A Study of Health Prescribing for Children with Tourette’s Disorders in Children’s Health Education Specialty Care Clinics

Objective:This study designs and implements the health prescription of children’s health education specialized nursing clinic based on the physical and mental characteristics of children with Tourette’s syndrome.Methods:Applying the evidence-based nursing model and nursing intervention theory based on the survey research by searching China Knowledge Network,Wanfang Database and Wipro Chinese Science and Technology Journal Database,the study collected the literature on the health prescription intervention research in children’s Tourette’s disorders health education in children’s health education of specialized nursing outpatient clinic for review and combined with the specialty characteristics to formulate“Children’s Tourette’s Disorder Health Education Prescription.”Results:Tourette’s syndrome in children is a common pediatric neurological disorder,mainly manifested as involuntary,rapid and repeated muscle twitching and vocal tics,which brings serious psychological pressure and life disturbance to the affected children.Conclusion:For children with Tourette’s syndrome,healthcare professionals should give enough care and understanding to the children and their parents,provide timely and effective health education to them,help them improve their bad behavioral habits,establish correct cognitive attitudes,enhance self-confidence,improve patient compliance,reduce the frequency of recurrence,reduce the incidence of complications and promote children’s physical and mental health development.

The men’s health center:Disparities in gender specific health services among the top 50“best hospitals”in America

Objective:Gender-specific integrated health services have long existed in the arena of women’s health care,but men’s health centers(MHCs)have only recently emerged as a novel practice model.Here,we seek to evaluate the prevalence and format of MHCs found in the leading academic medical centers in the United States.Methods:The US News&World Report’s Top 50 Ranked Hospitals for Urology was used as our cohort.Data were gathered on the presence of MHCs and types of providers and conditions treated.An equivalent search was performed for women’s health centers(WHCs).Results:Sixteen of 50(32%)promoted some type of MHC,compared to 49 of 50(98%)offering a WHC.Eight of the top 15 ranked institutions(53%)had an MHC compared to eight of 35(23%)remaining programs.Six of 16 MHCs incorporated providers from a variety of medical disciplines,including urologists,internists,endocrinologists,cardiologists,and psychologists,while another six of 16 MHCs were staffed solely by urologists.Eight of 16 provided services for exclusively urologic issues,four of 16 offered additional services in treatment of other medical conditions,and four of 16 did not specify.

Thai men＇s health and sexual attitude

Men＇s health awareness, including the research and study of quality of life, sexual desires and risk factors, has increased worldwide. In Thailand, this advancement is made possible by cooperation, research and sponsorship from the local Thai community. This article aims to illustrate the sexual attitudes of Thai people, to determine the degree of erectile dysfunction （ED） and to investigate how to manage and cope with ED in a Thai community. We reviewed the relevant literature from Thai-based articles and surveys in regard to men＇s health, sexual attitudes, the prevalence of ED and common risk factors in the Thai community. The primary risk factor for ED in Thai men was age-related health decline and the presence of vascular disease. Most Thai men will seek consultation from their partner in regard to ED. The main presentation of metabolic disease in Thai patients was dyslipidemia. New selective serotonin reuptake inhibitors are not available for premature ejaculation in Thai communities. The debate in regard to malpractice compensation is an issue that should be closely monitored. There is currently a shortage of home care for the elderly in Thailand. The insights provided by the articles helped recruit the study patients and in turn, helped us gain knowledge that can be translated into improved men＇s health care in Thailand.

Profile of men＇s health in Malaysia： problems and ：hallenges

Men＇s health concerns have evolved from the traditional andrology and male sexual health to a more holistic approach that encompasses male psychological, social and physical health. The poor state of health in men compared to their female counterparts is well documented. A review of the epidemiological data from Malaysia noted a similar trend in which men die at higher rates in under 1 and above 15 years old groups and most disease categories compared to women. In Malaysia, the main causes of death in men are non-communicable diseases and injuries. Risk factors, such as risk-taking behaviour, smoking and hypertension, are prevalent and amenable to early interventions. Erectile dysfunction, premature ejaculation and prostate disorders are also prevalent. However, many of these morbidities go unreported and are not diagnosed early; therefore, opportunities for early intervention are missed. This reflects poor health knowledge and inadequate health-care utilisation among Malaysian men. Their health-seeking behaviour has been shown to be strongly influenced by family members and friends. However, more research is needed to identify men＇s unmet health-care needs and to develop optimal strategies for addressing them. Because the Malaysian population is aging and there is an increase in sedentary lifestyles, optimizing men＇s health will remain a challenge unless effective measures are implemented. The existing male-unfriendly health-care system and the negative influence of masculinity on men＇s health behaviour must be addressed. A national men＇s health policy based on a male-friendly approach to health-care delivery is urgently needed to provide a framework for addressing these challenges.

