providers. Even a quick scan of topics featured in this journal demonstrates its impact on quality of life, public health concerns, and effectiveness healthcare. However, this powerful area of health care also creates serious issues for patients and providers. This writer
is particularly interested in ethics issues that affect the soul of health care.
Psychological studies involving humans suggested that addiction is a form of learning and that relapse is a persistent memory of the drug experiences [1,2]. It is the gene transcription factor Cyclic AMP Response-Element-Binding protein (CREB) acting as a switch, converting short-term memory to long-term memory, referred to as the acetylation of chromatin structures [3].
The use of mobile applications, through smart phones, smartphones, has been considered by many to be the technological revolution of greatest repercussion in recent times. Compared to a handheld computer and with access to millions of applications, its main feature is unlimited mobility, accompanying its user at all times and in any place. In health, it is known that professionals are constantly moving outside of the institutions in which they work, so mobility is fundamental, which contributes to the interoperability of mobile technologies. This study aims to identify the research involving mobile technology applied to the vaccination being used. The methodology used is of the type integrative review of the literature. The final sample had 14 papers.
Protective Effects of Ethanol Leaf-Extract of Cajanus Cajan (Linn) in Alcohol...CrimsonpublishersTTEH
Protective Effects of Ethanol Leaf-Extract of Cajanus Cajan (Linn) in Alcohol Induced Nephrotoxicity in Albino Rats by NN Ezeani* in Crimson Publishers: Telemedicine and e-Health
The protective effects of ethanol leaf-extract of Cajanus cajan in alcohol induced nephrotoxicity in albino rats were investigated. Thirty-six albino rats were assigned into six (6) experimental groups (A, B, C, D, E, F) with six rats in each group. Group A (Normal control) was administered normal saline only. Group B (standard control) was administered 5mg/kg body weight of standard drug (Silymarin); group C (positive control) was administered 3.7g/kg body weight of 99.7% ethanol while rats in groups D,E and F (test groups) were administered graded doses of 200mg/kg, 400mg/kg and 600mg/kg body weights of ethanol leaf-extract of Cajanus cajan respectively. Rats in standard control and test groups were administered 3.7g/kg body weight of 99.7% ethanol, once a day, 3 hours after administration of standard drug and ethanol leaf-extract of Cajanus cajan respectively. The administration lasted for 14 days through oral intubation. The result of our investigation showed that creatinine, uric acid and urea were significantly (P<0.05) increased in positive control group compared to the levels observed in the normal and standard control groups. However, groups administered ethanol leaf-extract of Cajanus cajan at the doses of 200mg/kg, 400mg/kg and 600mg/kg body weight all showed a significant (P<0.05) reversal in the trends of these parameters to concentrations comparable to those observed in the positive and normal control groups. The findings of this study suggest that ethanol leaf-extract of Cajanus cajan may have potentials that could be exploited for development of chemotherapies against renal toxicity.
https://crimsonpublishers.com/tteh/fulltext/TTEH.000528.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more Articles on Telemedicine and e-Health
please click on link: https://crimsonpublishers.com/tteh/index.php
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A Survey of Energy Efficiency in Wireless Human Body Sensors Lifetime for Hea...CrimsonpublishersTTEH
A Survey of Energy Efficiency in Wireless Human Body Sensors Lifetime for Healthcare Applications by Sara Kassan*, Jaafar Gaber and Pascal Lorenz in Crimson Publishers: Digital health journal impact factor
Wireless Human Body Sensor Networks (WHBSNs) are extensively used in vital sign monitoring applications and predicting crop health in in order to identify emergency situations and allow caregivers to respond efficiently. When a sensor is drained of energy, it can no longer achieve its role without a substituted source of energy. However, limited energy in a sensor’s battery prevents the long-term process in such applications. In addition, replacing the sensors’ batteries and redeploying the sensors can be very expensive in terms of time and budget and need the presence of the patient at the hospital. To overcome the energy limitation, researchers have proposed the use of energy harvesting to reload the rechargeable battery by power. Therefore, efficient power management is required to increase the benefits of having additional environmental energy. This paper presents a review of energy efficient harvesting mechanisms to extend the Wireless Human Body Sensors lifetime.
