Improve Health Status Research Articles

IMPACT OF LEISURE ACTIVITIES ON WELL-BEING IN COVID-19 PANDEMIC SITUATION, A CROSS-SECTIONAL SURVEY

Aims Of Study: During COVID-19 people were forced to stay home and this increased the risk of limiting their PA and adaptation of sedentary behaviour hence our objective is to measure the impact of leisure activities on well-being during COVID-19. Methodology: 366 participants were selected, using Non-probability convenient sampling from UOL and PGC. PA and well-being were assessed using IPAQ-short form and WHO-5 well-being questionnaire. Results: IPAQ-short form with well-being Pearson Chi square was 638.012, Spearman correlation was 0.956 and p-value Asymptotic significance (2 sided) was .000 which means there is positive strong correlation between variables. Limitations and Future Implication: Adults having ages 18-40yrs volunteered due to short time period and since our study limited to only 2 settings so to generalize our outcomes for mass population was not feasible. During lockdown gaining past medical history in data collection was impacted, it is suggested to include the role of Physiotherapist in improving health status by PA, create awareness among common population about role of PA and their relation with well-being also including diversity in age groups, ethnicity and localities is suggested. Originality: Strong positive correlation between PA and well-being. Conclusion: This study shows that during Covid-19 pandemic, those individuals who remained physically active had good impact on their health. Being physically active not only improves an individual’s physical fitness level but also helps to cope with psychological problems degrading one’s mental health so our study found out direct relation between physical activity levels and health status.

The benefits of edible mushroom polysaccharides for health and their influence on gut microbiota: a review.

The gut microbiome is a complex biological community that deeply affects various aspects of human health, including dietary intake, disease progression, drug metabolism, and immune system regulation. Edible mushroom polysaccharides (EMPs) are bioactive fibers derived from mushrooms that possess a range of beneficial properties, including anti-tumor, antioxidant, antiviral, hypoglycemic, and immunomodulatory effects. Studies have demonstrated that EMPs are resistant to human digestive enzymes and serve as a crucial source of energy for the gut microbiome, promoting the growth of beneficial bacteria. EMPs also positively impact human health by modulating the composition of the gut microbiome. This review discusses the extraction and purification processes of EMPs, their potential to improve health conditions by regulating the composition of the gut microbiome, and their application prospects. Furthermore, this paper provides valuable guidance and recommendations for future studies on EMPs consumption in disease management.

RESILIENCE AND ILLNESS DENIAL AS PREDICTING FACTORS FOR ADHERENT BEHAVIOUR

Lack of adherence in patients with chronic illnesses is significant burden for health care system all over the world. Therefore, it is important to find which factors do contribute to improve adherent behaviour. The aim of this study was to find out how resilience and illness denial predicts adherent behaviour in patients with chronic illnesses in primary health care.In this quantitative cross-sectional study participated 202 adults in Latvia with diagnosed chronic illness. Participants filled sociodemographic data questionnaire – gender, age, and diagnosis, Connor–Davidson Resilience Scale (CD–RISC–25, Connor Davidson, 2003), Illness Denial Questionnaire-Short Form (IDQ-SF, Rossi Ferrario et al., 2019), and Adherent behaviour questionnaire (Skaldere-Darmudasa Sudraba, 2023) – nine items measure assessing to what extent individual with chronic illness follows doctor’s or specialist’s recommendation to reduce symptoms of their chronic illness and improve health condition. Items are rated in 4 – point Likert scale. The result of this study shows a tendency that patients with chronic illness and higher resilience use less denial according to their chronic illness and use more adherent behaviour. Higher denial points to less adherent behaviour which means less following to the doctor’s and specialist’s recommendation about the intake of medication, physical activities, diet, and rest.

Patient-Reported Outcomes at Return to Sport After Lateral Ankle Sprain Injuries: A Report From the Athletic Training Practice-Based Research Network.

