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[Pathogenicity basis in medical and social strategies in preventive health services].

Pathogenetic processes inherent in the social reform course pre-conditioning an extra high and extra young mortality of population and the worsened physical development of children were analyzed. Four main factors, which confirm that the below processes are involved in the above phenomenon, are defined; they are: CNS (dynamic stereotype of the higher nervous activity) neuroendocrinal regulation (stress), free radical oxidation (phenoptosis) and population gene pool (heterozygosity). Social (deliberate labor motivation) and medical (individual prevention) priorities are substantiated to improve the health state in Russia.

Child↗

Preventive health services and access to care for male veterans compared with their spouses.

The Veterans Health Administration is exploring ways to reform the current Veterans Affairs (VA) system in accordance with the changing health care environment of managed care. One proposal is for the VA to enlarge its patient base by expanding eligibility to include spouses of veterans. To compare reported preventive health care services received by male veterans and their spouses and to measure whether spouses would choose to receive their medical care through a VA medical center, we randomly selected 230 married male veterans and mailed self-administered questionnaires to be completed by them and their spouses; 170 (74%) eligible subjects completed the questionnaire. The mean age of the veterans and spouses was 73.6 and 67.4 years, respectively. Veterans reported significantly higher rates of receipt of recommended preventive services than their spouses in all 5 areas assessed, including blood pressure measurement; influenza, pneumococcal, and tetanus vaccinations; and serum cholesterol measurement. Veterans were significantly more satisfied than their spouses with their current health care. Finally, 83% (95% confidence interval, 77% to 89%) of spouses reported that they would choose to receive their medical care at the VA medical center is allowed to do so. These findings suggest that spouses of male veterans represent a sizable group that could be incorporated in the VA system, especially given their strong desire to do so.

Aged↗

Factors influencing utilization of the preventive health services among children aged 6-60 months in Bahrain. Part I.

Two-hundred fifty-eight out of 2587 children aged 6-60 months were randomly selected from eight villages in western region of Bahrain. The data were collected by visiting and interviewing the mothers, and examining the birth certificates for immunizations. Age of the child, family structure, sickness of the child and mother's attitude toward the provided preventive services were significant determinants for the use of preventive care. However, no significant relationships were found between utilization of the preventive care and child sex, family size, mother's education, socioeconomic status and situational factors.

Age Factors↗