Present Health Status Research Articles

Random forest predictive modeling of prolonged hospital length of stay in elderly hip fracture patients.

In elderly individuals suffering from hip fractures, a prolonged hospital length of stay (PLOS) not only heightens the probability of patient complications but also amplifies mortality risks. Yet, most elderly hip fracture patients present compromised baseline health conditions. Additionally, PLOS leads to increased expenses for patient treatment and care, while also diminishing hospital turnover rates. This, in turn, jeopardizes the prompt allocation of beds for urgent cases. A retrospective study was carried out from October 2021 to November 2023 on 360 elderly hip fracture patients who underwent surgical treatment at West China Hospital. The 75th percentile of the total patient cohort's hospital stay duration, which was 12 days, was used to define prolonged hospital length of stay (PLOS). The cohort was divided into training and testing datasets with a 70:30 split. A predictive model was developed using the random forest algorithm, and its performance was validated and compared with the Lasso regression model. Out of 360 patients, 103 (28.61%) experienced PLOS. A Random Forest classification model was developed using the training dataset, identifying 10 essential variables. The Random Forest model achieved perfect performance in the training set, with an area under the curve (AUC), balanced accuracy, Kappa value, and F1 score of 1.000. In the testing set, the model's performance was assessed with an AUC of 0.846, balanced accuracy of 0.7294, Kappa value of 0.4325, and F1 score of 0.6061. This study aims to develop a prognostic model for predicting delayed discharge in elderly patients with hip fractures, thereby improving the accuracy of predicting PLOS in this population. By utilizing machine learning models, clinicians can optimize the allocation of medical resources and devise effective rehabilitation strategies for geriatric hip fracture patients. Additionally, this method can potentially improve hospital bed turnover rates, providing latent benefits for the healthcare system.

Mental Health and COVID-19 Among Seafarers Working in Maritime Industry Residing in India: A Pilot Study

Background: To combat the spread of Coronavirus (COVID-19), most countries implemented measures such as travel restrictions, prohibitions on leaving shore at ports, and restrictions on crew change. During the COVID-19 first lockdown, seafarers were subjected to excessive stress. Methods: A cross-sectional study was carried out among 77 seafarers working in the maritime industry and residing in India. The questionnaire was distributed online using a Google form. The self-rating depression scale, Depression, Anxiety & Stress scale (DASS-21) was used to evaluate the mental health status among the seafarers. Results: The mean age of study population was 35.39 years with standard deviation of 7.09. According to the results obtained from DASS 21 scale, 16.9% showed moderate depression, 15.6% showed moderate anxiety, and 5.2% were having severe stress. The present health condition of the seafarers, and change in the household income of family due to COVID-19 showed statistically significant association with depression. The extension of contract period during COVID 19, change in the overall household income, and inability to meet their expenses showed statistically significant association with anxiety. The seafarers who had to take part time job for earning and seafarers who were not covered by insurance showed statistically significant association with stress. Conclusion: This pilot study showed that 16.9% Indian seafarers were having moderate depression during the first lockdown of COVID-19 times

A Study of Health Status of Hotel and Restaurant Child Labor in Nepalgunj Sub-metropolitan

The major aim of this research paper was to investigate the present health condition of child laborers who were working in the hotel and restaurants of Nepalgunj. Socio-economic condition and family background were analyzed to find out the health condition, of labour children. The study is mainly based on primary data collected form Nepalgunj Sub-metropolitan using purposive sampling techniques. 150 people in total responded to the survey. It is now widely acknowledged that child exploitation is a serious socioeconomic issue. Children are among the demographic groups that are most frequently neglected, abused, and subjected to the worst types of child labor. Child labor is a widespread occurrence in Nepal, both in terms of general employment and population. The child labor in hotel and restaurant is common in the urban areas of Nepal who are not getting proper health care and treatment. It is concluded from the study that child laborers in hotel and restaurant is one of the visible, exploitative and hazardous forms of child labour whose health condition is vulnerable. Poverty is one of the cause and consequence of child labour. It is linked to the socio-economic, political and cultural realities of the county. The adoption of new laws and policies only cannot prevent the child labour problem unless society as a whole is aware on child right issue.

Tolerance for three commonly administered COVID-19 vaccines by healthcare professionals.

