Skip header and navigation

Refine By

122 records – page 1 of 13.

[Actual problem of methodology and development of evidence-based health risk assessment associated with chemical exposure].

https://arctichealth.org/en/permalink/ahliterature290154
Source
Gig Sanit. 2016; 95(8):711-6
Publication Type
Journal Article
Author
S M Novikov
M V Fokin
T N Unguryanu
Source
Gig Sanit. 2016; 95(8):711-6
Language
Russian
Publication Type
Journal Article
Keywords
Environmental Exposure - prevention & control - standards
Environmental Pollutants - analysis - standards
Evidence-Based Practice
Hazardous Substances - analysis - standards
Humans
Hygiene - standards
Public Health - methods
Risk Assessment - methods - standards
Russia
Abstract
Paramount problems of the development of the assessment of population health risks associated with the chemical exposure in Russia are considered on the ground of critical analysis of reports devoted to methodological issues of the risk assessment and guidelines published since 2010. Causes of the lack in progress of risk assessment are discussed. The information of executed research revealed the significant retardation number of Russian publications devoted to the evidence-based health risk assessment compare to worldwide trend. The analysis of publications according to evidence-based health risk assessment in Russia in 1998 - 2012 demonstrated methodical problems to be leading to the underestimation of the real risk to population’s health. There are demonstrated directions in the renewal of methodology and practice of hygienic standardization on the basis of the risk assessment. The comparative analysis of values of uncertainty factors (modifying factors, conversion factors) used for extrapolation and accepted in different countries and organizations was made. The system of extrapolation coefficients of DNEL (Derive No-Effect Level) is presented. The leading principles of modern toxicology and risk assessment based on strict scientific proofs are showed. Criteria of evidence-based toxicology and risk assessment are presented.Among actual problems which demand their decision there are considered: the assessment of combined action in regulatory toxicology; expansion of spheres of the application of health risk assessment methodology; the improvement ofpreparation and certification of experts in the field of health risk assessment; need of check of dispersion models and their replacement by more modern models; the improvement of exposure assessment with taking into account the international requirements; the assessment of regional exposure factors; expansion of atmospheric air monitoring in all the large cities of Russia.
PubMed ID
29430892 View in PubMed
Less detail

[Actual problems of social gerontology at the present stage of development of Russia].

https://arctichealth.org/en/permalink/ahliterature289569
Source
Adv Gerontol. 2016; 29(2):379-386
Publication Type
Journal Article
Date
2016
Author
A S Bashkireva
S V Vyulegzhanin
E Yu Kachan
Author Affiliation
Health Committee of the Leningrad Region, Saint-Petersburg 191030, Russian Federation; angel_darina@mail.ru.
Source
Adv Gerontol. 2016; 29(2):379-386
Date
2016
Language
Russian
Publication Type
Journal Article
Keywords
Aged
Geriatrics - methods - organization & administration
Health Transition
Humans
Population Dynamics - statistics & numerical data - trends
Public Health - methods - trends
Russia - epidemiology
Social Medicine - methods - organization & administration
Abstract
The basic medico-demographic indices of aging population for Russia were identified in this article. Special attention was given to the examination of the demographic risks of a reduction in the population at the working ages, to an increase in the demographic load on the labor forces. The «Strategy for Action for the elderly persons until 2025», prepared by the Interdepartmental Working Group at the Ministry of Labour and Social Protection of the Russian Federation, was analyzed. The development and implementation of the professional longevity management system is one of the timely and comprehensive solutions to the problem of employment in the elderly. The need for further studies was proven, dedicated to the use of innovative gerontotechnologies in order to prevent the premature workability reduction, retarding of the aging processes, the level of mortality decrease and the professional longevity increase, especially in the elderly.
? ?????? ?????????? ????????????? ??????????? ??????-??????????????? ???????? ? ??????. ?????? ???????? ??????? ???????????? ??????????????? ?????? ?????????? ??????????? ????????? ? ??????? ????????, ?????????? ???????? ?? ?????????????? ?????????. ??? ?????? ???????????? ????????????? ?? ?? 05.02.2016 ?. ?164-? «????????? ???????? ? ????????? ??????? ???????? ????????? ? ?????????? ????????? ?? 2025 ????», ??????????????? ???????????????? ??????? ??????? ??? ???????? ??????. ?????????? ???????????????? ?????????? ? ????????? ??????? ??????????? ????????????????? ?????????? ??? ?????????????? ? ???????????? ??????? ???????? ????????? ??? ???????? ????????. ???????? ????????????? ?????????? ????????????, ??????????? ????????????? ????????????? ????????????????? ? ???????? ??????? ???????????? ???????????????? ???????? ???????????????? ?????????????????, ?????????? ????????? ????????, ???????? ?????? ?????????? ? ?????????? ????????????????? ??????????, ???????? ? ??? ??????? ?????????? ?????.
PubMed ID
28514562 View in PubMed
Less detail