Deepening China-Africa Cooperation, Benefiting People’s Health

CHINA and Africa have been a commu- nity of shared interests and shared destiny Their collaboration benefits not only the development of China and Africa but also promotes the unity and cooperation of developing countries. Health cooperation is a powerful testimony to the friendship between Chinese and African people. Based on win-win cooperation and aiming at the well-being of the people, China and Africa have attained fruitful results through health cooperation over the last five decades.

Children’s Health, Parent-Child Activities, Using Digital Devices, and Social Competence: Serial Mediation

Background: Studies have pointed out the influence of different children’s activities and prolonged use of digital products on their social development. However, whether the parent-child activities and using digital devices were serial mediators of the relationship between children’s health and social development needs further verification. Purpose: This study explored how parent-child activities and children’s use of digital devices influence the relationship between children’s health and their social competence. Method: This study used data from Kids in Taiwan: National Longitudinal Study of Child Development and Care. A total sample of 2164 participants was used in this study. Serial mediation analyses were performed using model six of Hayes’ PROCESS (2012). Results: This study found that parent-child activities and the use of digital devices can serially mediate the relationship between children’s health and social competence. Children’s health could directly improve their social competence, but it could also serially mediate social competence by increasing parent-child activities and reducing the use of digital devices. Conclusion: Childcare policy planners and parenting educators should not only call on parents to reduce the use of electronic products for their children, but also encourage parents to spend more time interacting with their children, so that children can learn social skills by interacting with others in their daily lives.

Magnesium in Women’s Health and Gynecology

Magnesium is well known in the world of obstetrics for many important uses. It has been utilized in treating pre-eclampsia, eclampsia, and preventing preterm labor, though it has been found recently that prolonged magnesium administration in pregnant women may result in adverse outcomes to fetal bone metabolism, resulting in a new FDA warning [1]. Outside of obstetrics, magnesium is recommended for treating the arrhythmias torsades de pointes and rapid atrial fibrillation, treating severe acute asthma, improving migraine symptoms, and for treating dyspepsia and constipation [2]. Many women in our modern society are magnesium deficient due to low dietary intake, and low dietary magnesium intake resulting in hypomagnesaemia has recently been shown to have many deleterious effects. Magnesium’s uses are wide-reaching, touching many areas of women’s health and gynecology from pre-menstrual syndrome to menopause, PCOS to endometriosis, and beyond.

Just in Time Education: Educational Technology for Professional’s Health

Objective: Verify if the educational technology based on Just in Time Education is relevant to Permanent Health Education in Workers’ Health. Method: This study is exploratory and descriptive qualitative research. Were performed semi-structured interviews were carried out with the worker’s health team of a large company from the South of Brazil region. The collected data were carried out in 2021, between January and May, through the virtual environment, with eight participants from the Work Health Team of Eletrosul, located in Florianópolis, who agreed to participate in the research by signing the Free and Informed Consent Term, in accordance with the data saturation criterion. The research was approved by the Ethics Committee (n. 4079133) and the data were submitted to Bardin for thematic content analysis. Result: The results are presented from three categories: 1) Expansion and inclusion in Permanent Education needs;2) Tools adopted in educational processes;3) Just in Time Education: educational technology for workers’ health. Conclusion: The active methodology Just in Time Education helps the processes of Permanent Education in Health, which moved from a face-to-face model to e-learning and required the knowledge renewal in the technology area to maintain efficient communication. This methodology allows quick and accurate access to information from a reliable, adequate, and up-to-date source, causing a positive impact on the qualified and problem-solving work process, in line with the needs of the employer and the company. Therefore, Just in Time Education can provide standardization, organization, and informational and operational quality necessary in this context, in addition to serving as an indicator and data generator (management tool).