Limited evidence exists regarding the assessment of single-item patient-reported outcomes when patients are medically cleared to return to sport after a lateral ankle sprain (LAS) injury. To evaluate self-reports of improvement in health status, pain, function, and disability at return to sport after an LAS. Descriptive study. Sixty-nine athletic training facilities across 24 states. A total of 637 patients (males = 53.2%) who were diagnosed with an LAS, restricted from sport after injury, and subsequently medically cleared to return to sport within 60 days were included. Descriptive statistics were used to summarize scores for health status (Global Rating of Change), pain (Numeric Pain Rating Scale), function (Global Rating of Function), and disability (Global Rating of Disability). Mann-Whitney U tests were used to compare score differences between sexes. A Kaplan-Meier analysis was performed to provide a visual depiction of sex differences in the time to return to sport. Most patients sustained an LAS injury while participating in basketball, football, or soccer and were cleared to return to sport 8 days after injury. More than two-thirds of patients reported a meaningful improvement in health status between the time of injury and return to sport. However, many noted deficits related to pain (65.1%), function (86.2%), or disability (35.8%) at return to sport. No differences were seen between males and females for pain (P = .90), function (P = .68), change in health status (P = .45), or disability (P = .21) at return to sport, although males returned to sport slightly sooner than females (P = .025). Despite self-perceived improvements in health status since the time of injury, patients typically returned to sport with deficits in pain, function, and disability after an LAS. Patients may be returning to unrestricted sport participation before they feel their bodies have fully recovered from the injury.

Complete Revascularization and Angina-Related Health Status in the ISCHEMIA Trial

BackgroundThe impact of complete revascularization (CR) on angina-related health status (symptoms, function, quality of life) in chronic coronary disease (CCD) has not been well studied. ObjectivesAmong patients with CCD randomized to invasive (INV) vs conservative (CON) management in ISCHEMIA (International Study of Comparative Health Effectiveness with Medical and Invasive Approaches), we compared the following: 1) the impact of anatomic and functional CR on health status compared with incomplete revascularization (ICR); and 2) the predicted impact of achieving CR in all INV patients compared with CON. MethodsMultivariable regression adjusting for patient characteristics was used to compare 12-month health status after independent core laboratory-defined CR vs ICR in INV patients who underwent revascularization. Propensity-weighted modeling was then performed to estimate the treatment effect had CR or ICR been achieved in all INV patients, compared with CON. ResultsAnatomic and functional CR were achieved in 43.3% and 57.8% of 1,641 INV patients, respectively. Among revascularized patients, CR was associated with improved Seattle Angina Questionnaire Angina Frequency compared with ICR after adjustment for baseline differences. After modeling CR and ICR in all INV patients, patients with CR and ICR each had greater improvements in health status than CON, with better health status with CR than ICR. The projected benefits of CR were most pronounced in patients with baseline daily/weekly angina and not seen in those with no angina. ConclusionsAmong patients with CCD in ISCHEMIA, health status improved more with CR compared with ICR or CON, particularly in those with frequent angina. Anatomic and functional CR provided comparable improvements in quality of life. (International Study of Comparative Health Effectiveness With Medical and Invasive Approaches [ISCHEMIA]; NCT01471522)

Relationship of Accreditation Implementation With the Quality of Health Services in South Konawe District

Background: Health services are an important factor in improving health status. Accreditation data for community health centers in South Konawe Regency show that out of 25 public health centers, there are 6 community health centers (24%) with basic accreditation. This study aims to determine the relationship between the implementation of accreditation and the quality of health services at public health centers in South Konawe Regency in 2022. Methods:This type of research is quantitative, cross sectional study design. The population in this study were 288 health workers who served in 6 community health centers with basic accreditation in South Konawe Regency and a sample of 73 people obtained by Proporsionate Stratified Random Sampling.Result: The results of Fisher's exact test obtained p value (0.022) and phi (0.341) for the implementation of management administration. Then for the implementation of SMEs obtained p value (0.000) and phi (0.588) and the implementation of Individual Health Efforts obtained p value (0.000) and phi (0.572). Conclusion: There is a relationship between the implementation of management administration, the implementation of public health efforts and individual health efforts with the quality of health services at the community health center in South Konawe Regency.