ImportanceMost healthcare institutions require employees to be vaccinated against SARS-CoV-2 and many also require at least one booster.ObjectiveWe determine the impact of vaccine type, demographics, and health conditions on COVID-19 vaccine side effects in healthcare professionals.DesignA COVID-19 immunity study was performed at the 2021 American Association for Clinical Chemistry Annual Scientific meeting. As part of this study, a REDCap survey with cascading questions was administered from September 9, 2021 to October 20, 2021. General questions included participant demographics, past and present health conditions, smoking, exercise, and medications. COVID-19 specific questions asked about SARS-CoV-2 vaccine status and type, vaccine-associated side effects after each dose including any boosters, previous infection with COVID-19, diagnostic testing performed, and type and severity symptoms of COVID-19.ResultsThere were 975 participants (47.1% male, median age of 50 years) who completed the survey. Pfizer was the most commonly administered vaccine (56.4%) followed by Moderna (32.0%) and Johnson & Johnson (7.1%). There were no significant differences in vaccine type received by age, health conditions, smoking, exercise, or type or number of prescription medications. Side effects were reported more frequently after second dose (e.g., Moderna or Pfizer) (54.1%) or single/only dose of Johnson & Johnson (47.8%). Males were significantly more likely to report no side effects (p < 0.001), while females were significantly more likely to report injection site reactions (p < 0.001), fatigue (p < 0.001), headache (p < 0.001), muscle pain (p < 0.001), chills (p = 0.001), fever (p = 0.007), and nausea (p < 0.001). There was a significant upward trend in participants reporting no side effects with increasing age (p < 0.001). There were no significant trends in side effects among different races, ethnicities, health conditions, medications, smoking status or exercise. In multivariate logistic regressions analyses, the second dose of Moderna was associated with a significantly higher risk of side effects than both the second dose of Pfizer and the single dose of Johnson & Johnson.Conclusions and relevanceYounger people, females, and those receiving the second dose of Moderna had more COVID-19 vaccine side effects that per self-report led to moderate to severe limitations. As reported in other studies, the increase in side effects from Moderna may be explained by higher viral mRNA concentrations but be associated with additional protective immunity.

Perspectives for Uses of Propolis in Therapy against Infectious Diseases.

Propolis has gained wide popularity over the last decades in several parts of the world. In parallel, the literature about propolis composition and biological properties increased markedly. A great number of papers have demonstrated that propolis from different parts of the world is composed mainly of phenolic substances, frequently flavonoids, derived from plant resins. Propolis has a relevant role in increasing the social immunity of bee hives. Experimental evidence indicates that propolis and its components have activity against bacteria, fungi, and viruses. Mechanisms of action on bacteria, fungi, and viruses are known for several propolis components. Experiments have shown that propolis may act synergistically with antibiotics, antifungals, and antivirus drugs, permitting the administration of lower doses of drugs and higher antimicrobial effects. The current trend of growing resistance of microbial pathogens to the available drugs has encouraged the introduction of propolis in therapy against infectious diseases. Because propolis composition is widely variable, standardized propolis extracts have been produced. Successful clinical trials have included propolis extracts as medicine in dentistry and as an adjuvant in the treatment of patients against COVID-19. Present world health conditions encourage initiatives toward the spread of the niche of propolis, not only as traditional and alternative medicine but also as a relevant protagonist in anti-infectious therapy. Production of propolis and other apiary products is environmentally friendly and may contribute to alleviating the current crisis of the decline of bee populations. Propolis production has had social-economic relevance in Brazil, providing benefits to underprivileged people.

A novel intervention to reduce noninfectious and infectious complications associated with indwelling urethral catheters in hospitalized older patients: a quasi-experimental study

BackgroundIndwelling urethral catheters are widely used in clinical settings. Catheter-associated urinary tract infection has been recognized as a common adverse event in older patients. However, noninfectious complications are almost 5 times as common as infectious complications, and insufficient attention has been given to noninfectious complications. Given this importance, a novel intervention related to removing unnecessary catheters in a timely manner to promote, after removal, the recovery of self-voiding function is herein developed to reduce infectious and noninfectious complications associated with indwelling urethral catheters in hospitalized older patients.MethodsA quasi-experimental study design was adopted. Patients aged 65 and older who had a urinary catheter placed within 24 h of hospital admission were included. All patients were allocated into either an intervention group, in which the novel intervention developed in the study was implemented, or a control group, who received care as usual. The outcomes of this study were to evaluate whether the novel intervention reduced the incidence of the following: catheter-associated urinary tract infections, catheter-associated noninfectious complications, decline in activities of daily living, and new nursing home admissions.ResultsOf 106 hospitalized older patients who consented to participate, 92 completed follow-up until discharge, including 49 in the control group and 43 in the intervention group. The patients in the intervention group were significantly older than those in the control group [83.72 ± 9.18 vs. 80.26 ± 7.66, p = 0.038], and no differences were found between the groups in other demographics or present health conditions. Multivariable logistic regression analysis showed that the control group was more likely to develop noninfectious complications [adjusted odds ratio: 3.01, 95% confidence interval: 1.32–6.81] and a decline in ADLs [adjusted odds ratio: 11.20, 95% confidence interval: 3.68–34.00].ConclusionsA novel intervention can be effective as a means of reducing noninfectious complications associated with indwelling urethral catheters in hospitalized older patients. This approach will help to standardize urethral catheter care, and it highlights the fact that health care professionals can play a crucial role in preventing harm from urethral catheters.