Obstacles to advancing women’s health in Mozambique:a qualitative investigation into the perspectives of policy makers

Background: Despite substantial investment in women’s health over the past two decades, and enthusiasticgovernment support for MDG 5 and SDG 3, health indicators for women in Mozambique remain among the lowest inthe world. Maternal mortality stayed constant from 2003 to 2011, with an MMR of 408;the estimated HIV prevalencefor women of 15-24 years is over twice that for men;and only 12.1% of women are estimated to be using moderncontraception. This study explores the perspectives of policy makers in the Mozambican health system and affiliates onthe challenges that are preventing Mozambique from achieving greater gains in women’s health.Methods: We conducted in-depth interviews with 39 senior- and mid-level policy makers in the Ministry of Health andaffiliated institutions (32 women, 7 men). Participants were sampled using a combination of systematic randomsampling and snowball sampling. Participants were asked about their experiences formulating and implementinghealth policies and programs, what is needed to improve women’s health in Mozambique, and the barriers andopportunities to achieving such improvement.Results: Participants unanimously argued that women’s health is already sufficiently prioritized in national healthpolicies and strategies in Mozambique;the problem, rather, is the implementation and execution of existing women’shealth policies and programs. Participants raised challenges related to the policy making process itself, including anever-changing, fragmented decision-making process, lack of long-term perspective, weak evaluation, and misalignmentof programs across sectors. The disproportionate influence of donors was also mentioned, with lack of ownership,rapid transitions, and vertical programming limiting the scope for meaningful change. Finally, participants reported adisconnect between policy makers at the national level and realities on the ground, with poor dissemination ofstrategies, limited district resources, and poor consideration of local cultural contexts.Conclusions: To achieve meaningful gains in women’s health in Mozambique, more focus must be placed onresolving the bottleneck that is the implementation of existing policies. Barriers to implementation exist across multiplehealth systems components, therefore, solutions to address them must also reach across these multiple components.A holistic approach to strengthening the health system across multiple sectors and at multiple levels is needed.

Shifts in endocrine homeostasis and preventive hormone replacement therapy:extending the Women’s Health Initiative globally

Background:Reducing disease risk for women after menopause is global health issue.A major portion of the Women’s Health Initiative(WHI)consisted of two clinical trials involving 161,809 post-menopausal women aged 50–79 that tested the effect of hormone replacement therapy(HRT)on reducing cardiovascular disease and other secondary outcomes.Previous analyses of the data reveal that HRT should not be recommended for postmenopausal women,but show potential benefits for younger women.Thus,there may be a critical period just prior to or during the early stages of menopause where HRT could be both safe and beneficial.Main body:Menopause marks the beginning of a process of non-reversible reduction in estrogen by which estrogen levels decline progressively,followed by a reduction in estrogen receptors.This results in periods of hormone-receptor imbalances,exacerbating the effects of lower serum estrogen and is considered the primarily endocrinal source of menopause symptoms.Eventually a hormone-receptor balance is achieved at a lower level.Here,we purport that the negative outcomes from WHI trials were primarily due to the fact preventive HRT was initiated in women who had already achieved hormone-receptor equilibrium at lower hormonal levels.Conclusion:We argue for further HRT clinical trials in women at varying stages of menopause,including premenopause and early menopause,and in women from different countries.Variation across countries and subgroups in how women experience menopause and perceive menopause symptoms suggest that biocultural differences should be considered in both study design and measurement approaches to test the effectiveness of HRT.Particularly,we recommend longitudinal studies to assess changes in hormonal level over time,and to detect the“most effective period”for HRT to reduce health risk for women going through the whole menopause period.