[Actual problems of social gerontology at the present stage of development of Russia].

https://arctichealth.org/en/permalink/ahliterature289727
Source
Adv Gerontol. 2016; 29(2):379-386
Publication Type
Journal Article
Date
2016
Author
A S Bashkireva
S V Vyulegzhanin
E Yu Kachan
Author Affiliation
Health Committee of the Leningrad Region, Saint-Petersburg 191030, Russian Federation; angel_darina@mail.ru.
Source
Adv Gerontol. 2016; 29(2):379-386
Date
2016
Language
Russian
Publication Type
Journal Article
Keywords
Aged
Geriatrics - methods - organization & administration
Health Transition
Humans
Population Dynamics - statistics & numerical data - trends
Public Health - methods - trends
Russia - epidemiology
Social Medicine - methods - organization & administration
Abstract
The basic medico-demographic indices of aging population for Russia were identified in this article. Special attention was given to the examination of the demographic risks of a reduction in the population at the working ages, to an increase in the demographic load on the labor forces. The «Strategy for Action for the elderly persons until 2025», prepared by the Interdepartmental Working Group at the Ministry of Labour and Social Protection of the Russian Federation, was analyzed. The development and implementation of the professional longevity management system is one of the timely and comprehensive solutions to the problem of employment in the elderly. The need for further studies was proven, dedicated to the use of innovative gerontotechnologies in order to prevent the premature workability reduction, retarding of the aging processes, the level of mortality decrease and the professional longevity increase, especially in the elderly.
? ?????? ?????????? ????????????? ??????????? ??????-??????????????? ???????? ? ??????. ?????? ???????? ??????? ???????????? ??????????????? ?????? ?????????? ??????????? ????????? ? ??????? ????????, ?????????? ???????? ?? ?????????????? ?????????. ??? ?????? ???????????? ????????????? ?? ?? 05.02.2016 ?. ?164-? «????????? ???????? ? ????????? ??????? ???????? ????????? ? ?????????? ????????? ?? 2025 ????», ??????????????? ???????????????? ??????? ??????? ??? ???????? ??????. ?????????? ???????????????? ?????????? ? ????????? ??????? ??????????? ????????????????? ?????????? ??? ?????????????? ? ???????????? ??????? ???????? ????????? ??? ???????? ????????. ???????? ????????????? ?????????? ????????????, ??????????? ????????????? ????????????? ????????????????? ? ???????? ??????? ???????????? ???????????????? ???????? ???????????????? ?????????????????, ?????????? ????????? ????????, ???????? ?????? ?????????? ? ?????????? ????????????????? ??????????, ???????? ? ??? ??????? ?????????? ?????.
PubMed ID
28514562 View in PubMed
Less detail

Advocacy group urges safe injection facilities for Canada's addicts.