Interplay Among the Oral Microbiome, Oral Cavity Conditions, the Host Immune Response, Diabetes Mellitus, and Its Associated-Risk Factors-An Overview.

This comprehensive review of the literature aimed to investigate the interplay between the oral microbiome, oral cavity conditions, and host immune response in Diabetes mellitus (DM). Moreover, this review also aimed to investigate how DM related risk factors, such as advanced age, hyperglycemia, hyperlipidemia, obesity, hypertension and polycystic ovary syndrome (PCOS), act in promoting or modifying specific mechanisms that could potentially perpetuate both altered systemic and oral conditions. We found that poorly controlled glycemic index may exert a negative effect on the immune system of affected individuals, leading to a deficient immune response or to an exacerbation of the inflammatory response exacerbating DM-related complications. Hyperglycemia induces alterations in the oral microbiome since poor glycemic control is associated with increased levels and frequencies of periodontal pathogens in the subgingival biofilm of individuals with DM. A bidirectional relationship between periodontal diseases and DM has been suggested: DM patients may have an exaggerated inflammatory response, poor repair and bone resorption that aggravates periodontal disease whereas the increased levels of systemic pro-inflammatory mediators found in individuals affected with periodontal disease exacerbates insulin resistance. SARS-CoV-2 infection may represent an aggravating factor for individuals with DM. Individuals with DM tend to have low salivary flow and a high prevalence of xerostomia, but the association between prevalence/experience of dental caries and DM is still unclear. DM has also been associated to the development of lesions in the oral mucosa, especially potentially malignant ones and those associated with fungal infections. Obesity plays an important role in the induction and progression of DM. Co-affected obese and DM individuals tend to present worse oral health conditions. A decrease in HDL and, an increase in triglycerides bloodstream levels seem to be associated with an increase on the load of periodontopathogens on oral cavity. Moreover, DM may increase the likelihood of halitosis. Prevalence of impaired taste perception and impaired smell recognition tend to be greater in DM patients. An important interplay among oral cavity microbiome, DM, obesity and hypertension has been proposed as the reduction of nitrate into nitrite, in addition to contribute to lowering of blood pressure, reduces oxidative stress and increases insulin secretion, being these effects desirable for the control of obesity and DM. Women with PCOS tend to present a distinct oral microbial composition and an elevated systemic response to selective members of this microbial community, but the association between oral microbiome, PCOS are DM is still unknown. The results of the studies presented in this review suggest the interplay among the oral microbiome, oral cavity conditions, host immune response and DM and some of the DM associated risk factors exist. DM individuals need to be encouraged and motivated for an adequate oral health care. In addition, these results show the importance of adopting multidisciplinary management of DM and of strengthening physicians-dentists relationship focusing on both systemic and on oral cavity conditions of DM patients.

Design and Implementation of Real Time Embedded Tele-Health Monitoring System

The technology is growing rapidly, developments are occurring in every areas including the health care industry. The number of health care centres and super speciality hospitals, etc.. are increasing. People are becoming more conscious about their health. The paper presents a health monitoring system for the acquisition of the physiological parameters such as temperature, ECG, Heart rate and pressure using the Atmega328p microcontroller. The values are displayed on the LCD 16x2 screen and as well as on the webpage created with the help of NodeMCU ESP8266 module. The data can be accessed from anywhere irrespective of the gadget used, only by knowing the IP address. We are using here a GSM module to send alert message to the doctor. The usage of GSM module in the system overcome the lack of obtaining the data in the webpage in the absence of internet connectivity in a particular area, by providing alert message about the present health condition.