https://crimsonpublishers.com/tteh/fulltext/TTEH.000525.php
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The Germinative Preponderance-Sebaceous Epithelioma_ Crimson PublishersCrimsonpublishersTTEH
The Germinative Preponderance-Sebaceous Epithelioma by Anubha Bajaj* in Crimson Publishers: International journal of telemedicine and applications
Sebaceous epithelioma is a benign, exceptional, distinctive neoplasm comprised of basaloid cells and mature sebocytes. Although a sporadic neoplasm, Muir-Torre syndrome can be frequently associated with sebaceous epithelioma. Benign sebaceous epithelioma, additionally termed as sebaceoma is indicative of sebaceous neoplasm exceeding >50% basaloid cell component and demonstrates yellow papules, nodules or plaques predominating on sites of enhanced sebaceous glands. Dermoscopy delineates yellow-tinged, granular articulations with fine, curvilinear capillaries and vascular formations. Sebaceoma incorporates an admixture of undifferentiated basaloid cells and differentiated sebaceous cells. Basaloid cells enunciate a cytoplasmic vacuolation and sebaceous cells are clear and lipid rich. Histological variants of sebaceoma include carcinoid- like, sinusoidal, reticulated, cribriform, rippled and sebaceoma with Verocay bodylike features. Immune reactivity to adipophilin, epithelial membrane antigen (EMA), cytokeratin 5(CK5), cytokeratin 6(CK6) and p40 are elucidated. Sebaceoma requires a distinction from basal cell carcinoma with sebaceous differentiation and trichoblastoma with sebaceous differentiation. Surgical resection of the neoplasm with a narrow surgical resection margin is the preferred therapeutic option.
https://crimsonpublishers.com/tteh/fulltext/TTEH.000524.php
For more Open access journals in Crimson Publishers
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Tobacco Harm Reduction by Somchai Bovornkitti* in Crimson Publishers: Telemedicine and e-Health open access journals
Cigarette smoke contain approximately 250 different chemicals known to be harmful to human health. Thousands of harmful chemical substances produce by the combustion of tobacco. The health impacts such as cancer and chronic lung disease are not only associated with smokers but also people who are exposed to secondhand smoke. Tobacco Harm Reduction is a concept to minimize the impacts of tobacco on the individual and on society at large. A key component of this strategy is using alternative source of nicotine as a substitute to tobacco cigarettes. Electronic cigarette and heated tobacco are alternatives that might have potential in reduce harm from smokes. This paper elaborates on available research associated with electronic cigarette and heated tobacco with harm reduction and risk perspective.
https://crimsonpublishers.com/tteh/fulltext/TTEH.000522.php
For more Open access journals in Crimson Publishers
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Asbestos Pollution by Somchai Bovornkitti* in Crimson Publishers: Telemedicine Journal and e-health
A news article, entitled “Study Finds Asbestos in Nearly Half of Thailand’s Population” by Tim Povtak, was published in CTN News (Chaing Rai News) on July 3, 2019. Unfortunately, it contained some misunderstandings concerning the recent report of Incharoen and her colleagues [1]. For the record, two studies have been conducted in Thailand to search for the presence of asbestos bodies in the lungs of patients who had died of different conditions besides asbestos-related diseases. The first study by Sri umpai et al. [2] was published in 1985. Those researchers reported that, of the 330 cadavers that they had examined, 33 percent were found to contain asbestos bodies [2]. The second study by Incharoen et al. [1] was conducted 30 odd years later; those researchers found an even higher incidence of asbestos bodies, i.e. up to 48.5 percent, in 97 of the 200 cadavers that they had examined [1].