https://arctichealth.org/en/permalink/ahliterature190446
Source
Lancet. 2002 Apr 20;359(9315):1415
Publication Type
Article
Date
Apr-20-2002

The age- and sex-specific occurrence of bothersome neck pain in the general population--results from the Stockholm public health cohort.

https://arctichealth.org/en/permalink/ahliterature120422
Source
BMC Musculoskelet Disord. 2012;13:185
Publication Type
Article
Date
2012
Author
Eva Skillgate
Cecilia Magnusson
Michael Lundberg
Johan Hallqvist
Author Affiliation
Institute of Environmental Medicine, Karolinska Institutet, Box 210, Stockholm, SE-17177, Sweden. Eva.Skillgate@ki.se
Source
BMC Musculoskelet Disord. 2012;13:185
Date
2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Cohort Studies
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neck Pain - diagnosis - epidemiology
Population Surveillance - methods
Prospective Studies
Public Health - methods - trends
Questionnaires
Sex Factors
Sweden - epidemiology
Young Adult
Abstract
Neck pain is very common but the occurrence of bothersome neck pain is not well described. Therefore our objective was to report on the prevalence and incidence of, as well as the rate of recovery from, bothersome neck pain in men and women of different ages in the general population.
We used data from a recently conducted population-based cohort study, comprising 23,794 individuals in Stockholm County, Sweden. Study participants were surveyed with a self-administered questionnaire in 2002/2003 and 2007, and information on episodes of neck pain was gathered at baseline and at follow-up. We then measured bothersome neck pain in 2005 and 2006 retrospectively in 2007 using the follow-up questionnaire.
The one-year prevalence of bothersome neck pain for at least seven consecutive days was 25% (95% confidence interval (CI): 24-25) among women and 16% (95% CI: 15-16) among men, peaking in individuals aged 30-59 years. The one-year incidence proportion of bothersome neck pain was 7% (95% CI: 6-7) among women, and 4% (95% CI: 4-5) among men. Women recovered more infrequently than men. The one-year incidence proportion of recovery (of at least one year duration) was 11% (95% CI: 10-12) among women and 14% (95% CI: 12-16) among men.
Bothersome neck pain is most common in middle-aged individuals. Women are more likely than men to have and to develop bothersome neck pain, and less likely to recover from such pain. Younger men and women have a higher incidence, but recover more often from bothersome neck pain than older individuals.
Notes
Cites: J Rheumatol. 2001 Jun;28(6):1369-7711409133
Cites: Best Pract Res Clin Rheumatol. 2010 Dec;24(6):783-9221665126
Cites: Ann Rheum Dis. 2003 Jan;62(1):33-612480666
Cites: Pain. 2004 Jan;107(1-2):134-914715399
Cites: Pain. 2004 Dec;112(3):267-7315561381
Cites: Spine (Phila Pa 1976). 2005 Aug 15;30(16):1887-9216103861
Cites: Eur Spine J. 2006 Jun;15(6):834-4815999284
Cites: Spine (Phila Pa 1976). 2006 Jul 15;31(16):E540-416845340
Cites: Spine (Phila Pa 1976). 2007 Nov 1;32(23):2630-717978666
Cites: Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S14-2318204387
Cites: Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S39-5118204398
Cites: Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S75-8218204403
Cites: Spine (Phila Pa 1976). 2008 Apr 15;33(8):909-1318404112
Cites: BMC Musculoskelet Disord. 2009;10:3919379477
Cites: Spine (Phila Pa 1976). 2009 Aug 1;34(17):1863-819644338
Cites: Pain Physician. 2009 Jul-Aug;12(4):E35-7019668291
Cites: Spine (Phila Pa 1976). 2011 Feb 1;36(3):E213-921079541
Cites: Pain. 2001 Sep;93(3):317-2511514090
PubMed ID
23006655 View in PubMed
Less detail

Allergy in children: practical recommendations of the Finnish Allergy Programme 2008-2018 for prevention, diagnosis, and treatment.