A framework for IoT-enabled environment aware traffic management

Vehicular traffic has increased across all over the world especially in urban areas due to many reasons including the reduction in the cost of vehicles, degradation of the quality of public transport services and increased wealth of people. The traffic congestion created by these vehicles causes many problems. Increased environment pollution is one of the most serious negative effects of traffic congestion. Noxious gases and fine particles emitted by vehicles affect people in different ways depending on their age and present health conditions. Professionals and policy makers have devised schemes for better managing traffic in congested areas. These schemes suffer from many shortcomings including the inability to adapt to dynamic changes of traffic patterns. With the development of technology, new applications like Google maps help drivers to select less congested routes. But, the identification of the best route takes only the present traffic condition on different road segments presently. In this paper the authors propose a system that helps drivers select routes based on the present and expected environment pollution levels at critical points in a given area.

Health conditions of potential risk for severe Covid-19 in institutionalized elderly people.

The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson's Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5-8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.

Factors Affecting Neonatal Hearing Screening Follow-up in Developing Countries: One Insitution Prospective Pilot Study.

ObjectiveTo detect factors related with loss to follow-up (LTF) in neonatal hearing screening (NHS) program of one institution in a developing country.MethodsA prospective study was planned based on the data collected in a pilot study conducted a year before in the same institution. In this pilot study, hearing screening was performed before hospital discharge for every infant (1217 newborns) in six months period. Total referral rate was 19.1% (223/1217). Loss to follow-up (LTF) was 38.1% (85/223). Telephonic interviews were done with 50 parents who had not come with their child to the second hearing test. For these telephonic interviews the questionnaire with four sections (socio-demographic information; information about pregnancy, birth, and present health condition of the child; caregiver knowledge of neonatal hearing screening, and reasons for default on follow-up) was created.ResultsThe mothers participated in this study were 29.1 years (±5.2 SD) of age in average. Place of residence was mostly rural (64%; n=32) with 39.4 Km (±24.8 SD) away from from the rescreen referral center. Their knowledge on neonatal hearing screening, hearing impairment incidence or treatment opportunities was at a very low level. Caregivers’ perceptions that follow-up was unnecessary (50%; n=25), was most frequently given reason for follow-up default, followed by newborns bad health condition (12%; n=6) and forgetting about the follow-up visits (8%; n=6).ConclusionThe main reason for default in follow-up in our study was caregiver’s poor knowledge about this topic.

Engineering Students’ Perceptions on Online Class Given through Google Classroom

Given the present health condition of the world, the education sector designed alternative learning delivery modalities. To give a response to the emerging method of education, higher education students must be equipped with technical knowledge and skills. On this background, this study evaluated the perception of students on online learning using Google Classroom. It involves seventy-one (71) engineering students from Palawan State University-Main campus, Puerto Princesa City, Palawan, the Philippines who were identified using a simple random sampling technique. Descriptive statistics such as weighted mean indicates that the engineering students’ perceptions on an online class given through google classroom as to the time spent on coursework, and purpose of giving coursework were described as fairly favorable. On the other hand, their perceptions on an online class as to parental involvement were identified as unfavorable. Using multiple linear regression analysis, results further show that the engineering students’ perceptions of an online class in terms of time spent on coursework, the purpose of giving coursework, and parental involvement are not dependent on their profile. However, it is worthy to consider that the students’ perceptions of an online class in terms of parental involvement are dependent on the students’ profile as to the family’s monthly income.

Internet-of-Things Skills Among the General Population: Task-Based Performance Test Using Activity Trackers.