Pendampingan Peningkatan Kapasitas Kader Posyandu Remaja Uswatun Hasanah Desa Cikunir Wilayah Kerja Puskesmas Singaparna

Introduction: Adolescent Reproductive Health Service is an activity and/or a series of activities aimed at adolescents in the context of maintaining reproductive health.Youth Integrated Service Post (Posyandu) is a form of Community-Based Health Efforts (UKBM) that is managed and organized from, by, for and with the community, including youth, in the implementation of health development, in order to empower the community and provide convenience in obtaining health services for adolescents to improve health status and adolescent healthy life skills. In Cikunir Village, Singaparna District, Tasikmalaya Regency, there is a youth Posyandu which has been running for 2 years. Based on information from youth cadres, there are 3 cadres who are not active. In this regard, it is necessary to recruit new youth cadres and enhance the capacity of youth cadres to increase their role in the implementation of youth posyandu. Objective: The purpose of this service was The purpose of this service was increase the capacity of youth posyandu cadres in managing posyandu.The target of the activity included youth posyandu cadres, prospective youth posyandu cadres from each hamlet and youth posyandu working groups in Cikunir village. Method: This public service was conducted by Observational method. Result: The results of the activity obtained increased knowledge of cadres about adolescent reproductive health counseling materials and increased youth skills in implementing the 5 table posyandu system and examination anthropometry. Conclusion: Cadre assistance is able to improve the knowledge and skills of cadres in the implementation of the Youth Integrated Service Post.

Pre and post-operative self-care management among women undergoing hysterectomy.

Surgery is a major part in the field of Gynecology. Hysterectomy is the removal of the uterus which is leading non-obstetric surgery worldwide, after caesarean sections. The objective of the current study was to determine how well women undergoing hysterectomy surgery managed their pre-operative and post-operative self-care. A quasi experimental single group pre-test and posttest design was used for this inquiry. Pre - and post-operative self-care management questionnaires were used to collect data from 60 women. Utilizing descriptive and inferential statistics like mean, standard deviation, and chi-square test, data were gathered and examined. Data analysis revealed, the mean post-test knowledge score (23.81) was greater than the mean pre-test knowledge score (10.33). The average disparity was (13.48) with the estimated "t" value (16.003), which was more than the table value (1.67) at 0.05 level of significance, showing that the self-care management education program was successful in increasing women's understanding on hysterectomy. The study concluded that pre- and post-operative self-care management education program had significantly improved health status among women underwent hysterectomy.

A Cross-sectional Study on Urinary Incontinence and Associated Factors among Elderly Females in a Rural area of Singur, West Bengal

Introduction: Urinary incontinence (UI) is a chronic debilitating disease affecting a significant proportion of elderly women. However, due to its social and hygienic issues, it often remains underreported in rural areas of India. It has the potential to significantly impact an individual's quality of life, thus highlighting its public health importance. Objective: To find out proportion of rural women having UI and its associated risk factors. Method: A cross-sectional study was conducted in a rural area of Singur among 120 elderly women aged ≥60 years selected by cluster sampling technique. A pre-designed questionnaire was utilized for data collection which included QUID questionnaire for assessing UI. Data were analysed with SPSS version 16.0.Chi-square test and logistic regression analysis was applied to find out any association between variables. Results: Around 42(35%) out of 120 women were found having UI among which the most prevalent type of UI was stress UI 22(18.3%), followed by mixed UI 13(10.8%) and urge UI 7(5.8%). Multivariable logistic regression analysis showed hypertension (AOR = 2.15, 95%CI=1.13–4.75), chronic cough (AOR= 4.50, 95%CI=1.24–16.30), constipation (AOR= 8.58, 95%CI=2.06–35.65), physical activity (AOR= 4.35, 95% CI=1.30–15.35), mental stress (AOR= 8.50, 95% CI=2.07–35.60)were factors significantly associated with presence of UI among the study participants. Only 25(59.5%) had sought healthcare for their issues. Conclusion: This study revealed that a significant proportion of rural older women are suffering from UI. Proper medical management of the risk factors associated with UI will help to decrease the burden of UI and improve health status of rural elderly women.