https://arctichealth.org/en/permalink/ahliterature126004
Source
Pediatr Allergy Immunol. 2012 Mar;23(2):103-16
Publication Type
Article
Date
Mar-2012
Author
Anna S Pelkonen
Mikael Kuitunen
Teija Dunder
Tiina Reijonen
Erkka Valovirta
Mika J Mäkelä
Author Affiliation
Department of Allergy, Helsinki University Central Hospital, Helsinki, Finland.
Source
Pediatr Allergy Immunol. 2012 Mar;23(2):103-16
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Child, Preschool
Finland
Humans
Hypersensitivity - diagnosis - prevention & control
Public Health - methods
Abstract
The Finnish Allergy Programme 2008-2018 is a comprehensive plan intended to reduce the burden of allergies. One basic goal is to increase immunologic tolerance and change attitudes to encourage health instead of medicalizing common and mild allergy symptoms. The main goals can be listed as to: (i) prevent the development of allergic symptoms; (ii) increase tolerance to allergens; (iii) improve diagnostics; (iv) reduce work-related allergies; (v) allocate resources to manage and prevent exacerbations of severe allergies, and (vi) reduce costs caused by allergic diseases. So far, the Allergy Programme has organized 135 educational meetings for healthcare professionals around Finland. These meetings are multidisciplinary meetings gathering together all healthcare professionals working with allergic diseases. Since the start of the program in spring 2008, more than 7000 participants have taken part. Educational material for patient care has been provided on special Web sites/therapeutic portals, which can be accessed by all physicians caring for allergic patients. Local Allergy Working Groups have been created in different parts of Finland. As a part of the Programme, a set of guidelines for child welfare clinics was prepared. Child welfare clinics have a key role in the screening of illnesses and providing advice to families with a symptomatic child. The guidelines aimed to facilitate pattern recognition and clinical decision making for public health nurses and doctors are described in this paper.
PubMed ID
22432881 View in PubMed
Less detail

An open source web application for the surveillance and prevention of the impacts on public health of extreme meteorological events: the SUPREME system.

https://arctichealth.org/en/permalink/ahliterature134190
Source
Int J Health Geogr. 2011;10:39
Publication Type
Article
Date
2011
Author
Steve Toutant
Pierre Gosselin
Diane Bélanger
Ray Bustinza
Sonia Rivest
Author Affiliation
Institut national de santé publique du Québec, 945 Wolfe, Quebec (Quebec), G1V 5B3, Canada.
Source
Int J Health Geogr. 2011;10:39
Date
2011
Language
English
Publication Type
Article
Keywords
Disasters - prevention & control
Humans
Internet
Population Surveillance - methods
Public Health - methods
Public Health Informatics - methods
Quebec - epidemiology
Risk factors
Software
Statistics as Topic - methods
Weather
Abstract
Every year, many deaths or health problems are directly linked to heat waves. Consequently, numerous jurisdictions around the world have developed intervention plans that are employed during extreme heat events; beyond their emergency sections, these plans generally include preventive measures to be implemented each year. Over the last five years, local and regional information systems have been implemented in a few Canadian cities for surveillance purposes. However, until recently, no such systems existed at the provincial level. In the context of the Government of Quebec's 2006-2012 Action Plan on Climate Change, a real-time integrated system for the surveillance and monitoring of extreme heat events has been implemented on a provincial level. The system is a component of a broader approach that would also monitor the public health impacts of all types of extreme meteorological events.
After conducting a detailed needs analysis, the Quebec National Institute for Public Health developed and implemented an integrated web application leveraging open source software for the real-time Surveillance and Prevention of the impacts of Extreme Meteorological Events on public health, called the SUPREME system. Its first field use involved heat waves. This decision-support system is based on open source software and is composed of four modules: (1) data acquisition and integration, (2) risk analysis and alerts, (3), cartographic application, and (4) information dissemination - climate change and health portal. The system is available to health specialists through a secure web information portal and provides access to weather forecasts, historic and real-time indicators (including deaths and hospital admissions), alerts and various cartographic data used for conducting prevention activities and launching emergency measures.
The SUPREME system was implemented and used during the summer of 2010. It served as an important decision-making tool during the July 2010 heat wave in the province of Quebec, Canada. Planned improvements for 2011 include the integration of data related to other risk factors for other extreme events to the system. The next steps will be to provide access to the application to other groups of specialists that are involved in the prevention, monitoring, or analysis of extreme meteorological events and their effects on community health and well-being.
Notes
Cites: Euro Surveill. 2007 Mar;12(3):22617439811
Cites: C R Biol. 2008 Feb;331(2):171-818241810
Cites: Int J Health Geogr. 2011;10:721251286
Cites: Epidemiology. 2008 Sep;19(5):711-918520615
Cites: Int J Health Geogr. 2008;7:2318498630
PubMed ID
21612652 View in PubMed
Less detail