BackgroundThe health internet-of-things (IoT) can potentially provide insights into the present health condition, potential pitfalls, and support of a healthier lifestyle. However, to enjoy these benefits, people need skills to use the IoT. These IoT skills are expected to differ across the general population, thereby causing a new digital divide.ObjectiveThis study aims to assess whether a sample of the general Dutch population can use health IoT by focusing on data and strategic IoT skills. Furthermore, we determine the role of gender, age, and education, and traditional internet skills.MethodsFrom April 1, 2019, to December 12, 2019, 100 individuals participated in this study. Participants were recruited via digital flyers and door-to-door canvassing. A selective quota sample was divided into equal subsamples of gender, age, and education. Additional inclusion criteria were smartphone possession and no previous experience of using activity trackers. This study was conducted in 3 waves over a period of 2 weeks. In wave 1, a questionnaire was administered to measure the operational, mobile, and information internet skills of the participants, and the participants were introduced to the activity tracker. After 1 week of getting acquainted with the activity tracker, a task-based performance test was conducted in wave 2 to measure the levels of data IoT skills and the strategic IoT skill component—action plan construction. A week after the participants were asked to use the activity tracker more deliberately, a performance test was then conducted in wave 3 to measure the level of the strategic IoT skill component—action plan execution.ResultsThe participants successfully completed 54% (13.5/25) of the data IoT skill tasks. Regarding strategic IoT tasks, the completion rates were 56% (10.1/18) for action plan construction and 43% (3.9/9) for action plan execution. None of the participants were able to complete all the data IoT skill tasks, and none of the participants were able to complete all the strategic IoT skill tasks regarding action plan construction or its execution. Age and education were important determinants of the IoT skill levels of the participants, except for the ability to execute an action plan strategically. Furthermore, the level of information internet skills of the participants contributed to their level of data IoT skills.ConclusionsThis study found that data and strategic IoT skills of Dutch citizens are underdeveloped with regard to health purposes. In particular, those who could benefit the most from health IoT were those who had the most trouble using it, that is, the older and lower-educated individuals.

Self-reported health without clinically measurable benefits among adult users of multivitamin and multimineral supplements: a cross-sectional study

ObjectiveMultiple clinical trials fail to identify clinically measurable health benefits of daily multivitamin and multimineral (MVM) consumption in the general adult population. Understanding the determinants of widespread use of MVMs...

A cross-sectional Study to Assess the Quality of Life of HIV Infected Individuals Attending ART Centre, KIMS Hubli

Background: Healthful living is the right of every individual. Healthful living is reflected by the qualityof life of the people in the community and it is true even in case of people living with HIV. According tothe current data the predictors for quality of life in HIV infected individuals are present health condition,antiretroviral therapy, psychological well-being, social support systems, coping strategies and spiritual wellbeing.Objectives : To assess the QOL of people with HIV/AIDS and the impact of various domains of quality oflife in people with HIV/AIDS.Methods: A cross sectional was study conducted on 100 HIV infected people attending “KIMS Hubli”. Aface to face interview was conducted using a pre-tested, semi-structured questionnaire adopted from WHOQOL Questionnaire. It covers the respondent’s perception of overall quality of life within the six broaddomains. The reply was according to the five point Likert scale.Results: 70.83 % of the illiterates and 68.4% of the literates scored badly in spirituality domain; and,66.67% of the illiterates have scored well while 63.15% of the literates have scored well in the environmentdomain. 56.25% of the married participants scored well in social relationship domain.60.42% of the marriedparticipants scored well in Environment domain.Conclusion: Spiritual domain is affected the most in the patients living with HIV. Married people scoredwell in the social relationship and environment domain. Gender has affected the physical domain and levelof independence. In these domains females have scored well when compared to males.

A Study on the Change in Adult's Oral Health Promotional Behavior and Oral Health Interest After Teeth Scaling Coverage by National Health Insurance

Objectives: This study was accomplished to determine the effect of teeth scaling coverage by the Korean National Health Insurance on oral health promotion behaviour and oral health interest of Korean adults. Methods: For this study, 165 adults were surveyed. The data were analyzed with descriptive statistics, t-test and stepwise multiple regression analysis with SPSS 18.0 program. From the statistical analysis, following results were obtained. Results: First, participants scaling application base date change recognition factors were varied depending on the scaling satisfaction level and participants interest on insurance coverage on scaling. Second, as the level of interest on scaling insurance coverage increased by 1, the level of present oral health condition increased by 0.251, and this was statistically significant. Conclusions: The level of scaling satisfaction and present oral health condition affect on the interest of insurance coverage of teeth scaling could be drawn from this study. This study, which investigated possible correlation between scaling insurance coverage and oral health promotional behaviour, and interest on oral health can be helpful in further establishment on future dental insurance policies.