Improving Health Status in The Elderly Through Health Checks and Education at Nuriah Nursing Homes in Karimun.

Background. Elderly is the final stage of development in human life. Everyone who goes through old age will experience various changes. Purpose. From the results of data collection for the elderly at the Nuriah Nursing Home, Kec.Sei Lakam, Kab. Karimun can identify the main problem in the elderly, namely the risk of declining health status of the elderly as evidenced by the existence of health problems such as CKD, high blood pressure, heart disease, rheumatism, paralysis and diabetes mellitus. Method. The method used is by conducting health checks and counseling followed by 5 elderly people. Results. The results of this activity showed that from 5 elderly people, 1 elderly had hypertension because the elderly underwent dialysis 2 times a week. 1 elderly suffers from malnutrition. 1 elderly had dementia, and one elderly experienced long bed rest. Conclusion. The conclusion is that 70% are all carried out / assisted by orphanage officers. Starting from bathing, clothes, chapters and tubs. The elderly seem to understand how to improve health status.

The relationship between family history of cancer and cancer attitudes & beliefs within the Community Initiative Towards Improving Equity and Health Status (CITIES) cohort.

To determine the relationship between family history of cancer with cancer attitudes and beliefs (CABs) and cancer screening knowledge. This study used data collected for the Community Initiative Towards Improving Equity and Health Status (CITIES) project which surveyed Ohioans ages 21-74. In the current analysis, we included data on age, gender, race, marital status, education, income, financial security, health insurance, CABs, knowledge about the correct age to begin cancer screenings, and presence of a first-degree relative with cancer. Multivariable logistic regression was used to examine the association of family history of cancer with CABs and knowledge about the correct age to begin cancer screening. Participants were predominantly over the age of 41, female, and white. Out of 603 participants, 295 (48.92%) reported not having a first-degree relative with cancer and 308 (51.08%) reported having a first-degree relative with cancer. Overall, 109 (18.08%) participants reported negative CABs, 378 (62.69%) reported moderate CABs, and 116 (19.24%) reported positive CABs. Participants who reported a first-degree relative with cancer were more likely to report positive CABs, but the association was not significant (p = .11). We observed that older, more educated, and married participants were more likely to have positive CABs (all p < 0.05). Family history of cancer was not associated with differences in knowledge about the correct age for beginning colorectal cancer screening (p = .85) and mammography (p = .88). Having a first-degree relative with cancer was not found to be associated with CABs or knowledge about cancer screening. However, age and socioeconomic status were associated with more positive CABs and increased knowledge about cancer screening. Future research should focus on standardizing a CABs scale and expanding the generalizability of our findings.

The role of social cohesion in explaining rural/urban differences in healthcare access and health status among older adults in the mid-Atlantic United States

Social cohesion can influence health. It is higher among rural versus urban residents, but the burden of chronic disease is higher in rural communities. We examined the role of social cohesion in explaining rural/urban differences in healthcare access and health status. Rural (n = 1080) and urban (n = 1846) adults (ages 50+) from seven mid-Atlantic U.S. states completed an online, cross-sectional survey on social cohesion and health. We conducted bivariate and multivariable analyses to evaluate the relationships of rurality and social cohesion with healthcare access and health status. Rural participants had higher social cohesion scores than did urban participants (rural: mean = 61.7, standard error[SE] = 0.40; urban: mean = 60.6, SE = 0.35; adjusted beta = 1.45, SE = 0.54, p < .01). Higher social cohesion was associated with greater healthcare access: last-year check-up: adjusted odds ratio[aOR] = 1.25, 95% confidence interval[CI] = 1.17–1.33; having a personal provider: aOR = 1.11, 95% CI = 1.03–1.18; and being up-to-date with CRC screening: aOR = 1.17, 95% CI = 1.10–1.25. In addition, higher social cohesion was associated with improved health status: higher mental health scores (adjusted beta = 1.03, SE = 0.15, p < .001) and lower body mass index (BMI; beta = −0.26, SE = 0.10, p = .01). Compared to urban participants, rural participants were less likely to have a personal provider, had lower physical and mental health scores, and had higher BMI. Paradoxically, rural residents had higher social cohesion but generally poorer health outcomes than did urban residents, even though higher social cohesion is associated with better health. These findings have implications for research and policy to promote social cohesion and health, particularly for health promotion interventions to reduce disparities experienced by rural residents.