Examining the relationship between sport and health among USA women:An analysis of the Behavioral Risk Factor Surveillance System

Background：Research has been conducted linking sports participation and health in childhood and adolescence;however,little is known about the contribution of sport to women＇s health.The purpose of this study was to examine the relationship between sport and women＇s health in the USA by analyzing data from the Behavioral Risk Factor Surveillance System（BRFSS）.Methods：This study was a secondary data analysis of the 2013 national BRFSS survey.Unlike the BRFSS core component from previous years,in2013,participants were questioned extensively about their physical activity behaviors.Seventy-six different activities were identifie by the participants.Two researchers categorized the 76 activities as sport,conditioning exercise,recreation,or household tasks based on previously identifie categories.Logistic regression was utilized to calculate odds ratios and adjusted odds ratios for chronic diseases based on physical activity category.Results：Women who participated in sport had better health outcomes with significant y lower odds for all chronic diseases except asthma and better general health than women who participated in conditioning exercise,household tasks,or recreation,and many of the significan differences remained after controlling for demographic characteristics.Conclusion：Sport participation was associated with more positive health outcomes among women in the USA compared with the other categories.As a means to improve health of women,the USA could focus on efforts to increase sport participation among women.

Children’s Health and the Environment——Developing Action Plans

Investing in children＇ s health is essential to ensure human and economic development. Healthy children have the best chances for healthy, productive lives. At the Fourth Ministerial Conference on Environment and Health in 2004, the countries in the WHO European Region committed themselves to building a healthy future for the Region＇ s children by adopting the Children＇ s Environment and Health Action Plan for Europe.

STATISTICAL INFORMATION OF THE DEVELOPMENT OF CHINA'S HEALTH WORK IN 1994

The following general status concerning nation-wide health institutions, hospital beds, personnel and hospital work as well as causes of diseases and death is briefly reported according to the Information Centre of Health Statistics of the Ministry of Public Health of China. HEALTH INSTITUTION, HOSPITAL BEDS AND PERSONNEL In 1994 there was a slight decrease in the number of China’s health institutions while the increasing rate of hospital beds was slowed down and the nmnber of health personnel continued to increase. Health institutions. In 1994 the number of various health institutions in China totalled 191.7 thousand. with a decrease of 1844 as against 1993: there

Therapeutic termination of pregnancy and women’s mental health:Determinants and consequences

The therapeutic termination of pregnancy(TToP)is an induced abortion following a diagnosis of medical necessity.TToP is applied to avoid the risk of substantial harm to the mother or in cases of fetal unviability.This type of induced abortion is provided after the second semester of gestation if fetal illness or the pregnancy cause physical danger or pathological mental distress to the mother.Sociocultural and economic determinants could influence the desire for children and family planning in couples,as well as the use of effective contraception and the choice to perform an induced abortion.Also,pre-existing mental health problems could affect the decision between carrying on a problematic pregnancy or having TToP.Furthermore,the TToP is a reproductive event with an important traumatic burden,but also with an intrinsic therapeutic effect and it can produce different psychological and psychopathological effects on women and couples.The aim of this review is to evaluate what demographic,reproductive and psychopathological determinants are involved in the choice of undergoing a TToP in women.Also,we will examine both positive and negative consequences of this procedure on women’s mental health,underlying which factors are related to a worse outcome in order to provide the best clinical support to vulnerable groups.

Women's health in the People's Republic of China:some challenges of modernization

Objective To identify aspects of the health of Chinese women throughout their lifespan which may paradoxically be threatened by modernization and to suggest relevant interventions through medical practice, education and research to meet these challenges. Data sources Six risk areas were selected as examples: infant sex ratios; tobacco use by girls; respiratory illness plus anemia; psychosocial stress; osteoporosis; and dementia. Articles and other databases, through article citations, and through consultations with Chinese medical professionals. Data selection Studies were selected which described clinical investigations, health care policy, or conditions of women in the People's Republic of China (PRC). Preference (but not exclusivity) was given to articles in internationally available publications, in English, and to authors working in the PRC. Data extraction Study quality, specific descriptive information concerning population, samples, and outcome measures were evaluated. Data synthesis Data documenting the present and future significance of these health threats are described, and current and potential interventions to address these problems through medical practice, education and research are outlined. Conclusion Important issues in women's health are currently recognized in the PRC; problems occur in assigning priorities in the face of a large population and limited resources. The Chinese medical community plays a central role in developing and carrying out interventions to protect and promote women's health.