Applying the balanced scorecard to local public health performance measurement: deliberations and decisions.

https://arctichealth.org/en/permalink/ahliterature151095
Source
BMC Public Health. 2009;9:127
Publication Type
Article
Date
2009
Author
Erica Weir
Nadine d'Entremont
Shelley Stalker
Karim Kurji
Victoria Robinson
Author Affiliation
Public Health Branch, Community and Health Services Department, Regional Municipality of York, Newmarket, Canada. erica.weir@york.ca
Source
BMC Public Health. 2009;9:127
Date
2009
Language
English
Publication Type
Article
Keywords
Consumer Participation
Health Status Indicators
Humans
Management Audit - methods
Ontario
Public Health - methods - standards
Public Health Administration - standards
Quality Assurance, Health Care - methods - organization & administration
Staff Development
Abstract
All aspects of the heath care sector are being asked to account for their performance. This poses unique challenges for local public health units with their traditional focus on population health and their emphasis on disease prevention, health promotion and protection. Reliance on measures of health status provides an imprecise and partial picture of the performance of a health unit. In 2004 the provincial Institute for Clinical Evaluative Sciences based in Ontario, Canada introduced a public-health specific balanced scorecard framework. We present the conceptual deliberations and decisions undertaken by a health unit while adopting the framework.
Posing, pondering and answering key questions assisted in applying the framework and developing indicators. Questions such as: Who should be involved in developing performance indicators? What level of performance should be measured? Who is the primary intended audience? Where and how do we begin? What types of indicators should populate the health status and determinants quadrant? What types of indicators should populate the resources and services quadrant? What type of indicators should populate the community engagement quadrant? What types of indicators should populate the integration and responsiveness quadrants? Should we try to link the quadrants? What comparators do we use? How do we move from a baseline report card to a continuous quality improvement management tool?
An inclusive, participatory process was chosen for defining and creating indicators to populate the four quadrants. Examples of indicators that populate the four quadrants of the scorecard are presented and key decisions are highlighted that facilitated the process.
Notes
Cites: J Health Organ Manag. 2006;20(4):335-4316921817
Cites: Can J Public Health. 2003 Sep-Oct;94(5):391-614577752
Cites: Healthc Q. 2008;11(2):52-6, 218362520
Cites: Can J Public Health. 2008 Mar-Apr;99(2):8518457277
PubMed ID
19426508 View in PubMed
Less detail

[A rank-order method for the integrated assessment of trends in all-cause and cardiovascular mortality rates in the subjects of the Russian Federation in 2006-2012].