The findings of both studies implied that Thai people at large were being exposed to increasing amounts of asbestos fibers floating in the ambient atmosphere. The pollutants were likely being released from the earth during rough weather, as well as the scaling off of asbestos fibers from the roof tiles and siding of aging houses. The studies did not claim that such exposure would lead to the death of those who had been exposed to asbestos bodies in their lungs
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Clarion and Crystal-Clear Cell Acanthoma Reviewed_ Crimson PublishersCrimsonpublishersTTEH
Clarion and Crystal-Clear Cell Acanthoma Reviewed by Anubha Bajaj* in Crimson Publishers: Telemedicine and eHealth Journal
Clear cell acanthoma or Degos’ acanthoma or pale cell acanthoma is an exceptional, asymptomatic, cutaneous benign tumefaction of obscure etiology, emerging from epidermal keratinocytes. Solitary or multiple dome shaped lesions or well delineated nodules or plaques are frequently cogitated on distal extremities. Typically, clear cell acanthoma exhibits a “stuck on” appearance akin to seborrheic keratosis, “vascular countenance” of pyogenic granuloma, “scaling and exudation” elucidated in eczematous reactions and a “progressive margin “associated with an epithelioma. Clear cell acanthoma depicts uniform, pale keratinocytes or pale epithelial cells with abundant cytoplasm composed of excessive glycogen, centric nuclei and distinct foci of transformation. Clinical segregation is required from dermatofibroma, pyogenic granuloma, irritated seborrheic keratosis, keratoacanthoma, actinic keratosis, plaque psoriasis, eccrine poroma, viral warts or malignant cutaneous tumors such as basal cell carcinoma, squamous cell carcinoma, malignant melanoma and metastatic cancer. Dermatoscopy demonstrates a variegated reddish or purple lesion demonstrating a serpiginous pattern akin to a “string of pearls”. Comprehensive surgical eradication of the lesion is the recommended therapeutic option.
https://crimsonpublishers.com/tteh/fulltext/TTEH.000520.php
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. Beyond the Traditional Epidemiology of Risk
Factors: Socioeconomic Inequity and Cultural
Dimensions of Health-Disease Process
Marcos Bagrichevsky*
Department of Medicine, Regional University of Blumenau, Brazil
Opinion
Since the end of the twentieth century the epidemiological discourse has acquired a more
and more undeniable value. This universal symbolic authority of epidemiology of risk factors
has become emblematic with the incorporation of lifestyle rhetoric [1-3]. In advocating such
an approach, the area has departed from its historical and epistemological assumptions
(population and social context of illness) over the valuation of individual perspective
inherent to the emergence of a new globalized economic order, which has gradually shifted
the collective concerns of health public to a marginal position [4,5] especially in peripheral
capitalist countries [6].
Proposals subsidized by epidemiological inferences about risk behaviors, underestimate
the macro-economic and political contexts of health problems and the subjective dimensions
of social determinants of health-disease-care process [7]. Despite the undeniable heuristic
value that epidemiology (descriptive) has accumulated so far, as a successful field in coping
with human diseases over time, several questions are postulated to the epidemiology of risk
factors - specific mote in criticism by researchers from the field itself [1,2].
Such approaches obscure the influence of social inequality in health care and are a
preferred approach on how to think about certain health issues. The waiving of philosophical
rigor/interpretive analysis of the sedentary lifestyle, smoking, alcohol consumption and
obesity, considered epidemic behaviors and treated mainly as a result of “misguided personal
choices” (risk lifestyles), has led to notions limited to a view by the subject isolated from their
culture and from their potential interference on the public agenda [3]. Side effects of this
ideology overflow in our postmodern informational society as a kind of moralizing pandemic
[8].
If the profile of some epidemiological studies were resized, other interpretations might
emerge as the so-called risk behaviors, such as in Mossakowski’s research [9], to show that
poverty and unemployment kept for a long time is represent risk factors for the use of heavy
alcohol, regardless of gender, age, ethnicity or marital status. The mechanisms of individual
and collective management of risks, contemporaneously embedded with our lives, relate to the
profound and ambiguous structural changes in society [3,7,10], where scientific information
is gaining status of “self-imposed authority”. Epidemiology cannot lose sight of that scenario
and of the influence exercised by meanings, norms and socio-cultural values, prevailing in the
specific ambience, which the researcher is part of [11].
Crimson Publishers
Wings to the Research
Opinion
*Corresponding author: Marcos
Bagrichevsky PhD, Department of
Medicine, Regional University of
Blumenau, Santa Catarina, Brazil
E-mail: marcos_bagrichevsky@ yahoo.
com.br
Submission: December 14, 2019
Published: December 19, 2019
Volume 2 - Issue 2
How to cite this article: Bagrichevsky M.
