Necessity of an Exclusive Health Care Model for Individuals with Quintessential Epigenetic Efficiency

Definition of health cannot be oversimplified. Understanding about health status of individuals should not be solely based on physiologic parameters examined in the resting state and comparing individual-specific health data with any established/obsolete statistical average because this approach could mislead people to anticipate better health without essential lifestyle interventions and modifications. Are we health-educating unhealthy people to curb their disease by adapting the lifestyle of healthy people? A healthy person could be abstaining from toxic substances, exercising regularly, consuming nutritious foods, sleeping adequately, reproducing naturally, excelling in sports, practicing spirituality, resisting disease developments/progressions, falling sick rarely every year, recuperating much faster even falls sick, ageing at slower pace and living longer. There is no miraculous medicine or therapy that could afford complete cure from the diseases unless unhealthy individuals incline to learn and adapt a healthy lifestyle. Unhealthy individuals, in this context, are those who have knowingly sabotaged their health despite being aware of the hazards of sedentariness, unstructured lifestyle, malnourishment, stress and ingesting toxic substances. Unhealthy people should not assume that they would return to health and sustain better health without comparing themselves with the qualities of healthy individuals. For instance, low back aches of people who cannot even activate their Erector Spinae to bend forward correctly are not the same as people who can bend forward correctly activating strong Erector Spinae while exercising with barbell or dumbbell. Of course, it may not be entirely possible to revitalize the chronically-diseased individuals but at least some of the health guidelines formulated on the basis of lifestyle of healthy individuals should be incorporated in the treatments and rehabilitations. The difference between healthy and unhealthy people is extremely vast which we have not yet acknowledged scientifically. Superior health-fitness excellence of healthy individuals is an expression of high epigenetic efficiency to favor Morbidity-Attenuated Life Years (MALYs). In contrast, Disability-Adjusted Life Years (DALYs) could be associated with different degrees of epigenetic inefficiency or epigenetic dysfunctions. MALYs belong to healthy persons and DALYs belong to unhealthy persons. DALYs are characterized by almost predictable disease/disability events but MALYs have been mysterious. The mysteries of MALYs can be solved by developing an exclusive health care model for healthy individuals and it would remain unsolved without the inclusion of Physiotherapists, Exercise Professionals and Dieticians. KEY WORDS: Epigenetics, Exercise Tolerance, Health, DALYs, Spiritual intelligence, Fitness, Functional status, Aging, Physical Activity, Lifestyle, Sedentary, Co-morbidities, Kinanthropometry, Salutogenesis.

TELEMEDICINE AS A DIRECTION OF DEVELOPMENT OF THE MARKET OF DIGITAL TECHNOLOGIES IN HEALTHCARE

Research subject — telemedicine services market; object — telemedicine as one of the directions of development of the health care system. The aim of the study is to identify the role of digital technologies, including telemedicine and artificial intelligence, in the process of healthcare transformation. The objectives of the study are to determine the level of development of the global and domestic telemedicine market, to identify the advantages and disadvantages of introducing telemedicine services online. The novelty of the research: the essence and role of telecommunications in the development of relationships between patients and doctors, digital data (including predictive data), indicating the current level of the digital technologies market in medicine and the prospects for its development are presented. Conclusions: telemedicine makes it possible to increase the level of accessibility of the population to medical services, but it cannot abolish the existing health care model.

Effectiveness of Psychosocial Supportive Care Trial on Quality of Life among Breast Cancer Patients: An Interventional Study at the National Cancer Institute, Egypt

BACKGROUND: Breast cancer (BC) patients suffer from many psychosocial problems due to their health condition and treatment side effects so they are in great need for psychosocial supportive care. AIM: The aim of the study was to provide a comprehensive psych-social supportive health-care model for BC patients a step toward improving their quality of life (QOL). PATIENTS AND METHODS: Random assignment was done for 185 patients with primary operated BC to a control or an intervention group. The researcher offered five daily successive psychosocial supportive care sessions for the patients in the intervention group. All patients were followed up for coping ability, mood and QOL 8 weeks after the intervention. RESULTS: The intervention had statistically significant effects on psychological distress, depression, problem focused, and active emotional coping domain, while had not any statistically significant effects on avoidant emotional coping domain. CONCLUSION: Psychosocial supportive developed health-care model decreased psychological distress, depression, and improved QOL among patients with primary BC.

Development of a Participatory Health Care Model for Farmers and Stakeholders Involved in Snakeskin Gourami Fish Farming in Bang Bo District, Samutprakarn Provinces, Thailand

The present study was based on a participatory action research (PAR) design with the objectives of developing a participatory health care model for farmers and stakeholders involved in snakeskin gourami fish farming in Bang Bo District. The study was conducted from May 1, 2017 - April 30, 2018. The sample was composed of 85 people who were fish farmers, fish pond owners, and fish farming laborers involved in the processing and distribution of snakeskin gourami, 35 VHVs (village health volunteers), 1 registered nurse, and 1 administrator of a Tambon Health Promoting Hospital (THPH) for a total of 122 subjects. The PAR process involved 3 stages: Stage 1- Situation Analysis, Stage 2 - Participatory Action Research Process, and Stage 3 - Outcome Evaluation. The findings revealed 2 types of health problems: 1) work-related problems: incorrect work behaviors such as lifting heavy objects 1 - 5 times per day, repetitive work postures/positions causing aching bones and muscles and working fast to obtain large amounts and finish in time until work-related accidents occur such as knife cuts, pricked fingers from fish fins and slips/fallsand 2) Risks and illnesses caused by chronic disease. The synthesis of the participatory health care model disclosed that the health care activities covered 4 dimensions, encompassing health promotion, disease prevention, treatment, and recovery. The sample had a high level of satisfaction in the organization of the project at a mean of 4.40 of 5 points.