Population Aging and Household Tourism Consumption—An Empirical Study Based on China Family Panel Studies (CFPS) Data

The ever deepening population aging has brought opportunities and challenges to the continued expansion of tourism consumption in China. We explore the impact of population aging on household tourism consumption, by using the data from China Family Panel Studies (CFPS) in 2014, 2016 and 2018. We found that population aging has a negative mediating effect on household tourism consumption by reducing household economic conditions. The improvement of health status of the elderly and Internet use have a significant positive moderating effect on the impact of population aging on household tourism consumption, but intergenerational care have no such effect. The results of the heterogeneity analysis show that the negative impact of population aging on household tourism consumption in urban areas is greater than that in rural areas, and the negative impact of population aging on household tourism consumption of families with the old-old elderly is greater than that of families with the young-old elderly. The conclusions of this article provide important references for activating tourism consumption in China in the context of population aging.

Geographically Weighted Regression Analysis on Cases of Malnutrition Under Five in the West Sumatra

Malnutrition is a condition experienced by toddlers due to low nutrition or nutritional needs that have not been met. Effort to improve health status by improving the nutritional status of toddlers. The purpose of this research is clarify the Geographically Weighted Regression model is the best model when compared to the multiple linear regression model. The data used was obtained data from the West Sumatra Provincial Helath Office for 2020. The dependent variable used is the percentage of cases of malnutrition and there are several independent variables, namely the percentage of children under five who were given vitamin A, the percentage of babies who were exclusively breastfeed, and babies born with low birth weight. The results showed that the gwr model can explain the diversity of cases of malnutrition of children under five by 99% with a total squared error of 0.002 compared with multiple linear regression model which is able to explain the diversity of cases of malnutrition among children under five by 43% with a total squared errors of 0.585. It is concluded that the gwr model is the best model.

The relationship of motivation and interest with a healthy lifestyle based on self-regulation of motivation theory

Introduction: Clean and healthy living behavior or healthy lifestyle is the implementation of awareness and experience of a group that aims to maintain and improve health status. However, students in several Islamic boarding schools need to implement this properly due to a lack of motivation and interest. In addition to the pattern of clean and healthy living behavior in Islamic boarding schools, the reason they get related to past interests is still low. Thus, this study aims to determine the relationship between cause and claim in a healthy lifestyle for students. Methods: The design of this research was cross-sectional. The research sample was all students of class VII at Pesantren Al Hidayah Sidoarjo, with 147 respondents using a simple random sampling technique. The independent variable was motivation and interest. The dependent variable was a healthy lifestyle. The research instrument uses a questionnaire that has been tested for validity and reliability. Data were analyzed by the Spearman rank test with a significance level of = 0.05. Results: The results of the study were obtained as follows. Based on the characteristics of the sample, it was found that the majority were aged 12 to 15 years (67.3%), while the remaining 32.7% were aged 15 to 18 years. According to gender, most of the respondents were male (51.7%). The results showed a correlation between motivation and interest in a quality, healthy lifestyle (p-value = 0.001). A strong correlation was found between motivation and a healthy lifestyle (r=0.909 and the interest variable p-value = 0.000, so it can be concluded that both have a significant relationship with a healthy lifestyle. Conclusion: The higher the motivation and interest, the better the clean and healthy behavior of students. The study’s results can be used as a reference so that the caregivers of the Islamic boarding school provide facilities and infrastructure that support the realization of a clean and healthy life behavior for students.