Use of the Scar Acceleration Method - Mac^®in the Treatment of Vulvovaginal Candidiasis: A Proposal for Treatment in Public Health in Sus, Brazil

Vulvovaginal candidiasis is an infection of the genital mucosa, which involves the vulva and vagina caused by yeast. It is considered a recurrent pathology and a public health problem that causes discomfort by the triggers and that, when left untreated, can lead to health problems. The present study is a report of two cases treated with the MAC® - Scar Acceleration Method - (MAC®) methodology at the Physiotherapy School Clinic of Teaching Center of Campos Gerais (CESCAGE) as a pilot for the proposal to implement the protocol at the Municipal Center for Women’s Health—CMM in the municipality of Ponta Grossa—PR, Brazil. The patients were referred by Basic Health Units in the city with complaints of pruritus, vaginal discharge and local burning with the diagnosis of candidiasis evidenced by culture and antibiogram. Patients were treated with photodynamic therapy using the MAC® method for 14 consecutive days with 660 nm red laser phototherapy, 100 mW of power, 9 joules of energy, photosensitizing the drug Turmeric Long in one of the participants and propolis in the other, using 1% methylene blue dye. Both patients and researchers did not have access to which drug was being used for each participant. Photodynamic therapy potentiated the effects of drugs considering that patients showed gradual improvement with the applied application, which was proven in the analysis of sample secretions performed before and after treatment. The MAC® method had a positive effect in the protocol used and is strengthened as a possibility for treatments aimed at women’s health with regard to vulvovaginal diseases. It is suggested and intended to carry out further research with a greater number of patients using the referred method.

Quality of Service to Users of Primary Health Care:A Study of Evaluation

The quality of service to people in Primary Healthcare (PHC) is linked to the provision of quality service by professionals who integrate this service in the community. Accordingly, this study aims to evaluate the service given by health professionals in primary health care, from the user’s perception. This is an evaluative and quantitative study, conducted with people who use the PHC service. 180 adults are interviewed in the city of Santa Cruz, Rio Grande do Norte, Brazil. The results show that most respondents are women. The average age is of 36.65, median of 34.00 and standard deviation of 11,554. With regards to the quality of service, it ranges from fair to good. When performing correlation between the quality of service and time spent to reach the service, most people say that they spend between 0 and 15 minutes from their house to the healthcare service unit. About reception, respondents reported being satisfied and that the service has been responsible and quality for health monitoring. Thus, it is noted that the user classifies the quality of the service in primary healthcare as regular, showing weaknesses that need to be corrected to prevent damage in service provision in Primary Healthcare.

Monkey's Best Friend——A mother's social skills may affect her child's health

美国三位科学家通过对几头狒狒的“追踪”调查发现,母狒狒的社交技能居然可能会影响到其后代的健康状况。“社会关系”良好的母狒狒后代的生存发展似乎要远远好于“猴际”关系较差的母狒狒的后代。尽管原因尚无定论,但人类,尤其是对子女的成长关注程度极高的国人似乎可以从中得到一点启迪。

Low Birth Rate and Women's Health

CHINA has achieved remarkable results in birth control since adopting a basic state policy of family planning to control the birth rate and increase the population quality. According to the "1997 Statistic Bulletin for National Economy and Social Development," a document recently issued by the State Statistics Bureau, China maintained a low birth rate of 16.57 per thousand in 1997—a natural population growth of one percent. Women of child-bearing age now average about two births each, a decrease from six in 1970.

Women and Children's Health in Tibet

AS a doctor in the management of maternity and children’s hygiene in the Tibet Autonomous Region for nearly 20 years, I would like to present a brief introduction of the situation of Tibetan women and children’s health, as well as the related services. Prior the Liberation in Tibet, this region coveting over 1.2 million square kilometers, had few health care facilities for women and children. Such activities were carried out by three Tibetan medical institutions, a small number of folk doctors of Tibetan medicine, and a few private clinics. Under the feudal serf system in Tibet, women who gave birth were discriminated against because it was considered an obscene act. Women could not give birth in their tent homes, but were instead forced to seek shelter in cow stalls or sheepfolds no matter how severe the weather. Women and children at the time had no rights to health care. Countless women and children died of birthing complications