Attitude And Utilization of Services Under Rajiv Aarogyasri Scheme in Private Health Care Set-Up At Rajahmundry, Andhra Pradesh

Background: Healthcare services help to keep diseases under control and raise life expectancy. Andhra Pradesh is a state which accounts 9.20% of below poverty line population of its total population. To meet the need of tertiary health care for such people the government of Andhra Pradesh started the Rajiv Aarogyasri Health Insurance Scheme on to improve access of poor to quality medical care and for providing financial protection against high medical expenses. The present study was undertaken to assess the health service delivery to poor population of Rajahmundry and their utilization of these services and to identify any gaps or lacunae in these services provided. Objectives: 1. To study the socio demographic and the present health condition of the people availing the services under Rajiv Aarogyasri Scheme.2)To assess their behavior &amp; attitude towards the services provided to the patients by private health care providers under guidelines of “Rajiv Aarogyasri scheme”. &amp; their utilization &amp; client satisfaction. Materials And Methods: A facility based cross sectional study focusing on personal and demographic characteristics, client satisfaction of the service offered to them was designed. The clients, service providers etc. were interviewed with the help of pretested proforma &amp; the results were analyzed. Results &amp; Conclusions: Service delivery by private outlets accredited under Rajiv Aarogyasri Scheme is effectively functioning.

A survey-based study on awareness of eye diseases among population of Bangladesh

Awareness of common eye diseases and their early detection can play a vital role in encouraging people to seek timely eye care and therefore help in reducing the burden of visual impairment. This study was designed to reveal the assessment of awareness of eye diseases among the population of Bangladesh in different locations. For this, a total of 750 respondents were selected by convenient sampling and were interviewed using a structured questionnaire. From this study, we found that only 50% of the respondents were aware of glaucoma and only 35% had knowledge about glaucoma. About 52% of the study population was aware of cataract and 19% of them had knowledge that the risk of cataract increases by getting older. About 38% of the participants had an understanding of night blindness. Diabetes can lead to eye diseases and this was known to 40% of the study population. Only 23% of the respondents were concern about their family’s present eye health condition. Frequency of taking nutritional food for optimum health was very poor. Daily nutritional foods were taken by 17% of the participants. About 36% of study subjects maintained their blood pressure and obesity. From our survey results, it can be implied that the level of awareness and knowledge about common eye diseases among the population of Bangladesh was not satisfactory. Highlighting importance to the tertiary eye care, imposing health education and raising awareness will assist to understand the importance of routine eye examination for early detection and treatment of such conditions.&#x0D; Asian J. Med. Biol. Res. June 2019, 5(4): 292-296

The Use of Narratives to Deliver Information in Direct-To-Consumer Prescription Drug Commercials: A Content Analysis

Information communicated through a narrative format is typically processed and evaluated differently compared to non-narrative formats. Therefore, differences in the use of narratives across various information categories within direct-to-consumer prescription drug advertisements (DTCA) could have significant implications for consumers’ processing of that information. Such differences could have further implications regarding the “fair balance” rule put forth by the Food and Drug Administration (FDA). This study sought to document the presence and nature of narrative and non-narrative messages in a content analysis of 61 U.S.-based broadcast DTCA airing during 2016. Specific narrative styles (classic drama, vignette, first person, second person, third person) were distinguished from non-narrative styles (lecture, directive, endorsement, graphic/demonstration) according to key characteristics of each (chronology and character, showing versus telling). Results indicated widespread use of narrative styles in DTCA overall, but the styles used differed substantially between different types of information. Narrative styles were delivered prominently to present health condition and drug benefits information while non-narrative styles primarily reinforced drug benefits and presented drug risks. These differences offer a new frame through which to view an imbalanced presentation of drug risks and benefits and provide a foundation for future research to test the effects of various narrative and non-narrative forms on patient understanding and message recall.

A cognitive technology based healthcare monitoring system and medical data transmission

In healthcare management, the volume of patient data generated from various medical devices used for patient monitoring. Increasing healthcare data is persisted in distributed database available in cloud, for sharing among medical experts. Cloud provides most excellent methods to explore the organized and unorganized data prepared from healthcare management systems. By analyzing the healthcare data, the health conditions and the treatment methods are predicted for future treatment. Yet, the existing design could not sustain both analysis and procedure for huge quantity of multi-organized healthcare data. In this paper, it is aimed to provide a cognitive technology for efficient monitoring and transmission of medical data in a healthcare industry. To do that, a Cognitive Data Transmission Method (CDTM) is proposed for monitor, record and transmit the data patient’s health related data. A highest priority is assigned in data transmission, when the health condition is critical, which can be identified from the data-packet information. The cognitive nature is obtained using Simulated Annealing method. Finally, a stochastic prophesy representation is intended to predict the future health condition of the most related patients based on their present health conditions. Performance assessment of the planned procedure is recognized through general model in the cloud surroundings, that ensures 98% accurateness of prediction and sustain 99% of CPU and bandwidth consumption to decrease the analysis time