Perspective of the Baduy Community in Utilizing Health Services

A good health service system is an important part of improving health status and is a necessity for everyone. This system will enable the achievement of health development goals in an efficient, efficient, and targeted manner, and will provide effective health services by taking into account the values that exist in society. Sick community most often self-medicate, both in urban and rural areas. The Baduy community are famous for maintaining their unique traditions and lifestyle and avoiding the effects of modernization. They live simply and respect nature. They shun other community and strictly adhere to their customs. They oppose government policies to provide facilities to other parties, such as building education and health centers. As a result, community there use more traditional health services such as dukun and paraji according to their religious beliefs. This activity was carried out through direct observation and interviews with the Baduy community in Kanekes Village, Leuwidamar Sub-district, Lebak Regency, Banten Province. The purpose of this activity was to see how the perspective of the Baduy community in the utilization of health services. From the results of observations and interviews, it can be concluded that the Baduy community, especially the Baduy Dalam, get more health services through traditional medicine, but if they need more intensive care, there is the Cisimeut health center, which is the only community health center in Baduy that allows the Baduy community to get adequate medical care. need medical personnel. However, access to the community health center takes two to three hours.

#5963 THE ASSOCIATION OF FRAILTY, DENTAL STATUS, İNFLAMMATION AND MALNUTRITION İN HEMODIALYSIS PATIENTS

Abstract Background and Aims Persistent low-grade inflammation and malnutrition in chronic kidney disease (CKD) are associated with so many CKD complications. Frailty, the state of increased vulnerability often associated with aging, had a higher incidence in CKD patients regardless of age. In this study, we aimed to investigate the frequency of frailty among hemodialysis patients and volunteers with normal kidney function to define its relationship with inflammatory markers, biochemical parameters and dental status. Method A cohort of 86 CKD patients with hemodialysis (HD) and 74 volunteers with normal kidney function (similar in terms of age and gender distribution) were included in this study. Both groups were evaluated by the Clinical Frailty Scale in three groups as non-brittle, pre-frail and frail. Demographic characteristics, biochemical parameters and dental status were recorded. Results 21 of 86 patients (24.4%) were frail in CKD patients with HD, and 4 of 76 patients (5.4%) in the control group were frail (p&amp;lt;0.001). The frail individuals in the HD group were older (p&amp;lt;0.001), had more systemic diseases (p&amp;lt;0.001), had higher serum C-Reactive Protein (CRP) levels (p&amp;lt;0.001), lower serum albumin levels (P = .001), lower serum creatinine levels (p&amp;lt;0.003). When the number of teeth is evaluated; the number of patients with more than 20 teeth was significantly lower in the frail group than in the non-frail group (p&amp;lt;0.001). Conclusion In our study, the frequency of fraility in hemodialysis patients was found to be significantly higher than in the control group. The lower albumin and serum creatinine levels, the higher CRP levels and the lower number of teeth suggest the relationship between frailty with dental status, malnutrition and inflammation in hemodialysis patients. It can be concluded that improvements in oral health and/or inflammation status can contribute to the improvement of frailty in this patient group.

The Use of Digital Health by South Asian Communities: Scoping Review.