https://arctichealth.org/en/permalink/ahliterature271955
Source
Ter Arkh. 2016;88(1):11-6
Publication Type
Article
Date
2016
Author
G V Artamonova
S A Maksimov
M V Tabakaev
L S Barbarash
Source
Ter Arkh. 2016;88(1):11-6
Date
2016
Language
Russian
Publication Type
Article
Keywords
Cardiovascular Diseases - mortality
Humans
Mortality - trends
Public Health - methods - trends
Russia - epidemiology
Survival Analysis
Abstract
To rank the subjects of the Russian Federation by the trend direction in all-cause and cardiovascular mortality (including mortality from coronary heart disease and cerebrovascular diseases) as a whole and at able-bodied age.
The investigation used mortality rates from to the 2006 and 2012 data available in the Federal State Statistics Service on 81 subjects of the Russian Federation. According to mortality rates, each region was assigned a rank in 2006 and 2012. Trends in rank changes in the Russian Federation's regions were analyzed. A cluster analysis was used to group the subjects of the Russian Federation by trends in rank changes.
The cluster analysis of rank changes from 2006 to 2012 could combine the Russian Federation's regions into 10 groups showing the similar trends in all-cause and circulatory disease mortality rates. Overall, the results of the ranking and further clusterization of the regions of the Russian Federation correspond to the trends in all-cause and cardiovascular mortality rates according to the data of other Russian investigations, by qualitatively complementing them.
The trend rank-order method permits a comprehensive comparative analysis of changes in all-cause and cardiovascular mortality in the subjects of the Russian Federation both as a whole and at able-bodied age, which provides qualitatively new information complementing the universally accepted approaches to studying the population's mortality.
PubMed ID
26978603 View in PubMed
Less detail

Assessing inter-rater agreement of environmental audit data in a matched case-control study on bicycling injuries.

https://arctichealth.org/en/permalink/ahliterature116749
Source
Inj Prev. 2013 Oct;19(5):336-41
Publication Type
Article
Date
Oct-2013
Author
Nicole T R Romanow
Amy B Couperthwaite
Gavin R McCormack
Alberto Nettel-Aguirre
Brian H Rowe
Brent E Hagel
Author Affiliation
Departments of Paediatrics and Community Health Sciences, University of Calgary, , Calgary, Alberta, Canada.
Source
Inj Prev. 2013 Oct;19(5):336-41
Date
Oct-2013
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Bicycling - injuries
Canada
Case-Control Studies
Child
Environment Design - statistics & numerical data
Female
Humans
Male
Observer Variation
Public Health - methods
Young Adult
Abstract
Environmental audit tools must be reliable in order to accurately estimate the association between built environmental characteristics and bicycling injury risk.
To examine the inter-rater agreement of a built environment audit tool within a case-control study on the environmental determinants of bicycling injuries.
Auditor pairs visited locations where bicycling injuries occurred and independently recorded location characteristics using the Systematic Pedestrian and Cyclist Environmental Scan (SPACES). Two case groups were defined: (1) where a bicyclist was struck by a motor-vehicle (MV) and (2) where the bicyclist's injuries required hospitalisation. The two corresponding control groups were (1) where non-MV bicycle-related injuries occurred and (2) where minor bicycle-related injuries occurred. Inter-rater reliability of each item on the tool was assessed using observed agreement and ? with 95% CI.
Ninety-seven locations were audited. Inter-observer agreement was generally high (=95%); most items had a 1-2% difference in responses. Items with =5% differences between raters included path condition, slope and obstructions. For land use, path and roadway characteristics, ? ranged from 0.3 for presence of offices and cleanliness to 0.9 for schools and number of lanes; overall, 78% of items had at least substantial agreement (?=0.61). For bicyclists struck by a MV the proportion of items with substantial agreement was 60%, compared with 73% for non-MV related injuries. For hospitalisations and minor bicycle-related injuries, 76% of items had substantial agreement.
Agreement was substantial for most, but not all SPACES items. The SPACES provides reliable quantitative descriptions of built environmental characteristics at bicycling injury locations.
PubMed ID
23364159 View in PubMed
Less detail

122 records – page 1 of 13.