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[Health and social problems of caregivers of patients with dementia].

OBJECTIVE: To describe the physical and psychological morbidity of carers of patients with dementia and to compare them with a group of carers of non-demented patients in the home care programme. DESIGN: Descriptive crossover study, based on face-to-face interviews, with a reference group for comparison. SETTING: Community, Toledo and Esquivias Health Districts. PARTICIPANTS: 61 carers of patients with dementia, and 61 of patients in home care. MEASUREMENTS AND MAIN RESULTS: The interview collected the following variables: social, demographic, morbidity (chronic pathologies, insomnia, anxiety-depression...), medication and interference with social life. Both samples were homogeneous for age, sex, marital status, relationship to patient and educational level of the carers, and age and sex of the patients. The problems most often referred to by the two groups of carers were osteo-muscular. The most commonly used drugs were analgesic-NSAIDs, hypertension and anxiety-depression drugs. Insomnia was significantly more common (p < 0.05) in carers of demented patients (63.93%) than in the other group (44.26%), although consumption of sleeping draughts was similar. The Goldberg test was positive in 49.18% of carers of demented patients and in 31.15% of the others (p < 0.05). Carers of demented patients had a more restricted social life (p < 0.01). Only 25.41% thought that their doctor and/or nurse were concerned about their situation as carer. CONCLUSIONS: We found more anxiety-depression and insomnia in carers of demented patients. Interference of care with their social life was greater in this group. Carers view the interest shown in their problems by health-workers as insufficient.

Adult↗

[Medical-social problems of health protection of locomotive team workers].

Labor conditions and health status of locomotive drivers were studied. Factors affecting their morbidity were defined. Measures ensuring medical security in railway transport are discussed. A special complex of measures for medical and social protection of drivers' health status is presented.

Adult↗

Psycho-social problems faced by "frequent flyers" in a pediatric diabetes unit.

This article describes an exploratory study of psychosocial factors common to, and associated with, frequently readmitted pediatric patients diagnosed with Insulin Dependent Diabetes Mellitus (IDDM). This practice-based study was undertaken by a social worker providing clinical services within a tertiary health-care pediatric diabetes unit at the Royal Children's Hospital, Melbourne (RCH), Australia and utilises available data obtained through retrospective record review in order to better inform service delivery. The study identified thirteen psychosocial factors having multiple occurrences within a small, but resource intensive, sub-population of the diabetes unit. The author discusses the possible contribution of each of these factors to poor metabolic control and frequent readmission to hospital, as well as the potential implications for future targeted prevention and treatment programs.

Adolescent↗

[Smoking as a psychological and social problem].

1. The ill-effects of smoking on health not only concern the smoker but the entire population living in the same society and sharing the economy. Smoking is associated with a general increase of costs involved with increased morbidity, lowering of the social product and excess mortality. 2. The main prolem in weaning from smoking is related to the origin of smoking which is in large measure unknown. Smoking habits should not be analyzed on an individual basis only. It represents a "minor addiction" with the origin within the society. This is the result of an analysis of motives leading to smoking. Social habits, examples, deprivation of senses, dullness, anxiety, stress, and smoking as a symbol of status play a major role. 3. Stress carries a dual risk, it encourages to smoking and it exerts direct effects an organ function. 4. Smoking is enhanced by its somatic effects which activate in turn again smoking. Weaning from smoking does not affect the origin of the addiction thereby remaining symptomatic treatment. 5. There is a constant replacement of old smokers with smokers originating in the young generation. Smoking habits have the tendency to spread out of the smoking population over the non-smokers. A combat against this infiltration can only be successful by creating new values and by producing a new habit of non-smoking.

Health Expenditures↗