South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs. The aim of the review is to identify South Asian individuals' experiences and attitudes of digital health and explore the barriers and facilitators affecting their use of digital health services. The Arksey and O'Malley methodological framework was used to guide this scoping review. Five electronic databases were examined for pertinent papers, which were augmented by searching bibliographies of the retrieved papers and gray literature. A total of 1328 potentially relevant papers were retrieved from the initial search, and the supplemental search added 7 papers to the final list of potentially included papers. Each paper on the initial inclusion list was independently reviewed, leaving 15 papers to be included in the review. Data were analyzed thematically leading to the development of two overarching themes: (1) barriers to uptake of digital health and (2) facilitators of use of digital health services. There was a general consensus that South Asian communities still struggle with inadequate access to digital health technologies. Some studies suggest multiple initiatives to improve accessibility and acceptability of digital health services within South Asian communities in order to mitigate health disparities and develop a more inclusive health care system. These include the development of multiple-language and culturally sensitive interventions and digital skill development sessions. Most studies were conducted in South Asian countries, focusing on measurable outcomes of digital health interventions. Few explored the experiences and views of South Asian community members residing in the West as a minority ethnic group, for example, British South Asians. Literature mapping proposes that South Asian people frequently struggle with a health care system that may limit their access to digital health services, and sometimes fails to consider social and cultural needs. There is growing evidence that digital health interventions have the potential to facilitate supported self-management, which is part of the plans to adopt person-centered care. These interventions are particularly important for overcoming some of the challenges, for example, time constraints, safety, and gender sensitivity, associated with the delivery of health care interventions in minority ethnic groups such as South Asians in the United Kingdom, and thus to improve minority ethnic groups' access to health care services to support individual health needs, and consequently enhance health status.

Case mix-based changes in health status: A prospective study of elective surgery patients in Vancouver, Canada.

Hospital activity is often measured using diagnosis-related groups, or case mix groups, but this information does not represent important aspects of patients' health outcomes. This study reports on case mix-based changes in health status of elective (planned) surgery patients in Vancouver, Canada. We used a prospectively recruited cohort of consecutive patients scheduled for planned inpatient or outpatient surgery in six acute care hospitals in Vancouver. All participants completed the EQ-5D(5L) preoperatively and 6months postoperatively, collected from October 2015 to September 2020 and linked with hospital discharge data. The main outcome was whether patients' self-reported health status improved among different inpatient and outpatient case mix groups. The study included 1665 participants with completed EQ-5D(5L) preoperatively and postoperatively, representing a 44.8% participation rate across eight inpatient and outpatient surgical case mix categories. All case mix categories were associated with a statistically significant gain in health status (p < .01 or lower) as measured by the utility value and visual analogue scale score. Foot and ankle surgery patients had the lowest preoperative health status (mean utility value: 0.6103), while bariatric surgery patients reported the largest improvements in health status (mean gain in utility value: 0.1515). This study provides evidence that it was feasible to compare patient-reported outcomes across case mix categories of surgical patients in a consistent manner across a system of hospitals in one province in Canada. Reporting changes in health status of operative case mix categories identifies characteristics of patients more likely to experience significant gains in health.

Health Counseling On Hypertension and Blood Pressure Checking in Sungai Tiung RT.32 Communities Working Area Of Cempaka Community Health Center

Hypertension is a condition in which a person experiences an increase in blood pressure above normal which results in morbidity and mortality. Hypertension is often referred to as the silent killer because it is deadly without being accompanied by its symptoms as a warning to its victims. With the Implementation of Community Service Activities it is hoped that the Lecturers of the Nursing Department of the Banjarmasin Ministry of Health Poltekkes can contribute to the community to improve health status, especially in the health sector of Non-Communicable Diseases (PTM). The implementation of Community Service Activities was carried out with 2 main activities starting with the first activity, namely the Implementation of Health Education about Hypertension once, followed by an evaluation in the form of distributing questionnaires to participants and providing opportunities to ask questions. In the second activity, namely Checking Blood Pressure in the Community. The targets of this activity consisted of 6 young women, 21 adult women, and 13 elderly women who are residents of the Sungai Tiung sub-district, RT. 32 Banjarbaru City. After counseling the PKM participants had good knowledge about hypertension as many as 30 people (75%) and there were still 10 people (25%) who had sufficient knowledge. Questionnaire question number 8 (hypertension always causes symptoms/complaints) received the most wrong answers from counseling participants (the community/mothers) as many as 36 people (90%) this means that people still think that hypertension always causes symptoms/complaints, so it is necessary to hold health promotion about hypertension which does not always cause symptoms, as well as motivating people to check their blood pressure regularly even if there are no symptoms.