Beyond the Traditional Epidemiology of
Risk Factors: Socioeconomic Inequity and
Cultural Dimensions of Health-Disease
Process. Trends Telemed E-Health 2(2).
TTEH. 000532. 2019.
DOI: 10.31031/TTEH.2019.02.000532
Copyright@ Marcos Bagrichevsky, This
article is distributed under the terms of
the Creative Commons Attribution 4.0
International License, which permits
unrestricted use and redistribution
provided that the original author and
source are credited.
1Trends in Telemedicine & E-health
ISSN: 2689-2707
Abstract
Keyword: Risk factors; Epidemiology; Lifestyle; Socioeconomic inequity; Health-disease process
![Beyond the Traditional Epidemiology of Risk
Factors: Socioeconomic Inequity and Cultural
Dimensions of Health-Disease Process
Marcos Bagrichevsky*
Department of Medicine, Regional University of Blumenau, Brazil
Opinion
Since the end of the twentieth century the epidemiological discourse has acquired a more
and more undeniable value. This universal symbolic authority of epidemiology of risk factors
has become emblematic with the incorporation of lifestyle rhetoric [1-3]. In advocating such
an approach, the area has departed from its historical and epistemological assumptions
(population and social context of illness) over the valuation of individual perspective
inherent to the emergence of a new globalized economic order, which has gradually shifted
the collective concerns of health public to a marginal position [4,5] especially in peripheral
capitalist countries [6].
Proposals subsidized by epidemiological inferences about risk behaviors, underestimate
the macro-economic and political contexts of health problems and the subjective dimensions
of social determinants of health-disease-care process [7]. Despite the undeniable heuristic
value that epidemiology (descriptive) has accumulated so far, as a successful field in coping
with human diseases over time, several questions are postulated to the epidemiology of risk
factors - specific mote in criticism by researchers from the field itself [1,2].
Such approaches obscure the influence of social inequality in health care and are a
preferred approach on how to think about certain health issues. The waiving of philosophical
rigor/interpretive analysis of the sedentary lifestyle, smoking, alcohol consumption and
obesity, considered epidemic behaviors and treated mainly as a result of “misguided personal
choices” (risk lifestyles), has led to notions limited to a view by the subject isolated from their
culture and from their potential interference on the public agenda [3]. Side effects of this
ideology overflow in our postmodern informational society as a kind of moralizing pandemic
[8].
If the profile of some epidemiological studies were resized, other interpretations might
emerge as the so-called risk behaviors, such as in Mossakowski’s research [9], to show that
poverty and unemployment kept for a long time is represent risk factors for the use of heavy
alcohol, regardless of gender, age, ethnicity or marital status. The mechanisms of individual
and collective management of risks, contemporaneously embedded with our lives, relate to the
profound and ambiguous structural changes in society [3,7,10], where scientific information
is gaining status of “self-imposed authority”. Epidemiology cannot lose sight of that scenario
and of the influence exercised by meanings, norms and socio-cultural values, prevailing in the
specific ambience, which the researcher is part of [11].
Crimson Publishers
Wings to the Research
Opinion
*Corresponding author: Marcos
Bagrichevsky PhD, Department of
Medicine, Regional University of
Blumenau, Santa Catarina, Brazil
E-mail: marcos_bagrichevsky@ yahoo.
com.br
Submission: December 14, 2019
Published: December 19, 2019
Volume 2 - Issue 2
How to cite this article: Bagrichevsky M.
Beyond the Traditional Epidemiology of
Risk Factors: Socioeconomic Inequity and
Cultural Dimensions of Health-Disease
Process. Trends Telemed E-Health 2(2).
TTEH. 000532. 2019.
DOI: 10.31031/TTEH.2019.02.000532
Copyright@ Marcos Bagrichevsky, This
article is distributed under the terms of
the Creative Commons Attribution 4.0
International License, which permits
unrestricted use and redistribution
provided that the original author and
source are credited.
1Trends in Telemedicine & E-health
ISSN: 2689-2707
Abstract
Keyword: Risk factors; Epidemiology; Lifestyle; Socioeconomic inequity; Health-disease process](https://image.slidesharecdn.com/tteh-201019074947/85/Tteh-000532-1-320.jpg)
